Letter to Editor
Year 2021,
Volume: 4 Issue: 3, 197 - 203, 31.12.2021
Abstract
Çıkan aortun yaygın ve şiddetli kalsifikasyonu ve daha büyük bir cerrahi engel gibi görünen porselen aortun varlığı, greft proksimal anastomozlar için katastrofik sonuçlar doğurabilen önemli bir sorundur. Bu çalışmada yeni bir fikir olarak tıp literatüründe daha önce tanımlanmamış özgün bir cerrahi tekniği açıklamaya çalıştık. Temel olarak bu, yeni bir cerrahi teknik için bir öneridir. Yeni cerrahi tekniğimiz ile in vitro çalışma ortamında sığır kalbinde insan safen ven örnekleri kullanılarak asendan aort-safenöz ven anastomozu yapıldı. Anastomoz tamamlandıktan sonra yüksek basınçla verilen salin solüsyonu ile aorta kontrol edildi. Anastomoz hattından kaçak olmadığı görüldü. Bu yeni cerrahi teknik ile porselen aorta varlığında özellikle koroner cerrahi sırasında safen greft aortanın proksimal anastomozunun porselen aortaya uygulanabileceğini düşünmekteyiz. Böylece aortaya yan klemp konulmadan ve yan klemp komplikasyonlarından kaçınılmadan anastomoz uygulanabilmektedir.
Supporting Institution
yok
Project Number
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Thanks
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References
- 1. Ozatik MA, Gol MK, Fansa I, et al. Risk factors for stroke following coronary artery bypass operations. J Card Surg 2005; 20:52–57.
- 2. Sirin G, Sarkislali K, Konakci M, et al. “Extraanatomical coronary artery bypass grafting in patients with severely atherosclerotic (Porcelain) aorta,” Journal of Cardiothoracic Surgery, 2013; vol. 8, no. 1, article 86.
- 3. Uyar I, Demir T, Polat A, et al. “Innominate artery as an alternative site for proximal anastomoses in patients with a severely calcified aorta,” Journal of Cardiac Surgery, 2013; vol. 28, no. 3, pp. 228–232.
- 4. Yay K, Hanedan MO, Başar V, et al.Porcelain aorta: a new indication for on-pump beating heart mitral valve replacement.Turkish Journal of Thoracic and Cardiovascular Surgery,2012;20(1):122-124.
- 5. Puskas JD, Halkos ME, Balkhy H, et al. Evaluation of the PAS-Port proximal anastomosis system in coronary artery bypass surgery (the EPIC trial). J ThoracCardiovascSurg 2009; 138:125—32.
- 6. Thourani VH, Razavi SA, Nguyen TC, et al. Incidence of Postoperative Stroke Using theHeartstring Device in 1,380 Coronary Artery BypassGraft Patients With Mild to Severe Atherosclerosisof the Ascending Aorta. Annals of Thoracic Surgery, 2014;97(6):2066-2072.
- 7. Demirsoy E, Unal M, Arbatlı H, Yazgan N, et al. Extra-anatomic coronary artery bypass graftings in patients with porcelain aorta. J Cardiovasc Surg. 2004, 45: 111-115.
- 8. Amorim PA, Penov K, Lehmkul L,et al. Not all porcelain is the same: Classification of circular aortic classification (Porcelain aorta) according to the impact on therapeutic approach. ThoracCardiovascSurg 2013;61:559-563
Year 2021,
Volume: 4 Issue: 3, 197 - 203, 31.12.2021
Abstract
Project Number
yok
References
- 1. Ozatik MA, Gol MK, Fansa I, et al. Risk factors for stroke following coronary artery bypass operations. J Card Surg 2005; 20:52–57.
- 2. Sirin G, Sarkislali K, Konakci M, et al. “Extraanatomical coronary artery bypass grafting in patients with severely atherosclerotic (Porcelain) aorta,” Journal of Cardiothoracic Surgery, 2013; vol. 8, no. 1, article 86.
- 3. Uyar I, Demir T, Polat A, et al. “Innominate artery as an alternative site for proximal anastomoses in patients with a severely calcified aorta,” Journal of Cardiac Surgery, 2013; vol. 28, no. 3, pp. 228–232.
- 4. Yay K, Hanedan MO, Başar V, et al.Porcelain aorta: a new indication for on-pump beating heart mitral valve replacement.Turkish Journal of Thoracic and Cardiovascular Surgery,2012;20(1):122-124.
- 5. Puskas JD, Halkos ME, Balkhy H, et al. Evaluation of the PAS-Port proximal anastomosis system in coronary artery bypass surgery (the EPIC trial). J ThoracCardiovascSurg 2009; 138:125—32.
- 6. Thourani VH, Razavi SA, Nguyen TC, et al. Incidence of Postoperative Stroke Using theHeartstring Device in 1,380 Coronary Artery BypassGraft Patients With Mild to Severe Atherosclerosisof the Ascending Aorta. Annals of Thoracic Surgery, 2014;97(6):2066-2072.
- 7. Demirsoy E, Unal M, Arbatlı H, Yazgan N, et al. Extra-anatomic coronary artery bypass graftings in patients with porcelain aorta. J Cardiovasc Surg. 2004, 45: 111-115.
- 8. Amorim PA, Penov K, Lehmkul L,et al. Not all porcelain is the same: Classification of circular aortic classification (Porcelain aorta) according to the impact on therapeutic approach. ThoracCardiovascSurg 2013;61:559-563
There are 8 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery, Cardiovascular Surgery |
| Journal Section | Letter to Editor |
| Authors | |
| Project Number | yok |
| Publication Date | December 31, 2021 |
| Acceptance Date | November 25, 2021 |
| Published in Issue | Year 2021 Volume: 4 Issue: 3 |
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