Türkay SARITAŞ, Ahmet ÇELEBİ, Numan Ali AYDEMİR, Abdullah ERDEM, Halil DEMİR

Basit büyük arter transpozisyonlu dört aylık olguda duktal stent implantasyonu ile sol ventrikülünün kondüsyone edilmesi sonrası başarılı

Büyük arter transpozisyonu olan olgularda arteriyel switch ameliyatı ilk tercih edilmesi gereken tedavi şeklidir. Ancak gelişmekte olan ülkelerde sık rastlanan bir sorun, hastaların bu ameliyatın başarıyla yapılabileceği dönemden sonra başvurmalarıdır. Bu yazıda komşu bir ülkeden dört aylık iken, merkezimize gönderilen ve arteriyel switch ameliyatı şansını yitirmek üzereyken duktal stent implantasyonu gerçekleştirilerek sol ventrikül performansı bu ameliyat için daha iyi hale getirildikten sonra ameliyat yapılan bir olgu sunuldu. Arteriyel switch ameliyatının riskli olacağının düşünüldüğü geç başvuran olgularda duktal stent implantasyonu ile sol ventrikülün kondisyone edilmesi, ameliyat öncesi bu riski azaltan bir seçenek olabilir.

Successful arterial switch procedure following ductal stent implantation for left ventricular conditioning in a four month-old case with simple transposition of the great arteries

Arterial switch operation is the primary treatment of choice for simple transposition of the great arteries. However, a common problem in developing countries is late admission of the patients for a successful arterial switch procedure. In this article, we report a case from a neighboring country admitted to our hospital at four months-of-age and was about to lose his candidacy for an arterial switch operation at the time of admittance, who underwent ductal stent implantation for a better left ventricular performance prior to surgical correction. Ductal stent implantation for left ventricular conditioning may be an option for the cases who present late and are considered to be risky candidates for arterial switch operation at the time of their presentation.

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