EKOKARDİYOGRAFİ LABORATUARINDA TORASİK AORT ANEVRİZMASININ TESPİTİ VE İLİŞKİLİ DURUMLAR

Year 2018, Volume: 1 Issue: 2, 28 - 30, 25.11.2018

Mahmut Uluganyan

Abstract

Giriş: Torakal aort anevrizması (TAA) genellikle asemptomatik olan ve semptomatik hale geldiğin- de çoğunlukla fatal seyreden bir hastalıktır. Biz bu çalışmada ekokardiyografi laboratuarında her- hangi bir nedenle transtorasik ekokardiyoggrafi uygulanan ve vücut yüzey alanına göre asendan
TAA saptanan kişileri tespit etmeyi ve TAA ile ilişkili olan sosyodemografik verileri tespit etmeyi
amaçladık.
Yöntem: Hastanemiz ekokardiyografi laboratuarına başvuran hastalardan ortalama yaş 60 olan 51
adet torakal aort genişliği 4 cm ve üzeri olan hasta çalışmaya dahil edilmiştir. Kalp boşlukları ve
aortik ölçümler 2-D ve M-mode ile alınmıştır.
Bulgular: Çalışmaya alınan populasyonun ortalama yaşı 60±10 idi. Çalışmaya alınan populasyonun %62’si (32) erkek idi. Çalışma grubundaki hastaların %59’unda (30 kişi) hipertansiyon mevcut idi.
Diyabet tanılı hasta toplamda %14 (7 kişi) idi. hiperlipidemi hastaların %8’inde ve koroner arter has- talığı %6’sında tespit edildi. Çalışmaya alınan erkek hastalar istastistiki olarak anlamlı şekilde
kadınlardan uzun tespit edilmiştir (p<0.001). Erkek hastaların torakal aortaları kadın hastalardan
daha geniş olarak ölçülmüştür ve fakat bu istastistiki olarak anlamlılık derecesine ulaşmamıştır
(p>0.05).
Sonuç: Sonuç olarak TAA ekokardiyografi laboratuarında kolaylık ile tespit edilebilmekte olup
hipertansiyon ile kuvvetli bir ilişkisi bulunmaktadır

Keywords

Aort, torasik aort anevrizması, transtorasik ekokardiyograf

IDENTIFICATION OF THE THORACIC AORTIC ANEURYSM AND RELATED CONDITIONS IN ECHOCARDIOGRAPHY LABORATORY

Abstract

IntroductionThoracic aortic aneurysm (TAA) is generally asymptomatic. When TAA become symptomatic it is fatal. In the present study we aimed to detect TAA via transthorasic echocardiography
and the related conditions.
Method: To the present study 51 patients whose mean age was 60, with thoracic aorta larger than
4 cm were enrolled. The cardiac chamber and aortic measurement were made by 2-D and M-mode.
Results: The mean age of the studied population was 60±10. The majority of the patients were
male (%62). Hypertension was present in 59% of patients. Diabetes was diagnosed in 14% of
patients (7 patients). Similarly a small percent of patients had hyperlipidemia and coronary artery
disease (8% and 6%). Male patients were significantly taller than female (p<0.001). Thoracic aorta
in male patients was nonsignificantly larger than female (p>0.05).
Conclusion: Thoracic aortic aneurysm can be easily diagnosed with transthoracic echocardiog- raphy and hypertension is significantly associated with TAA.

Keywords

Aorta, thoracic aortic aneurysm, transthoracic echocardiography

References

• 1. Libby P, Bonow R, Mann D, Zipes D. Braunwald’s Heart Disease 8th edition, Saunders Elsevier Philadelphia, 2008; 1309-1338.2. Isselbacher EM. Thoracic and abdominal aortic aneurysms. Circulation 2005; 111:816.3. Hager A, Kaemmerer H, Rapp-Bernhardt U, Blücher S, Rapp K, Bernhardt TM, Galanski M, Hess J. Diameters of the thoracic aorta throughout life as measured with helical computed tomography. J Thorac Cardiovasc Surg. 2002;123:1060–6. 4. Roman MJ, Devereux RB, Kramer-Fox R, O'Loughlin J. Two-dimensional echocardiographic aortic root dimensions in normal children and adults. Am J Cardiol. 1989;64:507–12.5. Hiratzka L, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE Jr, Eagle KA, Hermann LK, Isselbacher EM, Kazerooni EA, Kouchoukos NT, Lytle BW, Milewicz DM, Reich DL, Sen S, Shinn JA, Svensson LG, Williams DM; American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines; American Association for Thoracic Surgery; American College of Radiology; American Stroke Association; Society of Cardiovascular Anesthesiologists; Society for Cardiovascular Angiography and Interventions; Society of Interventional Radiology; Society of Thoracic Surgeons; Society for Vascular Medicine: Guidelines for the diagnosis and management of patients with thoracic aortic disease. A report of the American colloge of cardiology foundation/American heart association. Circulation 2010;121:e266-e369.6. Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, et al. Chamber Quantification Writing Group; American Society of Echocardiography's Guidelines and Standards Committee; European Association of Echocardiography. Recommendations for Chamber Quantification: A Report from the American Society of Echocardiography’s Guidelines and Standarts Committee and the Chamber Quantification Writing Group, Developed in Conjuction with the European Association of Echocardiography, a Branch of the European Society of Cardiology. J Am Soc Echocardiogr. 2005;18:1440-63. 7. Hannuksela M, Lundqvist S, Carlberg B. Thoracic aorta: dilated or not? Scand Cardiovasc J. 2006;40:175– 8.8. Albornoz G, Coady MA, Roberts M, Davies RR, Tranquilli M, Rizzo JA, Elefteriades JA. Familial thoracic aortic aneurysms and dissections: incidence, modes of inheritance, and phenotypic patterns. Ann Thorac Surg. 2006;82:1400 –1405.9. Kuivaniemi H, Chris D. Platsoucas, M. David Tilson M.D. Aortic Aneurysms An Immune Disease With a Strong Genetic Component. Circ.2008;117:242-252.10. Ekmekçi A, Uluganyan M, Gungor B, Abacı N, Ozcan KS, Ertaş G, Zencirci A, Balcı AY, Sırma Ekmekci S, Sayar N, Ustek D, Eren M. Association between endothelial nitric oxide synthase intron 4a/b polymorphism and aortic dissection. Turk Kardiyol Dern Ars. 2014;42:55-60.