Case Report
PDF EndNote BibTex RIS Cite

Aortik Kros Klemp ile Myokard İskemisi Yaratmadan Konjenital Düzeltilmiş Büyük Arter Transpozisyonlu Asendan Aortu Hipoplazik Tip A Kesintili Aortik Arkı Olan Hastanın Tedavisi

Year 2022, Volume 36, Issue 2, 191 - 195, 30.08.2022
https://doi.org/10.18614/deutip.1174704

Abstract

İnterrupted aortik ark tedavisi karmaşık bir süreçtir. Cerrahi rekonstrüksiyon genellikle myokard iskemisine neden olan aortik kros klempleme, kalbin durdurulması ve hatta kansız operasyon sahası için derin hipotermi gerektirir.Bu yazıda, normotermik şartlarda, kalbi durdurmadan çıkan aort, aortik ark ve proksimal desendan aort replasmanını selektif kanülasyon ve tüm vücut perfüzyonunu sağlayan cerrahi teknik ile tedavi ettiğimiz konjenital düzeltilmiş büyük arter transpozisyonu, tip A kesintili aortik ark ve hipoplazik asendan aortu olan hastamızı sunuyoruz. Anahtar Kelimeler: Arkus aorta, Kesinti, Konjenital düzeltilmiş büyük arter transpozisyonu, Kanülasyon. ABSTRACT Treatment of interrupted aortic arch is complex. Surgical reconstruction consists of procedures that cause myocardial ischemia, such as aortic cross clamping, cardioplegia, and hypothermia. In this article, we present a patient with congenitally corrected transposition of great arteries together with Type A interruption as well as hypoplastic ascending aorta and the aortic arch. The replacement of the aorta, aortic arch, and the proximal descending aorta was performed under normothermic conditions without cardioplegia, which was achieved with a technique that preserves the systemic blood supply by using selective cannulation. Aortic Arch, Interruption, Congenitally corrected transposition of great arteries, Cannulation.

References

  • 1. Konstantinov IE, Pohlner P. Interrupted aortic arch with transposition of great arteries and hypoplastic right ventricle: a successful repair. Texas Heart Institute Journal, 35(2), 206.
  • 2. Ugurlucan M, Yildiz Y, Ulukan MO, Oztas DM, Beyaz MO, Canata E, Coban S, Unal O, Erkanli K, Turkoglu H. A surgical technique for ascending aorta, aortic arch and descending aorta replacement without cross-clamp, circulatory arrest or hypothermia. Cardiol Young. 2020 Jan;30(1):24-27.
  • 3. Spigel Z, Binsalamah ZM, Caldarone C. Congenitally Corrected Transposition of the Great Arteries: Anatomic, Physiologic Repair, and Palliation. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2019;22:32-42.

Year 2022, Volume 36, Issue 2, 191 - 195, 30.08.2022
https://doi.org/10.18614/deutip.1174704

Abstract

References

  • 1. Konstantinov IE, Pohlner P. Interrupted aortic arch with transposition of great arteries and hypoplastic right ventricle: a successful repair. Texas Heart Institute Journal, 35(2), 206.
  • 2. Ugurlucan M, Yildiz Y, Ulukan MO, Oztas DM, Beyaz MO, Canata E, Coban S, Unal O, Erkanli K, Turkoglu H. A surgical technique for ascending aorta, aortic arch and descending aorta replacement without cross-clamp, circulatory arrest or hypothermia. Cardiol Young. 2020 Jan;30(1):24-27.
  • 3. Spigel Z, Binsalamah ZM, Caldarone C. Congenitally Corrected Transposition of the Great Arteries: Anatomic, Physiologic Repair, and Palliation. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2019;22:32-42.

Details

Primary Language Turkish
Subjects Cardiac and Cardiovascular Systems
Journal Section Case Studies
Authors

Emre ÖTEYAKA This is me (Primary Author)
İSTANBUL MEDİPOL ÜNİVERSİTESİ
0000-0001-5889-2257
Türkiye

Publication Date August 30, 2022
Application Date March 30, 2022
Acceptance Date August 9, 2022
Published in Issue Year 2022, Volume 36, Issue 2

Cite

Vancouver Öteyaka E. Aortik Kros Klemp ile Myokard İskemisi Yaratmadan Konjenital Düzeltilmiş Büyük Arter Transpozisyonlu Asendan Aortu Hipoplazik Tip A Kesintili Aortik Arkı Olan Hastanın Tedavisi. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi. 2022; 36(2): 191-195.