Yorgunluk ve Gastrointestinal Belirtilerle Başvuran Bicuspid Aort Kapağı ve Aort Anevrizması: Olgu Sunumu

Yıl 2018, Cilt: 2 Sayı: 2, 114 - 122, 09.07.2018

Flora Ozkalaycı Oyku Gulmez Bulent Sarıtas

Öz

Bicuspid aort kapağı, doğumsal
kalp hastalıkları arasında en sık görülen konjenital anomalidir. Ayrıca
aortopati eşlik edebilir. Bicuspid aortik kapak sessiz kalabilir ve
ekokardiyografik incelemede tesadüfen bulunabilir. Bu olgu sunumunda hastanemize
gastrointestinal şikayetleri ile başvuran ve biküspid aort kapağı ve aort
anevrizması tanısı ile gelen bir hastayı sunuyoruz.

Anahtar Kelimeler

biküspid aort, yükselen aort anevrizması, gastrointestinal şikayetler

Bicuspid Aortic Valve and Ascending Aortic Aneurysm Presented With Fatigue And Gastrointestinal Symptoms: Case report

Öz

Bicuspid
aortic valve is one of the most common congenital anomaly among congenital
heart disease. It may also be accompanied by aortopathy. Bicuspid aortic valve
may remain silent and may be found incidentally on echocardiographic
examination. In this case report, we present a patient who was admited to our
hospital with gastrointestinal complaints and come out with the diagnosis of
bicuspid aortic valve and aortic aneurysm.

Anahtar Kelimeler

bicuspid aorta, ascending aortic aneurysm, gastrointestinal complaints

Kaynakça

• 1-Braverman AC. The Bicuspid Aortic Valve and Associated Aortic Disease. In: Valvular Heart Disase, 4th, Otto CM, Bonow RO (Eds), Saunders/Elsevier, Philadelpha 2013;179.
• 2-OttoC, Bonow RBraverman AC, Beardslee MA. The bicuspid aortic valve. In: Otto C, Bonow R, eds. Valvular heart disease: a companion to Braunwald's heart disease. Philadelphia: Saunders/Elsevier, 2009; 169–86.
• 3-Loscalzo ML, Goh DL, Loeys B, et al. Familial thoracic aortic dilation and bicommissural aortic valve: a prospective analysis of natural history and inheritance. Am J Med Genet A 2007; 143A:1960.
• 4.Huntington K, Hunter AG, Chan KL. A prospective study to assess the frequency of familial clustering of congenital bicuspid aortic valve. J Am Coll Cardiol 1997; 30:1809.
• 5-Cripe L, Andelfinger G, Martin LJ, et al. Bicuspid aortic valve is heritable. J Am Coll Cardiol 2004; 44:138.
• 6-Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014; 63:e57.
• 7-Oppenheimer-Dekker A, Gittenberger-de Groot AC, Bartelings MM, et al. Abnormal architecture of the ventricles in hearts with an overriding aortic valve and a perimembranous ventricular septal defect ("Eisenmenger VSD"). Int J Cardiol 1985; 9:341.
• 8-Neumayer U, Stone S, Somerville J. Small ventricular septal defects in adults. Eur Heart J 1998; 19:1573.
• 9-Niwa K, Perloff JK, Bhuta SM, Laks H, Drinkwater DC, Child JS, Miner PD. Structuralabnormalities of great arterial walls in congenital heart disease. Light and electronmicroscopic analyses. Circulation 2001; 103:393– 400.
• 10-Martin LJ, Ramachandran V, Cripe LH, et al. Evidence in favor of linkage to human chromosomal regions 18q, 5q and 13q for bicuspid aortic valve and associated cardiovascular malformations. Hum Genet 2007; 121:275.
• 11-Braverman AC. Aortic involvement in patients with a bicuspid aortic valve. Heart 2011; 97:506.
• 12-Ward C. Clinical significance of the bicuspid aortic valve. Heart 2000; 83:81.
• 13-Michelena HI, Desjardins VA, Avierinos JF, et al. Natural history of asymptomatic patients with normally functioning or minimally dysfunctional bicuspid aortic valve in the community. Circulation 2008; 117:2776.
• 14-Tzemos N, Therrien J, Yip J, et al. Outcomes in adults with bicuspid aortic valves. JAMA 2008; 300:1317.
• 15- Huntington K, Hunter AG, Chan KL. A prospective study to assess the frequency of familial clustering of congenital bicuspid aortic valve. J Am Coll Cardiol 1997; 30:1809.
• 16- Hales AR, Mahle WT. Echocardiography screening of siblings of children with bicuspid aortic valve. Pediatrics 2014; 133:e1212.
• 17- Matura LA, Ho VB, Rosing DR, Bondy CA. Aortic dilatation and dissection in Turner syndrome. Circulation 2007; 116:1663.
• 18-Nuenninghoff DM, Hunder GG, Christianson TJ, et al. Incidence and predictors of large-artery complication (aortic aneurysm, aortic dissection, and/or large-artery stenosis) in patients with giant cell arteritis: a population-based study over 50 years. Arthritis Rheum 2003; 48:3522.
• 19-Isselbacher EM. Thoracic and abdominal aortic aneurysms. Circulation 2005; 111:816.
• 20- Ohki M. Thoracic Saccular Aortic Aneurysm Presenting with Recurrent Laryngeal Nerve Palsy prior to Aneurysm Rupture: A Prodrome of Thoracic Aneurysm Rupture? Case Rep Otolaryngol 2012; 2012:367873.
• 21- Muth ER.Motion and space sickness: intestinal and autonomic correlates.Auton Neurosci. 2006;129(1-2):58-66.
• 22- LaCount LT, Barbieri R, Park K, Kim J, Brown EN, Kuo B, Napadow V.Static and dynamic autonomic response with increasing nausea perception.Aviat Space Environ Med. 2011; 82(4):424-33.
• 23-Clouse WD, Hallett JW Jr, Schaff HV, et al. Improved prognosis of thoracic aortic aneurysms: a population-based study. JAMA 1998; 280:1926.
• 24-Coady MA, Rizzo JA, Hammond GL, et al. Surgical intervention criteria for thoracic aortic aneurysms: a study of growth rates and complications. Ann Thorac Surg 1999; 67:1922.
• 25- Erbel R, Aboyans V, Boileau C, et al. ESC Committee for Practice Guidelines. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J 2014 ; 35:2904.
• 26-Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014; 63:e57-58.