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Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2011 / Cilt: 19 - Sayı: 4

Multisegmental sol ön inen koroner arter hastalığında yeni bir köprü bypass yöntemi

A new bridge bypass technique for multisegmental left anterior descending coronary artery disease

Ömer TETİK
Yüksel BEŞİR
Arif GÜCÜ
Önder T. BOZKURT
Orhan RODOPLU
Tamer TÜRK
Pages
682–685
Publication Date
2022-09-02
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We believe that this is a successful technique for providing complete revascularization in patients with complex, multisegmental LAD lesions.

📌 3 Key Takeaways

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Objective & Hypothesis:There is an increase in cases with complex, multisegmental left anterior descending (LAD) coronary artery lesions in coronary artery bypass graft (CABG) surgery.
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Key Findings & Data:In four cases (3 males, 1 female, mean age 58±3.3 years) with multisegmental LAD lesions, extra surgical intervention was employed to the LAD artery in conjunction with standard coronary surgical procedures between January 2008 and September 2010.
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Conclusion & Impact:We believe that this is a successful technique for providing complete revascularization in patients with complex, multisegmental LAD lesions.
🔬Design:Research Article
📍Scope:2008 Verileri
⚙️Variables:Domain Parameters

Abstract

There is an increase in cases with complex, multisegmental left anterior descending (LAD) coronary artery lesions in coronary artery bypass graft (CABG) surgery. In these cases, further reconstructive surgical procedures are needed for complete revascularization. In four cases (3 males, 1 female, mean age 58±3.3 years) with multisegmental LAD lesions, extra surgical intervention was employed to the LAD artery in conjunction with standard coronary surgical procedures between January 2008 and September 2010. All cases presented with class 3 or 4 stable angina pectoris. In all cases, the surgical procedure consisted of standard cannulation followed by CABG under cardiopulmonary bypass. In cases with complex multisegmental LAD lesions, a short saphenous vein graft was bridged between the mid and distal portions of the LAD as a new technique. The prepared left internal mammarian artery was anastomosed to this bridge which was created over the LAD. The remaining coronary anastomoses were performed with the standard technique. The postoperative period passed without any problem in all patients. We believe that this is a successful technique for providing complete revascularization in patients with complex, multisegmental LAD lesions.

Özet

Koroner arter bypass greftleme (KABG) cerrahisinde kompleks multisegmental sol ön inen (LAD) koroner arter lezyonlu olgularda artış vardır. Bu olgularda tam revaskülarizasyon için ilave rekonstrüktif cerrahi işlemlere gereksinim duyulmaktadır. Ocak 2008 - Eylül 2010 tarihleri arasında multisegmental LAD lezyonlu dört olguda (3 erkek, 1 kadın; ort yaş 58±3.3 yıl) standart koroner cerrahi yöntemlerle birlikte LAD artere ekstra cerrahi girişim uygulandı. Olguların hepsi evre 3 ya da 4 kararlı anjina pektorise sahipti. Cerrahi işlem tüm olgularda standart kanülasyonu takiben kardiyopulmoner bypass altında KABG’den oluşmaktaydı. Kompleks multisegmental LAD lezyonlu olgularda yeni bir yöntem olarak, LAD’ye orta segment ve distal segment arasına kısa bir safen ven greftiyle köprüleme yapıldı. Hazırlanan sol iç meme arteri LAD üzerinde oluşturulan bu köprüye anastomoz edildi. Geriye kalan koroner anastomozlar standart teknikle uygulandı. Ameliyat sonrası dönem tüm hastalarda sorunsuz geçti. Kompleks multisegmental LAD arter lezyonlu hastalarda yeterli revaskülarizasyonu sağlamak açısından bu tekniğin başarılı bir yöntem olduğuna inanıyoruz.

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Cite This Article

TETİK, Ö., BEŞİR, Y., GÜCÜ, A., BOZKURT, Ö. T., RODOPLU, O., TÜRK, T. (2022). Multisegmental sol ön inen koroner arter hastalığında yeni bir köprü bypass yöntemi. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 19 - Sayı: 4, 682–685. https://ajindex.com/articles/424845

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