Performing coronary artery bypass grafting with a giant left internal mammary artery; Using dilated internal mammary artery in a patient with aortic coarctation and concomitant coronary artery disease

Year 2019, Volume: 11 Issue: 3, 358 - 360, 01.09.2019

Eren Gunertem , Gokhan Lafci

https://doi.org/10.21601/ortadogutipdergisi.471119

Abstract

The ideal surgical approach is unclear for patients with aortic coarctation whom have other associated coronary artery disease or other cardiac pathologies. A 69 year-old male was admitted to our hospital with carotid artery stenosis and coronary artery disease. During routine preoperative procedures cardiologist revealed an aortic coarctation. Left internal mammary artery was dilated due to coarctation but even so it was used as a graft for coronary artery bypass grafting. We aimed to report our approach for this patient.

Keywords

aortic coarctation, internal mammary artery, coronary artery disease

Dev bir sol internal mammaryen ile koroner arter bypass greftleme; Eş zamanlı aort koarktasyonu ve koroner arter hastalığı olan hastada dilate internal mammaryen arter kullanımı

Abstract

Eş zamanlı aort koarktasyonu ile koroner arter hastalığı gibi diğer kardiyak patolojileri olan hastalarda ideal tedavi yaklaşımı konusunda fikir birliği bulunmamaktadır. 69 yaşında erkek hasta hastanemize karotid arter darlığı ve koroner arter hastalığı tanılarıyla başvurdu. Ameliyat öncesi hazırlıklar sırasında hastada aynı zamanda aort koarktasyonu olduğu saptandı. Sol internal mammaryen arter dilateydi ancak yine de koroner arter bypass greftleme operasyonu sırasında greft olarak kullanıldı. Biz bu hastadaki yaklaşımımızı sunmak istedik.

Keywords

aort koarktasyonu, internal mammaryen arter, koroner arter hastalığı

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