S. TALAY, M. A. KAYGIN, Ö. DAĞ, B. ERKUT

Aneurysm of membranous septum as a long-term complication of mechanical aortic valve replacement

Biz bu yazıda mekanik aort kapak replasmanı yapılan bir hastada postoperatif birinci yılında gelişen interventriküler membranöz septumun anevrizması olgusunu sunduk. Mevcut anevrizma mekanik kapakta fonksiyonel bir bozulmaya neden olarak aort kapağa ait yüksek bir gradiente ve kapakta kaçağa sebep olmuştur. Hastadaki nörolojik durum bozukluğu nedeniyle cerrahi olarak anevrizmektomi ya da yeni kapak protez uygulamasına gidilmemiştir. Bu olguda hastaya ait klinik ve ekokardiyografik değerlendirme bulgularından bahsetmekteyiz

Mekanik aort kapak replasmanının uzun dönem bir komplikasyonu olarak membranöz septum anevrizması

We report a case of an unusual morphological complication of a mechanical aortic valve replacement which was observed as an aneurysm formation from the interventricular membranous septum during the first postoperative year. The aneurysm resulted in a functional impairment of the mechanical prosthesis with elevated pressure gradients and valve leak. However, due to the severe neurological status of the patients emergent administration, an aneurysmectomy and/or renewal of aortic valve prosthesis was not possible. We hereby present the clinical and echocardiographical evaluation of the case.

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