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  Citation Number 2
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Koroner Arter Bypass Greft Yapılan 40 Yaş ve Altı Hastaların Erken Dönem Sonuçları
2013
Journal:  
Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
Author:  
Abstract:

Amaç: Ülkemizde ve Dünya'da genç yaş grubu hastalardaki artışa paralel olarak koroner arter bypass greft (CABG) cerrahisi sıklığı artmaktadır. Bu retrospektif çalışmada, kliniğimizde 40 yaş ve altında kardiyopulmoner bypass (CPB) ile izole CABG uygulanan olgulardaki erken dönem sonuçların değerlendirilmesi amaçlandı. Gereç ve Yöntem: Nisan.2004- Ocak 2012 tarihleri arasında CPB ile 40 yaş ve altında CABG operasyonu gerçekleştirilen 106 hasta çalışmaya dahil edildi. Hastaların demografik verileri, perioperatif ve postoperatif parametreleri değerlendirildi. Bulgular: Demografik veriler incelendiğinde olguların %59.4'ünde sigara kullanımı, %30.2'sinde diabetes mellitus, %25.5'inde obezite, %66'sında hiperlipidemi saptandı. Hastaların %5.7'sinde sol ana koroner arter hastalığı, %8.5'inde tek damar, %37.7'sinde iki damar ve %53.8'inde üç damar hastalığı mevcut idi. Operasyon verileri değerlendirildiğinde kross klemp süresi 37 dk, CPB süresi 66.8 dk ve ortalama greft sayısı 2.5 saptandı. Mortalite gözlenmedi. Yedi olguda atriyal fibrilasyon, 3 hastada safen ven grefti alınan bacakta yüzeyel doku enfeksiyonu gelişmişti. Sonuç: Bu çalışma ile 40 yaş ve altı CABG uygulananlar olgularda sigara ve diabetes mellitus önemli bir risk faktörü olarak tespit edilmiştir.

Keywords:

Early Arter Bypass Greft Results for 40 Years and Six Patients
2013
Author:  
Abstract:

Target: In our country and in the world, the incidence of coronary arterial bypass greft (CABG) surgery is increasing parallel to the increase in young age group patients. In this retrospective study, we aimed at evaluating early-term results in cases of isolated CABG applied with cardiopulmonary bypass (CPB) in our clinic aged 40 and under. The tool and method: April.2004-January 2012 with CPB and CABG operations under the age of 40 were included in the study of 106 patients. The demographic data of patients, perioperative and postoperative parameters were evaluated. Results: In the demographic data, 59.4 percent of cases were smoking, 30.2 percent diabetes mellitus, 25.5 percent obesity, and 66 percent hyperlipidemia. 5.7 percent of patients have left main coronary artery disease, 8 percent. In 5 there were two veins, in 37.7 and in 53.8 there were three vein diseases. When operating data were evaluated, the cross clamp time was 37 minutes, the CPB time was 66.8 minutes and the average greft number was 2.5 minutes. Mortality has not been observed. In seven cases, atrial fibrilation, 3 patients developed surface tissue infection in the leg that was taken with safen venous injection. Results: With this study, people aged 40 and six have been identified as a significant risk factor for smoking and diabetes mellitus.

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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

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Article : 643
Cite : 2.137
Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi