Hasan Tahsin KEÇELİGİL, Mustafa Kemal DEMİRAĞ, Kenan ERZURUMLU, Serdar MENEKŞE

Aynı Zamanlı Koroner Arter Bypass ve Kolesistektomi Ameliyatı: Bir Olgu Sunumu

Kolelitiyazis, atherosklerotik koroner arter hastalığı ile birlikte görülebilen yaygın bir hastalıktır. Önemli atherosklerotik koroner arter hastalığı ve safra kesesi taşı olan hastalardaki major ilişki, kolesistektomi sonrası gelişebilen perioperatif akut miyokard enfarktüsüdür. Abdominal cerrahi esnasındaki akut miyokard enfarktüsü riski, uygun koroner revaskülarizasyonla azaltılabilir. Kolesistektomi, koroner arter bypass cerrahisi (AKBG) ile aynı zamanlı (simultane) veya onu izleyerek yapılabilir. Bu makalede, kliniğimizde, aynı zamanlı olarak başarılı bir koroner arter bypass ve kolesistektomi ameliyatı gerçekleştirilen olgu sunulmaktadır. ©2007, Fırat Üniversitesi, Tıp Fakültesi

Anahtar Kelimeler:

Aorto-koroner arter bypassı, kolesistektomi

Concomitant Coronary Artery Bypass and Cholecystectomy: A Case Report

Cholelithiazis is a common disorder which may be present with coronary artery disease. Perioperative myocardial infarction is a major concern in patients with significant coronary artery disease and gallstones. The risk of myocardial infarction during major abdominal surgery can be reduced with appopriate coronary revascularization. Cholecystectomy can be performed either at the same time of coronary artery bypass grafting or after CABG operation. ©2007, Firat University, Medical Faculty

Keywords:

-,

PDF

___

Terada Y, Suma H. Cholecystectomy after coronary artery bypass grafting using right gastroepiploic artery. Ann Thorac Surg 1994; 57: 1370.
Yokohama H, Satoh K, Ohmi M, et al. Coronary artery bypass grafting and cholecystectomy. Nippon Kyobu Geka Gakkai Zasshi 1991; 39: 1937-1939.
Hoshino R, Okubo T, Kaneko K, et al. Concomitant coronary artery bypass and cholecystectomy: a case report. Kyobu Geka 1989; 42: 1043-1046.
Hitoshi H, Atsushi A, Akihito T. Concomitant cholecystectomy and coronary artery bypass. Ann Thorac Cardiovasc Surg 2002; 8: 358-362.
Pym J, Brown PM, Charrette EJ, et al. Gastroepiploic-coronary anastomosis. A viable alternative bypass graft. J Thorac Cardiovasc Surg 1987; 94: 256-259.
Mills NL, Everson CT. Right gastroeipploic artery: a third arterial conduit for coronary artery bypass. Ann Thorac Surg 1989; 47: 706-711.
Sakakibara Y, Jikuya T, Adachi S, et al. Simultaneous cholecystectomy and CABG for acute cholecystitis and post- infarction angina. Kyobu Geka 1998 Dec: 51 (13): 1080-1083.
Simic O, Strathausen S, Hess W, et al. Incidence and prognosis of abdominal complications after cardiopulmonary bypass. Cardiovasc Surg 1999; 7 (4): 419-424.
Ottinger LW. Acute cholecystitis as a postoperative complication. Ann Surg 1976; 184: 162.
Hekmat M, Taghipoor HR, Nobahar MR, et al. Laparoscopic cholecystectomy and open-heart surgery at the same time. J Card Surg 2005; 20 (6): 557-559.
Tezcaner T, Yorgancıoğlu C, Çatav Z, ve ark. Kompleks koroner revaskülarizasyon: Endarterektomi, patch plasti ve jump bypass. GKDC Dergisi 1998; 6: 379-390.
Kabul Tarihi: 11.10.2006