Akut Komplike Tip B Aort Diseksiyonu Olan Hastalara Ait Endovasüler Tedavi Sonuçları

Year 2015, Volume: 17 Issue: 2, 9 - 15, 05.01.2016

Cengiz Ovalı , Behçet Sevin

Abstract

Aort diseksiyonu göreceli olarak nadir görülen, fakat katastrofik seyreden bir acil kardiyovasküler hastalıktır. Aort diseksiyonu, herhangi bir nedene bağlı aortanın intima tabakasında oluşan bir yırtık sonucu intima ile mediya tabakasında ikinci yalancı bir lümenin oluşması olarak tanımlanır. Aort diseksiyonu Stanford sınıflandırmasına göre Tip A ve Tip B olarak 2 sınıfa ayrılır. Tip A diseksiyon çıkan aortanın tutulduğu diseksiyon tipi, Tip B diseksiyon ise sol subklavien arterin distalinden başlayan torakoabdominal aortaya uzanım gösteren diseksiyon tiplerini ifade eder. Tip A aort diseksiyonun standart tedavisi cerrahi iken, komplike olmuş Tip B diseksiyonlarda endovasküler tedavi öncelikli olarak düşünülmelidir. Bu yazıda merkezimizde akut komplike tip B aort diseksiyonu nedeniyle endovasküler yaklaşımla tedavisi yapılan hastalara ait sonuçlar bildirildi. Endovasküler yaklaşımla tedavisi yapılan toplam 3 hastanın tamamında endovasküler greft ile kapama işlemi başarılı bir şekilde tamamlandı ve 6 aylık takipleri sorunsuzdu. Komplike olmuş tip B aort diseksiyonu olguları için endovasküler tedavi yöntemi hasta seçiminin titizlikle yapılması koşuluyla etkin bir tedavi şeklidir.

Keywords

Tip B aort diseksiyonu, endovasküler tedavi, klinik sonuçlar

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