Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"Early-term results of percutaneous pulmonary valve implantation (valve-in-valve) in dysfunctional bioprosthetic valves in pulmonary position.","authors":"Ensar Duras, Erman Çilsal, Selman Gökalp, Sezen Ugan Atik, Murat Şahin, Bekir Yükcü, Alper Güzeltaş","doi":"10.5606/tgkdc.dergisi.2025.26622","DOIUrl":"10.5606/tgkdc.dergisi.2025.26622","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to assess the outcomes of valve-in-valve implantation within previously placed bioprosthetic valves.</p><p><strong>Methods: </strong>This single-center retrospective study included patients who underwent percutaneous valve-in-valve procedures between July 2014 and September 2023. These patients had previously received pulmonary bioprosthetic valves via surgical or transcatheter methods.</p><p><strong>Results: </strong>The study included 20 patients (13 males, 7 females; mean age: 20.4±7.1 years; range, 10.8 to 35.8 years). Preprocedural assessment revealed stenotic dysfunction in 12 patients, regurgitant dysfunction in two patients, and a combination of both in six patients. Following implantation, there was a notable improvement in invasive measurements; systolic right ventricular pressure decreased from 64.0±24.5 mmHg to 31.3±6.7 mmHg (p<0.001), right ventricular outflow tract gradient from 44.0±23.2 mmHg to 7.6±5.8 mmHg (p<0.001), and echocardiographic pulmonary regurgitation grade from 2.1±1.2 to 0.2±0.4 (p<0.001). The median time between initial bioprosthetic pulmonary valve placement and valve-in-valve procedure was 8.2 years (IQR, 6.2 to 9.9 years). The median follow-up duration was 24.8 months (IQR, 8.3 to 40.2 months). Only one patient required a repeat PPVI procedure 10 years after the valve-in-valve procedure, while no other patients required reintervention during the follow-up period.</p><p><strong>Conclusion: </strong>Valve-in-valve implantation within previously placed bioprosthetic valves is a feasible and safe approach, offering symptom relief and eliminating the need for further surgical interventions.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"33 1","pages":"36-45"},"PeriodicalIF":0.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of thorax and mediastinum volumes in patients with pectus excavatum by stereological methods.","authors":"Caner İşevi, Mehmet Gökhan Pirzirenli, Ahmet Başoğlu","doi":"10.5606/tgkdc.dergisi.2025.26871","DOIUrl":"10.5606/tgkdc.dergisi.2025.26871","url":null,"abstract":"<p><strong>Background: </strong>In this study, we aimed to assess the pre- and postoperative thoracic and mediastinal volumes in patients who received minimally invasive pectus excavatum repair for pectus excavatum.</p><p><strong>Methods: </strong>Between January 2017 and January 2022, a total of 51 patients (41 males, 10 females; mean age: 15.5±3.5 years; range, 9 to 33 years) who underwent received minimally invasive pectus excavatum repair were retrospectively analyzed. The pre- and postoperative (after bar removal) thoracic computed tomography scans of the patients were evaluated and the mediastinal, lung, and thoracic volumes were calculated using stereological techniques.</p><p><strong>Results: </strong>The mean pre- and postoperative Haller Index was 3.87±1.32 and 3.28±0.86, respectively. The mean preoperative lung volume-to-preoperative thoracic volume ratio was 79.52±5.15% and the mean postoperative lung volume-to-postoperative thoracic volume ratio was 78.86±6.05%. The mean preoperative mediastinal volume-to-thoracic volume ratio was 20.48±5.15%, and the mean postoperative mediastinal volume-to-thoracic volume ratio was 21.14±6.05%.</p><p><strong>Conclusion: </strong>Our study results showed no statistically significant increase in the thoracic and mediastinal volumes calculated using stereological methods, while the Haller index values regressed in all patients. These findings suggest that while there may not be a qualitative increase in thoracic and mediastinal volume, there is a quantitative increase in the anteroposterior plane.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"33 1","pages":"77-85"},"PeriodicalIF":0.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MEP-02] A Buerger's Patient with Brachial Artery Aneurysm.","authors":"Onur Barış Dayanır, Erdem Erinç Silistreli","doi":"10.5606/tgkdc.dergisi.2024.mep-02","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-02","url":null,"abstract":"<p><p>Thromboangiitis obliterans (TAO) is a chronic, inflammatory and thrombotic vascular disease associated with tobacco use. This report described a TAO patient who underwent an aneurysmectomy due to a brachial artery aneurysm (BAA), which is not one of the classic findings of TAO and has no example in the literature. A 49-year-old male patient presented with swelling and pain in the right arm. In 2021, the patient was diagnosed with TAO. On physical examination, a pulsatile mass extending from the antecubital region was observed. Ultrasonography revealed aneurysmatic enlargement and mural thrombus (Figure1). Brachial aneurysmectomy was planned. The cephalic vein graft was interposed between the brachial artery and the radial artery. There was no flow issue. No postoperative complications were observed. The patient was discharged on the second day. Pathological examination was evaluated as compatible with TAO. After three months, the patient had no symptoms. Usually, BAA occurs due to arteriovenous fistula, trauma, or idiopathic causes. The TAO-specific findings in the pathological examination in this case is rare for BAA. Furthermore, BAA may contain specific pathological findings for TAO, which may be considered an atypical clinical presentation. Smoking may be a common etiological factor for TOA and BAA.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"098-98"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-48] Emergency Surgical Aortic Valve Replacement in Patients Following Failed Valve-in-Valve Transcatheter Valve Procedure: A Case Series.","authors":"Yunus Emre Ergin, Erdal Şimşek, Onur Karahasanoğlu, Yunus Şahin, Hatice Zengin, Altay Alili, Çağatay Kilinç, Serdar Günaydın","doi":"10.5606/tgkdc.dergisi.2024.msb-48","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-48","url":null,"abstract":"<p><p>Valve-in-valve transcatheter aortic valve implantation (TAVI) has become a less invasive alternative to reoperation for elderly or high-risk patients with failed bioprosthetic valves. Data from the EuRECS-TAVI (European Registry on Emergent Cardiac Surgery during TAVI) registry, covering 27,760 TAVI procedures, demonstrated that emergency cardiac surgery due to TAVI complications occurs in 0.76 to 0.98% of cases. The most common reasons include ventricular perforation (28.3%), annular rupture (21.2%), valve migration/embolization (12.7%), and aortic dissection (11.8%).</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"073-73"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MEP-44] Abdominal Aortic Coarctation in an Adolescent Patient.","authors":"Bessam Ali, Mohammed Skaik, İlke Keleş, Türkan Tansel","doi":"10.5606/tgkdc.dergisi.2024.mep-44","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-44","url":null,"abstract":"<p><p>Herein, we presented a case of abdominal aortic coarctation in a patient with a rare atypical location. A 17-yearold female patient was referred to the clinic due to neurofibromatosis type 1, hypertension, optic glioma (she received 10 kt 12 years ago), significant lymphedema in both legs, and atypically located long segment abdominal coarctation due to right renal artery stenosis. A stent balloon procedure was performed five times for right renal artery stenosis, and right nephrectomy was done due to obstruction and kidney atrophy. The patient presented with complaints of dysphagia and postprandial pain for four years. In the radiological examination, coarctation was observed from the distal celiac artery to the iliac bifurcation including the SMA left renal artery. Abdominal aortic coarctation-SMA - l-renal artery coarctation repair (patchplasty with Dacron graft) was performed in the patient. The preoperative quadruple antihypertensive hypertensive patient became normotensive on the seventh postoperative day, and the patient's lymphedema regressed after the operation.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"141"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-08] Comparison of Plegisol and del Nido Cardioplegia on Right Ventricular Function and Outcomes in Cardiac Surgery.","authors":"Alp Yıldırım, Enis Burak Gül, Mehmet Erdoğan, Emrah Uğuz","doi":"10.5606/tgkdc.dergisi.2024.msb-08","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-08","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the impact of plegisol and del Nido cardioplegia on right ventricular (RV) function and assess the associated mortality and morbidity.</p><p><strong>Methods: </strong>This single-center prospective study was conducted with 70 patients who underwent aortic valve and ascending aorta procedures between March 2022 and August 2023. Plegisol was used in 35 patients (Group P), and del Nido cardioplegia was used in 35 patients (Group D). Right ventricular function was assessed preoperatively and postoperatively using the following echocardiographic parameters: TAPSE (tricuspid annular plane systolic excursion), fractional area change (FAC), TDI, pulmonary pressure time (PPT), and RV strain. Additionally, NT-proBNP (N-terminus pro-B-type natriuretic peptide) levels and MELD-Na (model for end-stage liver disease-sodium) scores were recorded.</p><p><strong>Results: </strong>On the fifth postoperative day, there were no statistically significant differences in strain, TDI, TAPSE, and FAC between the groups; however, PPT was significantly higher in Group D (mean PPT: 238±36 sec, p=0.002). At six months, the mean RV strain was -13.8±3.4 in Group P and -16.1±2.6 in Group D (p=0.007). The mean FAC was 35.1±7.6 in Group P and 40.3±5.5 in Group D (p=0.01). No significant differences were found in NT-proBNP levels. Intraoperative ventricular temperatures were consistently higher in Group D (p<0.001). The mean postoperative MELD-Na score was higher in Group P (13.9±7.2) compared to Group D (10.4±5.6, p=0.006). No significant difference was observed in postoperative mortality; however, hospitalization was longer in Group P (p=0.01).</p><p><strong>Conclusion: </strong>This study is the first to simultaneously evaluate five parameters for assessing RV function and to compare Plegisol and del Nido cardioplegia. The RV function declined postoperatively in both groups, with dysfunction persisting longer in Group P. No differences were found in mortality or morbidity. Differences in echocardiographic and laboratory tests did not affect clinical outcomes.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"025-25"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-65] Investigation of the Effect of Ipsilateral Central Venous Catheter on Arteriovenous Fistula.","authors":"Betul Nur Keser, Buse Oztemel, Nur Karaburun, Sebil Merve Sen Topcu, Fatih Avni Bayraktar, Mehmet Senel Bademci, Cemal Kocaaaslan, Ebuzer Aydın","doi":"10.5606/tgkdc.dergisi.2024.msb-65","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-65","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the association between a history of ipsilateral central venous catheter (CVC) and arteriovenous fistula (AVF) failure.</p><p><strong>Methods: </strong>Ninety-eight patients who underwent primary distal radiocephalic AVF between July 2023 and June 2024 were retrospectively examined through institutional records and follow-up examination notes.</p><p><strong>Results: </strong>Arteriovenous fistula failure was observed in 28 (28.6%) patients. Sixteen (16.3%) of these patients had ipsilateral CVCs at the time of operation, and 31 (31.6%) had a history of ipsilateral CVC. The analysis revealed a statistically significant association between ipsilateral CVC at the time of operation and AVF failure (p=0.03). No relationship was observed between the history of ipsilateral CVC and AVF failure. Those with higher levels of low-density lipoprotein cholesterol and hemoglobin A1c had higher AVF failure rates (p=0.045 and p=0.048, respectively).</p><p><strong>Conclusion: </strong>Although the history of ipsilateral CVC was not associated with AVF failure, ipsilateral CVC at the time of the operation was found to be related to higher AVF failure rates. Avoiding interventions to ipsilateral vasculature preoperatively appears to be beneficial for AVF success. Moreover, preoperatively optimizing patients' blood sugar and cholesterol levels may be favorable.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"089-89"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MEP-19] Surgery for A Giant Atherosclerotic Left Main Trifurcation Saccular Coronary Artery Aneurysm.","authors":"Mehmet Cahit Saricaoglu, Yusuf Corbacioglu, Salih Anil Boga, Serenay Deniz, İrem Dincer, Ahmet Ruchan Akar","doi":"10.5606/tgkdc.dergisi.2024.mep-19","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-19","url":null,"abstract":"<p><p>A dilated coronary artery segment larger than 1.5 times the diameter of the reference vessel defines coronary artery aneurysm. Herein, we reported a case of left main trifurcation aneurysm, a challenging anatomy. A 57-yearold female was referred to our department with an exertional angina. The patient had no significant medical history, except for hyperlipidemia and previous history of smoking. All diagnostic tests were standard. However, an electrocardiogram showed anterior T-wave inversion. Computed tomography angiography revealed a saccular left main coronary artery (LMCA) aneurysm at the trifurcation level. Coronary angiography demonstrated a giant saccular aneurysm at the trifurcation of LMCA, measuring 32×21 mm with tight postaneurysmal stenosis in the intermediate artery. The patient underwent surgery under general anesthesia. A median sternotomy was performed. After cannulation and aortic cross-clamping, an LMCA trifurcation giant aneurysm was exposed on the posterolateral aspect of the heart by the help of stay thick nylon tapes, which were passed through oblique and transverse sinuses. The giant saccular aneurysm was carefully dissected. The branches of trifurcation were visualized, and the aneurysm sac was resected. A meticulous endarterectomy was performed at the trifurcation level and reconstructed with saphenous vein roof plasty. Then, the intermediate artery was revascularized with a saphenous graft from ascending aorta. The aortic cross-clamp time was 52 min, and the cardiopulmonary bypass time was 75 min. The patient had an uneventful hospitalization and was discharged on aspirin and warfarin therapy. This case demonstrates that the surgical reconstruction of giant saccular LMCA aneurysms using a saphenous graft patch is safe and allows for percutaneous interventions when necessary.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"114-115"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-09] The Impact of Renal Functions on Mortality in Patients Undergoing Surgery for Infective Endocarditis.","authors":"Abdullah Burak Balcı, Gizem Kolay, Süleyman Yazıcı","doi":"10.5606/tgkdc.dergisi.2024.msb-09","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-09","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to provide clinicians with valuable information on the prognostic importance of renal function tests in the management of infective endocarditis (IE) patients and to guide potentially more effective perioperative interventions.</p><p><strong>Methods: </strong>In this study, the relationship between renal function tests and mortality in patients who underwent surgical treatment for IE between March 2020 and November 2023 was retrospectively examined. A total of 100 patients over the age of 18 were included in the study.</p><p><strong>Results: </strong>Patients who experienced mortality had significantly higher creatinine levels (1.8 <i>vs.</i> 1.2 mg/dL, p=0.02) and lower glomerular filtration rates (53.4 <i>vs.</i> 82.1 mL/min/1.73 m² , p=0.01). C-reactive protein levels were higher in the mortality group, but the difference was not statistically significant.</p><p><strong>Conclusion: </strong>The results indicate that renal functions are directly related to mortality in disease groups with high mortality, such as IE. Therefore, we believe that performing the operation after correcting renal functions, obtaining a nephrology consultation, and planning the operation under optimal treatment, except in very urgent conditions, can reduce mortality.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"026-26"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-19] Effects of Early Coronary Artery Bypass Grafting on Stent and Graft Patency Following Successful Stenting for Acute Coronary Syndromes.","authors":"Fatih Yamaç, Emrah Uğuz, Kemal Eşref Erdoğan, Muhammet Fethi Sağlam, Hüseyin Ünsal Erçelik","doi":"10.5606/tgkdc.dergisi.2024.msb-19","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-19","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare graft and stent patency in coronary stent implantation followed by early coronary artery bypass grafting (CABG) in patients with acute coronary syndrome (ACS).</p><p><strong>Methods: </strong>Seventy-one patients who underwent coronary stenting for ACS followed by early CABG within 30 days were retrospectively evaluated between 2019 and 2022. The patients were divided into two groups: those who received bypass on the stented artery (n=39; mean age: 59.1±10.4 years) and the non-bypass group (n=32; mean age: 62.9±9.5 years).</p><p><strong>Results: </strong>There was no significant difference in the mean ages of the two groups (p=0.114). The most frequently stented coronary artery was the right coronary artery (71.8%), and the most commonly used stent type was a drug-eluting stent (94%; p=0.414). In both groups, the most preferred dual antiplatelet regimen was acetylsalicylic acid+clopidogrel preoperatively (76.9% in the bypass group, 75% in the non-bypass group) and acetylsalicylic acid+clopidogrel postoperatively (79.5% in the bypass group, 87.5% in the non-bypass group). The mean follow-up time was 775.0±453.1 and 563.4±403.2 days in the non-bypass and bypass groups, respectively. The mortality rate was 7%. Coronary artery imaging was performed in 47 patients. In the nonbypass group, 86% of stents were patent, and 14% were occluded. In the bypass group, 81.8% of stents were patent, and 18.2% were occluded. In the bypass group, 81.8% of grafts were patent, and 18.2% were occluded. There was no significant difference in stent patency rates between the groups.</p><p><strong>Conclusion: </strong>Continuing dual antiplatelet therapy in patients with patent stents before early CABG could be beneficial for achieving better outcomes. In our study, no significant statistical differences were observed between groups in terms of mortality and postoperative myocardial infarction rates.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"038-39"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}