Kardiyak Miksoma Olgusunda Koroner Anjiyografinin Önemi

Abstract

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.

Keywords

• Atriyal miksoma,koroner arter hastalığı,koroner baypas cerrahisi

The Importance of Coronary Angiography in a Patient with Cardiac Myxoma

Abstract

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.

Keywords

• Atrial myxoma,coronary artery disease,coronary bypass surgery

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