Mustafa DAĞLI, Orhan DOĞDU, Tolga ÇAKMAK, Murat HARMAN, Mehmet KOBAT

Transözefageal Ekokardiyografi Yaparken Görülen İskemik Serebrovasküler Olay

Tekrarlayan iskemik serebrovasküler olay öyküsü olan hastaya yapılan transtorasik ekokardiyografide sol atriyumda trombüs ile uyumlu görünüm izlendi. Bunun üzerine hastaya transözefagial ekokardiyografi (TEE) planlandı. TEE’de sol atriyumda saplı, 30x31mm boyutunda, heterojen trombüs ile uyumlu görünüm izlendi. TEE sırasında genel durumu kötüleşen sonrası iskemik serebrovasküler olay teşhisi konuldu. Bu tecrübeyle TEE sırasında yapılan öğürme ve vagal manevraların sol taraflı kitlelerin kopup inmeye neden olabileceğini göstermek istedik.

Anahtar Kelimeler:

iskemik serebrovasküler olay; sol atriyal trombüs; Transözefajiyal ekokardiyografi

Ischemic Cerebrovascular Event during Transesophageal Echocardiography

In patient with recurrent ischemic cerebrovascular events, left atrial thrombus have showed by transthoracic echocardiography and then we have planned by transesophageal echocardiography (TEE). In TEE, thrombus. demonstrated as 30x31mm in size, heterogeneous. The patient was worsened during the evaluation and we diagnosed cerebrovascular event.This experience made that during TEE retching and vagal maneuvers may cause stroke.

Keywords:

Ischemic cerebrovascular events, left atrial thrombus transesophageal echocardiography,

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