TY - JOUR T1 - Off-Pump Reduction Aortoplasty with Coronary Artery Bypass Grafting: 3 Cases TT - Koroner Arter Baypas Greftleme ile Off-Pump Küçültücü Aortoplasti: 3 Olgu AU - Yalçınkaya, Adnan AU - Diken, Adem İlkay AU - Lafçı, Gökhan AU - İrdem, Ahmet Kuddusi AU - Çağlı, Kerim PY - 2017 DA - August JF - Koşuyolu Heart Journal PB - Kartal Koşuyolu Yüksek İhtisas EAH WT - DergiPark SN - 2149-2972 SP - 168 EP - 171 VL - 20 IS - 2 LA - en AB - Coronaryartery disease with ascending aorta aneurysm surgery may be troublesome forboth the surgeon and the patient. Because so many patients have otherconcomitant diseases such as cancer, severe left ventricular dysfunction,hemodialysis-dependent chronic renal failure, poor nutritional status, obesity,chronic obstructive pulmonary disease (COPD), and cerebrovascular event history.These diseases increase the risk of postoperative mortality and morbiditybecause of the use of extracorporeal circulation and aortic cross-clampingintraoperative. Off-pump reduction aortoplasty may be the right decision forrisky patients with ascending aortic aneurysm and coronary artery disease. Thisreport presents 3 cases of off-pump reduction aortoplasty and concomitantcoronary artery bypass grafting (CABG). KW - Ascending aorta KW - aortic aneurysm KW - coronary artery disease KW - off-pump coronary artery bypass KW - wrapping N2 - Koronerarter hastalığı ile birlikte yapılan asendan aort cerrahisi hem cerrah hem dehasta için zorlu olabilmektedir. Çünkü bir kısım hastanın kanser, düşük solventrikül fonksiyonu, diyalize bağımlı kronik böbrek yetmezliği, kötü beslenmedüzeyi, obezite, kronik obstrüktif akciğer hastalığı (KOAH) ve serebrovaskülerhastalık öyküsü gibi eşlik eden diğer hastalıkları olabilir. Bu hastalıklarintraoperatif ekstrakoporeal dolaşım kullanımı ve aortun kros-klemplenmesinedeniyle post-operatif mortalite ve morbiditeyi artırırlar. Off-pump küçültücüaortoplasti asendan aort anevrizması ve koroner arter hastalığının olduğuriskli hastalar için uygun karar olabilir. Bu raporda off-pump küçültücüaortoplasti ve eşzamanlı koroner arter bypass cerrahisi yapılan üç olgusunulmuştur. CR - 1. Egloff L, Rothlin M, Kugelmeier J, Senning A, Turina M. The ascending aorticaneurysm: replacement or repair? Ann Thorac Surg 1982;34:117-24. CR - 2. Arsan S, Akgun S, Kurtoglu N, Yildirim T, Tekinsoy B. Reduction aortoplasty and external wrapping for moderately sized tubular ascending aortic aneurysm with concomitant operations. Ann Thorac Surg 2004;78:858-61. CR - 3. Arsan S. Off-pump reduction aortoplasty and concomitant coronary artery bypass grafting. Ann Thorac Surg 2004;78:316-9. CR - 4. Narayan P, Rogers CA, Caputo M, Angelini GD, Bryan AJ. Influence of concomitant coronary artery bypass graft on outcome of surgery of the ascending aorta/arch. Heart 2007;93:232-7. CR - 5. Bauer M, Grauhan O, Hetzer R. Dislocated wrap after previous reduction aortoplasty causes erosion of the ascending aorta. Ann Thorac Surg 2003;75:583-4. CR - 6. Neri E, Massetti M, Tanganelli R, Capannini G, Carone E, Tripodi A, et al. Is it only a mechanical matter? Histologic modifications of the aorta underlying external banding. J Thorac Cardiovasc Surg 1999;118:1116-8. CR - 7. Akgun S, Atalan N, Fazlioğullari O, Kunt AT, Basaran C, Arsan S. Aortic root aneurysm after off-pump reduction aortoplasty. Ann Thorac Surg 2010;90:e69-70. CR - 8. Calafiore AM, Di Mauro M, Contini M, Di Giammarco G, Pano M, Vitolla G, et al. Myocardial revascularization with and without cardiopulmonary bypass in multivessel disease: impact of the strategy on early outcome. Ann Thorac Surg 2001;72:456-62. CR - 9. Ascione R, Lloyd CT, Underwood MJ, Lotto AA, Pitsis AA, Angelini GD. Economic outcome of off-pump coronary artery bypass surgery: a prospective randomized study. Ann Thorac Surg 1999;68:2237-42. CR - 10. Güler M, Kirali K, Toker ME, Bozbuğa N, Omeroğlu SN, Akinci E, et al. Different CABG methods in patients with chronic obstructive pulmonary disease. Ann Thorac Surg 2001;71:152-7. UR - https://dergipark.org.tr/tr/pub/khj/issue//496779 L1 - https://dergipark.org.tr/tr/download/article-file/596039 ER -