Ömer TANYELİ, İlker MERCAN, Özgür ALTINBAŞ, Volkan Burak TABAN, Erdal EGE

63 YAŞINDAKİ HASTADA AORT STENOZUNUN EŞLİK ETTİĞİ AORT KOARKTASYONUNUN İKİ AŞAMALI CERRAHİ TEDAVİSİ

Aort koarktasyonu genellikle çocuklukta ve ergenliğin erken dönemlerinde teşhis edilen ve düzeltilen konjenitalvasküler bir lezyondur. Aort koarktasyonu olan ve tedavi edilmeyen hastaların çoğu 50 yaşından önce ölür. Koarktasyonun, kardiyak lezyonlarla birliktelik gösterdiği durumlar, farklı patolojilerin farklı stratejilerle cerrahi tedavisini gerektiren karmaşık bir klinik durumdur. Bu çalışmada 63 yaşındaki erkek hastada ciddi aort stenozunun eşlik ettiği aort koarktasyonunun, aort kapak replasmanı ve aorto-subklaviyan baypastan oluşan iki aşamalı cerrahi tedavisini sunduk.

TWO STAGED SURGICAL TREATMENT OF AORTIC COARCTATION ACCOMPANIED BY AORTIC STENOSIS IN A 63-YEAR-OLD PATIENT

Aortic coarctation is a congenital vascular lesion, usually diagnosed and corrected in childhood or early adulthood. Most of the untreated patientswith aortic coarctation die before the age of 50 years. Coarctation with cardiac lesions is a complex clinical situation that necessitates surgicaltreatment of different pathologies with different strategies.In this, study we report two-staged surgical treatment of aortic coarctation with severe aortic stenosis consist of aortic valve replacement and aortosubclavian bypass in a 63-year-old male patient.

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