AI Summary & Key Takeaways
AI InsightWe suppose that a medi - an sternotomy is beneficial and since it does not require an additional incision and the low risk of wound infection in proximal carotid stenosis.
📌 3 Key Takeaways
Abstract
ABS T RACT A 70-year-old male patient complaining of dizziness, shortness of breath, and chest pa - in was admitted to the our hospital. Coronary angiography showed severe stenosis in the left ante - rior descending artery, right descending coronary artery and circumflex coronary artery. In the routine preoperative examination, severe proximal common carotid artery stenosis was detected on the computerized tomography. A median sternotomi was performed under general anesthesia. Ascending aorta-to-left carotid artery bypass was done with a 6-mm polytetrafluoroethylene graft, and left internal mammarian artery-left anterior desending artery, aorta-saphenous vein-right co- ronary artery bypass graftings were performed with off-pump technique. We suppose that a medi - an sternotomy is beneficial and since it does not require an additional incision and the low risk of wound infection in proximal carotid stenosis.
Özet
ÖZET Yetmiş yaşında erkek hasta baş dönmesi, nefes darlığı, göğüs ağrısı şikayetleri ile hastane- mize başvurdu. Koroner anjiyografide sol anterior desending arter, sağ desending koroner arter ve sirkumfleks koroner arterde ciddi darlık görüldü. Rutin preoperatif incelemede, bilgisayarlı tomo- grafide, sol common karotis arterin proksimal kısmında ciddi daralma saptandı. Genel anestezi al- tında median sternotomi yapıldı. Asendan aorta-sol karotis artere 6 mm politetrafloroetilen greft ile bypass, ve çalışan kalpte sol internal mammarian arter-sol anterior desending arter, aorta-safen ven-sağ koroner arter bypass yapıldı. Biz median sternotomi insizyonunun proksimal karotis arter darlıklarında ek insizyon gerektirmemesi ve yara yeri enfeksiyonu açısından güvenilir ve yararlı ol- duğunu düşünüyoruz.