It is reported on first own experiences in the cardiosurgical treatment of patients with terminal renal insufficiency. Frequency of cardiovascular complications and their high lethality in this group of disease force into early and routine use of cardiological diagnostics and cardiosurgical therapy. The surgical indication should exclusively be based on the severity of the present heart disease. The permanent dialysis treatment is no contraindication. When the patients are carefully selected and with close cooperation of all specialties participating the operative risk of patients with terminal renal insufficiency does not essentially differ from that one of patients with healthy kidneys.
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