BibTex RIS Cite

Transtorasik ekokardiyografi eşliğinde perkütan atriyal septal defekt kapatma deneyimimiz Türkçe

Year 2011, Volume: 8 Issue: 3, 96 - 99, 01.12.2011

Abstract

Amaç: Bu çalışmamızda, uzun yıllardır güvenle uygulanan transözefagial ekokardiyografi eşliğinde transkateter atriyal septal defekt ASD kapatmaya alternatif olarak, kolay uygulanabilirliği, düşük komplikasyon oranı, düşük maliyeti, kısa hastane kalış süresi ve daha az girişimsel oluşu nedeniyle transtorasik ekokardiyografi TTE eşliğinde ASD kapatmanın kısa dönem sonuçlarını ve güvenilir bir yöntem olduğunu göstermeyi amaçladık.Materyal ve metod: Çalışmamıza sekundum tip ASD tanısı alan ve perkütan kapatmaya uygun olduğuna karar verilen 20 olgu 15 bayan; ortalama yaş 30±11 yıl alındı. Tüm hastaların transözefagial ekokardiyografi ve TTE yapıldı ve ölçülen en geniş defekt çapı ASD boyutu olarak kabul edildi. Bulgular: Hastalarda defekt çapı ortalama 19,6±4,8 mm maksimum 30 mm, minimum 10 mm , ortalama cihaz boyutu ise 23,7±5,5 mm maksimum 34 mm, minimum 12 mm olarak tespit edildi.Sonuç: Hastaların çoğunda defektin boyutunu, rimleri ve diğer yapıları ve cihazın pozisyonu değerlendirmesi açısından kolay olduğundan, TTE hızlı ve güvenilir olarak uygulanabilir. Ekojenitesi iyi olan düzenli septal anatomi ve yeterli rime sahip olan hastalarda multifenestre, geniş ve kompleks ASD'ler hariç , deneyimli hekimler tarafından TTE altında perkütan kapatma güvenli bir şekilde yapılabilir

References

  • ) Miyaji J, Furuse A, Tanaka O, et al. Surgical Repair for Atrial Septal Defect in Patients Over 70 Years of Age. Jpn Heart J 1997; 38: 677- 84.
  • ) Hamilton WT, Haffajee CI, Dalen JE, et al. Atrial Septal Defect Secundum: Clinical profile with physiologic correlates in children and adults. In Roberts WC(ed): Congenital Heart Dissease in Adults. Philadelphia, Davis, 1979, 257- 77.
  • ) Guray U, Guray Y, Yılmaz B, et al. Evaluation of P wave duration and P wave dispersion in adult patients with secundum atrial septal defect during normal sinus rhythm. International Journal of Cardiology 2003; 91: 75-9.
  • ) Myumg K. Park. Specific Congenital Heart Defects, Left to Right Shunt Lesions, Atrial Septal Defect. Pediatric Cardiology for Practitioners. Philadelphia, Mosby Elsevier 2008, 206-12.
  • ) Özay B, Çelik S, Ketenci B ve ark. Yetişkin ASD'li Hastalar Opere Edilmeli mi? Orta ve Uzun Dönem Sonuçları.Türk Göğüs Kalp Damar Cerrahisi Dergisi 2005; 13: 115-9.
  • ) Dickinson DF, Arnold R, Wilkinson JL. Congenital heart disease among liveborn children in Liverpool 1960 to 1969: implications for surgical treatment. Br Heart J 1981; 46: 55-62.
  • ) Berger F, Vogel M, Kramer A et al. Incidence of atrial flutter/fibrillation in adults with atrial septal defect before and after surgery. Ann Thorac Surg 1999; 68: 75-8.
  • ) Erdem A, Sarıtas T, Zeybek C. Transthoracicechocardio graphic guidan ceduring transcatheterclosure of atrial septal defects in children and adults. Int J CardiovascImaging 2011.
  • ) Gatzoulis MA, Redington AN, Somerville J, et al. Should Atrial Septal Defects in Adults Be Closed. AnnThoracSurg 1996; 61: 657- 9.
  • ) Murphy JG, Gersh BJ, McGoon MD, et al. Long-term outcome after surgical repair of isolated atrial septal defect. Follow-up at 27 to 32 years. N

Our experience of percutaneous atrial septal defect closure with transthoracic echocardiography

Year 2011, Volume: 8 Issue: 3, 96 - 99, 01.12.2011

Abstract

Background: In this study, we aimed to demonstrate the short-term results and reliability of the transthoracic echocardiography TTE and aimed to show that this method may be an alternative for transeosophageal echocardiography; because of its easy feasibility, less complication rate, less cost, less hospitalization duration and less invasiveness for transcatheter atrial septal defect closure; Methods: Twenty patients 15 female mean age 30±11 years diagnosed with secundum ASD who's appropriate for percutaneous closure were included to the study. We performed TTE and transeosophageal echocardiography for all patients and accepted the largest defect diameter as the ASD size. Results: The mean defect size was found as 19.6±4.8 mm max. 30 mm, min. 10 mm and mean device size as 23.7±5.5 mm max. 34 mm, min. 12 mm .Conclusions: TTE may be used as a reliable, feasible and quickly method to evaluate the rims, sizes, other structures and device position. Percutanous closure with TTE may be reliably performed by experienced operators in ASD patients with high-quality echogenity, good septal anatomy and enough rims except large, complex and multifenestrated ASDs

References

  • ) Miyaji J, Furuse A, Tanaka O, et al. Surgical Repair for Atrial Septal Defect in Patients Over 70 Years of Age. Jpn Heart J 1997; 38: 677- 84.
  • ) Hamilton WT, Haffajee CI, Dalen JE, et al. Atrial Septal Defect Secundum: Clinical profile with physiologic correlates in children and adults. In Roberts WC(ed): Congenital Heart Dissease in Adults. Philadelphia, Davis, 1979, 257- 77.
  • ) Guray U, Guray Y, Yılmaz B, et al. Evaluation of P wave duration and P wave dispersion in adult patients with secundum atrial septal defect during normal sinus rhythm. International Journal of Cardiology 2003; 91: 75-9.
  • ) Myumg K. Park. Specific Congenital Heart Defects, Left to Right Shunt Lesions, Atrial Septal Defect. Pediatric Cardiology for Practitioners. Philadelphia, Mosby Elsevier 2008, 206-12.
  • ) Özay B, Çelik S, Ketenci B ve ark. Yetişkin ASD'li Hastalar Opere Edilmeli mi? Orta ve Uzun Dönem Sonuçları.Türk Göğüs Kalp Damar Cerrahisi Dergisi 2005; 13: 115-9.
  • ) Dickinson DF, Arnold R, Wilkinson JL. Congenital heart disease among liveborn children in Liverpool 1960 to 1969: implications for surgical treatment. Br Heart J 1981; 46: 55-62.
  • ) Berger F, Vogel M, Kramer A et al. Incidence of atrial flutter/fibrillation in adults with atrial septal defect before and after surgery. Ann Thorac Surg 1999; 68: 75-8.
  • ) Erdem A, Sarıtas T, Zeybek C. Transthoracicechocardio graphic guidan ceduring transcatheterclosure of atrial septal defects in children and adults. Int J CardiovascImaging 2011.
  • ) Gatzoulis MA, Redington AN, Somerville J, et al. Should Atrial Septal Defects in Adults Be Closed. AnnThoracSurg 1996; 61: 657- 9.
  • ) Murphy JG, Gersh BJ, McGoon MD, et al. Long-term outcome after surgical repair of isolated atrial septal defect. Follow-up at 27 to 32 years. N
There are 10 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Mustafa Yolcu This is me

Canan Yolcu This is me

Zekeriya Küçükdurmaz This is me

Hüseyin Göksülük This is me

Barbaros Dokumacı This is me

Publication Date December 1, 2011
Published in Issue Year 2011 Volume: 8 Issue: 3

Cite

Vancouver Yolcu M, Yolcu C, Küçükdurmaz Z, Göksülük H, Dokumacı B. Transtorasik ekokardiyografi eşliğinde perkütan atriyal septal defekt kapatma deneyimimiz Türkçe. Harran Üniversitesi Tıp Fakültesi Dergisi. 2011;8(3):96-9.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty