Erişkinde Sol Koroner Arterin Pulmoner Arterden Çıkış Anomalisi Cerrahisi

Abstract

Otuz sekiz yaşındaki erkek hasta, hastanemize yeni başlayan eforla nefes darlığı ile başvurdu. Yapılan koroner anjiyografi ve bilgisayarlı tomografik anjiyografinin sonuçlarına göre sol koroner arterin pulmoner arterden çıkışı anomalisi saptandı. LİMA sol desendan koroner artere, safen ven grefti ise obtus marjine anastomoz yaparak aortokoroner baypas greft yapıldı. Postoperatif dönemde yakınması olmayan hasta şifa ile taburcu edildi.

Keywords

• ALCAPA sendromu,konjenital koroner arter anomalisi

Surgery of Anomalous Left Coronary Artery from the Pulmonary Artery in an Adult

Abstract

A 38-year-old man with no medical history presented with dyspnoea on exertion. Coronary angiography and coronary computerised tomography (CT) angiography revealed anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). The left anterior mammary artery and venous graft were used as a double bypass graft to the left anterior descending coronary and obtuse margin arteries, respectively. The patient was asymptomatic on follow-up.

Keywords

• ALCAPA syndrome,congenital coronary artery anomaly

References

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