The role of surgical treatment on acute myocard infarction

Key Findings & Data:MATERIAL AND METHOD: Nine patients were performed aortocoronary bypass on due to acute myocardial infarction between 1997-1999 years.

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Conclusion & Impact:CONLUSIONS: Aortocoronary bypass surgery is an effective option by using myocardial preservation method in the acute myocart infarction

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Koroner arter köprüleme · Ölüm oranı · Akut hastalık

Abstract

AIM: To evaluate role and results of urgent coronary artery bypass operation following acute myocart infarction. MATERIAL AND METHOD: Nine patients were performed aortocoronary bypass on due to acute myocardial infarction between 1997-1999 years. The age of the patients were 52±7 years. Three of the patients were women, and others were men. Acute myocart infarction was diagnosed in 6 patients, large anterior anterior myocart infarction was diagnosed 2 patients and also inferior myocardial infarction in 1 patients. All of the patients was performed anticoagulant and antifibrinolitic theraphy. And then coronary angiography. PTCA was performed two patients. RESULTS: Nine patients were performed aortocoronary bypass on due to acute myocardial infarction. All of the patients inserted via femoral artery intraaortic balloon pumping before the operation. LİMA was used in seven patients. One patient died early periyot. 8 patients were discharged from the hospital with an uneventful recovery. CONLUSIONS: Aortocoronary bypass surgery is an effective option by using myocardial preservation method in the acute myocart infarction

Özet

AMAÇ: Akut miyokart infarktüsünde acil aortokoroner bypass cerrahisinin yeri ve sonuçlarını değerlendirmektir. GEREÇ VE YÖNTEM: 1997-1999 yılları arasında akut miyokart infarktüsü tanısı konmuş 9 hasta, acil şartlarda operasyona alınarak aortokoroner bypass ameliyatı uygulanmıştır. Hastaların yaş ortalaması 52±7 yıl, 3'ü kadın 6 tanesi erkekti. Hastaların 6 tanesinde anteroseptal miyokart infarktüsü, 2 tanesinde yaygın anteriyor miyokart infarktüsü 1 tanesinde inferiyor miyokart infarktüsü mevcuttu. Bütün hastalara antikoagulan ve fıbrinolitik tedavi yapılmıştı. BULGULAR: Hastaların hepsine intraaotik balon mekanik operasyona alınmadan önce başlandı. Revaskülarizasyon için 7 hastada LİMA. 2 hastada safen veni greft olarak kullanılmıştır. Hastalarda postoperatif belirgin drenaj artışı görülmemiştir. Postoperatif dönemde l hasta düşük kalp debisi nedeni ile kaybedilmiştir. Mortailte %11.1 olarak değerlendirilmiştir. Diğer 8 hasta, hastaneden kompikasyonsuz olarak taburcu edilmişlerdir. SONUÇ: Akut miyokart infarktüsünde cerrahi tedavi miyokart korunması yöntemlerine sadık kalındıkça etkin ve effektif bir seçenektir.

Keywords

Koroner arter köprüleme Ölüm oranı Akut hastalık Miyokard enfarktüsü Kalp cerrahi işlemleri Ameliyat sonrası dönem Coronary Artery Bypass Mortality Acute Disease Myocardial Infarction Cardiac Surgical Procedures Postoperative Period

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Cite This Article

ÖZAL, E., BİNGÖL, H., ÖZ, B. S., KÖSE, S., CİNGÖZ, F., TATAR, H. (2000). The role of surgical treatment on acute myocard infarction. MN Kardiyoloji, Cilt: 7 - Sayı: 5, 388–392. https://ajindex.com/articles/298097

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