Sağ Atriyal Trombüsü ve Pulmoner Embolisi Olan 81 Yaşındaki Hastada Cerrahi Trombektomi

Yıl 2014, Cilt: 5 Sayı: 7, 200 - 202, 01.07.2014

İhsan Alur İ. Doğu Kılıç Fahri Adalı Hayati Taştan Tevfik Güneş İbrahim Gökşin

Öz

Giriş: Sağ atriyumda trombüs varlığı pulmoner emboli için
potansiyel risk taşır. Akut pulmoner embolili hastaların %3-
23’ünde serbest (hareketli) trombüs görülebilir. Tespit edildiğinde
hemen tedavi başlatılmalıdır. Akut pulmoner embolili hastalarda
medikal ya da cerrahi tedavi yöntemleri uygulanabilir.
Olgu Sunumu: Bu yazıda ani başlayan solunum güçlüğü, taşipne,
taşıkardi nedeniyle yapılan transtorasik ekokardiyografide sağ
atriyumda trombüs ve ana pulmoner arter bifurkasyonunda
lokalize trombüs saptanan, cerrahi tromboembolektomi
yaptığımız 81 yaşında olguyu sunmak istedik.
Sonuç: Sonuç olarak akut pulmoner emboli yaşamı tehdit eden ve
tanı konduğunda erken müdahale gerektiren tıbbi acillerdendir

Anahtar Kelimeler

Sağ atriyum, pulmoner embolizm, cerrahi trombektomi

Surgical Thrombectomy in an 81-Year-Old Patient with Right Atrial Thrombus and Pulmonary Embolism

Öz

Introduction: Right atrial thrombus carries a potential risk for pulmonary embolism; 3%-23% of patients with acute pulmonary embolism have mobile thrombus, and treatment should be started immediately once a diagnosis is made. In patients with acute pulmonary embolism, medical and surgical methods of treatment can be applied.Case Report: In this report, we had an 81-year-old patient who presented with sudden onset of shortness of breath, tachycardia, and tachypnea. Echocardiography showed thrombus in the right atrium and another one in the pulmonary trunk at the site of the bifurcation. The patient underwent surgical thrombectomy, with resolution of symptoms.Conclusion: In conclusion, acute pulmonary embolism is a lifethreatening medical emergency condition that when diagnosed early intervention is necessary

Anahtar Kelimeler

Right atrium, pulmonary embolism, surgical thrombectomy

Kaynakça

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