Alparslan ÜNSAL, Can ZAFER KARAMAN, Eda KAZAK

AORT KOARKTASYONUNA EŞLİK EDEN SAKKÜLER İNEN AORT ANEVRİZMASI

Aortun konjenital darlığı olan aort koarktasyonu, sıklıkla inen aortun proksimal kesimini tutar. Aortkoarktasyonuna eşlik eden serebral anevrizmalar ve koarkte segmentin proksimalindeki aort anevrizmaları,göreceli sık rastlanan komplikasyonlar arasında yer alırlar ve aortik rüptür ve anerizma rüptürü gibi ölümcülsonuçlara neden olabilirler. Cerrahi tedavi uygulanan olgularda görülen psödoanevrizmalar da koarktasyon ileilişkili ve sık görülen komplikasyonlar arasında sayılabilir. Bununla birlikte, koarkte segmentin distalindesakküler ya da fuziform yapıda aort anevrizması görülmesi nadir bir durumdur. Bu yazıda; göğüs ağrısı vesolunum güçlüğü nedeniyle araştırılırken aort koarktasyonu ve distal ucunda sakküler aort anevrizması saptanan75 yaşındaki erkek hasta, bilgisayarlı tomografi bulguları ile sunulmaktadır

Anahtar Kelimeler:

aort koarktasyonu, sakküler aort anevrizması, bilgisayarlı tomografi, anjiografi

Saccular Distal Aorta Aneurysm Accompanying Aortic Coarctation

Aortic coarctation is the congenital narrowing of aorta and is usually located at the level of proximal descending aorta. Aortic aneurysms proximal to the coarcted segment and cerebral aneurysms are frequently associated with coarctation of aorta and rupture of these lesions lead to fatal consequences. Another complication accompanying coarctation is the pseudo-aneurysm seen in surgically corrected coarctation. However, saccular or fusiform aortic aneurysm distal to the coarcted segment is a very rare condition. In this paper; computed tomography findings were presented in a 75-year-old man with saccular aneursm of the descending aorta associated with aortic coarctation.

Keywords:

coarctation of aorta, saccular aortic aneurysm, computed tomography, angiography,

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