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Ventriküler septal rüptür, miyokard enfarktüsünün en önemli ve hayatı tehdit eden mekanik komplikasyonlarından biridir. Özellikle posterior miyokard enfarktüsü sonrası oluşan infero-posterior ventriküler septal defekt daha ağır bir klinik durumdur ve cerrahi tedavisi daha zordur. Miyokard enfarktüslü erişkin bir hastada posterior ventriküler septumda ventriküler septal defekt bulundu. Pulmoner ödem gelişen hastaya, miyokard enfarktüsüne ek, mekanik komplikasyon olarak gelişen ventriküler septal rüptür tanısı konuldu. Ancak cerrahi tedavide miyokard enfarktüsüne bağlı mekanik bir komplikasyon olarak ventriküler septal rüptür izlenmezken, hastanın koroner arter hastalığına eşlik eden doğuştan ventriküler septal defekt olduğu belirlendi. Konjenital posterior ventriküler septal defekt sağ atriyotomi yaklaşımıyla Dacron yama kullanılarak başarılı bir şekilde kapatıldı. Literatürde daha önce böyle bir vaka ile karşılaşmadığımız için bu vakayı sunmak istedik.
Ventricular septal rupture is one of the most important and life-threatening mechanical complications of myocardial infarction. Infero-posterior ventricular septal defect, especially after posterior myocardial infarction, is a more severe clinical condition and the surgical treatment is more difficult. In an adult patient with myocardial infarction, a ventricular septal defect was found in the posterior ventricular septum. The patient developing pulmonary obesity, in addition to myocardial infarction, was diagnosed with ventricular septal ruptura, which develops as a mechanical complication. However, as a mechanical complication associated with myocardial infarction in surgical treatment, ventricular septal reptures are not observed, the patient has been found to have a birth ventricular septal defect accompanied by coronary artery disease. Congenital posterior ventricular septal defect was successfully closed using the Dacron shell with the right atriotomy approach. We wanted to present this case in literature because we have never met such a case before.
Ventricular septal rupture is one of the most important and life-threatening mechanical complications of myocardial infarction. In particular, infero-posterior ventricular septal defect occurring after posterior myocardial infarction is a more catastrophic clinical condition and surgical treatment is more difficult. In an adult patient with myocardial infarction, a ventricular septal defect was found in the posterior ventricular septum. The patient developed pulmonary edema was diagnosed with ventricular septal rupture as a mechanical complication in addition to myocardial infarction. However, while it was observed that ventricular septal rupture did not occur as a mechanical complication due to myocardial infarction in surgical treatment, and it was determined that the patient had a congenital ventricular septal defect accompanying coronary artery disease. Congenital posterior ventricular septal defect was successfully closed with a Dacron patch via right atriotomy. Since we have not encountered such a case in the literature before, we want to present this case
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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