Dilek ALTUN, Ozlem CINAR, Emre ÖZKER, Ayda TÜRKÖZ

Aksillo-aksiller bypass cerrahisindeki başarılı anestezi yönetimi

Aksillo-aksiller baypas, subklavyen çalma sendromu olan hastalarda tercih edilen bir cerrahi işlemdir. Koroner-subklavyen çalma sendromu olan yüksek riskli hastalarda anestezi yönetimi güvenlik ve teknik açıdından zorluklar getirmektedir. Bu olgu sunumu, sol subklavyen arter kökünde darlık nedeniyle aksillo-aksiller baypas tedavisi gerekli olan kronik obstrüktif akciğer hastalığı ve koroner arter hastalığı olan 52 yaşındaki bir erkek hastayı tanımlamaktadır. Burada, servikal epidural anestezi tekniği kullanılarak aksillo-aksiller baypas cerrahisi geçiren hastadaki başarılı anestezi yönetimini sunduk

Successful anesthetic management in axillo-axillary bypass surgery

Axillo-axillary bypass grafting is considered the operation of choice for patients with subclavian steal syndrome. Anesthetic management of high-risk patients with coronary-subclavian steal syndrome presents safety and technical challenges. Presently described is case of chronic obstructive lung disease and coronary artery disease in a 52-year-old man who required axillo-axillary bypass surgery to treat stenosis at the origin of left subclavian artery. Successful anesthetic management was achieved for patient undergoing axillary-axillary bypass surgery using a cervical epidural technique

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