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Sol ana koroner arter oklüzyonu nedeni ile acil açık kalp cerrahisi uygulanan hastalardaki erken ve orta dönem sonuçlarımız

Eariy and mid-term resuits of urgent open heart surgery in patients with left main coronary artery disease

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Abstract (2. Language): 
Stenoses of the left main coronary artery are considered as signifıcant lesions that cause left ventricular dysfunction and increase mortality and morbidity rates. İt has been demonstrated that surgical treatment is better than medical treatment in these lesions. The eariy and mid-term resuits of patients to whom urgent coronary artery bypass surgery performed because of signifıcant stenosis of left main coronary artery, were investigated retrospectively. Betvveen 2003 and 2004, 21 patients were operated urgently in our department. The mortality and morbidity rates in these patients were found in acceptable ratios. Urgent surgical revascularization in left main coronary artery stenosis is a safe method and can be preferred as a life saving treatment in such cases.
Abstract (Original Language): 
Sol ana koroner arterin darlıktan (LMCAJ (>%50); sol ventrikül (LVj dlsfonkslyonu yapan, mortallte ve morbldlteyi artıran ciddi lezyonlardır. Bu lezyonlarda son yapılan araştırmalar cerrahi tedavinin medikai tedaviye üstün olduğunu göster¬mektedir. LMCA oklüzyonu nedeni ile kliniğimizde acil koroner bypass uygulanan hastalardaki erken ve orta dönem sonuçlar retrospektif olarak incelendi. Kliniğimizde 2003-2004'te önemli LMCA stenozu olan 21 hasta acil şartlarda öpere edildi. Bu hastalardaki mortalite ve morbidite oranları kabul edilebilir seviyede bulundu. LMCA oklüzyonunda acil cerrahi revaskülarizasyon oldukça güvenilir ve hayat kurtarıcı bir yöntem olarak tercih edilmelidir.
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REFERENCES

References: 

1 Loop FD, Lytle BW, Cosgrove DM, Sheldon WC. Irarrazaval M. Taylor PC. et al. Atherosclerosis of the left main coronary artery: 5 year resuits of surgical treatment. AmJCardiol. 1979;44:195-201.
2 Bachraoui K Mokaddem A Selmi K, Darghouth B. Ben Halıma A Ben Naya C, et al. Left main coronary stenosis: clinical and paraclınıcal aspects. Tunis Med. 2003 Aug,8l(8):567-70.

3. Holm F, Lubanda JC, Semrad M, Rohac J, Vondracek V, Miler I, et al. Main clinical and surgical determinants of ın-hospital mortality after surgical revascularization of left mam coronary artery stenosis: 2 year retrospecrive study II998-I999). J Mal Vasc. 2004 May;29|2):89-93.
4. Cihan HB, Gülcan Ö, Battaloglu B. Sol Ana Koroner Hastalığı İlave Risk Faktörü müdür? VI Ulusal Göğüs Kalp Damar Cerrahi Kongresi Özet Kitabı. 21-25 Ekim 2000;35, Antalya
5. Shigemitsu O, Hadama T, Miyamoto S, Anai H, Sako H, lwata E. Acute myocardial infarction due to left main coronary artery occlusion. Therapeutic strategy. Jpn J Thorac Cardiovasc Surg. 2002 Apr;50(4): 146-51.
6. Mikaeloff P, Convert G, Amouroux C. Boivrn J, Van Haecke P, Frieh JP, et al. Stenosis of the left main coro¬nary artery. Resuits of aorto-coronary by-pass in 67 patients (author's transl). Nouv Presse Med. 1981 Jan l7;10|2):89-93.
7. Gol MK, Ozsoyier I, Şener E, Göksel S, Saritas A Tasdemir O, et al. Is left main coronary artery stenosis a risk factor for eariy mortaliiy in coronary artery surgery? J Card Surg. 2000 May-Jun; 15(3):21 7-22.
8. Zhou YQ. Surgical treatment of left main coronary artery stenosis. Zhonghua Wai Ke Za Zhi. 1991 Apr;29(4J:231 -2.
9. da Rocha AS, da Silva PR. Can patients with left main coronary artery disease wait for myocardial revasculariza-tion surgery? Arq Bras Cardiol. 2003 Feb;80|2]:19l-3, 187-90. Epub 2003 Feb 25.
10. Sharareh A Furber A Cochou O, Boulmier D, Gillard M, Allal J, et al. Is it necessary to operate quickfy in patients with significant left main coronary stenosis? Arch Mal CoeurVarss. 2002 Feb.95(2):75-80.
11. Sarıtaş A Kecelrgil HT, Çakır Ö, Mavitaş B. Zorlutuna Y, Taşdemir O, ve ark. Sol Ana Koroner Arter Hastalığında Cerrahi Tedavi. Turk J Cardiol. 1993,6:73-78.
12. Tsang JC, Morin JF, Tchervenkov Cl, Platt RW, Sampalis J, Shum-Tim D. Single aortic clamp versus partial occluding clamp technique for cerebral protection during coronary artery bypass; a randomized prospectrve trial. J Card Surg. 2003 MarApr; 18(2): 158-63.

13 Bertolıni P, Santini F, Montalbano G, Pessotto R. Mazzucco A. Single aortic cross-clamp technıque ın coro¬nary surgery: a prospectrve randomized study. Eur J Cardıothorac' Surg. 1997 Sep; 12(3):413-8; discussıon 419.
14. Arankı SF, Rizzo PJ. Adams DH. Couper GS. Kinchla NM. Grldea JS, et al. Single clamp technıque : an ımportant adjunct to myocardial and cerebral protection in coro¬nary operations. Ann Thorac Surg. 1994 Aug;58(2):296-302; dıscussion 302-3.
15. Grega MA Borowıcz LM. Baumgartner WA. Impact of single clamp versus double clamp technıque on neuro-logıc outcome. Ann Thorac Surg. 2003 May;75(5); 1387¬91.
16. Gatti G, Cardu G, Lusa AM, Pugliese P. Predictors of post-operaüve complications in high-risk octogenarians under-going cardiac operations. Ann Thorac Surg. 2002 Sep;74[3):671-7.
17. Clough RA Leavitt BJ, Morton JR, Plume SK. Hernandez F, IMugent W, et al. The effect of comorbid rllness on mortality outcomes in cardiac surgery. Arch Surg. 2002 Apr;137(4):428-32; discussion 432-3.
18. Sistrno JJ, Acsell JR. Svstemic inflammatory response syn-drome (SIRS) follovving emergency cardıopulmonary bypass: a case report and literatüre re/ıew. J £xtra Corpor Technol. 1999 Mar;31 (IJ:37-43.
19. Palao Mendoza A Kusulas Zeron C. Palomo Villada JA Surgical complications and mortality in octogenarıan patients undergoing revascularization surgery. Arch Inst Cardiol Mex. 1999 May-Jun;69(3).214-21.
20. Labrousse L, de Vıncentiis C, Madonna F, Devılle C, Roques X, Baudet E.Earfy and long term resuits of coro¬nary artery bypass grafts in patients with dıafysıs depend-ent renal failure. Eur J Cardiothorac Surg. 1999 May;l?(5|:69l-6.
21. Nishi H, Myamoto S, Takanashi S, Minamımura H, Ishikavva T. Shimizu Y. Complete revascularization in patients with severe left ventricular dysrunction. Ann Thorac Cardiovasc Surg. 2003 Apr,9|2). 111-6
22. Akgün S. Erişkin Kalp Cerrahisinde Miyokard Korunması Duran E. Kalp ve Damar Cerrahisi. Çapa Tıp Kitapevi İstanbul. 2004.1091-106.
23. Solak H. Ekstrakorporeal Dolaşımda Miyokard Korunması.Solak H.Görmüş N. Ekstrakorporeal Dolaşım Nobel Tıp Kıtapevleri. İstanbul 2005. 35-40.

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