Erişkin aorta koarktasyonunda peç plasti sonuçları
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Date
1986
Authors
Narbay, Dündar
Duran, Enver
Işıklar, Hamit
Kamalı, S. Daniş
Tatar, Harun
Özkan, Hayati
Öztürk, Ömer Y.
Journal Title
Journal ISSN
Volume Title
Publisher
Uludağ Üniversitesi
Abstract
GATA Tıp Fak. Göğüs-Kalp ve Damar Cerrahisi Kliniğinde 1975-1985 yılları arasında aorta koarktasyonu olan 52 olguya cerrahi girişim yapıldı. Olguların 2 'si (% 3.8) kadın, 50 'si(% 96. 2) erkekti. En genci 9, en yaşlısı 36 yaşında olup, yaş ortalaması 21 idi. Olguların 38 'ine (% 73) hipotermi altında peç plasti yöntemi uygulandı. Koarktasyonun giderilmesinde kullanılan yama (Dakron peç) koarktasyon bölgesinin ölçümlerine göre hazırlandı. Operasyon sonrasında, peç plasti uygulanan 4 olguda (% 10.5) paradoksal hipertansiyon, 6 olguda(% 15.7) abdominal angina, 12 olguda (% 31.5) rezidüel hipertansiyon saptandı.Ortalama 2 yıl (6 ay- 8 yıl) takip edilen peçli olgularda geç komplikasyon görülmedi. Erişkin olgularda, aort koarktasyonunun giderilmesinde değişik cerrahi yöntemler olmasına rağmen peç plasti, preoperatif ve postoperatif erken ve geç komplikasyonları nadir olan başarılı bir yöntem olarak düşünülmektedir.
Fifty two patients with aortic coarctation were operated at cardiovascular and thoracic surgery, units in GMMA in the years of 1975-1985. Two of cases were female (3.8 %) and fifty cases were male (96.2 %). The youngesione was 9 years old and the oldest one was 36 years old and mean age was 21 years.Thirty eight of cases were operated with patch plasty procedure under hypothermic conditions.The patch (dacron fabric) used for the relievement of coarctation was prepared by measuring the sizes of coarctation region. After surgery, in all the cases who were operated with patch plasty, paradoxical hypertension on tour cases ( 10.5 %), abdominal arıgina on six cases (15. 7 %), residual hypertension on twelve cases (31.5 %) were seen. Late complications were not encountered in the cases who were operated with patch plasty in the two-year of mean follow-up periods (6 months-8 years). Although various surgical techniques have been used for the repair of aortic coarctation, the patch plasty is considered as a successful procedure with rare preoperative and postoperative early and late complication.
Fifty two patients with aortic coarctation were operated at cardiovascular and thoracic surgery, units in GMMA in the years of 1975-1985. Two of cases were female (3.8 %) and fifty cases were male (96.2 %). The youngesione was 9 years old and the oldest one was 36 years old and mean age was 21 years.Thirty eight of cases were operated with patch plasty procedure under hypothermic conditions.The patch (dacron fabric) used for the relievement of coarctation was prepared by measuring the sizes of coarctation region. After surgery, in all the cases who were operated with patch plasty, paradoxical hypertension on tour cases ( 10.5 %), abdominal arıgina on six cases (15. 7 %), residual hypertension on twelve cases (31.5 %) were seen. Late complications were not encountered in the cases who were operated with patch plasty in the two-year of mean follow-up periods (6 months-8 years). Although various surgical techniques have been used for the repair of aortic coarctation, the patch plasty is considered as a successful procedure with rare preoperative and postoperative early and late complication.
Description
Keywords
Aorta koarktasyon, Peç plasti sonuçları, Erişkin, Hipotermi, Dakron peç, Cerrahi yöntem
Citation
Narbay, D. vd. (1986). ''Erişkin aorta koarktasyonunda peç plasti sonuçları''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 13(1-2-3), 31-40.