GKD Anest Yoð Bak Dern Derg. 2018; 24(1): 40-43 | DOI: 10.5222/GKDAD.2017.040

ST elevation due to folding of safen vein graft

Ayþe Lafçý¹, Derya Gökçýnar¹, Serdar Günaydýn^2
1Ankara Numune Training and Research Hospital, Department of Anesthesiology and Reanimation
²Ankara Numune Training and Research Hospital, Department of Cardiovascular Surgery

Saphenous vein is used as a graft in coronary artery bypass graft surgery. The graft must be of appropriate length and inclination between the distal and proximal anastomoses. Thus, myocardium is fed well by providing sufficient blood flow. We present a case of ST elevation resulting in folding of a long safen ven graft after coronary artery bypass surgery. In this case report, we aimed to emphasize the importance of close follow-up and monitoring in patients who underwent coronary artery bypass graft surgery.

Keywords: Cardiac anesthesia, intraoperative monitorization, coronary artery bypass graft surgery, saphenous vein graft occlusion, ST elevation

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Safen ven greftinin katlanmasý nedeniyle ST elevasyonu

Ayþe Lafçý¹, Derya Gökçýnar¹, Serdar Günaydýn^2
1Ankara Numune Eðitim ve Araþtýrma Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Dalý
²Ankara Numune Eðitim ve Araþtýrma Hastanesi, Kardiyovasküler Cerrahi Anabilim Dalý

Koroner arter baypas greft cerrahisinde safen ven greft olarak kullanýlmaktadýr. Greftin distal ve proksimal anastomozlar arasýnda uygun boy ve eðimde olmasý gerekir. Böylece yeterli kan akýmý saðlanarak miyokard iyi beslenir. Koroner arter baypas ameliyatý sonrasýnda uzun safen ven greftinin katlanmasý sonucu ST elevasyon geliþen bir olguyu sunmaktayýz. Bu olgu sunumu ile koroner arter baypas greft ameliyatý geçirenlerde yakýn takip ve monitorizasyonun önemini vurgulamayý amaçladýk.

Anahtar Kelimeler: Kardiyak anestezi, intraoperatif monitorizasyon, koroner arter baypas greft cerrahisi, safen ven grefti týkanmasý, ST elevasyonu,

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