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Off-Pump Reduction Aortoplasty with Coronary Artery Bypass Grafting: 3 Cases

Yıl 2017, Cilt: 20 Sayı: 2, 168 - 171, 01.08.2017

Öz

Coronary
artery disease with ascending aorta aneurysm surgery may be troublesome for
both the surgeon and the patient. Because so many patients have other
concomitant diseases such as cancer, severe left ventricular dysfunction,
hemodialysis-dependent chronic renal failure, poor nutritional status, obesity,
chronic obstructive pulmonary disease (COPD), and cerebrovascular event history.
These diseases increase the risk of postoperative mortality and morbidity
because of the use of extracorporeal circulation and aortic cross-clamping
intraoperative. Off-pump reduction aortoplasty may be the right decision for
risky patients with ascending aortic aneurysm and coronary artery disease. This
report presents 3 cases of off-pump reduction aortoplasty and concomitant
coronary artery bypass grafting (CABG).

Kaynakça

  • 1. Egloff L, Rothlin M, Kugelmeier J, Senning A, Turina M. The ascending aorticaneurysm: replacement or repair? Ann Thorac Surg 1982;34:117-24.
  • 2. Arsan S, Akgun S, Kurtoglu N, Yildirim T, Tekinsoy B. Reduction aortoplasty and external wrapping for moderately sized tubular ascending aortic aneurysm with concomitant operations. Ann Thorac Surg 2004;78:858-61.
  • 3. Arsan S. Off-pump reduction aortoplasty and concomitant coronary artery bypass grafting. Ann Thorac Surg 2004;78:316-9.
  • 4. Narayan P, Rogers CA, Caputo M, Angelini GD, Bryan AJ. Influence of concomitant coronary artery bypass graft on outcome of surgery of the ascending aorta/arch. Heart 2007;93:232-7.
  • 5. Bauer M, Grauhan O, Hetzer R. Dislocated wrap after previous reduction aortoplasty causes erosion of the ascending aorta. Ann Thorac Surg 2003;75:583-4.
  • 6. Neri E, Massetti M, Tanganelli R, Capannini G, Carone E, Tripodi A, et al. Is it only a mechanical matter? Histologic modifications of the aorta underlying external banding. J Thorac Cardiovasc Surg 1999;118:1116-8.
  • 7. Akgun S, Atalan N, Fazlioğullari O, Kunt AT, Basaran C, Arsan S. Aortic root aneurysm after off-pump reduction aortoplasty. Ann Thorac Surg 2010;90:e69-70.
  • 8. Calafiore AM, Di Mauro M, Contini M, Di Giammarco G, Pano M, Vitolla G, et al. Myocardial revascularization with and without cardiopulmonary bypass in multivessel disease: impact of the strategy on early outcome. Ann Thorac Surg 2001;72:456-62.
  • 9. Ascione R, Lloyd CT, Underwood MJ, Lotto AA, Pitsis AA, Angelini GD. Economic outcome of off-pump coronary artery bypass surgery: a prospective randomized study. Ann Thorac Surg 1999;68:2237-42.
  • 10. Güler M, Kirali K, Toker ME, Bozbuğa N, Omeroğlu SN, Akinci E, et al. Different CABG methods in patients with chronic obstructive pulmonary disease. Ann Thorac Surg 2001;71:152-7.

Koroner Arter Baypas Greftleme ile Off-Pump Küçültücü Aortoplasti: 3 Olgu

Yıl 2017, Cilt: 20 Sayı: 2, 168 - 171, 01.08.2017

Öz

Koroner
arter hastalığı ile birlikte yapılan asendan aort cerrahisi hem cerrah hem de
hasta için zorlu olabilmektedir. Çünkü bir kısım hastanın kanser, düşük sol
ventrikül fonksiyonu, diyalize bağımlı kronik böbrek yetmezliği, kötü beslenme
düzeyi, obezite, kronik obstrüktif akciğer hastalığı (KOAH) ve serebrovasküler
hastalık öyküsü gibi eşlik eden diğer hastalıkları olabilir. Bu hastalıklar
intraoperatif ekstrakoporeal dolaşım kullanımı ve aortun kros-klemplenmesi
nedeniyle post-operatif mortalite ve morbiditeyi artırırlar. Off-pump küçültücü
aortoplasti asendan aort anevrizması ve koroner arter hastalığının olduğu
riskli hastalar için uygun karar olabilir. Bu raporda off-pump küçültücü
aortoplasti ve eşzamanlı koroner arter bypass cerrahisi yapılan üç olgu
sunulmuştur.

Kaynakça

  • 1. Egloff L, Rothlin M, Kugelmeier J, Senning A, Turina M. The ascending aorticaneurysm: replacement or repair? Ann Thorac Surg 1982;34:117-24.
  • 2. Arsan S, Akgun S, Kurtoglu N, Yildirim T, Tekinsoy B. Reduction aortoplasty and external wrapping for moderately sized tubular ascending aortic aneurysm with concomitant operations. Ann Thorac Surg 2004;78:858-61.
  • 3. Arsan S. Off-pump reduction aortoplasty and concomitant coronary artery bypass grafting. Ann Thorac Surg 2004;78:316-9.
  • 4. Narayan P, Rogers CA, Caputo M, Angelini GD, Bryan AJ. Influence of concomitant coronary artery bypass graft on outcome of surgery of the ascending aorta/arch. Heart 2007;93:232-7.
  • 5. Bauer M, Grauhan O, Hetzer R. Dislocated wrap after previous reduction aortoplasty causes erosion of the ascending aorta. Ann Thorac Surg 2003;75:583-4.
  • 6. Neri E, Massetti M, Tanganelli R, Capannini G, Carone E, Tripodi A, et al. Is it only a mechanical matter? Histologic modifications of the aorta underlying external banding. J Thorac Cardiovasc Surg 1999;118:1116-8.
  • 7. Akgun S, Atalan N, Fazlioğullari O, Kunt AT, Basaran C, Arsan S. Aortic root aneurysm after off-pump reduction aortoplasty. Ann Thorac Surg 2010;90:e69-70.
  • 8. Calafiore AM, Di Mauro M, Contini M, Di Giammarco G, Pano M, Vitolla G, et al. Myocardial revascularization with and without cardiopulmonary bypass in multivessel disease: impact of the strategy on early outcome. Ann Thorac Surg 2001;72:456-62.
  • 9. Ascione R, Lloyd CT, Underwood MJ, Lotto AA, Pitsis AA, Angelini GD. Economic outcome of off-pump coronary artery bypass surgery: a prospective randomized study. Ann Thorac Surg 1999;68:2237-42.
  • 10. Güler M, Kirali K, Toker ME, Bozbuğa N, Omeroğlu SN, Akinci E, et al. Different CABG methods in patients with chronic obstructive pulmonary disease. Ann Thorac Surg 2001;71:152-7.
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Olgu Sunumları
Yazarlar

Adnan Yalçınkaya

Adem İlkay Diken Bu kişi benim

Gökhan Lafçı Bu kişi benim

Ahmet Kuddusi İrdem Bu kişi benim

Kerim Çağlı Bu kişi benim

Yayımlanma Tarihi 1 Ağustos 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 20 Sayı: 2

Kaynak Göster

Vancouver Yalçınkaya A, Diken Aİ, Lafçı G, İrdem AK, Çağlı K. Off-Pump Reduction Aortoplasty with Coronary Artery Bypass Grafting: 3 Cases. Koşuyolu Heart Journal. 2017;20(2):168-71.