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İnteratriyal septal anevrizmalı erişkin hastalarımızın transözefageal ekokardiyografik inceleme sonuçları

Transesophageal echocardiographic examination results of our patients with interatrial septal aneurysm

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2006

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Abstract (2. Language): 
Interatrial septal aneurysm (IASA), has been diagnosed more frequently with the advanced echocardiographic methods. In this study, we examined the echocardiographic features of the patients diagnosed to have IASA by transesophageal echocardiography. The study included consecutive 100 patients with the diagnosis of IASA by transesophageal echocardiography. The types of IASA were categorized according to the Olivares-Reyes classification. The accompanying disorders were recorded. For the diagnosis of IASA, it was necessary to find that the atrial septum was bulging rightward or leftward or both more than 10 mm and the minimal diameter is minimally 15 mm. The comparisons were made by Kruskal-Wallis or Chi-square test. During the study period, echocardiography was performed on 12231 patients. Of the 100 patients suspected for IASA by transthoracic echocardiography, the diagnosis was confirmed transesophageally in 92 (0.75%). The frequency of the types of IASA were type 1R (69%), type 3RL (18%), type 5 (5%), type 2L (4%) and type 4LR (4%), respectively. Among the accompanying disorders, the most frequent one was atrial septal defect with 34 cases. The atrial septal defect was most frequently associated with type 1R (p=0.015). There were no significant differences among the types with regard to patent foramen ovale (p=0.534). In conclusion, the IASA rate was in consistent with the literature findings, but the types were not. We think that the results can be leading for the Turkish people.
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Abstract (Original Language): 
İnteratriyal septal anevrizma (IASA), ekokardiyografik yöntemlerin gelişmesiyle, gittikçe daha sık tanı konan anormalliklerden birisidir. Bu çalışmada, İASA ön tanısıyla transözefageal ekokardiyografi uygulanmış hastalarımızın ekokardiyografik özellikleri incelenmiştir. Çalışmaya transtorasik ekokardiyografi ile interatriyal septal anevrizma tanısı konan ardışık 100 hasta alındı. İASA tipleri, Olivares-Reyes sınıflamasına göre gruplandırıldı. Eşlik eden hastalıklar kaydedildi. İASA tanısı için atriyal septumun sağa ya da sola veya her iki tarafa 10 mm'den daha fazla bombeleşmiş olması, minimal çapın 15 mm ve daha fazla olması koşulları arandı. İstatistiksel analizler ki kare ve Kruskal-Wallis testi ile yapıldı. Çalışma dönemi boyunca 12231 hastaya ekokardiyografi yapıldığı, İASA düşünülen 100 hastanın 92'sinde tanının transözefageal ekokardiyografi ile teyit edildiği belirlendi. İASA tipleri içinde sıklık sırası Tip 1R (%69), Tip 3RL (%18), Tip 5 (%5), Tip 2L (%4) ve Tip 4LR (%4) olarak belirlendi. Eşlik eden en sık hastalık 34 hasta ile atriyal septal defekt idi. Atriyal septal defekt en sık Tip 1R ile birilikte iken (p=0.015), patent foramen ovale açısından tipler arasında fark yoktu (p=0.534). Sonuç olarak, çalışmamızdaki İASA oranı literatür ile uyumlu olmakla birlikte, İASA tipleri açısından uyumsuzdu. Sonuçların Türk toplumu için yol gösterici olacağı düşünülmektedir.
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