Rimantas BENETIS, Algimantas BUDRIKIS, Jonas GAZDZIAUSKAS

Eş zamanlı koroner arter hastalığı ve akalazya cerrahisi: Yeni bir yaklaşım

Atmış dokuz yaşında bir kadın hasta, ağır koroner arter hastalığına bağlı kararsız anjina ile kalp cerrahisi kliniğine başvurdu. Koroner arter baypas greftleme gerekli olmakla birlikte, hastanın daha önce pnömatik dilatasyon ile tedavi edilen akalazya semptomları kötüleşti. Akabinde hasta eş zamanlı cerrahiye alındı. Sternotomiden sonra kardiyopulmoner baypas sırasında özofagus açığa çıkarıldı ve Heller miyotomi yapıldı. Kardiyopleji sonrası koroner arter baypas greftleme gerçekleştirildi. Ameliyat sonrası süreç sorunsuz olup, hasta ameliyatın dokuzuncu gününde taburcu edildi. Sonuç olarak, bu yeni teknik, bu tür olgularda etkin bir şekilde kullanılabilir.

Simultaneous coronary artery disease and achalasia surgery: A novel approach

A 69-year-old female patient presented to cardiac surgery department with unstable angina due to severe coronary artery disease. Coronary artery bypass grafting was indicated; however, the patient's symptoms of achalasia, previously treated by the pneumatic dilatation, exacerbated. Subsequently, the patient underwent simultaneous surgery. After sternotomy, on cardiopulmonary bypass, esophagus was exposed and Heller myotomy was performed. Following cardioplegia, coronary artery bypass grafting was completed. The postoperative course was uneventful, and the patient was discharged on postoperative Day 9. In conclusion, this novel surgical technique can be effectively used in such cases.

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