Off-Pump Reduction Aortoplasty with Coronary Artery Bypass Grafting: 3 Cases

Yıl 2017, Cilt: 20 Sayı: 2, 168 - 171, 01.08.2017

Adnan Yalçınkaya , Adem İlkay Diken Gökhan Lafçı Ahmet Kuddusi İrdem Kerim Çağlı

Öz

Coronary
artery disease with ascending aorta aneurysm surgery may be troublesome for
both the surgeon and the patient. Because so many patients have other
concomitant 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 morbidity
because of the use of extracorporeal circulation and aortic cross-clamping
intraoperative. Off-pump reduction aortoplasty may be the right decision for
risky patients with ascending aortic aneurysm and coronary artery disease. This
report presents 3 cases of off-pump reduction aortoplasty and concomitant
coronary artery bypass grafting (CABG).

Anahtar Kelimeler

Ascending aorta, aortic aneurysm, coronary artery disease, off-pump coronary artery bypass, wrapping

Koroner Arter Baypas Greftleme ile Off-Pump Küçültücü Aortoplasti: 3 Olgu

Öz

Koroner
arter hastalığı ile birlikte yapılan asendan aort cerrahisi hem cerrah hem de
hasta için zorlu olabilmektedir. Çünkü bir kısım hastanın kanser, düşük sol
ventrikül fonksiyonu, diyalize bağımlı kronik böbrek yetmezliği, kötü beslenme
düzeyi, obezite, kronik obstrüktif akciğer hastalığı (KOAH) ve serebrovasküler
hastalık öyküsü gibi eşlik eden diğer hastalıkları olabilir. Bu hastalıklar
intraoperatif ekstrakoporeal dolaşım kullanımı ve aortun kros-klemplenmesi
nedeniyle post-operatif mortalite ve morbiditeyi artırırlar. Off-pump küçültücü
aortoplasti asendan aort anevrizması ve koroner arter hastalığının olduğu
riskli hastalar için uygun karar olabilir. Bu raporda off-pump küçültücü
aortoplasti ve eşzamanlı koroner arter bypass cerrahisi yapılan üç olgu
sunulmuştur.

Anahtar Kelimeler

Asendan aorta, aort anevrizması, koroner arter hastalığı, off-pump koroner arter baypas, sarmak

Kaynakça

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