Naslov
Surgical treatment of supraaortic trunk disease : Late graft occlusions

Autori
Meštrović, Tomislav ; Petrunić, Mladen

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
3rd Central European Congress of Surgery, Norman Barrett Symposium & 5th Croatian Congress of Surgery with International Participation : abstracts ; u: European surgery 42 (2010) (S235) / Župančić, Božidar - Beč : Springer, 2010, 95-95

Skup
Central European Congress of surgery (3 ; 2010)

Mjesto i datum
Dubrovnik, Hrvatska, 28.04.2010. - 02.05.2010

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
late graft occlusions

Sažetak
Surgical treatment of supraaortic trunk disease is largely dependent on the type and extent of the disease process process. Transcervical bypass is a procedure of choice for all single arterial lesions, except for those of the innominate artery, and for patients at high risk of thoracotomy. However, for younger patients with innominate artery or multiple lesions, a direct transthoracic approach via median sternotomy is preferred. Supra-aortic graft occlusions remain a special challenge for the vascular surgeon. A retrospective analysis of patients treated surgically for diseases of the supraaortic trunks between January 2005 and December 2009 was performed. Results were analysed in terms of graft patency, and patients with late graft occlusions were selected for the report. Patients who presented with late graft occlusions due to progression of proximal atherosclerotic occlusive disease were successfully treated surgically. Moreover, one of those patients underwent selective fibrinolysis for the acute in-hospital thrombosis of the common carotid artery with cerebral ischemia, prior to reoperation, and successfully recovered. Results of our case series underscore the importance of individualized and multidisciplinary approach to patients with supra-aortic graft occlusions, while supporting the concept of multiple revascularizations for symptomatic graft occlusions.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA