Hasan UNCU, Mehmet ACIPAYAM, Faruk BAŞDOĞAN, İbrahim ÖZSÖYLER, Onur Kadir UYSAL

Surgical treatment of a left atrial rupture during transcatheter atrial septal defect closure: a case study

Bu yazıda atriyal septal defektin (ASD) perkütan kapatılması sırasında sol atriyum yaralanması gelişen ve acil cerrahi girişimde bulunulan 37 yaşında erkek bir olgu sunuldu. Hasta koroner anjiyografi laboratuvarında sekundum tip ASD’nin transkateter kapatılması esnasında tamponad gelişmesi üzerine acil ameliyata alındı. Medyan sternotomiyi takiben perikard açıldı. Yapılan eksplorasyonda sol atrium tavanında rüptür olduğu ve bu bölgeden aktif kanama olduğu görüldü. Bir santimetrelik rüptüre sol atriyum tavanı 4/0 prolen ile primer kapatıldıktan sonra, sekundum tip ASD primer olarak kapatıldı. Ameliyat sonrası takipleri sorunsuz seyreden hasta 5. günde taburcu edildi.

Transkateter atriyal septal defekt kapatılması esnasında gelişen sol atriyal rüptürün cerrahi tedavisi: Olgu sunumu

In this article, we report a 37-year-old male case who underwent an emergency surgery of injured left atrium by transcatheteral closure of atrial septal defect (ASD). The patient underwent an urgent surgery when he developed tamponade during the transcatheteral closure of the secundum ASD at the coronary angiography laboratory. After median sternotomy, pericardium was opened. The exploration revealed ruptured left atrial roof and active bleeding at this region. One centimeter diameter ruptured left atrial ceiling was primarily closed by 4/0 prolene, followed by the primary closure of the secundum ASD. Postoperative period was uneventful and the patient was discharged on the fifth postoperative day.

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