Arda Aybars PALA, Temmuz TANER, Ahmet Burak TATLI

Sistemik sklerozis ve sjögren sendromu olan hastada off-pump koroner arter baypas greft cerrahisi

Sistemik sklerozis ve sjögren sendromu vasküler tutulum yapabilen birer otoimmün bağ dokusu hastalıklarıdır. Klinik olarak kardiyovasküler tutulum nadirdir, ancak semptomatik ise kötü bir prognostik faktördür. Biz bu yazıda sistemik sklerozisi ve sjögren sendromu olan 49 yaşında diabetik bir kadın hastada off-pump koroner arter baypas greft cerrahisi tecrübemizi aktarmayı amaçladık.

Anahtar Kelimeler:

off-pump koroner arter baypas greft, sistemik sklerozis, sjögren sendromu

Off-pump coronary artery bypass graft operation in a patient with systemic sclerosis and sjogren’s syndrome

Systemic sclerosis and sjogren’s syndrome are autoimmune connective tissue diseases that can occur with vascular involvement. Clinically cardiovascular involvement is uncommon, however it is a bad prognostic factor if it is symptomatic. We aimed to present our off-pump coronary artery bypass graft operation experience with a 49 year old female diabetic patient who has systemic sclerosis and sjogren’s syndrome.

Keywords:

Off-pump coronary artery bypass graft, systemic sclerosis, sjogren’s syndrome,

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1. Kahan A, Allanore Y. Primary myocardial involvement in systemic sclerosis. Rheumatology (Oxford). 2006 Oct;45 Suppl 4:iv14-7. Review.
2. Nikolov PN, Gabor GI. Pathogenesis of Sjogren’s syndrome. Curr Opin Rheum 2009; 21:465-470.
3. Birdas TJ, Landis JT, Haybron D, Evers D, Papasavas PK, Caushaj PF. Outcomes of coronary artery bypass grafting in patients with connective tissue diseases. Ann Thorac Surg. 2005 May;79(5):1610-4.
4. Nussinovitch U, Shoenfeld Y. Atherosclerosis and macrovascular involvement in systemic sclerosis: myth or reality. Autoimmun Rev. 2011 Mar;10(5):259-66. doi: 10.1016/j.autrev.2010.09.014. Epub 2010 Sep 21.
5. Kahaleh MB. Raynaud phenomenon and the vascular disease in scleroderma. Curr Opin Rheumatol. 2004 Nov;16(6):718-22.
6. Ungprasert P, Charoenpong P, Ratanasrimetha P, Thongprayoon C, Cheungpasitporn W, Suksaranjit P. Risk of coronary artery disease in patients with systemic sclerosis: a systematic review and meta-analysis. Clin Rheumatol. 2014 Aug;33(8):1099-104.
7. Rahman A, Burma O, Bayar MK, Beştaş A, Uysal A, Üstündağ B. Kardiyopulmoner bypass ve çalışan kalp teknikleri ile yapılan ameliyatların kardiyak performansa etkisi. Turkish J Thorac Cardiovasc Surg. 2001;9:68-73.
8. Windecker S, Kolh P, Alfonso F, Collet JP, Cremer J, Falk V, et al. 2014 ESC/EACTS guidelines on myocardial revascularization. Kardiologia Polska (Polish Heart Journal). 2014;72(12):1253-1379.
9. Ilonze OJ, Ritter N. The optimal management of patients with systemic scleroderma and coronary artery disease. Journal of the National Medical Association, Volume 104, Issue 3, Pages 215-218.