Alaa HİJAZİ, Bayram YILMAZKAYA, Murat ERCİŞLİ, Deniz DEMİR, Müslüm ÇAKIR

Erişkinde Sol Koroner Arterin Pulmoner Arterden Çıkış Anomalisi Cerrahisi

Otuz sekiz yaşındaki erkek hasta, hastanemize yeni başlayan eforla nefes darlığı ile başvurdu. Yapılan koroner anjiyografi ve bilgisayarlı tomografik anjiyografinin sonuçlarına göre sol koroner arterin pulmoner arterden çıkışı anomalisi saptandı. LİMA sol desendan koroner artere, safen ven grefti ise obtus marjine anastomoz yaparak aortokoroner baypas greft yapıldı. Postoperatif dönemde yakınması olmayan hasta şifa ile taburcu edildi.

Anahtar Kelimeler:

ALCAPA sendromu, konjenital koroner arter anomalisi

Surgery of Anomalous Left Coronary Artery from the Pulmonary Artery in an Adult

A 38-year-old man with no medical history presented with dyspnoea on exertion. Coronary angiography and coronary computerised tomography (CT) angiography revealed anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). The left anterior mammary artery and venous graft were used as a double bypass graft to the left anterior descending coronary and obtuse margin arteries, respectively. The patient was asymptomatic on follow-up.

Keywords:

ALCAPA syndrome, congenital coronary artery anomaly,

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ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi