Koroner Arter Cerrahisi Yapılan Subklavyen Arter Stenozlu Bir Hastada Safen Ven Grefti İle Aorta-LİTA Baypası

Öz

İnternal torasik arter (İTA) koroner arter baypas greftlemede öncelikli tercih edilen grefttir ve subklavyen arter stenozunun (SAS) olduğu durumlarda kullanılamaz. Aorto-aksiller, karotid-subklavyen baypas ve anjioplasti ile stentleme veya diğer girişimsel tedaviler SAS'da kullanılan tedavi yöntemleridir. Safen veni ile yapılacak Aorta-ITA baypası SAS'da periferik damar hastalığı olan hastalarda Winslow yolunu koruyan alternatif ve kolay bir yol olabilir

Anahtar Kelimeler

• Subklavyen arter darlığı, koroner arter baypas, periferik vasküler hastalıklar

Aorta-LITA Bypass Grafting with Saphenous Vein in a Patient Undergoing Coronary Artery Surgery with Subclavian Artery Stenosis

Öz

The internal thoracic artery (ITA) is the primary graft for coronary artery bypass grafting and cannot be used if there is subclavian artery stenosis (SAS). Aorto-axillary, carotid-subclavian bypass and also angioplasty with stenting or other interventional treatments are acceptable procedures for SAS treatment. Aorta-ITA bypass with saphenous vein can be alternative and simple technique for SAS to save Winslow pathway for patients with peripheral artery disease.

Anahtar Kelimeler

• Subclavian artery stenosis, coronary artery bypass, peripheral artery diseases

Kaynakça

1. Olsen CO, Dunton RF, Maggs PR, Lahey SC. Review of co- ronary-subclavian steal following internal mammary artery-co- ronary artery bypass surgery. Ann Thorac Surg 1988;46:675-8. 2. English JA, Carell ES, Guidera SA, Tripp HF. Angiographic prevalence and clinical predictors of left subclavian steno- sis in patients undergoing diagnostic cardiac catheterization. Catheter Cardiovasc Interv 2001;54:8-11.