التفاصيل البيبلوغرافية
| العنوان: |
Coronary Involvement in Behçet's Disease: what are its Risks and Prognosis? (Rare Cases and Literature Review) |
| المؤلفون: |
Vural, Unsal, Kizilay, Mehmet, Aglar, Ahmet Arif |
| المصدر: |
Brazilian Journal of Cardiovascular Surgery. December 2019 34(6) |
| بيانات النشر: |
Sociedade Brasileira de Cirurgia Cardiovascular, 2019. |
| سنة النشر: |
2019 |
| مصطلحات موضوعية: |
Behcet Syndrome, Coronary Artery Diseases, Aneurysm, False, Thrombosis, Coronary Artery Bypass |
| الوصف: |
Objective: In our clinic, we aimed to investigate the effect of preoperative risk factors and postoperative complications on reoperation and mortality in cases with Behçet's disease which presents very rare coronary artery involvement. Methods: Thirteen patients with Behçet's Disease who had undergone coronary artery bypass grafting in our center between 2003 and 2015 were analyzed. We evaluated the clinical and laboratory findings, complications and mortality rates of our patients in light of the literature. Results: The mean age was 38.5 (30-55; 3 women). The mean time from onset of Behçet's disease to coronary artery disease was 4,7 (3-11) years. Fifty-four percent of the patients were asymptomatic. Coronary artery disease of these was exposed while peripheral vascular surgery was planned due to complications of Behçet's disease. Symptomatic patients presented angina pectoris (31%), acute coronary syndrome (8%) and arrhythmia (8%). In coronary pathology of patients, distal type obstruction (31%), aneurysm and pseudoaneurysm (31%), proximal segment thrombus (15%), chronic type stenosis and occlusions (31%) were present. Early mortality (15%) was due to acute myocardial infarction while the late mortality (15%) was due to cerebral and gastrointestinal bleeding. Reoperation was due to bleeding in one case on the 1st postoperative day and due to acute pulmonary embolism in another case in the 3rdpostoperative year. Conclusion: In Behçet's disease, coronary artery bypass grafting is a procedure with high mortality, especially in the acute period. The on-pump surgery technique in these cases can be safely performed for multiple bypasses and in patients above 40 years old. |
| نوع الوثيقة: |
article |
| وصف الملف: |
text/html |
| اللغة: |
English |
| تدمد: |
0102-7638 |
| DOI: |
10.21470/1678-9741-2019-0003 |
| URL الوصول: |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000600016 |
| Rights: |
info:eu-repo/semantics/openAccess |
| رقم الانضمام: |
edssci.S0102.76382019000600016 |
| قاعدة البيانات: |
SciELO |
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