Percutaneous Coronary Intervention to Saphenous Vein Graft in a Patient with Dextrocardia Undergoing Coronary Artery Bypass Surgery

Dextrocardia is a rarely congenital anomaly. There are limited number of published case reports of percutaneous coronary intervention (PCI). A 60-year-old male patient was admitted to our hospital with complaints of dyspnoea and chest pain. Coronary angiography (CAG) viewed totally occluded left ant...

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Published inGazi tıp dergisi Vol. 32; no. 2A; pp. 325 - 326
Main Authors Çakmak Karaaslan,Özge, Ünal,Sefa, Özilhan,Murat Oğuz, Akdi,Ahmet, Özkan,Can
Format Journal Article
LanguageEnglish
Published Gazi Üniversitesi Yayınları 22.05.2021
Subjects
Sağlık Hizmetleri
Tıp
Ankara
Türkiye
Safen Ven Grefti
Saphenous Vein Graft
Acute myocardial infarction
Dextrocardia
Dekstrokardi
Akut miyokard infarktüsü
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Abstract Dextrocardia is a rarely congenital anomaly. There are limited number of published case reports of percutaneous coronary intervention (PCI). A 60-year-old male patient was admitted to our hospital with complaints of dyspnoea and chest pain. Coronary angiography (CAG) viewed totally occluded left anterior descending artery (LAD) and totally occluded ramus circumflexus (RCX) which was filling antegradely. The LAD was perfused by the saphenous vein graft (SVG) and SVG to RCX was totally occluded. Aortocoronary SVG to the LAD was stenosis 95% and displayed hazy image. The SVG to the LAD was selectively cannulated with a guiding catheter and 3.0×15 mm drug eluting stent was implanted.
AbstractList Dextrocardia is a rarely congenital anomaly. There are limited number of published case reports of percutaneous coronary intervention (PCI). A 60-year-old male patient was admitted to our hospital with complaints of dyspnoea and chest pain. Coronary angiography (CAG) viewed totally occluded left anterior descending artery (LAD) and totally occluded ramus circumflexus (RCX) which was filling antegradely. The LAD was perfused by the saphenous vein graft (SVG) and SVG to RCX was totally occluded. Aortocoronary SVG to the LAD was stenosis 95% and displayed hazy image. The SVG to the LAD was selectively cannulated with a guiding catheter and 3.0×15 mm drug eluting stent was implanted.
Abstract_FL Dekstrokardi, nadir doğumsal anomalidir. Dekstrokardi hastalarında, perkütan koroner girişim (PKG) ile ilgili yayınlanmış sınırlı sayıda vaka raporu vardır. 60 yaşında erkek hasta nefes darlığı ve göğüs ağrısı şikayetleri ile hastanemize başvurdu. Koroner anjiyografide (KAG) sol ön inen arter (LAD), ramus sirkumfleksusu (RCX) tam tıkalı ve RCX antegrad doluşu izlendi. Safen ven grefti (SVG)-LAD açık, SVG-RCX tam tıkalı izlendi. LAD safen greftinde %95 darlık oluşturan hazy görünüm izlendi. LAD safen greftine, kılavuz kateter ile kanüle edilerek 3.0x15 mm ilaç salınımlı stent implante edildi.
Author Özkan,Can
Özilhan,Murat Oğuz
Çakmak Karaaslan,Özge
Akdi,Ahmet
Ünal,Sefa
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Dahili Tıp Bilimleri Bölümü, Kardiyoloji Anabilim Dalı
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Keywords Safen Ven Grefti
Saphenous Vein Graft
Acute myocardial infarction
Dextrocardia
Dekstrokardi
Akut miyokard infarktüsü
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Title Percutaneous Coronary Intervention to Saphenous Vein Graft in a Patient with Dextrocardia Undergoing Coronary Artery Bypass Surgery
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