Pankreas-Böbrek Nakili Hastalarda Koroner Arter Baypas Cerrahisi: Türkiye’deki İlk Olgu ve Literatürden Kısa Bir Derleme

Abstract

Otuz yedi yaşında erkek hasta kardiovasküler hastalık şikayetleri ile hastanemize başvurdu. Hasta 7 yıl önce kombine pankreas-böbrek nakli, 4 yıl öncede nakili böbreğin rejeksiyonundan dolayı ikinci kez böbrek nakli olmuş idi. Koroner anjiyografi ile iki damar koroner arter hastalığı tanısı konan hastaya koroner arter baypas cerrahisi uygulandı. Hastanın postoperatif dönemi stabil seyretti ve hasta sorunsuz bir şekilde taburcu edildi. Koroner arter hastalığı gelişen kombine pankreas-böbrek nakili hastalarda koroner arter baypas cerrahisi güvenli bir şekilde uygulanabilir.

Keywords

• Kombine pankreas-böbrek nakli,böbrek nakli,koroner arter hastalığı,koroner arter baypas cerrahisi,kardiyopulmoner baypas

Coronary Artery Bypass Grafting in Kidney and Pancreas Transplantation: First Case in Turkey and a Short Literature Review

Abstract

A 37-year-old man with symptoms of cardiovascular disease applied to our hospital. Seven years ago, he had undergone combined kidney and pancreas transplantation. Afterwards, 4 years ago, his renal transplantation was repeated because of rejection. Coronary artery angiography revealed two-vessel coronary artery stenosis. We performed coronary artery bypass grafting to treat the coronary artery disease. The post-operative period was uneventful, and he was discharged from the hospital without any complications. Coronary artery diseases in recipients of combined kidney and pancreas transplantation can be safely treated using coronary artery bypass grafting.

Keywords

• Combined kidney and pancreas transplantation,kidney transplantation,coronary artery disease,coronary artery bypass graft,cardiopulmonary bypass

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