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Öz

Dilation and hypertrophy of the atria occur in patients with valvular heart disease especially in mitral regurgitation, mitral stenosis or tricuspid abnormalities. Dilatation of the atriums which occurs slowly in time, becomes evident with ritim disturbances and embolic events. We report a case of an unusual giant right atrium in context of rheumatic mitral stenosis, mitral regurgitation, pulmonar hypertansion and severe tricuspid regurgitation in a 40-year-old man who underwent succesfull operations as mitral valve replacement, Maze-IV radiofrequency ablation, right atrium atrioplasty and De Vega anuloplasty.

Anahtar Kelimeler

• Right Atrium, Mitral Stenosis, Rheumatic Heart Disease.

Olgu Sunumu: Romatizmal Mitral Kapak Hastalığında Dev Sağ Atriyum

Öz

Erişkinlerde atriyumların genişleme ve hipertrofisi özellikle mitral kapak ve triküspit kapağın tutulduğu romatizmal kapak hastalıklarında meydana gelir. Zamanla gelişen atriyal genişleme, ritim bozuklukları ve emboli olaylarına neden olur. Bu olguda, 40 yaşındaki erkek hastanın romatizmal kalp hastalığı zemininde gelişen mitral darlık, mitral yetersizlik, pulmoner hipertansiyon ve triküspit yetersizliği sonucu 12x10 cm boyutlarına ulaşan dev sağ atriyumunun, başarılı bir şekilde mitral kapak replasmanı, Maze-IV radiofrekans ablasyonu, sağ atriyoplasti ve De vega anuloplasti uygulaması sunulmuştur.

Anahtar Kelimeler

• Sağ Atriyum; Mitral darlık; Romatizmal Kalp Hastalığı

Kaynakça

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