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Middle and Late-Term Results of Coronary Artery Bypass Surgery in Very Young (20-29 Years) Patients [Anatol J Cardiol]
Anatol J Cardiol. 2004; 4(1): 25-29

Middle and Late-Term Results of Coronary Artery Bypass Surgery in Very Young (20-29 Years) Patients

Ufuk Demirkılıç1, Bilgehan Savaş Öz2, Cengiz Bolcal3, Nezihi Küçükarslan4, Hakan Bingöl4, Erkan Kuralay3, Harun Tatar4
1Gülhane Askeri Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, Ankara, Türkiye
2Department of Cardiovascular Surgery Gülhane Military Medical Academy, Ankara, Turkey
3GATA Askeri Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, Ankara
4Department of Cardiovascular Surgery GATA Military Medical Hospital, Ankara, Turkey

Objective: The purpose of this study is to evaluate the etiologic factors of coronary artery disease (CAD) in very young patients. We want to indicate the importance of selection of the bypass graft materials and to investigate mid and long-term results of coronary artery bypass surgery (CABG) in young patients. Methods: Coronary artery bypass surgery was performed in 7734 patients in Gülhane Military Medical Faculty between April 1991-June 2001. The study group included 21 patients (0.027%). Mean age was 23.9±2.4 years. All risk factors were treated and control angiography was performed in 17 patients. Results: Hyperlipidemia was found in 15 patients, smoking in 11, diabetes mellitus in 7, alcohol use in 6, obesity in 5 and, hypertension in 4 patients. We recognized Behçet’s disease in two patients including complete form in one case and incomplete form in the other one. Left internal mammarian artery (IMA) was used in 21, left and right IMA in 4 and left and right IMA and radial artery grafts in 2 patients. Mean cross clamp time was 16.5±3.4 minutes and extubation time was 4.6±1.5 hours. Patients were discharged in 5.9±1.7 days. Conclusion: We determined a high graft patency rate in our patients during mid and long-term follow-up period due to the use of arterial grafts. To increase graft patency rate the importance of risk factors treatment should be taken into consideration.

Keywords: Young patients, coronary bypass, risk factors, arterial graft


Çok Genç Hastalarda (20-29 Yafl) Koroner Arter Baypas Greft Cerrahisi Orta ve Geç Dönem Sonuçları

Ufuk Demirkılıç1, Bilgehan Savaş Öz2, Cengiz Bolcal3, Nezihi Küçükarslan4, Hakan Bingöl4, Erkan Kuralay3, Harun Tatar4
1Gülhane Askeri Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, Ankara, Türkiye
2Department of Cardiovascular Surgery Gülhane Military Medical Academy, Ankara, Turkey
3GATA Askeri Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, Ankara
4Department of Cardiovascular Surgery GATA Military Medical Hospital, Ankara, Turkey

Anahtar Kelimeler: Genç hasta, koroner baypas, risk faktörü, arteryel greft


Ufuk Demirkılıç, Bilgehan Savaş Öz, Cengiz Bolcal, Nezihi Küçükarslan, Hakan Bingöl, Erkan Kuralay, Harun Tatar. Middle and Late-Term Results of Coronary Artery Bypass Surgery in Very Young (20-29 Years) Patients. Anatol J Cardiol. 2004; 4(1): 25-29


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