Deniz DEMİR, Kadir ÇEVİKER, Şahin ŞAHİNALP, Baran KARATAŞ, İlker İNCE

Olgu Sunumu: Romatizmal Mitral Kapak Hastalığında Dev Sağ Atriyum

Erişkinlerde atriyumların genişleme ve hipertrofisi özellikle mitral kapak ve triküspit kapağın tutulduğu romatizmal kapak hastalıklarında meydana gelir. Zamanla gelişen atriyal genişleme, ritim bozuklukları ve emboli olaylarına neden olur. Bu olguda, 40 yaşındaki erkek hastanın romatizmal kalp hastalığı zemininde gelişen mitral darlık, mitral yetersizlik, pulmoner hipertansiyon ve triküspit yetersizliği sonucu 12x10 cm boyutlarına ulaşan dev sağ atriyumunun, başarılı bir şekilde mitral kapak replasmanı, Maze-IV radiofrekans ablasyonu, sağ atriyoplasti ve De vega anuloplasti uygulaması sunulmuştur.

Anahtar Kelimeler:

Sağ Atriyum; Mitral darlık; Romatizmal Kalp Hastalığı

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Dilation and hypertrophy of the atria occur in patients with valvular heart disease especially in mitral regurgitation, mitral stenosis or tricuspid abnormalities. Dilatation of the atriums which occurs slowly in time, becomes evident with ritim disturbances and embolic events. We report a case of an unusual giant right atrium in context of rheumatic mitral stenosis, mitral regurgitation, pulmonar hypertansion and severe tricuspid regurgitation in a 40-year-old man who underwent succesfull operations as mitral valve replacement, Maze-IV radiofrequency ablation, right atrium atrioplasty and De Vega anuloplasty.

Keywords:

Right Atrium, Mitral Stenosis Rheumatic Heart Disease.,

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Ariyarajah V, Soni A, Morris A. Giant right atriyum in an adult. Echocardiography 2008; 25(10):1121–1123.
Anzouan-Kacou JB, Konin C, Coulibaly I, N'guetta R, Adoubi A, Soya E, Boka B. Unusual Giant Right Atriyum in Rheumatic Mitral Stenosis and Tricuspid Insufficiency. Case Reports in Cardiology. 2011(Erişim Tarihi: 20.10.2013) http://www.hindawi.com/crim/cardiology/2011/762873/
Kühn A, Schreiber C, Hausleiter J, Vogt M.Giant right atriyal aneurysm in a symptomatic adult—a rare congenital malformation. European Heart Journal 2006;27(20):2375.
Surani S, Surani A, Tiron J. Giant Right Atriyum Secondary to Mitral Stenosis. Cril Care & Shock 2009;12:51.
Binder TM, Rosenhek R, Frank H, Gwechenberger M, Maurer G, Baumgartner H. Congenital malformations of the right atriyum and the coronary sinus: an analysis based on 103 cases reported in the literature and two additional cases. Chest 2000;117:1740-1748.
Staubach P. Large right atriyal aneurysm: rare cause of recurrent pulmonary embolism. Z Kardiol 1998;87:894-899.
Joshi P, Pohlner P. Right atriyal aneurysm treated with atrioplasty without using cardiopulmonary bypass in an infant. European Journal of Cardio-thoracic Surgery 2005;28:343–345.
Romano MA, Bach DS, Pagani FD, Prager RL, Deeb GM, Bolling SF. Atriyal reduction plasty Cox maze procedure: extended indications for atriyal fibrillation surgery. Ann Thorac Surg 2004;77(4):1282-1287.
Masuda S, Saiki Y, Itoh K, Sadahiro M. Surgical treatment of congenital right atriyal aneurysm in an adult patient. Jpn J Thorac Cardiovasc Surg 2004;52(5):254–256.
Gomes S, Wolfenden H, Lambros J.Giant right atrium in an adult: case report of a rare condition.Heart Lung Circ. 2012;21(1):50-52.
Duran EN, Ertürk E, Gündüz S, Özkan M. Yaşlı bir hastada sağ atriyum apendiks anevrizması. Türk Kardiyol Dern Arş 2009;37(2):122-124.
Roberts W. C, Humphries J. O, Morrow A. G. Giant right atriyum in rheumatic mitral stenosis. Atriyal enlargement restricted by mural calcification. American Heart Journal 1970;79(1):28–35.