Ufuk ALPAGUT, Mehmet BARBUROĞLU, Ömer Ali SAYIN, Onur Selçuk GÖKSEL, Murat UĞURLUCAN, Murat BAŞARAN, Nijat ALİSHEV, Didem Melis ÖZTAŞ, Enver DAYIOĞLU

Koroner revaskülarizasyon ile eş zamanlı asendan aortobifemoral baypas cerrahisi

Ateroskleroz sistemik bir hastalık olup, koroner arterhastalığı ile aortoiliyak tıkayıcı hastalık sıklıklabirlikte seyredebilir. 2004-2014 yılları arasındaAnabilim dalımıza koroner arter hastalığı veLeriche sendromu olan üç hasta başvurdu. Hastalarakoroner arter baypas cerrahisi ile eş zamanlı çıkanaortobifemoral baypas uygulandı. Bir hastaya ekolarak karotis endarterektomi yapıldı. Hastalar altı aysüresince takip edildi. Ameliyat sonrası üçüncü aydatekrarlanan bilgisayarlı tomografi anjiyografilerindekoroner ve periferik greftler açıktı ve yeni lezyonyoktu. Sonuç olarak, asendan aortobifemoral baypas,koroner revaskülarizasyon uygulanacak hastalardaumut verici başarılı erken ve orta dönem sonuçlar ileeş zamanlı uygulanabilir bir yöntemdir.

Ascending aortobifemoral bypass surgery simultaneously with coronary revascularization

Atherosclerosis is a systemic disorder and coronaryartery disease may frequently coexist with aortoiliacocclusive disease. Between 2004-2014, three patients wereadmitted to our institution with coronary artery diseaseand Leriche syndrome. The patients underwent coronaryartery bypass surgery and ascending aortobifemoralbypass simultaneously. One patient underwent additionalcarotid endarterectomy. The patients were followed oversix months. Repeated postoperative computed tomographyangiography at three months showed patent coronary andperipheral grafts and no additional lesions were present.In conclusion, simultaneous ascending aortobifemoralbypass appears to be an applicable procedure withpromising short and mid-term results in patients receivingcoronary revascularization.

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