Mustafa DAĞLI, Orhan DOĞDU, Tolga ÇAKMAK, Güney SARIOĞLU, Mehmet KOBAT

Atriyal Septal Defekt, Biküspit Aorta, Mental Reterdasyon ve Pektus Ekskavatum Birlikteliği

Bu olgu sunumunda; Mental retarde hastanın nefes darlığı olması üzerine başvurduğu kliniğimizde yapılan değerlendirme sonrası, fizik muayenesinde inspeksiyonda belirgin pektus ekskavatum ve yapılan Ekokardiyografisinde Atriyal septal defekt (ASD) ve biküspid aorta ile uyumlu görünümler tespit edildi. Konjenital anomalileri daha ileri değerlendirme amacı ile hastaya Transözefajiyal ekokardiyografi (TEE) plandı. TEE’de 26 mm sekundum tip ASD, biküspit aorta tespit edildi. Hastadaki ASD’nin perkütan yolla kapamaya uygun olması üzerine hastaya perkütan yolla ASD kapama işlemi uygulandı. Bu tecrübeyle Mental reterdasyon ya da pektus ekskavatum gibi anomalilerde mutlaka şikayet olmasa bile kardiyak yönden de araştırma yapılmasının gerektiğini ve kardiyak anomalilerinde birden fazla olabileceği düşünülerek, anomalilerin birlikteliğine bakılmaksızın kardiyak yönden sıkı bir tarama yapılması gerektiğini göstermek istedik.

Anahtar Kelimeler:

Atrial septal defekt, Mental retardasyon, Bikuspit aorta, pektus ekskavatum

Together With Atrial Septal Defect, Bicuspit Aorta, Pectus Excavatum and Mental Retardation

In this case, patient with mental retardation accepted in our clinic complain with shortness of breath. Then physical examination inspection evident in the pectus excavatum and made Echocardiography Atrial septal defect (ASD) and bicuspid aortic consistent with the view were identified. Congenital abnormalities in patients with the aim of further evaluation of transesophageal echocardiography (TEE) planned. In TEE, 26 mm secundum atrial septal defect, bicuspid aortic valve was detected. Percutaneous transcatheter atrial septal defect closure with septal occluder device. Pectus excavatum, such as mental retardation or even cardiac abnormalities do not complain about aspects of the research must be done. Cardiac abnormalities regardless of the direction of the association needs to be done to show that we have a rigorous screening.

Keywords:

Atrial septal defect, Mental retardation, Bicuspid aortic, Pectus excavatum,

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