An emergency surgical repair for ruptered giant right coronary artery aneurysm

Koroner arter anevrizma rüptürü ani kardiyak ölüme neden olabilir. Rüptüre bağlı ventrikül duvar disseksiyonu, miyokard kasılma bozukluğu, iskemi ve tamponad gözlenebilir. Elli altı yaşında kadın hasta ani başlayan göğüs ağrısı ve çarpıntı yakınmasıyla başvurdu. Elektrokardiyografisinde akut inferior miyokard infarktüsü bulguları vardı. Ekokardiyografide perikardiyal effüzyon ve sağ atriyumun önünde kistik kitle görüldü. Acil ameliyata alınan hastada tamponad boşaltıldıktan sonra kanamanın sağ koroner arter anevrizması rüptüründen olduğu görüldü. Anevrizma rezeksiyonu ve safen ven greftiyle bypass yapılan hasta ameliyat sonrası yedinci gün taburcu edildi.

Abstract

Spontaneous rupture of a coronary artery aneurysm which may cause catastrophic events such as ischemia, myocardial infarction, tamponade and sudden cardiac death. A 56- year-old woman presented with sudden pain in chest and tachycardia. There were signs of acute inferior myocardial infarction on electrocardiography, and it revealed pericardial effusion and cystic mass anterior to right atrium. After removing the tamponade it was seen that the bleeding was from right coronary arterial aneurysm rupture. Aneurysm resection and bypass via saphenous vein graft were performed and the patient was discharged on the postoperative seventh day.

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Bu Makaleye Atıf Yap

YAVUZ, Ş., TİRYAKİOĞLU, S. K., BAŞEL, M. C., TÜRK, T., TİRYAKİOĞLU, O. (2022). An emergency surgical repair for ruptered giant right coronary artery aneurysm. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 16 - Sayı: 2, 120–121. https://ajindex.com/articles/425092

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Kaynakça (10)

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