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Aorto-coronary bypass surgery was performed successfully for an anuric patient who had been on hemodialysis three times a week for ten years because of chronic renal failure. Hemodialysis was performed up to twenty-four hours prior to the operation. Cardiopulmonary bypass was done using a bubble oxygenator primed with 2000 ml of homologous blood and 500 ml of osmotic diuretic and electrolytes. Peritoneal dialysis started immediately after the surgery followed by routine chronic hemodialysis from the 5th postoperative day. This patient recovered uneventfully and is now relieved from severe chest pain.
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