Ömer Zühtü YÖNDEM, Bayram YILMAZKAYA, Mehmet Ali YÜKSELEN, Oğuz TAŞDEMİR, Sami GÜRKAHRAMAN

Spontaneous coronary artery dissection: two different surgical techniques

Bu yazıda iki spontan koroner arter diseksiyonu olgusunda uygulanan iki farklı cerrahi teknik tartışıldı. Birinci olguda sol anterior inen artere (LAD) endarterektomi sonrası sol internal torasik arter anastomozu (LİTA) yapılır iken, ikinci olguda diseke LAD katmanları tamir edildi ve LİTA anastomozu gerçekleştirildi. Predispozan faktörler varlığında veya bypass ya da anjiyoplastiye uygun olmayan damarlarda endarterektomi yapılmasını önermekteyiz.

Spontan koroner arter diseksiyonu: İki farklı cerrahi teknik

In this article, two different surgical techniques employed in two cases of spontaneous coronary artery dissection are discussed. In the first case, left internal thoracic artery anastomosis (LITA) to left anterior descending artery (LAD) after endarterectomy was performed and in the second case, the dissected LAD layers were repaired and LITA anastomosis was performed. We recommend the use of endarterectomy in the presence of predisposing factors and in vessels inappropriate for bypass or angioplasty.

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