Mehmet ACIPAYAM, Levent ALTINAY, Hasan UNCU, Ümit HALICI, Ahmet ÇAKALLIOĞLU, Pınar DOĞAN, Mehmet Alaaddin PEKEDİS, Gür Deniz YILDIZ, İbrahim ÖZSÖYLER

Our experiences with proximal aortic anastomosis assist device in coronary artery bypass graft surgery Koroner arter baypas greft cerrahisinde proksimal aortik anastomoz destek cihazı ile deneyimlerimiz

Bu çalışmada koroner arter bypass greftleme sırasında proksimal aortik anastomoz destek cihazı ile deneyimlerimiz sunuldu.Çalışma planı: Ocak 2006 - Mayıs 2010 tarihleri arasında kliniğimizde proksimal aortik anastomoz destek cihazı kullanılarak baypas ameliyatı yapılan toplam 26 hasta (23 erkek, 3 kadın; ort. yaş 72.6±5.8 yıl; dağılım 55-81 yıl) retrospektif olarak incelendi. Proksimal anastomoz destek cihazı kullanım endikasyonları, koroner arter baypas greft ameliyatında proksimal aortta kalsifikasyon ve aterosklerotik plak varlığı ve redo koroner arter baypas greft ameliyatında ilaveten yetersiz proksimal aortik eksplorasyondu. Embolik olaylar, nörolojik komplikasyonlar, yoğun bakım ünitesinde kalış süresi ve mortalite oranı kaydedildi.Bul gu lar: On dokuz hastaya kardiyopulmoner baypas olmaksızın atan kalpte tek damar veya iki damar koroner arter baypas greftleme yapılırken, yedi hastaya kardiyopulmoner baypas eşliğinde atan kalpte üç damar koroner arter baypas greftleme yapıldı. Altı hastaya redo koroner arter baypas greftleme yapıldı. Hastaların hiçbirinde nörolojik komplikasyon, embolik olay veya mortalite gözlenmedi.So nuç: Koroner arter baypas greftleme yapılan endikasyonlu hastalarda, proksimal aortik anastomoz destek cihazları proksimal anastomoz için büyük kolaylık oluşturmaktadır. Bu cihazların kullanımının koroner arter baypas greftleme sırasında meydana gelebilecek proksimal anastomoz yeri ile ilişkili komplikasyonları da azaltacağı kanaatindeyiz

Koroner arter baypas greft cerrahisinde proksimal aortik anastomoz destek cihazı ile deneyimlerimiz

This study aims to report our experiences with the proximal aortic anastomosis assist device during coronary artery bypass grafting.Methods: Between January 2006 and May 2010, a total of 26 patients (23 males, 3 females; mean age 72.6±5.8 years; range 55 to 81 years) who underwent bypass surgery using the proximal aortic anastomosis assist device in our clinic were retrospectively analyzed. The indications for the utilization of the device were the presence of proximal aortic calcifications and atherosclerotic plaques in coronary artery bypass graft surgery and insufficient proximal aortic exploration additionally in redo coronary artery bypass graft surgery. Embolic events, neurological complications, the length of intensive care unit stay, and mortality rate were recorded.Results: Off-pump single-vessel or two-vessel coronary artery bypass grafting without cardiopulmonary bypass was performed in 19 patients, while off-pump three-vessel coronary artery bypass grafting under cardiopulmonary bypass was performed in seven patients. Six patients underwent redo coronary artery bypass grafting. No neurological complications, embolic events or mortality were observed in any patients.Conclusion: Proximal aortic anastomosis assist devices considerably facilitate proximal anastomosis in indicated patients undergoing coronary artery bypass grafting. We believe that the utilization of these devices may also reduce the proximal anastomosis site-related complications which may occur during coronary artery bypass grafting

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