Fallot Tetralojisindeki Cerrahi Sonuçlarımız

Mehmet Yeniterz; Cüneyt Narin; Ahmet Özkara; Erdal Ege

Our Surgıcal Results of Tetralogy of Fallot

Journal Name:

Selçuk Tıp Dergisi

Publication Year:

2011

Key Words:

Keywords (Original Language):

Author Name	University of Author
Mehmet Yeniterz	Selçuk Üniversitesi
Cüneyt Narin	Selçuk Üniversitesi
Ahmet Özkara	İstanbul Bilim Üniversitesi
Erdal Ege	Selçuk Üniversitesi
Gamze Sarkılar	Selçuk Üniversitesi
Raşit Önoğlu	Selçuk Üniversitesi
Ahmet Nihat Baysal	Selçuk Üniversitesi
Tamer Baysal	Selçuk Üniversitesi
Ali Sarıgül	Selçuk Üniversitesi

Abstract (2. Language):

The aim of this study is to evulate our surgical results of Tetralogy of Fallot. Between 2001–2009, 35 patients with Tetralogy of Fallot underwent to total correction at our department. Five of them had Down syndrome (%14.2), 3 had patent ductus arteriousus (%8.5), 2 had pulmonary atresia (%5.7), 1 had hypothyroidism (%2.8) and 1 had coronary artery anomaly (%2.8). Five patients had Blalock-Tausing shunt in their medical history. Transannular approach was avoided because of causing pulmonary valve insufficiency in late period, but it was obliged to apply in 12 patients. Early mortality occured in 3 cases (%8.5) after repair. Twenty three patients were followed for mean 6.7 years. One patient with pulmonary gradient underwent reoperation at postoperative 15th month and died due to multiple organ failure. There were no complet atrioventricular block and disrhythm in long term. Second degree pulmonary insufficiency that was developed in 12 patients who underwent transannular patch closure was followed up to day. We think that ventricular septal defect and infundibular stenosis could be corrected via transatrial approach, if necessary via transpulmonar approach and in long term, pulmonary insufficiency and right ventricular disfunction could be prevented.

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Abstract (Original Language):

Bu çalışmanın amacı, Fallot tetralojisinde (FT) tam düzeltme sonrası, cerrahi sonuçlarımızın değerlendirilmesidir. Kliniğimizde 2001–2009 yılları arasında 35 hasta, FT tanısıyla operasyona alındı. 5(%14.2) hastada Down sendromu, 3(%8.5) hastada patent duktus arteriozus, 2(%5.7) hastada pulmoner atrezi, 1 (% 2.8)hastada hipotroidi ve 1(%2.8) hastada koroner arter anomalisi mevcuttu. Ayrıca 5 hastaya daha önceden kliniğimizde modifiye Blalock-Tausing şant işlemi yapılmıştı. Komplet tamir yapılan hastaların geç dönemlerinde pulmoner kapakta yetmezlik oluşturmamak için transanuler girişim sınırlı yapılmakla beraber, 12(%34.2) hastada transanüler yama ile tamir uygulamak zorunda kalındı. Tamirden sonra erken mortalite 3(%8.5) hastada gelişti. 23 hasta ortalama 6.7 yıl süreyle takip edildi. Bir hasta, pulmoner gradient nedeniyle 15. ayda reoperasyona alındı, ancak multiorgan yetmezliğinden kaybedildi. Komplet atrioventriküler blok ve geç devre disritmi görülmedi. Transanüler yama yerleştirilen 12 hastada gelişen 2˚ pulmoner yetmezlikler izlemde kaldı. VSD ve infundibuler stenozun transatriyal yolla, gerekirse transpulmoner yolla düzeltilebileceği ve uzun dönemde de pulmoner yetmezlik ve sağ ventrikül disfonksiyonunun engellenebileceği düşüncesindeyiz.

FULL TEXT (PDF):

arastirmax-fallot-tetralojisindeki-cerrahi-sonuclarimiz.pdf

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62-64

Turkish

REFERENCES

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Fallot Tetralojisindeki Cerrahi Sonuçlarımız

Journal Name:

Publication Year:

Key Words:

Keywords (Original Language):

kalp septal defect/cerrahi/yöntem

infant