SPONTANEOUS CORONARY ARTERY DISSECTION: TWO DIFFERENT SURGICAL TECHNIQUES

Bu yazida iki spontan koroner arter diseksiyonu olgusunda uygulanan iki farkli cerrahi teknik tartisildi. Birinci olguda sol anterior inen artere (LAD) endarterektomi sonrasi sol internal torasik arter anastomozu (LITA) yapilir iken, ikinci olguda diseke LAD katmanlari tamir edildi ve LITA anastomozu gerceklestirildi. Predispozan faktorler varliginda veya bypass ya da anjiyoplastiye uygun olmayan damarlarda endarterektomi yapilmasini onermekteyiz. Anah tar soz cuk ler: Koroner anevrizma; endarterektomi; spontan koroner arter diseksiyonu. In this article, two different surgical techniques employed in two cases of spontaneous coronary artery dissection are discussed. In the first case, left internal thoracic artery anastomosis (LITA) to left anterior descending artery (LAD) after endarterectomy was performed and in the second case, the dissected LAD layers were repaired and LITA anastomosis was performed. We recommend the use of endarterectomy in the presence of predisposing factors and in vessels inappropriate for bypass or angioplasty.