Kocaeli Med J. 2012; 1(3): 27-30

Pulmonary embolism be caused by deep venous thrombosis after coronary artery bypass grafting

Ýbrahim Kara¹, Yasin Ay², Cemalettin Aydýn², Nuray Kahraman Ay³, Tekin Yýldýrým^1
1Department of Cardiovascular Surgery, Emsey Hospital, Pendik,Ýstanbul, Turkey
²Department of Cardiovascular Surgery, Bezmialem Vakýf University, Ýstanbul,Turkey
³Department of Cardiology, Kocaeli Derince Education and Research Hospital,Kocaeli, Turkey

Deep venous thrombosis and pulmonary embolism are rarely mensioned as complications of coronary bypass surgery and carry high risk of morbidity and mortality. Although accurate diagnosis and rapid treatment are crucial to a successful outcome, there is no standart treatment option. Thrombolytic therapy, catheter embolectomy and open pulmonary embolectomy are the usual treatment options. This report describes our use of thrombolytic therapy and as an effective therapeutic approach in a case of massive pulmonary embolism that occured after coronary artery bypass grafting.

Keywords: Pulmonary embolism, venous thromboembolism, prevention and control

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Koroner arter baypas cerrahisi sonrasý venöz tromboza baðlý pulmoner emboli

Ýbrahim Kara¹, Yasin Ay², Cemalettin Aydýn², Nuray Kahraman Ay³, Tekin Yýldýrým^1
1Özel Emsey Hastanesi, Kalp ve Damar Cerrahi Kliniði, Pendik, Ýstanbul
²Bezmialem Vakýf Üniversitesi, Kalp ve Damar Cerrahi Kliniði, Ýstanbul
³Kocaeli Derince Eðitim ve Araþtýrma Hastanesi, Kardiyoloji Kliniði, Kocaeli

Koroner bypass cerrahisi sonrasý derin ven trombozu ve pulmoner tromboemboli nadir rastlanan komplikasyonlar olup yüksek morbidite ve mortalite taþýr. Doðru taný ve hýzlý tedavi baþarýlý bir sonuç için hayati önem taþýmasýna raðmen, standart bir tedavi seçeneði yoktur. Trombolitik tedavi, katater embolektomi ve açýk pulmoner embolektomi kullanýlan tedavi seçenekleridir. Bu yazýda, koroner arter bypass ameliyatýndan sonra derin ven trombozuna baðlý massiv pulmoner emboli geliþen vakada etkili bir yaklaþým olarak trombolitik tedavi ve proflaksisi anlatýldý.

Anahtar Kelimeler: Pulmoner emboli, venöz tromboembolizm, önleme ve kontrol

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