Ferdi GÜLAŞTI, Sevil GÜLAŞTI, Sinem SARI GÖKAY, Osman Nuri AYDIN

Stellat ganglion blockage in the treatment of chronic refractory angina pectoris

In addition to medical approaches, laser revascularization, transmyocardial laser revascularization, angiogenesis, growth factor gene therapy, thoracic epidural anesthesia, and spinal cord simulation are used to treat chronic refractory angina pectoris. A unilateral left stellate ganglion block is another alternative. It may particularly be considered as a palliative intervention in patients with a short life span. Described here is the case of a 66-year-old male patient for whom a unilateral left stellate ganglion blockade was used to treat chronic refractory angina pectoris.

Kronik refrakter angina pektoris tedavisinde stellat ganglion blokajı

Kronik refrakter angina pektoris tedavisine medikal yaklaşım, lazer revaskülarizasyon, transmyokardial lazer revaskülarizasyon, angiogenesis, growth faktör gen terapisi, torakal epidural anestezi ve spinal kord simülatörü kullanılmakla birlikte, unilateral sol stellat ganglion blokajı bir alternatif olarak önerilmektedir. Özellikle yaşam süresi kısa olan hastalarda tercih edilebilecek bir palyatif bir girişim olarak düşünülmelidir. Bizde 66 yaşında erkek hasta son dönem kalp yetersizliği ile takip edilen ve kronik refrakter angina pektorisin tedavisinde unilateral sol stellat ganglion blokajı yapılan olguyu sunduk.

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