Yaşlılarda Konjenital Atrium Septum Defekti: (60 Yaş Üzerinde Olup ve Ameliyat Edilen 10 Vak'anın İncelenmesi)

Year 1969, Volume: 22 Issue: 4, 817 - 826, 31.12.1969

Erdoğan Yalav

Abstract

Konjenital kalp hastalıkları yalnızca çocukluk dönemine özgü değildir. Bu hastalıklar arasında Atrium Septum Defekti, en uzun yaşam süresine sahip olan hastalık olarak öne çıkar.
Altmış yaşın üzerinde ameliyat edilen on atrium septum vakası incelenmiştir. Aşikâr pulmoner hipertansiyon bulunan üç vak'a, ameliyat sonrası kısa bir süre içinde hayatını kaybetmiştir. Yapılan araştırmalara göre, ileri derecede pulmoner hipertansiyonu bulunan vak'alarda ölüm oranı yüksektir.
Yaptığımız incelemelerde, yaşlı hastalarda cerrahi ve dahili tedavi yöntemlerinin ölüm oranları açısından çok büyük bir fark yaratmadığı gözlemlenmiştir.
Yaş faktörü dikkate alınmaksızın, semptomların yavaş ilerlediği hastalarda, hafif ve orta şiddette pulmoner hipertansiyon var olsa dahi, cerrahi tedavi tek uygun seçenek olarak görünmektedir.

Keywords

atrium septum defekti, pulmoner hipertansiyon, cerrahi tedavi

Congenital Heart Disease in the Elderly: (A Study of 10 Cases Over 60 Years Old Who Underwent Surgery)

Abstract

Congenital heart diseases are not limited to childhood and can be observed at any age. Among congenital heart conditions, Atrial Septal Defect (ASD) is the one that has the longest life expectancy.
Ten cases of Atrial Septal Defect, who underwent surgery after the age of 60, were examined. Three cases with evident pulmonary hypertension died shortly after surgery. Studies have shown that the mortality rate is higher in cases with severe pulmonary hypertension.
Our findings indicate that, in elderly patients, the mortality rates between surgical and medical treatments are not significantly different.
Regardless of age, in patients with slowly progressing symptoms, surgical treatment appears to be the only appropriate option, even if there is mild to moderate pulmonary hypertension.

Keywords

atrial septal defect, pulmonary hypertension, surgical treatment

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