Bu makalede, eforun tetiklediği hafif göğüs ağrısı ve çarpıntı şikayetiyle hastanemize başvuran bir olgu sunuldu. Nadiren rastlanmakla birlikte, hastanın sol ana koroner arterinde kronik tam tıkanıklık saptandı. Sol internal meme arterin sol ön inen artere ve safen ven greftinin sirkumfleks artere baypas edilmesi ile gerçekleştirilen başarılı bir koroner arter baypas greft cerrahisinden sonra, hasta iyileşti. Cerrahi tedaviden sonra altı aylık takip süresi içerisinde hasta asemptomatikti.
In this report, we present a case who was admitted to our hospital with complaints of effort-induced mild chest pain and palpitation. Although rarely seen, chronic total occlusion of the left main coronary artery was detected. After a successful coronary artery bypass graft surgery in which the left internal mammary artery was anastomosed to the left anterior descending artery and a saphenous vein graft to the circumflex artery, the patient recovered well. He remained asymptomatic within a follow-up period of six months after the surgical treatment. "> [PDF] Surgical treatment of chronic total occlusion of the left main coronary artery: A case report | [PDF] Sol ana koroner arter kronik tam tıkanıklığının cerrahi tedavisi: Olgu sunumu Bu makalede, eforun tetiklediği hafif göğüs ağrısı ve çarpıntı şikayetiyle hastanemize başvuran bir olgu sunuldu. Nadiren rastlanmakla birlikte, hastanın sol ana koroner arterinde kronik tam tıkanıklık saptandı. Sol internal meme arterin sol ön inen artere ve safen ven greftinin sirkumfleks artere baypas edilmesi ile gerçekleştirilen başarılı bir koroner arter baypas greft cerrahisinden sonra, hasta iyileşti. Cerrahi tedaviden sonra altı aylık takip süresi içerisinde hasta asemptomatikti. "> Bu makalede, eforun tetiklediği hafif göğüs ağrısı ve çarpıntı şikayetiyle hastanemize başvuran bir olgu sunuldu. Nadiren rastlanmakla birlikte, hastanın sol ana koroner arterinde kronik tam tıkanıklık saptandı. Sol internal meme arterin sol ön inen artere ve safen ven greftinin sirkumfleks artere baypas edilmesi ile gerçekleştirilen başarılı bir koroner arter baypas greft cerrahisinden sonra, hasta iyileşti. Cerrahi tedaviden sonra altı aylık takip süresi içerisinde hasta asemptomatikti.
In this report, we present a case who was admitted to our hospital with complaints of effort-induced mild chest pain and palpitation. Although rarely seen, chronic total occlusion of the left main coronary artery was detected. After a successful coronary artery bypass graft surgery in which the left internal mammary artery was anastomosed to the left anterior descending artery and a saphenous vein graft to the circumflex artery, the patient recovered well. He remained asymptomatic within a follow-up period of six months after the surgical treatment. ">

Surgical treatment of chronic total occlusion of the left main coronary artery: A case report

Bu makalede, eforun tetiklediği hafif göğüs ağrısı ve çarpıntı şikayetiyle hastanemize başvuran bir olgu sunuldu. Nadiren rastlanmakla birlikte, hastanın sol ana koroner arterinde kronik tam tıkanıklık saptandı. Sol internal meme arterin sol ön inen artere ve safen ven greftinin sirkumfleks artere baypas edilmesi ile gerçekleştirilen başarılı bir koroner arter baypas greft cerrahisinden sonra, hasta iyileşti. Cerrahi tedaviden sonra altı aylık takip süresi içerisinde hasta asemptomatikti.

Sol ana koroner arter kronik tam tıkanıklığının cerrahi tedavisi: Olgu sunumu

In this report, we present a case who was admitted to our hospital with complaints of effort-induced mild chest pain and palpitation. Although rarely seen, chronic total occlusion of the left main coronary artery was detected. After a successful coronary artery bypass graft surgery in which the left internal mammary artery was anastomosed to the left anterior descending artery and a saphenous vein graft to the circumflex artery, the patient recovered well. He remained asymptomatic within a follow-up period of six months after the surgical treatment.

___

  • 1. Kervan U, Bardakci H, Altintas G, Saritas A, Birincioglu CL. Chronic total occlusion of the left main coronary artery. J Cardiovasc Med (Hagerstown) 2008;9:94-6.
  • 2. Kanjwal MY, Carlson DE Jr, Schwartz JS. Chronic/subacute total occlusion of the left main coronary artery-a case report and review of literature. Angiology 1999;50:937-45.
  • 3. Sugishita K, Shimizu T, Kinugawa K, Harada K, Ikenouchi H, Matsui H, et al. Chronic total occlusion of the left main coronary artery. Intern Med 1997;36:471-8.
  • 4. Ipek G, Omeroglu SN, Ardal H, Mansuroglu D, Kayalar N, Sismanoglu M, et al. Surgery for chronic total occlusion of the left main coronary artery-myocardial preservation. J Card Surg 2005;20:60-4.
  • 5. Lijoi A, Della Rovere F, Passerone GC, Dottori V, Scarano F, Bo M, et al. Emergency surgical treatment for total left main coronary artery occlusion. A report of 2 cases. Tex Heart Inst J 1993;20:55-8.
  • 6. Topaz O, Disciascio G, Cowley MJ, Lanter P, Soffer A, Warner M, et al. Complete left main coronary artery occlusion: angiographic evaluation of collateral vessel patterns and assessment of hemodynamic correlates. Am Heart J 1991;121:450-6.
  • 7. Lim JS, Proudfit WL, Sones FM Jr. Left main coronary arterial obstruction: Long-term follow-up of 141 nonsurgical cases. Am J Cardiol 1975;36:131-5.
  • 8. Frye RL, Gura GM, Chesebro JH, Ritman EL. Complete occlusion of the left main coronary artery and the importance of coronary collateral circulation. Mayo Clin Proc 1977;52:742-5.
  • 9. Ward DE, Valantine H, Hui W. Occluded left main stem coronary artery. Report of five patients and review of published reports. Br Heart J 1983;49:276-9.
  • 10. Charitos CE, Nanas JN, Tsoukas A, Anastasiou-Nana M, Lolas CT. Total occlusion of the left main coronary artery with preserved left ventricular function. Int J Cardiol 1997;61:193-6.
Türk Göğüs Kalp Damar Cerrahisi Dergisi-Cover
  • ISSN: 1301-5680
  • Yayın Aralığı: 4
  • Başlangıç: 1991
  • Yayıncı: Bayçınar Tıbbi Yayıncılık
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