Yuksel BESİR, Levent YİLİK, Orhan GOKALP, Sahin BOZOK, Banu LAFCİ, İsmail YUREKLİ, Ufuk YETKİN, Ali GURBUZ

SOL VENTRİKÜL FONKSİYONLARI İLERİ DERECEDE BOZULMUŞ AORT YETMEZLIĞI HASTALARINDA CERRAHİ: AORT KAPAK REPLASMANI İÇİN ÖNEMLİ BİR SORUN

Bu çalışmada sol ventrikül fonksiyonları ileri derecede bozulmuş aort yetmezlikli hastalarda yapılan aort kapak replasman ameliyatlarının uzun dönem sonuçlarını incelemeye çalıştık. 2001 – 2003 yılları arasında sol ventrikül fonksiyonları ileri derecede bozulmuş aort yetmezliği nedeniyle opera edilen 29 hasta çalışmaya dahil edildi. Bu retrospektif çalışmada daha önceden kaydedilmiş ekokardiyografik değerleri 1., 12. , 36.ve 60. ay değerlendirildi. Ortalama sol ventrikül end sistolik çapı preoperatif 65.8mm iken postoperative 12.ayda 40.3mm, 36.ayda 45.1mm ölçüldü ve istatistiksel olarak bu değişim anlamlı bulundu. p

Anahtar Kelimeler:

sol ventrikül, aort yetmezliği, disfonksiyon, kardiyak koruma

SURGERY ON SEVERE AORTIC INSUFFICIENCY WITH HIGHLY ENLARGED LEFT VENTRICLE: IS THIS A REAL PROBLEM FOR AORTIC VALVE REPLACEMENT

In this study, we investigated the long term results of aortic valve replacements performed on patients with aortic insufficiency whose left ventricular functions were severely impaired. Twenty nine patients with aortic insufficiency that were operated between April 2001 and May 2003, whose left ventricular functions were severely impaired, were included in this study. In this retrospective study, previously recorded preoperative and postoperative 1st, 12th, 36th and 60th months echocardiographic examinations were evaluated for long term cardiac functions. Mean left ventricular end-systolic diameter LVESD was 65.8 mm preoperatively, whereas it was calculated as 40.3 mm in the 12th month and 45.1 mm in the 36th month, postoperatively. This difference was statistically significant p

Keywords:

left ventricle, aortic regurgitation, dysfunction, myocardial protection,

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