Fallot total korreksiyon sonrası reoperasyonlar
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Date
1992
Authors
Özler, Azmi
Bilgen, Fuat
Arkan, İzzet
Kopman, Ercüment
Journal Title
Journal ISSN
Volume Title
Publisher
Uludağ Üniversitesi
Abstract
İstanbul Göğüs Kalp ve Damar Cerrahisi Merkezi'nde 1963-1989 yılları arasında fallot tetralojisi nedeniyle total korreksiyon yapılan ve hastane mortalitesi dışında kalan olgu sayısı 273'tür. Bu olgulardan 5 tanesi reopere edilmiştir (% 1.83 ). Reoperasyon nedeni 3 olguda rezidüel ventriküler septal defect, bir olguda rezidüel VSD ve transannuler perikard yama anevrizması, bir olguda ise triküspid kapak endokarditine bağlı triküspid yetmezliği olmuştur. Reoperasyonlarda 2 olguda VSD yama ile tamir edilmiş, bir olguda ilave olarak triküspide Dewega annuloplasti yapılmış, bir olguda VSD kapatılması ve anevrizmektomi uygulanmış, bir olguda ise triküspid kapak replasmanı yapılmıştır. Ameliyat sonu dönemde bir olguda uzamış mekanik ventilasyon, bir olguda A-V tam blok nedeniyle kalıcı pacemaker implantasyonu gerekmiştir. Hasta mortalitesi yoktur.
In İstanbul thoracic and cardiovascular surgery centre, between the years of 1963-1989, 273 case had total correction because of fallot tetralogy and these were exceptional according to the mortality ranges of the hospital 5 out of these operation were reoperated (% 1.83). The reasons of the reoperations were: residual VSD in three cases, residual VSD and transannular pericardial patch aneurysm together in one case and tricuspid failure due to tricuspid valve endocarditis in one case. In repeating operations, VSD was repaired by a patch in two of them and in one of them tricuspid devega annuloplasty was perfomıed additionally and one of them tricuspid valve replacement was achieved. In the postoperative stage, prolonged mechanical ventilation in one of them and permanent pacemaker implantation due to AV complete block in arıother were reeded. There was not mortality.
In İstanbul thoracic and cardiovascular surgery centre, between the years of 1963-1989, 273 case had total correction because of fallot tetralogy and these were exceptional according to the mortality ranges of the hospital 5 out of these operation were reoperated (% 1.83). The reasons of the reoperations were: residual VSD in three cases, residual VSD and transannular pericardial patch aneurysm together in one case and tricuspid failure due to tricuspid valve endocarditis in one case. In repeating operations, VSD was repaired by a patch in two of them and in one of them tricuspid devega annuloplasty was perfomıed additionally and one of them tricuspid valve replacement was achieved. In the postoperative stage, prolonged mechanical ventilation in one of them and permanent pacemaker implantation due to AV complete block in arıother were reeded. There was not mortality.
Description
Keywords
Fallot total korreksiyon, Reoperasyonlar, Fallot total correction, Reoperations
Citation
Özler, A. vd. (1992). ''Fallot total korreksiyon sonrası reoperasyonlar''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 19(3), 341-346.