AI Summary & Key Takeaways
AI InsightAlthough postoperative morbidity rate is expected to be high, we believe that coronary bypass surgery with cardiopulmonary bypass can be performed safely in patients with mild and moderate degrees of PBC, if cardiopulmonary bypass and aortic cross clamp times are not prolonged.
📌 3 Key Takeaways
Abstract
Coronary artery bypass surgery is not frequent in cases with primary biliary cirrhosis (PBC). Limited data about the clinical course and prognosis of these patients is obtained from small series. In this short report, we present our coronary bypass surgery experience about a 66-year-old female patient with PBC associated with coronary artery occlusive disease. Although postoperative morbidity rate is expected to be high, we believe that coronary bypass surgery with cardiopulmonary bypass can be performed safely in patients with mild and moderate degrees of PBC, if cardiopulmonary bypass and aortic cross clamp times are not prolonged.
Özet
Primer biliyer sirozlu (PBS) olgularda koroner arter bypass cerrahisi çok sıklıkla uygulanmamaktadır. Bu hastaların klinik sonuçları ile ilgili bilgilerin çoğu yayınlanmış küçük çalışmalardan elde edilmektedir. Bu yazımızda 66 yaşında koroner arter hastalığı ve PBS birlikteliği bulunan bayan hastada koroner bypass ameliyatı deneyimimizi sunduk. Bu hastalarda ameliyat sonrası komplikasyon oranı sık olmasına rağmen hafif ve orta dereceli sirozlu olgularda kardiyopulmoner bypass ile koroner bypass ameliyatı, bypass ve kross-klemp zamanı kısa tutulursa güvenli şekilde gerçekleştirilebilir.