Koroner Arter Baypas Greft Operasyonu Geçiren Bartter Sendromlu Hastada Anestezi Yönetimi

Yıl 2019, Cilt: 22 Sayı: 1, 66 - 68, 11.04.2019

Tülay Örki Deniz Avan Serpil Taş

Öz

Frederic Bartter tarafından ilk kez 1962 yılında tanımlanan Bartter sendromu hipokalemi, metabolik alkaloz,
hiperaldesteronizm, normal kan basıncı ve juxta glomerüler apparatusta hiperplazi ile karakterize nadir
görülen kalıtsal bir hastalıktır. Özellikle açık kalp ameliyatı geçirecek bu hastalarda, asit-baz bozukluğu,
elektrolit imbalansı, intravasküler volüm açığı, vazopressör ilaçlara karşı vasküler duyarsızlık ve trombosit
agregasyonunda defekt gibi bu sendroma ait komplikasyonlar nedeniyle anestezi yönetimi açısından dikkat
gerektirmektedir. Bu olgu sunumunda koroner arter baypas greft operasyonu uygulanan Bartter sendromlu
hastada anestezi yönetimi sunuldu.

Anahtar Kelimeler

Bartter sendromu, koroner arter baypas greft, anestezi yönetimi

Anesthesia Management for Coronary Artery Bypass Grafting in a Patient with Bartter Syndrome

Öz

Bartter syndrome, first described by Frederic Bartter in 1962, is a rare hereditary disease characterized by
hypokalemia, metabolic alkalosis, hyperaldesteronism, normal blood pressure and hyperplasia of the juxtaglomerular apparatus. Complications of Bartter syndrome should be considered during anesthesia management
in patients undergoing open heart surgery, including acid-base disorders, electrolyte imbalance, intravascular
volume deficit, vascular insensitivity to vasopressor drugs and a defect in platelet aggregation. This case report discusses difficulties and challenges in anesthesia management of a patient with Bartter syndrome who
underwent coronary artery by-pass grafting.

Anahtar Kelimeler

Bartter syndrome, coronary artery bypass grafting, anesthesia management

Kaynakça

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