Kocaeli Med J. 2016; 5(1): 43-45

Ulcerative Plaque in the Innominate Artery Which is Diagnosed During the Coronary Bypass Operation

Rezan Aksoy¹, Hakan Parlar¹, Çaðrý Düzyol¹, Özgür Barýþ¹, Atike Tekeli Kunt¹, Cevdet Uður Koçoðullarý^2
1Kocaeli Derince Training And Research Hospital, Department Of Cardiovasculary Surgery
²Dr. Siyami Ersektraining And Research Hospital,department Of Cardiovasculary Surgery

Atherosclerotic plaques in the ascending aorta can cause ischemic strokes and rupture. Ulcerated plaques in the innominate artery is a rare condition. In this case report we described that the patient which has ulcerated plaques in the innominate artery which was observed it during the coronary bypass operation.
In this paper is presented 71 year old male patient. Coronary bypass operation was decided as a result of coronary angiography. Ulcerated plaques were observed at the beginning of ýnnominate artery during the exploration in the surgery. Aorta coronary bypass graft was done with cardiovasculary bypass under general anesthesia. The innominate artery with ulcerated plaque, was repaired with teflon felt to prevent postoperative rupture and dissection. He was discharged in the postoperative six days. The cerebrovascular and cardiovascular events were not observed during one year follow up.
In this article, during the coronary artery bypass grafting surgery a rare ulcerated plaque in the innominate artery, we aimed to discuss surgical methods with in literature.

Keywords: Innominate artery, ulcerated plaque, coronary artery bypass grafting

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Ýnnominate Arterde Koroner Baypas Sýrasýnda Tanýsý Konan Ülseratif Plak

Rezan Aksoy¹, Hakan Parlar¹, Çaðrý Düzyol¹, Özgür Barýþ¹, Atike Tekeli Kunt¹, Cevdet Uður Koçoðullarý^2
1Kocaeli̇ Deri̇nce Eði̇ti̇m Ve Araþtýrma Hastanesi̇, Kalp Ve Damar Cerrahisi
²Dr. Siyami Eresek Eðitim Ve Araþtýrma Hastanesi Kalp Ve Damar Cerrahisi

Asendan aortadaki aterosklerotik plaklar iskemik inme ve rüptür sebebi olabilmektedirler. Ýnnominate arterde gözlenen ülsere plak ise nadir görülen bir durumdur. Ameliyat esnasýnda asendan aorta ve dallarý, aterosklerotik ve ülsere plaklar nedeniyle istenmeyen serebrovasküler ve kardiyovasküler olaylalar akýlda tutularak iyi eksplore edilmelidir.
Bu yazýda, koroner anjiyografi sonucunda koroner arter baypas greftleme ameliyatý kararý verilen, operasyon esnasýnda innominate arter baþlangýcýnda ülsere plak olduðu gözlenen 71 yaþýndaki erkek olgu sunulmuþtur. Hastaya genel anestezi altýnda kardiyopulmoner baypas ile koroner arter baypas greftleme ameliyatý uygulandý. Ameliyat sýrasýnda rüptür ve diseksiyon oluþumunu önlemek amacýyla ülseratif plak olan innominate arter teflon yama ile onarýldý. Hasta 6. gün þifa ile taburcu edildi. Hastanýn bir yýllýk takibinde serebrovasküler ve kardiyovasküler bir olay izlenmedi.

Bu olgu sunumumuzda, koroner arter baypas greftleme ameliyatý esnasýnda innominate arterde nadir görülen ülsere plaða literatür eþliðinde cerrahi yaklaþým yöntemlerini irdelemeyi amaçladýk.

Anahtar Kelimeler: Ýnnominate arter, ülseratif plak, koroner arter baypas greftleme

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