Koroner bypass cerrahisi sonrası gelişen safen ven anevrizması: Olgu sunumu

Koroner bypass cerrahisinde en sık kullanılan greft olan safen veninin anevrizmaları nadir rastlanan bir komplikasyondur. Erken veya geç dönemde oluşan safen ven dilatasyonları semptomatik olabildikleri gibi bazen tesadüfen de teşhis edilebilir. Geç dönemde oluşan anevrizmalar genellikle aterosklerotik nedenli iken erken dönemde oluşan anevrizmalar sıklıkla ven hasarına bağlı olmaktadır. Bu olguda koroner bypass cerrahisi yapılan hastada 20 yıl sonra aterosklerotik nedenli safen ven anevrizması saptandı. Göğüs ağrısı, baygınlık, baş dönmesi şikayeti ile başvuran hastanın yapılan tetkiklerinde 28x30 mm boyutlarında safen ven anevrizması tespit edildi. Hasta operasyona alındı ve anevrizma rezeksiyonu yapıldı.

Anahtar Kelimeler:

Safen ven, Anevrizma, Koroner arter bypass

Saphenous vein graft aneurysm after coronary artery bypass graft surgery: A case report

Aneurysm of the saphenous vein, which is the most used graft in coronary bypass surgery, is a rare complication. While saphenous vein dilatation forming in the early or late stages after bypass surgery can be symptomatic, it can also be diagnosed incidentally. Aneurysms forming in the late stages are atherosclerotic while those forming in the initial stages are mostly connected to venous damage. In the present case, a saphenous aneurysm with atherosclerotic causes was detected in a patient 20 years after coronary bypass surgery. The patient was admitted with chest pain, syncope, and dizziness complaints. Examination revealed a saphenous vein aneurysm measuring 28x30 mm. The patient underwent surgery, and the aneurysm was resected.

Keywords:

SAFEN VEİN, ANEURYSM, CORONARY ARTERY BYPASS,

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