İlker YÜCEL, Ahmet ÇELEBİ, Numan Ali AYDEMİR, Abdullah ERDEM, Halil DEMİR

Kavopulmoner anastomoz sonrası persistan plevral efüzyon gelişen bir olguda antegrad pulmoner kan akımın transkateter yolla kapatılması

Glenn anastomozu gerçekleştirilerek palyasyon sağlanan üniventriküler tamir adayı hastalarda, antegrad pulmoner kan akımının korunması halen tartışmalıdır. Bu yazıda, üç yaşındaki kız çocuğunda antegrad pulmoner kan akımı korunarak, kavopulmoner anastomoz gerçekleştirildi. Tekrarlayan plevral efüzyon ve vena kava superior sendromu için yapılan kalp kateterizasyonunda, pulmoner arter ortalama basıncının (27 mmHg) Glenn anastomozu için oldukça yüksek olduğu izlendi. Antegrad pulmoner kan akımı transkateter yoldan Cardio-Fix Dukt okluder ile kapatıldıktan sonra, pulmoner arter ortalama basıncının (17 mmHg) Glenn anastomozu için kabul edilebilir düzeye inmesi sağlandı.

Transcatheter closure of antegrade pulmonary blood flow in a case withpersistent pulmonary effusion following cavopulmonary anastomosis

Preserving antegrade pulmonary blood flow in patients who are candidates for univentricular repair and receive palliation by the Glenn anastomosis is still controversial. In this article, a three-year-old girl underwent cavopulmonary anastomosis with preserved antegrade pulmonary blood flow. Cardiac catheterization performed for repetitive pleural effusions and superior vena cava syndrome revealed that the mean pulmonary artery pressure was quite elevated (27 mmHg) for Glenn anastomosis. The mean pulmonary arterial pressure was decreased to an acceptable level (17 mmHg) for Glenn anastomosis, by transcatheter occlusion of antegrade pulmonary blood flow using a Cardio-Fix Duct occluder. Key words:

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