Konjenital Parsiyel Sağ Perikardiyal Defekt

Year 2015, Volume: 18 Issue: 1, 57 - 59, 06.04.2015

Cüneyt Narin Burçin Abud İlker Kiriş Figen Boyacı

Abstract

Konjenital perikardiyal defektler nadir
görülen ve genellikle asemptomatik seyrettikleri için kardiyak veya toraks
ameliyatları esnasında tesadüfen saptanan patolojilerdir. Parsiyel sol
perikardiyal defektler daha sıklıkla görülürken parsiyel sağ perikardiyal defektler
çok daha nadir görülmektedirler.

59 yaşında erkek hasta koroner arter
baypas amacıyla operasyona alındı. Bu esnada parsiyel sağ perikardiyal defekt
saptandı. Bası oluşturmadığı ve asemptomatik seyrettiği için perikardiyal
defekte müdahale edilmedi. Mevcut defektten dolayı ameliyat bitiminde hastanın
sağ toraksına da dren yerleştirildi.

Konjenital perikardiyal defektler çok
nadir olup, sıklıkla semptomsuz seyreden patolojilerdir. Tanısal yöntemler ile
mevcudiyetinin saptanması zor olan bu defektler, semptom oluşturup ciddi bir
probleme yol açtığında, nadir görülmesi ve sıklıkla sorunsuz olmasından dolayı,
hekimin en son aklına geleceği bir patoloji olmaktadır. Bu da aslında cerrahi
tedavisi çok basit olan bu patolojiyi ölümcül ve önemli yapmaktadır.

Keywords

Konjenital perikardiyal defekt, parsiyel sağ perikardiyal defekt, asemptomatik seyir

Partial Right-Sided Congenital Pericardial Defect

Abstract

Congenital pericardial defects are
rare and usually asymptomatic. These defects are detected incidentally during
cardiac or thorax operations. Partial left pericardial defects are seen more
frequently. On the contrary, partial right pericardial defects are seen very
rarely.

59 year old male patient was
operated for coronary artery bypass grafting. During the operation a partial
right pericardial defect was detected. This defect was asymptomatic without
creating a pressure. Therefore, we did not interfere with this defect. At the
end of the surgery, right chest drain was inserted for this defect.

Congenital pericardial defects are
very rare and generally asymptomatic pathologies. The presence  of these defects are difficult with
conventional diagnostic methods. However, in some cases, these defects can
create symptoms and lead to serious problems. The surgical treatment of this
pathology is very simple. Due to its rarity and problem-free nature, these
pathologies rarely come to mind. Therefore this condition may be a lethal and
important pathology in some cases.

Keywords

Congenital pericardial defect, partial right pericardial defect, asymptomatic course

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