Adnan YALÇINKAYA, Adem İlkay DİKEN, Gökhan LAFÇI, Ahmet Kuddusi İRDEM, Kerim ÇAĞLI

Koroner Arter Baypas Greftleme ile Off-Pump Küçültücü Aortoplasti: 3 Olgu

Koroner arter hastalığı ile birlikte yapılan asendan aort cerrahisi hem cerrah hem de hasta için zorlu olabilmektedir. Çünkü bir kısım hastanın kanser, düşük sol ventrikül fonksiyonu, diyalize bağımlı kronik böbrek yetmezliği, kötü beslenme düzeyi, obezite, kronik obstrüktif akciğer hastalığı (KOAH) ve serebrovasküler hastalık öyküsü gibi eşlik eden diğer hastalıkları olabilir. Bu hastalıklar intraoperatif ekstrakoporeal dolaşım kullanımı ve aortun kros-klemplenmesi nedeniyle post-operatif mortalite ve morbiditeyi artırırlar. Off-pump küçültücü aortoplasti asendan aort anevrizması ve koroner arter hastalığının olduğu riskli hastalar için uygun karar olabilir. Bu raporda off-pump küçültücü aortoplasti ve eşzamanlı koroner arter bypass cerrahisi yapılan üç olgu sunulmuştur.

Anahtar Kelimeler:

Asendan aorta, aort anevrizması, koroner arter hastalığı, off-pump koroner arter baypas, sarmak

Off-Pump Reduction Aortoplasty with Coronary Artery Bypass Grafting: 3 Cases

Coronary artery disease with ascending aorta aneurysm surgery may be troublesome for both the surgeon and the patient. Because so many patients have other concomitant diseases such as cancer, severe left ventricular dysfunction, hemodialysis-dependent chronic renal failure, poor nutritional status, obesity, chronic obstructive pulmonary disease (COPD), and cerebrovascular event history. These diseases increase the risk of postoperative mortality and morbidity because of the use of extracorporeal circulation and aortic cross-clamping intraoperative. Off-pump reduction aortoplasty may be the right decision for risky patients with ascending aortic aneurysm and coronary artery disease. This report presents 3 cases of off-pump reduction aortoplasty and concomitant coronary artery bypass grafting (CABG).

Keywords:

Ascending aorta, aortic aneurysm, coronary artery disease, off-pump coronary artery bypass, wrapping,

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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