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January 1977

Coronary Surgery in a Patient Receiving Hemodialysis

Arch Intern Med. 1977;137(1):25-26. doi:10.1001/archinte.1977.03630130011003

Scenario:  On a balmy spring afternoon in 1984, a solemn group of taxpayers assembles just outside the city gate. Twelve are chosen by lot and the rest are dismissed. A court order is read; a signal is given. The 12 step to the edge of a pit and begin to hurl the large stones piled there onto old Jack Jones, a blind diabetic with renal failure, carcinoma of the lung, and threatened gangrene. A solution has been found for catastrophic illness. Jack used up all his allowables.In this issue of the Archives, there is report of a case of a person receiving maintenance hemodialysis for end-stage renal disease who successfully underwent coronary artery bypass surgery with alleviation of severe angina pectoris. While treatment of the patient in this fashion represents a technical tour de force of substantial magnitude, it is no longer startling that available knowledge may be so