Şevket BALLI, İlker Kemal YÜCEL, Ahmet ÇELEBİ

Transcatheter closure of an aortico-left ventricular tunnel using Amplatzer® Vascular Plug II

Aortiko-sol ventriküler tünel, aortik kapağı baypas eden ve sol ventriküle sınırsız diyastolik akıma neden olan, çıkan aort ve sol ventrikül arasındaki anormal iletişimden kaynaklanır. Standart tedavi yaklaşımı, asemptomatik hastalarda bile tanıdan hemen sonra tünelin cerrahi olarak kapatılmasıdır. Aortiko-sol ventriküler tünelin cihazla kapatılması konusunda birkaç yazı olsa da, bildiğimiz kadarıyla Amplatzer® Vascular Plug II kullanılarak aortiko-sol ventriküler tünelin başarıyla kapatılmasını bildiren ilk yazı budur.

Aortiko-sol ventriküler tünelin Amplatzer® Vascular Plug II kullanılarak transkateter kapatılması

An aortico-left ventricular tunnel results from abnormal communication between the ascending aorta and the left ventricle, bypassing the aortic valve and causing unrestricted diastolic run-off to the left ventricle. The standard approach involves surgically closing the tunnel immediately following diagnosis, even in asymptomatic patients. Although a few reports exist regarding closure of the aortico-left ventricular tunnel with device, to our knowledge, this is the first article to report on the successful closure of aortico-left ventricular tunnel using an Amplatzer® Vascular Plug II.

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