Murat DEMİRTAŞ, Batuhan ÖZAY, Rafet GÜNAY, Serdar ÇİMEN, Bülent KETENCİ

Atriyal septal defekt: Dünü, bugünü, yarını

Atriyal Septal Defekt, atriyal septumun herhangibir bölgesinde, sol ve sağ atriyumlar arasında anormal şanta izin veren, iki atriyumun birbiriyle bağlantılı olması şeklinde tanımlananan bir defekttir. İzole olmasına rağmen major kardiyak anomalilerde de bulunabilir. Asemptomatik olabileceği gibi infant döneminde konjestif kalp yetmezliği bulgusu verebilecek kadar ileri düzeyde de olabilir. Medikal takip ile operasyon gerektirebilecek yelpaze içerisinde tedavisi mevcuttur. Tedavi seçimi yapılırken hastanın semptomları, yandaş komplikasyonları göz önünde bulundurularak karar verilir. Cerrahi tedavi her yaşta uygulanabileceği gibi düşük operasyon riski ve mükemmel uzun dönem sonuçları ile standard tedavi seçimi olmayı sürdürmektedir. Yine günümüzde perkutan transkataler ile defektin kapatılması giderek artan sıklıkta uygulanan bir tedavi seçeneği olmuş ve gelecekte uygun hasta gruplarında ilk tedavi seçeneği olacak gibi görünmektedir.

Atrial septal defect: Its past, present, and future

Atrial Septal Defekt is the interatrial defect that occurs in atrial septum that leads to an abnormal shunting. Although it can be seen mostly as an isolated anomaly, it can also appear with major cardiac anomalies. It occurs mostly asymptomatic, however in infantile period congestive heart failure can be seen. The treatment of ASD ranges from medical to surgical treatment. The symptoms and comorbidities help us to evaluate the way of treatment. As can be performed in all ages with less risk and excellent long term results, surgery is the standard treatment. Nowadays, percutaneous transcatheter closure of the defect becomes a popular way of treatment and it seems that it will be the first choice of treatment for suitable cases in near future.

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