Ten-year patency of functionally expanded polytetrafluoroethylene coronary graft detected in an urgent cardiac surgery

Fonksiyonel olarak genisletilmis politetrafloroetilen (ePTFE) greftler, dusuk aciklik oranlari nedeniyle koroner konduit olarak tercih edilmemektedir. Bu yazida, ePTFE koroner konduit ile 10 yil once ameliyat olan 69 yasinda bir erkek olgu sunuldu. Koroner konduite perkutan girisim sirasinda perforasyon gelismesi uzerine hasta acil ameliyata alindi. Ameliyat sirasinda ePTFE greft varligi saptandi. Bu olgu, ePTFE greftlerinin uzun sureli acik kalabilecegine iliskin bir kanit olusturmaktadir. Ayrica, perkutan girisim uygulanan ePTFE greftlerinde, nativ otolog konduitlere kiyasla, komplikasyon riskinin daha yuksek olabilecegini gostermektedir. Anah tar soz cuk ler: Koroner konduit; genisletilmis politetrafloroetilen greft; aciklik orani. Functionally expanded polytetrafluoroethylene (ePTFE) grafts have not been preferred as a coronary conduit due to their low patency rates. In this article, we report a 69-year-old male case who was operated 10 years ago with an ePTFE coronary conduit. During percutaneous intervention of coronary conduit, perforation was observed and patient was operated immediately. Usage of ePTFE graft was confirmed during surgery. This case report produces an evidence for the long-term patency of ePTFE graft. It also shows a higher complication risk for percutaneous ePTFE grafts compared to the native autologous conduits.