Kardiyak Miksoma Olgusunda Koroner Anjiyografinin Önemi

Yıl 2015, Cilt: 18 Sayı: 2, 98 - 100, 03.08.2015

Büşra Özdemir Serhat Hüseyin Volkan Yüksel Gönül Sağıroğlu

Öz

Atriyal
miksomalar ile koroner arter hastalığı arasında bir ilişki bulunmamasına rağmen
nadiren birlikte görülebilmektedirler. Miksomalar görüldükleri yaş grubu ve
çoğu hastada koroner arter hastalığı risk faktörlerinin mevcut olması
nedeniyle, operasyon öncesi bu hastaların asemptomatik olsalar bile koroner
anjiyografi ile değerlendirilmeleri gerekmektir. Ayrıca anjiyografi ile
miksomanın vaskülaritesini ve miksomaya bağlı ortaya çıkan koroner emboliyi de
değerlendirme şansımız olabilmektedir. Bizde kliniğimize baş dönmesi şikayeti
ile gelen ve sol atriyal miksoma saptanan bir hastada, asemptomatik koroner
arter hastalığının preoperatif koroner anjiyografi ile tespit edilmesinin
önemini gösteren bir olguyu sunmayı amaçladık.

Anahtar Kelimeler

Atriyal miksoma, koroner arter hastalığı, koroner baypas cerrahisi

The Importance of Coronary Angiography in a Patient with Cardiac Myxoma

Öz

Concomitant occurrence of atrial myxoma and coronary artery
disease is a rare entity with no established link between the two conditions.
However, coronary angiography should be considered in all patients with myxoma,
even in those with an asymptomatic course, since most of these patients harbor
risk factors for coronary artery disease due to their advanced age at the time
of diagnosis. Furthermore, angiography allows visualization of the coronary
vasculature as well as embolisms that may result from myxoma. Herein, we aimed
to present the importance of preoperative coronary angiography in asymptomatic
coronary artery disease, through a case presentation involving a patient who
was referred to our clinic with vertigo and who was consequently diagnosed with
left atrial myxoma.

Anahtar Kelimeler

Atrial myxoma, coronary artery disease, coronary bypass surgery

Kaynakça

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