Filiz ALKAYA SOLMAZ, Pınar KARABACAK, MUSTAFA ETLİ, Lütfi YAVUZ, Hüseyin OKUTAN

Akut miyokard infarktüslü hasta ve Leriche sendromu

Periferik arter hastalığı genellikle koroner arter hastalığıyla birliktedir ve bu durumda başvuran hastalarda miyokard infarktüsü ve ölüm riski 2- 4 kat daha yüksektir. Burada, sigara içen erkek ve kardiyovasküler hastalık öyküsü olmayan Leriche sendromu olgusu sunulmuştur. Özellikle periferik arter hastalığı olan hastaların koroner by-pass operasyonlarında, LİMA grefti kullanılması sorunlara yol açabilir. Akut ekstremite iskemi vakaları LİMA greft kullanımı ile bildirilmiştir. LİMA Leriche sendromlu hastalarda önemli bir kollateral kaynağıdır. Bu nedenle; biz postoperatif alt ekstremite dolaşımını riske atmamak için, koroner bypass ameliyatı planlanan Leriche sendromlu hastada LİMA yerine safen ven greft kullanılmasının mortaite ve morbiditeyi azalttığını düşünüyoruz

Patient with acute myocardial infarction and Leriche syndrome

Peripheral arterial disease usually occurs together with coronary disease and patients presenting this condition have a 2-fold to 4-fold higher risk of experiencing myocardial infarction and death. We present an unusual case of a Leriche syndrome in a male smoker and without previous history of cardiovascular disease. In coronary by-pass operations, using LIMA graft may lead problems especially in patients with peripheral arterial disease. Cases of acute limb ischemia have been reported with use of LIMA grafts, concluded that LIMA is an important collateral source in patients with Leriche syndrome. Therefore; we suggest use of saphenous vein grafts in patients with Leriche syndrome planned to undergone coronary by-pass surgery instead of LIMA that does not risk post-operative lower extremity circulation, moreover reduce morbidity- mortality

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