_______________________________________________________ Sir here is a
query from  South India,

My father S was 72 year old vegitaian non smoker .had a cardiac stroke
10years back. At that time the doctors here ruled out possibility of
surgery since then on medicines  . He has been a diabetic for the past
32 years and insulin dependent since past 18years. He has been
hypertensive since his first stroke in 1997 .

In the month of jan 2007 he got a silent heart attack. In feb2007
angiogram was done the physician said there is a triple vessel block.
The physician said now my father can get operated. He further said
there is only a risk of 1to 2%. We believed in him and joined him in a
private hospital.

On 22-3-07 he was joined in the hospital he walked along with us
talking and hoping some positive outcome( it was not an emergency
case). on 24-3-07 CABG was performed. Unfortunately he could not come
out of ICU he passed away there on 12-4-07.

We were informed that the operation started with off pump technique
but in mid course it became on pump.

When we looked in to his medical reports we found that Dads S.
Creatinin  was 1.5 mg/dl and GFR with MDRD equation was 52.His plasma
glucose was 238. Nothing intimated to us before going for surgery. He
died according to death report due to acute renal failure and low
cardiac output and sepsis.

The questions are

Was it fair and technically correct to operate a patient with above
condition and parameter on22-3-07 to be operated on 24-3-07?

Was there any chance for deferring the operation?

Waiting for your reply

Thanking you

Yours

H.Vageeshan
Development professional
Hyderabad
South India