المؤلفون: Mehmet Erdem Toker, Gürkan Ayaz, Veysel Başar, Ayhan Güneş

المصدر: Genel Tıp Dergisi, Vol 32, Iss 3, Pp 330-334 (2022)

مصطلحات موضوعية: açık kalp cerrahisi, seksen yaş ve üzeri, aort kapak replasmanı, mitral kapak replasmanı, koroner arter bypass greftleme, aort anevrizması, open heart surgery, aortic valve replacement, mitral valve replacement, octogenarian patients, aortic aneurysm, Medicine (General), R5-920

الوصف: Aim: In this study, it was aimed to compare two different periods in terms of surgical results in octogenarian patients who underwent open heart surgery. Material and method: In the present study, 218 patients aged 80 and over who had undergone open heart surgery in our clinic between January 2013 and December 2020 (group 1:115 patients) and between January 2000 and December 2007 (group 2:103 patients) were included and divided into two groups. The study was designed retrospectively, and the operative and postoperative data were statistically compared between the two groups. Results: There was no significant difference between groups in terms of mean age and gender distribution (p>0.05). Coronary artery bypass graft-beating heart prevalence in Group 2 (24.5%) was significantly higher than that in Group 1 (7.9%) (p:0.002; p

وصف الملف: electronic resource

العلاقة: https://dergipark.org.tr/tr/download/article-file/2289054Test; https://doaj.org/toc/2602-3741Test

الوصول الحر: https://doaj.org/article/8d559f0218c4494f98cfb9fd4c953cf8Test

المؤلفون: Hayrettin Tekümit, Hakan Akbayrak

المصدر: Genel Tıp Dergisi, Vol 32, Iss 4, Pp 455-458 (2022)

مصطلحات موضوعية: kardiyak cerrahi, koroner arter bypass greft cerrahisi, plevral efüzyon, cardiac surgery, coronary artery bypass graft surgery, pleural effusion, Medicine (General), R5-920

الوصف: Objective: In this study, we aim to determine the causal relationship between isolated coronary bypass surgery development of severe pleural effusion in the early postoperative period. Methods: In this study, 7862 isolated coronary artery bypass surgery cases conducted in our hospital between February 2001 and July 2013 were analyzed retrospectively. Results: Early-severe pleural effusion developed in 175 (2.2%) patients included in the study. The mean age of these cases was 66.3±9.5 (55-76). 149 (85.1%) of the cases were operated under elective conditions and 26 (14.9%) of them were operated under emergency conditions. The mean cardiopulmonary bypass time of the cases was 70±28 (40-100) minutes. Left internal thoracic artery (LITA) and saphenous vein graft (SVG) were used together in 161 (92%) cases. Of the cases, 126 (72%) had shortness of breath, 115 (65.7%) dry cough, 28 (16%) productive cough, 50 (28.6%) tachypnea, 22 (12.5%) chest pain. Early severe pleural effusion developed in the left hemithorax in 154 (88%) of the cases. LITA+SVG was used in 148 (84.6%) of these cases, and only SVG was used in 6 (3.4%) cases. Early severe pleural effusion developed in the right hemithorax in 14 (8%) of the cases. LITA+SVG was used in 10 (5.7%) of these cases, and only SVG was used in 4 (2.3%) cases. The cases with bilateral early severe pleural effusion were 7 (4%). LITA+SVG was used in 3 (1.7%) of these cases, and only SVG was used in 4 (2.3%) cases. Conclusion: It is known that coronary artery bypass surgery causes deterioration of postoperative pulmonary function. One of the most common complications of coronary artery bypass surgery is pleural effusion. It is known that this postoperative picture is associated with increased hospital stay and high postoperative morbidity. It is important to determine preoperative risks in terms of postoperative patient management and morbidity assessment.

وصف الملف: electronic resource

العلاقة: https://dergipark.org.tr/tr/download/article-file/2500477Test; https://doaj.org/toc/2602-3741Test

الوصول الحر: https://doaj.org/article/9e91dfbfddb94a25a259865d80a6703cTest

المؤلفون: Ali Çoner, Sinan Akıncı, Ertan Akbay, Ali Baran Budak, Tonguç Saba, Haldun Müderri̇soğlu

المصدر: Acta Medica Alanya, Vol 4, Iss 3, Pp 230-235 (2020)

مصطلحات موضوعية: koroner arter bypass greftleme, nativ koroner arterler, kronik total oklüzyon, coronary artery bypass grafting, native coronary arteries, chronic total occlusions, Medicine

الوصف: Aim: Postoperative de novo chronic total occlusions (CTOs) of preoperatively non-occluded native coronary arteries are commonly seen in coronary artery bypass grafting (CABG) surgery patients in the clinical follow-up; however, data about this course is limited. The aim of this study was to investigate the prevalence of new CTO development in native coronary arteries postoperatively and the clinical factors which may play role in this context. Methods: A total of 492 CABG patients has been searched from the computer database at Başkent University Hospital Alanya Application and Research Center and patients with a recurrent coronary angiography (CAG) procedure after the first 6 months following surgery were involved in the study population. Recurrent CAG recordings were evaluated for the presence of new CTO development. Logistic regression analysis was used to search the role of demographical and angiographical characteristics in the development of de novo CTOs in native coronary arteries. Results: Seventy-three CABG patients with recurrent CAG were involved in statistical analysis (Mean age was 65.2 ± 9.8 years; male gender 76.7%). Two hundred eighteen preoperatively non-occluded native coronary arteries were evaluated and 119 new CTOs were detected (54.5% of involved vessels). Preoperative proximal stenosis ≥90% is related to more than 3 times new CTO development (67.8% vs. 22.2%) (p

وصف الملف: electronic resource

العلاقة: https://dergipark.org.tr/en/pub/medalanya/issue/57322/731636?publisher=alkuTest; https://doaj.org/toc/2587-0319Test

الوصول الحر: https://doaj.org/article/3a7173c1734d4a78bae58201f73c9e6aTest

المؤلفون: Tekümit, Hayrettin, Akbayrak, Hakan

المساهمون: Selçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, orcid:0000-0003-1637-6769, orcid:0000-0002-5157-3592, Akbayrak, Hakan

مصطلحات موضوعية: cardiac surgery, coronary artery bypass graft surgery, pleural effusion, kardiyak cerrahi, koroner arter bypass greft cerrahisi, plevral efüzyon

الوصف: Objective: In this study, we aimed to determine the causal relationship between isolated coronary bypass surgery development of severe pleural effusion in the early postoperative period. Methods: In this study, 7862 isolated coronary artery bypass surgery cases conducted in our hospital between February 2001 and July 2013 were analyzed retrospectively. 175 (2.2%) patients developed early-severe pleural effusion were included in the study. The findings of 175 cases with early severe postoperative pleural effusion (Group A) were compared with the data of 180 cases (Group B) who had similar demographic findings and did not develop early-serious pleural effusion in the postoperative period. Results: The mean age of these pleural effusion cases was 66.3±9.5 (55-76). 149 (85.1%) of the cases were operated under elective conditions and 26 (14.9%) of them were operated under emergency conditions. The mean cardiopulmonary bypass time of the cases was 70±28 (40-100) minutes. Left internal thoracic artery (LITA) and saphenous vein graft (SVG) were used together in 161 (92%) cases. Patients discharged after operation uneventfully. However, of the cases, 126 (72%) had shortness of breath, 115 (65.7%) dry cough, 28 (16%) productive cough, 50 (28.6%) tachypnea, 22 (12.5%) chest pain. Early severe pleural effusion developed in the left hemithorax in 154 (88%) of the cases. LITA+SVG was used in 148 (96.1%) of these cases, and only SVG was used in 6 (3.9%) cases. Early severe pleural effusion developed in the right hemithorax in 14 (8%) of the cases. LITA+SVG was used in 10 (71.4%) of these cases, and only SVG was used in 4 (28.6%) cases. The cases with bilateral early severe pleural effusion were 7 (4%). LITA+SVG was used in 3 (42.9%) of these cases, and only SVG was used in 4 (57.1%) cases. When the two groups were compared, Group A had significantly higher rates of low EF and atrial fibrillation than Group B. Conclusion: It is known that coronary artery bypass surgery causes deterioration of postoperative pulmonary function. ...

وصف الملف: application/pdf

العلاقة: Selçuk Genel Tıp Dergisi; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; Akbayrak, H., Tekümit, H., (2022). Evaluation of the Patients Developing Severe Pleural Effusion After Isolated Coronary Artery Bypass Operation. Selçuk Genel Tıp Dergisi, 32 (4), 455-458. DOI:10.54005/geneltip.1134123; https://hdl.handle.net/20.500.12395/44786Test; 32; 455; 458

الإتاحة: https://doi.org/20.500.12395/44786Test
https://doi.org/10.54005/geneltip.1134123Test
https://hdl.handle.net/20.500.12395/44786Test

المؤلفون: Başar, Veysel, Güneş, Ayhan, Ayaz, Gürkan, Toker, Mehmet Erdem

المساهمون: Başka Kurum, orcid:0000-0001-5478-0266, orcid:0000-0001-7055-0508, orcid:0000-0003-1547-2476, orcid:0000-0001-6867-2960

مصطلحات موضوعية: Octogenarian, coronary bypass, aortic valve replacement, mitral valve replacement, aortic aneurysm, seksen yaş ve üzeri, koroner arter bypass greftleme, aortik kapak replasmanı, mitral kapak replasmanı, aort anevrizması

الوصف: Aim: In this study, it was aimed to compare two different periods in terms of surgical results in octogenarian patients who underwent open heart surgery. Material and Method: In the present study, 218 patients aged 80 and over who had undergone open heart surgery in our clinic between January 2013 and December 2020 (group 1:115 patients) and between January 2000 and December 2007 (group 2:103 patients) were included and divided into two groups. The study was designed retrospectively, and the operative and postoperative data were statistically compared between the two groups. Results: There was no significant difference between groups in terms of mean age and gender distribution (p>0.05). Coronary artery bypass graft-beating heart prevalence in Group 2 (24.5%) was significantly higher than that in Group 1 (7.9%) (p:0.002; p<0.05). Aorta valve replacement rate in Group 1 (53.9%) was significantly higher than that in Group 2 (10.7%) (p:0.000; p<0.05). Mitral repair rate in Group 1 (7.1%) was significantly higher than that in Group 2 (1%) (p:0.037; p<0.05). The mean preop ejection fraction level of Group 1 was significantly higher than that in Group 2 (p:0.000; p<0.05). Left internal mammary artery prevalence in Group 2 (68%) was significantly higher than that in Group 1 (29.8%) (p:0.000; p<0.05). There was no statistically significant difference between groups in terms of bleeding revision, postoperative cerebrovascular event, and mortality. The most common cause of mortality was cardiac in origin. Conclusion: Open heart surgery in octogenarian patients has high mortality and acceptable morbidity rates. With the increase in clinical experience and the development of repair and minimally invasive techniques, lower mortality rates can be achieved with the right patient selection and an appropriate surgical approach in the presence of comorbidities. ; Amaç: Çalışmada, açık kalp cerrahisi geçiren seksen yaş ve üzeri hastalarda, ameliyat sonuçları açısından iki farklı dönemin karşılaştırılması ...

وصف الملف: application/pdf

العلاقة: Selçuk Genel Tıp Dergisi; Makale - Uluslararası Hakemli Dergi - Başka Kurum Yazarı; Başar, V., Güneş, A., Ayaz, G., Toker, M. E., (2022). Open Heart Surgery In Octogenarian Patients: A Comparison Of Two Eras. Genel Tıp Dergisi, 32 (3), 330-334. DOI:10.54005/geneltip.1082601; https://hdl.handle.net/20.500.12395/43850Test; 32; 330; 334

الإتاحة: https://doi.org/20.500.12395/43850Test
https://doi.org/10.54005/geneltip.1082601Test
https://hdl.handle.net/20.500.12395/43850Test

المؤلفون: Toprak, Osman Zülkif, Baltalarlı, Ahmet, Önem, Gökhan, Özdel, Osman Ä°smail

مصطلحات موضوعية: Coronary artery bypass grafting surgery, disability, coping skills, quality of life, Koroner arter bypass greft ameliyatı, yeti yitimi, baÅŸetme becerileri, yaÅŸam kalitesi

الوصف: Purpose: Being well informed can help with developing strategies to cope, can contribute to the psychological well-being of patients and improve their quality of life. It is aimed to investigate the effect of verbal-visual information compared to only written information before the procedure on coping methods, quality of life and disability in patients who will undergo coronary artery bypass surgery. Materials and methods: Forty-eight patients were divided into two equal groups. While the first group was informed about the risks of the operation process and post-operative care verbally and visually, the other group was given only written information. All patients underwent standardized psychiatric interviews according to DSM V, before and after surgery The Brief Disability Questionnaire (BDQ), Coping Scale (COPE), Hospital Anxiety and Depression Scale (HADS), Health Related Quality of life Short-Form 36 (HRQOL-BRIEF SF-36) was applied. Results: Although psychiatric disorders are more common in women than men, no statistical difference was found. It was observed that the most common diagnosis was adjustment disorder. Although there was no significant difference between the groups in terms of anxiety and depressive symptoms and quality of life, it was observed that the use of religious coping decreased and disability increased after surgery only in the writteninformed group. Further, disability scores were positively correlated with the endpoint depression and anxiety scores in the group given only written information. Conclusion: Being well-informed verbally and visually about the surgery process effects patients' coping strategies and reduces disability by helping them to adapt in the post-operative period. Further longitudinal researches are needed in various cultures to determine the modifiable risk factors that may affect the psychological functions of the patients in the postoperative period. ; Amaç: Ä°yi bilgilendirilmiÅŸ olmak, baÅŸa çıkma stratejileri geliÅŸtirmeye yardımcı olabilir, hastaların ...

العلاقة: Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; https://hdl.handle.net/11499/50865Test

الإتاحة: https://hdl.handle.net/11499/50865Test

المؤلفون: Taşbulak, Ömer

المساهمون: İstinye Üniversitesi, Hastane, Ahmet Anıl Şahin / 0000-0003-1956-2348, Şahin, Ahmet Anıl, Ahmet Anıl Şahin / AFS-8068-2022, Ahmet Anıl Şahin / 57200620149

مصطلحات موضوعية: SYNTAX, Klinik SYNTAX Skoru, Koroner Arter Bypass Cerrahisi, İnme, Clinical SYNTAX Score, Coronary Artery Bypass Surgery, Stroke

الوصف: INTRODUCTION: Cerebrovascular event (CVE) is major cause of mortality and morbidity after coronary artery bypass surgery (CABG). There is no available data in literature investigating correlation between SYNTAX and clinical SYNTAX score (CSS) and CVE after isolated CABG. The aim of the study was to investigate predicting risk of CVE with SYNTAX and CSS. METHODS: 1850 patients underwent isolated CABG between October 2011 to December 2013 were included in the study in our hospital. 249 patients included in our study after eliminating patients having exclusion criteria. CVE included transient ischemic events and strokes in 30 days after CABG and two groups were determined as post-operative CVE (+) (PoCVE+) and post-operative CVE(-) (PoCVE-). SYNTAX score and additional clinical parameters (age, left ventricular ejection fraction (LVEF), glomerular filtration rate (GFR)) to calculate CSS were recorded for patients using last coronary angiography before isolated CABG. RESULTS: In present study, age (p=0.002), total cholesterol (p=0.048), glucose (p=0.022), uric acid (p=0.032), creatinine (p=0.022), neutrophil count (p=0.06), circumflex-saphenous grafting (CX-SVG) (p=0.01), CSS (p=0.003) were found statistically higher in PoCVE(+) group. Additionally, LVEF (p=0.019) and GFR (p=0.013) were detected lower in PoCVE(+) group. logistic regression of significant parameters showed that, average age (p=0.017), increased glucose levels (p=0.08), existence of CX-SVG (p=0.011) and CSS (p=0,026) were found contributed factors. CSS >8 predicts CVE with sensitivity of 78.6, specificity of 68.9 DISCUSSION AND CONCLUSION: This study showed CSS might be a useful and practical score to predict CVE in patients who planned to undergo CABG therefore precautions might be taken before surgery for these patients.

وصف الملف: application/pdf

العلاقة: Kocaeli Tıp Dergisi; Makale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı; https://hdl.handle.net/20.500.12713/2473Test; 10; 97; 105

الإتاحة: https://doi.org/20.500.12713/2473Test
https://hdl.handle.net/20.500.12713/2473Test

المؤلفون: Çoner, Ali, Akıncı, Sinan, Akbay, Ertan, Budak, Ali Baran, Saba, Tonguç, Müderrisoğlu, Haldun

مصطلحات موضوعية: Koroner arter bypass greftleme, Nativ koroner arterler, Kronik total oklüzyon, Coronary artery bypass grafting, Native coronary arteries, Chronic total occlusions

الوصف: Amaç: Koroner arter bypass greftleme (KABG) cerrahisi hastalarının postoperatif klinik takibinde preoperatif olarak tam tıkalı olmayan nativ koroner arterlerin kronik total oklüde (KTO) hale gelmesi sık görülse de, seyriyle ilgili veriler kısıtlıdır. Çalışmamızın amacı postoperatif dönemde nativ koroner arterlerde yeni KTO gelişim sıklığını ve bu konuda rol oynayan faktörleri araştırmaktır. Yöntem: Başkent Üniversitesi Hastanesi Alanya Uygulama ve Araştırma Merkezi’nde gerçekleştirilen tüm KABG operasyonları bilgisayar sisteminden tarandı ve postoperatif ilk 6 aylık dönemden sonra rekürren koroner anjiyografi (KAG) prosedürü uygulanan hastalar çalışma grubuna alındı. Rekürren KAG görüntüleri yeni KTO gelişimi açısından değerlendirildi ve nativ koroner arterlerde yeni KTO gelişimine yol açan demografik ve anjiyografik özellikler lojistik regresyon analizi kullanılarak test edildi.Bulgular: Rekürren KAG yapılmış olan 73 KABG hastası istatistiksel analize dahil edildi (Ortalama yaş 65.2 ± 9.8 yıl; erkek cinsiyet .7). Preoperatif olarak tam tıkalı olmayan ve greftlenmiş olan 218 nativ koroner arter incelendi ve 119’unda (.5) yeni KTO saptandı. Preoperatif proksimal darlığın ? olması 3 kat daha fazla yeni KTO gelişimi ile ilişkili bulundu (.8 vs. .2) (p<0.001). İkili antiplatelet tedavisinin nativ koroner arterlerin açıklığını koruyucu rolü olduğu tespit edildi (HR:-0.259; CI:-0.475’den -0.017’ye; p=0.036). Sonuç: Nativ koroner arterlerde postoperatif yeni KTO gelişimi CABG hastalarında sık görülmektedir. Preoperatif darlığın daha ciddi olması ve ikili antiplatelet tedavinin yokluğu yeni KTO gelişimi için temel faktörler olarak bulundu. ; Aim: Postoperative de novo chronic total occlusions (CTOs) of preoperatively non-occluded native coronary arteries are commonly seen in coronary artery bypass grafting (CABG) surgery patients in the clinical follow-up; however, data about this course is limited. The aim of this study was to investigate the prevalence of new CTO development in native coronary arteries ...

العلاقة: Acta Medica Alanya; Makale - Ulusal Hakemli Dergi - Kurum Öğretim Eleman; https://doi.org/10.30565/medalanya.731636Test; https://dergipark.org.tr/tr/download/article-file/1085560Test; https://hdl.handle.net/20.500.12868/1289Test; 230; 235

الإتاحة: https://doi.org/20.500.12868/1289Test
https://doi.org/10.30565/medalanya.731636Test
https://hdl.handle.net/20.500.12868/1289Test
https://dergipark.org.tr/tr/download/article-file/1085560Test

المؤلفون: KAYA, İbrahim Çağrı, BULUT, Halil İbrahim, ÖZBAYBURT, Merih, BALKANAY, Ozan Onur

المصدر: Volume: 6, Issue: 1 169-177 ; 2667-498X ; Çukurova Anestezi ve Cerrahi Bilimler Dergisi ; Journal of Cukurova Anesthesia and Surgical Sciences

مصطلحات موضوعية: Autoimmune Disease, Myocardial Revascularization, Coronary Artery Bypass Grafting, Ischemic Heart Disease, Otoimmün Hastalıklar, Miyokardiyal revaskülarizasyon, Koroner arter bypass cerrahisi, iskemik kalp hastalıkları, Kalp ve Kalp Damar Sistemi, Cardiac and Cardiovascular Systems

الوصف: Introduction:Systemic autoimmune diseases are risk factors for cardiovascular diseases and have also been identified as a factor that worsens perioperative outcomes in various surgical specialities. This study investigated the effects of systemic autoimmune diseases on coronary surgery outcomes.Methods: One hundred fifty-one patients were included in this study. hundred-forty-four patients without autoimmune disease were in the second group and seven patients with systemic autoimmune disease who underwent isolated coronary surgery were in the second group. Hospital Electronic recording systems were used for data collection. The follow-up period is 12 months. A statistically significant P value was taken as 0.05.Results:The two groups were comparable preoperatively, only the prevalence of hypertension and diabetes was significantly higher in the second group. There was no significant difference between the two groups in terms of intraoperative variables. Perioperative complications (excluding stroke), 30-day mortality and post-operative cardiopulmonary resuscitation rate were significantly higher in the second group, however there was no difference between the two groups in terms of 12-month survival.Conclusion: Despite systemic autoimmune diseases being found a factor that increases complications in terms of coronary surgery, coronary surgery is promising with its success in 12-month survival and repeated revascularization rate in these patients. ; Giriş: Sistemik otoimmün hastalıklar, kardiyovasküler hastalıklar için risk faktörleridir ve ayrıca çeşitli cerrahi uzmanlıklarda perioperatif sonuçları kötüleştiren bir faktör olarak tanımlanmıştır. Bu çalışmanın amacı, sistemik otoimmün hastalıkların koroner cerrahi sonuçları üzerindeki etkilerini araştırmaktır.Gereç ve Yöntemler: Çalışmaya tarafımızca koroner arter bypass cerrahisi yapılan yüz elli bir hasta dahil edildi. Otoimmün hastalığı olmayan 144 hasta ikinci grupta, sistemik otoimmün hastalığı olup izole koroner cerrahi uygulanan yedi hasta ikinci grupta yer ...

وصف الملف: application/pdf

العلاقة: https://dergipark.org.tr/tr/download/article-file/3033922Test; https://dergipark.org.tr/tr/pub/jocass/issue/75766/1270607Test

الإتاحة: https://dergipark.org.tr/tr/pub/jocass/issue/75766/1270607Test

المؤلفون: Hakan AKBAYRAK, Hayrettin TEKÜMİT

المصدر: Volume: 32, Issue: 4 455-458
Genel Tıp Dergisi

مصطلحات موضوعية: Medicine, kardiyak cerrahi, koroner arter bypass greft cerrahisi, plevral efüzyon, cardiac surgery, coronary artery bypass graft surgery, pleural effusion, Tıp

الوصف: Amaç: Yapmış olduğumuz bu çalışmada, izole koroner baypas operasyonu yapılan ve erken postoperatif dönemde ciddi plevral efüzyon gelişen hastalarda, preoperatif ve operatif faktörlerin postoperatif plevral efüzyon ile ilişkisinin belirlenmesi amaçlandı. Yöntemler: Bu çalışmamızda, Şubat 2001 ile Temmuz 2013 tarihleri arasındaki çalıştığımız kliniklerdeki opere edilen 7862 izole koroner arter bypass cerrahisi olgusu retrospektif olarak incelendi.Bulgular: Çalışmaya dahil edilen hastalardan 175 (%2.2) olguda erken-ciddi plevral efüzyon gelişti. Bu olguların yaş ortalaması 66.3±9.5 (55-76) idi. Olguların 149 (%85.1)’u elektif şartlarda, 26 (%14.9)’sı ise acil şartlarda operasyona alındı. Olguların ortalama kardiyopulmoner bypass zamanı, 70±28 (40-100) dakikaydı. Olgulardan 161 (%92)‘inde sol internal torasik arter (LİTA) ve safen ven greft (SVG) birlikte kullanıldı. Olguların 126 (%72)’sı nefes darlığı, 115 (%65.7)’si kuru öksürük, 28 (%16)’i prodüktif öksürük, 50 (%28.6)’si takipne, 22 (%12.5)’i ise göğüs ağrısı şikayeti ile tekrar başvurdu. Olguların 154 (%88)’ünde sol hemitoraksta erken ciddi plevral efüzyon gelişti. Bu olguların 148 (%84.6)’inde LİTA+SVG, 6 (%3.4)’sında ise sadece SVG kullanıldı. Olguların 14 (%8)’ünde sağ hemitoraksta erken ciddi plevral efüzyon gelişti. Bu olguların ise 10 (%5.7)’unda LİTA+SVG, 4 (%2.3)’ünde ise sadece SVG kullanıldı. Bilateral erken ciddi plevral efüzyon gelişen olgular ise 7 (%4) idi. Bu olguların 3 (%1.7)’ünde LİTA+SVG, 4 (%2.3)’ünde ise sadece SVG kullanıldı.Sonuç: Koroner arter bypass cerrahisinin postoperatif pulmoner fonksiyonun bozulmasına neden olduğu bilinmektedir. Koroner arter bypass cerrahisinin en sık görülen komplikasyonlarından biri de plevral efüzyondur. Postoperatif oluşan bu tablonun hastanede kalış süresinin artması ve operasyon sonrası yüksek morbidite ile ilişkili olduğu bilinmektedir. Postoperatif hasta yönetimi ve morbidite değerlendirilmesi açısından preoperatif risklerin belirlenmesi önem arz etmektedir.
Objective: In this study, we aim to determine the causal relationship between isolated coronary bypass surgery development of severe pleural effusion in the early postoperative period.Methods: In this study, 7862 isolated coronary artery bypass surgery cases conducted in our hospital between February 2001 and July 2013 were analyzed retrospectively.Results: Early-severe pleural effusion developed in 175 (2.2%) patients included in the study. The mean age of these cases was 66.3±9.5 (55-76). 149 (85.1%) of the cases were operated under elective conditions and 26 (14.9%) of them were operated under emergency conditions. The mean cardiopulmonary bypass time of the cases was 70±28 (40-100) minutes. Left internal thoracic artery (LITA) and saphenous vein graft (SVG) were used together in 161 (92%) cases. Of the cases, 126 (72%) had shortness of breath, 115 (65.7%) dry cough, 28 (16%) productive cough, 50 (28.6%) tachypnea, 22 (12.5%) chest pain. Early severe pleural effusion developed in the left hemithorax in 154 (88%) of the cases. LITA+SVG was used in 148 (84.6%) of these cases, and only SVG was used in 6 (3.4%) cases. Early severe pleural effusion developed in the right hemithorax in 14 (8%) of the cases. LITA+SVG was used in 10 (5.7%) of these cases, and only SVG was used in 4 (2.3%) cases. The cases with bilateral early severe pleural effusion were 7 (4%). LITA+SVG was used in 3 (1.7%) of these cases, and only SVG was used in 4 (2.3%) cases.Conclusion: It is known that coronary artery bypass surgery causes deterioration of postoperative pulmonary function. One of the most common complications of coronary artery bypass surgery is pleural effusion. It is known that this postoperative picture is associated with increased hospital stay and high postoperative morbidity. It is important to determine preoperative risks in terms of postoperative patient management and morbidity assessment.

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الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a29d5c460ad10242824a55027a5c7e8eTest
https://dergipark.org.tr/tr/pub/geneltip/issue/72406/1134123Test