TY  - JOUR
T1  - Karotid endarterektomi sonrası karotid arter psödoanevrizması: olgu sunumu
TT  - Carotid artery pseudoaneurysm after carotid endarterectomy: case report
AU  - Kaplanoğlu, Hatice
AU  - Beton, Osman
PY  - 2019
DA  - June
DO  - 10.21601/ortadogutipdergisi.358029
JF  - Ortadoğu Tıp Dergisi
JO  - omj
PB  - MEDİTAGEM Ltd. Şti.
WT  - DergiPark
SN  - 2548-0251
SP  - 207
EP  - 210
VL  - 11
IS  - 2
LA  - tr
AB  - Ekstrakranial karotid arter anevrizmaları oldukça nadirdir. Tüm periferal arteranevrizmalarının %0.4-4’ünü oluşturmaktadır. Anevrizmaların nörolojik komplikasyonlarındankaçınmak için kesin tedavi gerekmektedir. Altmış yedi yaşında erkek hasta, üç ayönce efor sırasında ortaya çıkan göğüs ağrısı şikayeti ile hastanemiz kardiyolojipolikliniğine başvuruyor. Olguya yapılan efor testinin pozitif çıktı ve koroneranjiyografide koroner arterlerde darlık saptandı. Karotis Doppler ultrasonografide,sol internal karotid arterde %80 darlığa neden olan plak vardı. Dört damar bypasskararı alındı ve aynı senasta sol karotid endarterektomi yapıldı. Operasyonu takibeniki gün sonra hastanın boynunda şişlik ve morarma görüldü. Yapılan kontrol Dopplerultrasonografide sol internal karotid arterde anevrizma geliştiği izlendi. İlk operasyonutakiben bir hafta sonra tekrar opere edildi ve safen ven greft interpozisyonu ileuç uca anastamoz yapıldı. Altı aylık Doppler ultrasonografi kontrolleri ile takibialındı.
KW  - Karotid arterler
KW  - karotis anevrizması
KW  - cerrahi
KW  - endovasküler teknikler
N2  - Extracranial carotid artery aneurysmsare quite rare. They account for 0.4% to 4% of all peripheral arterial aneurysms.Precise treatment is essential in order to avoid neurological complications of aneurysms.A 67-year-old male patient was admitted to the cardiology outpatient clinic of ourhospital three months ago, with complaints of chest pain during exertion. The efforttest of the case revealed a positive result, and coronary angiography revealed stenosis in the coronary arteries.The carotis doppler ultrasonography revealed plaque in the left internal carotidartery, causing 80% narrowing in the lumen. Four vessels were determine to be bypassed,and a left carotid endarterectomy was applied in the same session. Swelling andcyanosis were present in the patient’s neck two days after the operation. The controldoppler ultrasonography revealed the development of an aneurysm in the left internalcarotid artery. The patient was operated on again one week after the first operation,and end-to-end anastomosis was applied with a saphenous vein interposition graft.The decision was made for follow-ups with doppler ultrasonography controls in six-monthintervals.
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UR  - https://doi.org/10.21601/ortadogutipdergisi.358029
L1  - https://dergipark.org.tr/en/download/article-file/720481
ER  -