Hasan Tahsin KEÇELİGİL, Semih Murat YÜCEL, Mustafa Kemal DEMİRAĞ, Muzaffer ELMALI

Aterosklerotik hastalığa eşlik eden sağ koroner arter anevrizması: Olgu sunumu

Koroner arter sisteminde çeşitli anevrizmatik değişimler gözlenebilir. Bu tür değişimler edinsel veya kalıtsal faktörlere bağlıdır. Koroner arter anevrizmaları nadir görülür. Çoğu kez, başka bir nedenle yapılan kalp kateterizasyonu sırasında tespit edilir. İzole koroner arter anevrizması, genellikle asemptomatik olsa da, eşlik eden kardiyak hastalık semptomları dışında, anevrizmanın varlığına veya komplikasyonlarına bağlı olarak nadiren akut veya kronik belirtilerle kendini gösterebilir. Bu tür nadir olgular anevrizma komplikasyonları ile ilişkilidir. Bu yazıda koroner arter hastalığı ile birlikte sağ koroner arter anevrizması var olan olguda eş zamanlı uyguladığımız başarılı “koroner bypass ile birlikte anevrizma ligasyonu” ameliyatı sunuldu.

A right coronary artery aneurysm with atherosclerotic disease: A case report

Various aneurysmal transformations can be observed in the coronary arterial system. Such transformations are caused either by acquired or hereditary factors. Coronary arterial aneurysms are rare and are usually discovered during the cardiac catheterization procedures carried out for other reasons. Although the isolated coronary arterial aneurysm is usually asymptomatic, in rare cases it can manifest itself through acute or chronic symptoms which are different from the symptoms of the accompanying cardiac diseases. Such rare cases are related with the aneurysm’s complications. We have successfully carried out a simultaneous “coronary bypass together with aneurysm ligation” operation on a patient with coronary heart disease and an aneurysm within the right coronary artery.

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