BibTex RIS Kaynak Göster

Reversible Congestive Heart Failure After Percutaneous Closure of a Large PDA in a 34-Year-Old Woman

Yıl 2010, Cilt: 13 Sayı: 2, 24 - 25, 01.02.2009

Öz

Patent ductus arteriosus is a congenital heart disease which can cause chronic volume overload leading to congestive heart failure. A 34-year-old woman with rest dyspnea was found to have patent ductus arteriosus and echocardiogram revealed a markedly dilated left ventricle (8.9 cm) and severely-compromised left ventricle systolic functions (ejection fraction~24%). The patent ductus arteriosus was successfully closed percutaneously with Amplatzer occluder device. The patient was discharged on optimal dosages of ramipril, metoprolol, furosemide, spiranolactone and aspirin. On the follow-up after 18 months, the symptoms were found to have regressed and echocardiographic parameters improved (ejection fraction~55%).

Kaynakça

  • 1. Ussia GP, Massimiliano M, Caruso E, Tamburino AR. Combined endothelin receptor antagonist and transcatheter interventional therapy of patent ductus arteriosus with severe pulmonary hypertension. Int J Cardiol 2007;116:427–29.
  • 2. Hokanson JS, Gimelli G, Bass JL. Percutaneous Closure of a Large PDA in a 35-Year-Old Man with Elevated Pulmonary Vascular Resistance. Cong Heart Dis 2008;3:149–54
  • 3. Yan C, Zhao S, Jiang S, Xu Z, Huang L, Zheng H, et al. Transcatheter closure of patent ductus arteriosus with severe pulmonary arterial hypertension in adults. Heart 2007;93:514–18
  • 4. Cheng V, Kazanagra R, Garcia A, Lenert L, Krishnaswamy P, Gardetto N, et al. A rapid bedside test for B-type peptide predicts treatment outcomes in patients admitted for decompensated heart failure: a pilot study. J Am Coll Cardiol 2001;37:386 –91.
  • 5. Dickstein K, Solal AC, Filippatos G, McMurray JJV, Ponikowski P, Poole-Wilson PA, et al. ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008. Eur J Heart Fail. 2008;10:933-89

34 Yafl›ndaki Kad›n Hastada Genifl PDA'n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi

Yıl 2010, Cilt: 13 Sayı: 2, 24 - 25, 01.02.2009

Öz

Konjenital bir kalp hastal›¤› olan patent duktus arteriyozus (PDA) kronik volüm yüküne ba¤l› olarak konjestif kalp yetersizli¤ine neden olabilmektedir. 34 yafl›nda istirahatde nefes darl›¤› olan bir kad›n hastada PDA ile ekokardiyografik olarak ileri derece dilate solventrikül (8.9 cm) ve bozulmufl sol ventrikül sistolik fonksiyonu saptad›k (ejeksiyon fraksiyon~24%). Patent duktus arteriyozus Amplatzer t›kay›c› alet ile baflar›l› bir flekilde kapat›ld›. Hasta optimum doz ramipril, metoprolol, furosemide, spiranolactone ve aspirin tedavisi ile taburcu edildi. 18 ayl›k takip sonucunda semptomlarda gerileme ve ekokardiyografik parametrelerde düzelme saptand›.

Kaynakça

  • 1. Ussia GP, Massimiliano M, Caruso E, Tamburino AR. Combined endothelin receptor antagonist and transcatheter interventional therapy of patent ductus arteriosus with severe pulmonary hypertension. Int J Cardiol 2007;116:427–29.
  • 2. Hokanson JS, Gimelli G, Bass JL. Percutaneous Closure of a Large PDA in a 35-Year-Old Man with Elevated Pulmonary Vascular Resistance. Cong Heart Dis 2008;3:149–54
  • 3. Yan C, Zhao S, Jiang S, Xu Z, Huang L, Zheng H, et al. Transcatheter closure of patent ductus arteriosus with severe pulmonary arterial hypertension in adults. Heart 2007;93:514–18
  • 4. Cheng V, Kazanagra R, Garcia A, Lenert L, Krishnaswamy P, Gardetto N, et al. A rapid bedside test for B-type peptide predicts treatment outcomes in patients admitted for decompensated heart failure: a pilot study. J Am Coll Cardiol 2001;37:386 –91.
  • 5. Dickstein K, Solal AC, Filippatos G, McMurray JJV, Ponikowski P, Poole-Wilson PA, et al. ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008. Eur J Heart Fail. 2008;10:933-89
Toplam 5 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Ramazan Karg›n Bu kişi benim

Soe Moe Aung Bu kişi benim

Ozkan Candan Bu kişi benim

Nihal Ozdemir Bu kişi benim

Yunus Emiro¤lu Bu kişi benim

Yayımlanma Tarihi 1 Şubat 2009
Yayımlandığı Sayı Yıl 2010 Cilt: 13 Sayı: 2

Kaynak Göster

APA Karg›n, R. ., Aung, S. M. ., Candan, O. ., Ozdemir, N. ., vd. (2009). 34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi. Koşuyolu Kalp Dergisi, 13(2), 24-25.
AMA Karg›n R, Aung SM, Candan O, Ozdemir N, Emiro¤lu Y. 34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi. Koşuyolu Kalp Dergisi. Şubat 2009;13(2):24-25.
Chicago Karg›n, Ramazan, Soe Moe Aung, Ozkan Candan, Nihal Ozdemir, ve Yunus Emiro¤lu. “34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi”. Koşuyolu Kalp Dergisi 13, sy. 2 (Şubat 2009): 24-25.
EndNote Karg›n R, Aung SM, Candan O, Ozdemir N, Emiro¤lu Y (01 Şubat 2009) 34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi. Koşuyolu Kalp Dergisi 13 2 24–25.
IEEE R. . Karg›n, S. M. . Aung, O. . Candan, N. . Ozdemir, ve Y. . Emiro¤lu, “34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi”, Koşuyolu Kalp Dergisi, c. 13, sy. 2, ss. 24–25, 2009.
ISNAD Karg›n, Ramazan vd. “34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi”. Koşuyolu Kalp Dergisi 13/2 (Şubat 2009), 24-25.
JAMA Karg›n R, Aung SM, Candan O, Ozdemir N, Emiro¤lu Y. 34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi. Koşuyolu Kalp Dergisi. 2009;13:24–25.
MLA Karg›n, Ramazan vd. “34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi”. Koşuyolu Kalp Dergisi, c. 13, sy. 2, 2009, ss. 24-25.
Vancouver Karg›n R, Aung SM, Candan O, Ozdemir N, Emiro¤lu Y. 34 Yafl›ndaki Kad›n Hastada Genifl PDA’n›n Perkütan Yolla Kapat›lmas›yla Konjestif Kalp Yetersizli¤inin Gerilemesi. Koşuyolu Kalp Dergisi. 2009;13(2):24-5.