66 yaflnda sole Kalsifik Pulmoner Stenozlu ve Esofagus Varis Kanamal Erkek Hasta
Pulmoner kapak stenozu hikayesi olan 66 yaflndaki erkek hasta, solunum sknts ve ani bafllayan a¤zdan koyu kahverengi kanama flikayetlerinin bafllamas ile hastaneye yatrld. Hastanedeki incelemelerinde özofagus varisleri ve karaci¤er sirozu tanlar konuldu. Yaplan de¤erlendirmeler sonucunda izole pulmoner kapak stenozunun karaci¤ er yetmezli¤ine neden oldu¤una karar verildi. Bu yazmzda pulmoner kapaktaki izole kalsifikasyonun fliddetli karaci¤er yetmezli¤i klinik bulgularna ve özofagus varis kanamalarna yol açt¤n bildiren olguyu sunmay amaçladk.
A Case Report: Isolated Calcification of the Pulmonary Valve and Bleeding of the Esophageal Varices
A 66 years-old man with a history of pulmonary valve stenosis was admitted with the complaints of respiratory insufficiency and sudden onset of dark brown bleeding from the mouth. The in-hospital investigation revealed he had esophageal varices and cirrhosis of the liver. Further studies demonstrated that isolated pulmonary valve stenosis was present and this was the only cause of the hepatic failure. This is a case report of an isolated calcification of a pulmonary valve causing development of severe hepatic failure with abrupt bleeding of the esophageal varices.
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- Earing MG, Connolly HM, Dearani JA, Ammash NM, Grogan M, Warnes CA. Long-term follow-up of patients after surgical treatment for isolated pulmonary valve stenosis. Mayo Clin Proc 2005;80(7):871–876.
- Kopecky SL, Gersh BJ, McGoon MD, et al. Long-term outcome of patients undergoing surgical repair of isolated pulmonary valve stenosis: follow-up at 20-30 years. Circulation. 1988;78(5, pt 1):1150-1156.
- Ota T, Okada K, Asano M, Nakagiri K, Okita Y. Isolated pulmonary stenosis in an elderly person: report of a case. Surg Today 2008; 38(12): 1117-9.
- Brock RC. The surgical treatment of pulmonic stenosis. Br Heart J. 1961;23:337-343.
- Gielen H, Daniëls O, van Lier H. Natural history of congenital pulmonary valvar stenosis: an echo and Doppler cardiographic study. Cardiol Young. 1999; 9(2):129-35.