Koroner Arter Baypas Greftleme Operasyonu Sonrası Koroner Arter Spazmı – Hibrit Yaklaşım
Özet
Koroner arter spazmları, koroner damar düz kaslarının uygunsuz kasılması sonucu ortaya çıkan ve miyokarda oksijen sunumunda dengesizliğe yol açabilen geri dönüşlü bir klinik durumdur. Koroner arter baypas greftleme cerrahisi sonrasında da görülebilen bu tablo koroner anjiyografiyle tanı almaktadır. Elektrokardiyografik ve hemodinamik değişikliklere neden olabilen bu spazmlar, yarattığı hemodinamik değişiklikler sonucu hastada ekstra korporeal membran oksijenatörü (ECMO) gibi ileri mekanik desteği gereksinimine yol açabilir. Koroner arter spazmları medikal tedaviyle yönetilebileceği gibi bazı vakalarda perkütan girişimsel işlem ihtiyacı olabilmektedir.
Referanslar
Matta A, Bouisset F, Lhermusier T, Campelo-Parada F, Elbaz M, Carrié D, et al. Coronary Artery Spasm: New Insights. Journal of Interventional Cardiology. 2020;2020(1):5894586. DOI: 10.1155/2020/5894586
Bai Y, Bai Y, Jiang N, Chen Q, Guo Z. Perioperative coronary artery spasm after off-pump coronary artery bypass grafting in the non-manipulated coronary artery. BMC Cardiovascular Disorders. 2022;22(1):166. DOI: 10.1186/s12872-022-02609-6
Schena S, Wildes T, Beardslee MA, Lasala JM, Damiano RJ, Lawton JS. Successful management of unremitting spasm of the nongrafted right coronary artery after off-pump coronary artery bypass grafting. The Journal of Thoracic and Cardiovascular Surgery. Elsevier; 2007;133(6):1649–50. DOI: 10.1016/j.jtcvs.2007.01.073
Ahmad T, Kishore KS, Maheshwarappa NN, Pasarad AK. Postoperative diffuse coronary spasm after two valve surgery – A rare phenomenon. Indian Heart Journal. 2015;67(5):465–8. DOI: 10.1016/j.ihj.2015.06.007
Marques KMJ, Jansen EEK, Huybregts R a. JM. Images in cardiology. Profound coronary spasm caused by a mediastinal draining tube. Heart. 2006;92(4):514. DOI: 10.1136/hrt.2005.072611
Zaiac M, Renzulli A, Hilton CJ. Coronary artery spasm following coronary artery bypass grafting. Treatment with intracoronary ISDN followed by systemic intravenous nifedipine infusion. Eur J Cardiothorac Surg. 1990;4(2):109–11. DOI: 10.1016/1010-7940(90)90226-p
Nakazawa H, Moriyama K, Motoyasu A, Endo H, Kubota H, Yorozu T. Prompt institution of percutaneous cardiopulmonary support managed perioperative refractory vascular spasm after isolated coronary artery bypass grafting surgery. Gen Thorac Cardiovasc Surg. 2013;61(12):711–5. DOI: 10.1007/s11748-012-0201-5
Lin C-Y, Weng Z-C, Loh S-H, Hong G-J, Tsai C-S. Coronary Artery Spasm After Off-Pump Coronary Artery Bypass Grafting. ANZ Journal of Surgery. 2007;77(3):126–9. DOI: 10.1111/j.1445-2197.2006.03991.x
Baek JH, Han SS, Lee DH. Native Coronary Artery and Grafted Artery Spasm Just after Coronary Artery Bypass Grafting: A Case Report. Journal of Korean Medical Science. 2010;25(4):641–3. DOI: 10.3346/jkms.2010.25.4.641
Angelini GD, Wilde P, Salerno TA, Bosco G, Calafiore AM. Integrated left small thoracotomy and angioplasty for multivessel coronary artery revascularisation. Lancet. 1996;347(9003):757–8. DOI: 10.1016/s0140-6736(96)90107-5
Shimamura J, Miyamoto Y, Hibino M, Fukuhara S, Takayama H, Itagaki S, et al. Long-Term Outcomes After Hybrid Coronary Revascularization Versus Coronary Artery Bypass Grafting: Meta-Analysis of Kaplan–Meier-Derived Data. American Journal of Cardiology. Elsevier; 2024;212:13–22. DOI: 10.1016/j.amjcard.2023.11.026
Newman JS, Jarral OA, Kim MC, Brinster DR, Singh VP, Scheinerman SJ, et al. Ten-year outcomes of hybrid coronary revascularization at a single center. Ann Cardiothorac Surg. 2024;13(5):425–35. DOI: 10.21037/acs-2023-rcabg-0188
Harskamp RE, Vassiliades TA, Mehta RH, de Winter RJ, Lopes RD, Xian Y, et al. Comparative Effectiveness of Hybrid Coronary Revascularization vs Coronary Artery Bypass Grafting. J Am Coll Surg. 2015;221(2):326-334.e1. DOI: 10.1016/j.jamcollsurg.2015.03.012
Nagraj S, Tzoumas A, Kakargias F, Giannopoulos S, Ntoumaziou A, Kokkinidis DG, et al. Hybrid coronary revascularization (HCR) versus coronary artery bypass grafting (CABG) in multivessel coronary artery disease (MVCAD): A meta-analysis of 14 studies comprising 4226 patients. Catheter Cardiovasc Interv. 2022;100(7):1182–94. DOI: 10.1002/ccd.30446
Van den Eynde J, Sá MP, De Groote S, Amabile A, Sicouri S, Ramlawi B, et al. Hybrid coronary revascularization versus percutaneous coronary intervention: A systematic review and meta-analysis. Int J Cardiol Heart Vasc. 2021;37:100916. DOI: 10.1016/j.ijcha.2021.100916
Sousa-Uva M, Neumann F-J, Ahlsson A, Alfonso F, Banning AP, Benedetto U, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur J Cardiothorac Surg. 2019;55(1):4–90. DOI: 10.1093/ejcts/ezy289
Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM, Bischoff JM, et al. 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022;145(3):e4–17. DOI: 10.1161/CIR.0000000000001039
Birnbaum Y, Wilson JM, Fiol M, de Luna AB, Eskola M, Nikus K. ECG Diagnosis and Classification of Acute Coronary Syndromes. Ann Noninvasive Electrocardiol. 2013;19(1):4–14. DOI: 10.1111/anec.12130
Thygesen K, Alpert JS, Jaffe AS, Simoons ML, Chaitman BR, White HD, et al. Third universal definition of myocardial infarction. J Am Coll Cardiol. 2012;60(16):1581–98. DOI: 10.1016/j.jacc.2012.08.001
Fuchs RM, Achuff SC, Grunwald L, Yin FC, Griffith LS. Electrocardiographic localization of coronary artery narrowings: studies during myocardial ischemia and infarction in patients with one-vessel disease. Circulation. 1982;66(6):1168–76. DOI: 10.1161/01.cir.66.6.1168
Schweitzer P, Keller S. The role of the initial 12-lead ECG in risk stratification of patients with acute coronary syndrome. Bratisl Lek Listy. 2001;102(9):406–11.
Mendes V, Félix A, Sousa A, Tavares F, Rodrigues A, Soares M, et al. [The diagnostic and prognostic value of the 12-lead electrocardiogram in assessing the severity of coronary disease in the acute phase of an acute myocardial infarct]. Rev Port Cardiol. 1998;17(7–8):587–95.
Takahashi K, Enomoto D, Morioka H, Uemura S, Okura T. Identification of the Vessels Causing Myocardial Ischemia by a Synthesized 18-Lead Electrocardiogram Obtained After the Master Two-Step Exercise Test in a Patient With Effort Angina. Cureus. 15(10):e47840. DOI: 10.7759/cureus.47840
