Alper KARARMAZ, Selim İSBİR, Yaşar BİRKAN, Emre ELÇİ, Koray AK

Direkt aortik transkateter aort kapak implantasyonu

Ciddi aort darlığı olan geleneksel cerrahi için yüksek riskli olarak kabul edilen hastalarda transkateter aort kapak imp- lantasyonu (TAVİ), yeni bir tedavi yöntemi olarak uygu- lanmaya başlanmıştır. Son yıllarda TAVİ, tüm dünyada olduğu gibi, ülkemizde de yaygın bir şekilde uygulanmak- tadır. Transkateter aort kapak implantasyonunda transaor- tik yaklaşım, kötü periferal damarları olan hastalarda yeni bir yaklaşımdır. Bu makalede, eşlik eden birçok hastalık ile ciddi aort darlığı ve koroner arter hastalığı bulunan ve ülkemizde ilk defa gerçekleştirilen transaortik TAVİ ile kombine atan kalpte koroner baypas ameliyatı yapılan 82 yaşında bir kadın olgu sunuldu.

Direct transaortic transcatheter aortic valve implantation

Transcatheter aortic valve implantation (TAVI), has emerged as a new treatment option in patients with severe aortic stenosis who are considered to be high-risk for conventional surgery. In recent years, TAVI has been widely used in Turkey as in all the world. Transaortic approach for TAVI is a new approach in patients with poor peripheral vessels. In this article, we report a 82-year-old female case with severe aortic stenosis and coronary artery disease presenting with several comorbidities who was treated with direct transaortic TAVI and off-pump coronary artery bypass grafting for the first time in Turkey.

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