Hafif konjenital pulmoner darlık ile ilişkili dev pulmoner arter anevrizması

Öz

Pulmonary artery aneurysm is a rare condition. Poststenotic pulmonary artery dilatation and aneurysm may occur in congenital valvular pulmonary stenosis. We present an 11-year old girl referred to our clinic due to cardiac murmur detected by a physician during evaluation for back pain. We have noted mild congenital pulmonary stenosis and aneurysmatic dilatation of the main pulmonary artery (pulmonary artery diameter 5.6 cm) and performed pulmonary balloon valvuloplasty. Poststenotic aneurysmal dilatation secondary to congenital valvular pulmonary stenosis is a rare clinical entity. Balloon valvuloplasty is a safe and effective treatment method if there is no pulmonary hypertension or congenital heart disease with left-to-right shunt.

Anahtar Kelimeler

• Pulmonary artery aneurysm; pulmonary valve; valvuloplasty.

Giant pulmonary artery aneurysm associated with mild congenital pulmonary stenosis

Öz

Pulmoner arter anevrizması oldukça nadir görülen bir durumdur. Konjenital valvüler pulmoner darlıkta poststenotik pulmoner arter dilatasyon ve anevrizması gelişebilir. Sırt ağrısı şikâyeti ile gittikleri doktor tarafından kalpte üfürüm olması nedeni ile kliniğimize başvuran; pulmoner balon valvüloplasti uyguladığımız, hafif konjenital pulmoner darlık ve ana pulmoner arterde anevrizmatik genişleme ( pulmoner arter çapı; 5.6cm) saptadığımız 11 yaşındaki olguyu sunduk. Doğumsal valvüler pulmoner darlığa seconder poststenotik anevrizmal dilatasyon nadir bir klinik tablodur. Pulmoner hipertansiyon ve soldan-sağa şantlı konjenital kalp hastalığı yoksa balon valvuloplasti güvenli ve etkili bir yöntemdir.

Anahtar Kelimeler

• Anevrizma; kalp; konjenital; pulmoner kapak; valvuloplasti.

Kaynakça

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