EŞ ZAMANLI YAPILAN KAROTİS ENDARTEREKTOMİ VE KORONER ARTER BY-PASS GREFT AMELİYATINDA ALTERNATİF BİR KAROTİS YAMA OLARAK OTOLOG PERİKARD KULLANIMI

Karotis arter darlığı, iskemik inmenin başlıca nedenlerinden biridir. Karotis endarterektomi (CEA), karotis arter darlığı için başlıca iki tedavi seçeneğinden biridir. Ameliyatın son aşamasında, primer sütür ile ve ya sentetik (PTFE ve Dacron) veya otolog (safen ve boyun damarları) greftleri ile arteriyotomi kapatılması yapılabilir. Bu olgu sunumunda, greft yokluğu durumunda eşzamanlı yapılan CEA ve koroner arter by-pass greftleme cerrahisi esnasında karotis arteriotomi kapatılması için otolog perikardiumun patch-greft olarak kullanıldığı dört ayrı olguyu sunmayı amaçladık.

Usage of Autologous Pericardıum as an Alternative Carotid Patch in Concomitant Carotid Endarterectomy and Coronary Artery By-Pass Graft Surgery

Carotid artery stenosis is one of the main causes for ischemic stroke. Carotid endarterectomy(CEA) is one of the two major treatment options for carotid artery stenosis. Arteriotomy closureat the last phase could be performed with primary suturing and also either with synthetic (PTFEand Dacron) or autologous (saphenous and neck veins) grafts. In this case-report; we aimedto present four seperate cases in which we used autologous pericardium as a patch-graft forcarotid arteriotomy closure in concomitant CEA and coronary artery by-pass graft surgery(CABG) in consequence of graft absence.

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