Transatrioseptal yolla mitral kapak cerrahisi

Abstract

1980-1990 yılları arasında İstanbul Göğüs Kalp ve Damar Cerrahisi Merkezi'nde 83 olguya transatrial septal yolla mitral kapaga cerrahi girişimde bulunulmuştur. Olguların 49 tanesi kadın (% 59), 34 tanesi erkek (% 41), yaş dağılımı kadınlarda ortalama 30 ( 19-40), erkeklerde 36 (21- 50), olguların cerrahi anatomik dağılımı 29 olgu daha önce mitral commissurotomy geçmiş (% 34), 23 olguda mitral yetmezligi (% 27. 7), 34 olguda mitral darlığı, mitral yetmezligi mevcuttu. İlave lezyon olarak( 7 glguda atrial septal defekt (% 8.4), 43 olguda triküspid yetmezliği vardı (% 51.8). Cerrahi girişim olarak 75 olguya mitrale mekanik yapay kapak (% 90.3), 4 olguya bioprotez (% 4.8), 3 olguya açık commissurotomy, 1 olguya carlos duran ring annuloplasty uygulanmış, 7 olguda ASD yama ile tamir edilmiş, 43 olguda aynı anda triküspit kapağa müdahale edilmiş (2 olguya mekanik kapak, 28 olguya dewege annuloplasti, 3 olguya puig massana annuloplasty, 1 olguya bioprotez takılmıştır). Postop dönemde 2 olguda A-V tam blok oluşarak kalıcı pacemaker implantasyonu gerektirmiştir. Tüm olgularda mortalite % 6.02'dir.In istanbul thoracic and cardiovascular surgery center, in the years of 1980-1990, 83 mitral valve procedures were performed by transatrial septal way. 49 of the cases were female (% 59) and 34 were male (% 41), mean age were 30 (19-40) in females and 36 (23-50) in males, surgical anatomical findings of the cases were: 29 had mitral commissurotomy (% 34), 23 had mitral failure (% 27.7), 34 had mitral stenosis and mitral failure both, additional to these, there were 7 ASD cases (% 8.4) and 43 tricuspid failure (% 51.8). As a surgical procedure 75 cases had mechanical valve (% 90.3).4 cases had bioprosthesis (% 4.8), 3 had commissurotomy, one had carlos duran ring annuloplasty, in 7 cases ASD was repaired by a patch and in 43 on intervention to tricuspid va/ve was achieved at the same time. At the end of the procedure in two of them, a pemıanent pacemaker was required as a result of AV complet block, mortality was % 6.02 in all of cases .