Hipertrofik Obstrüktif Kardiyomiyopati ve Cerrahi Tedavisi
Yaman ZORLUTUNA1, C.Levent BİRİNCİOĞLU1, Oğuz TAŞDEMİR1, Cevat YAKUT1, Ahmet ERALP1, Kemal BAYAZIT1Türkiye Yüksek İhtisas Hastanesi, Ankara1968-1989 yılları arasında T.Y.İ.H. Kardiyovasküler Cerrahi Kliniğinde 19 hipertrofik obstrüktif kardiyomiyopati olgusuna cerrahi tedavi uygulandı. 7 kadın, 12 erkek hastanın yaş ortalaması 26 olup, yaş dağılımı 6-55 arasındaydı. Hastaların ventrikül-aorta arası sistolik gradienti 50-212 mmHg arasında saptandı. İzole tip 11, diffüz tip 2, miks tip 6 hasta ameliyat edildi. Bunlardan 7'sine miyektomi, 3'üne miyektomi ve membran rezeksiyonu, 4'üne miyektomi ve mitral anuloplasti, birine miyektomi ve mitral valv replasmanı, 3'üne miyektomi ve aorta valvotomi birine apiko-aortik kapaklı gref uygulandı. Erken dönemde 2 hasta kaybedildi. Ortalama 24 aylık takip döneminde başka ölüm kaydedilmedi.
Anahtar Kelimeler: Hipertrofik obstrüktif kardiyomiyopati, IHSS, cerrahi tedaviHypertrophic Obstructive Cardiomyopathy and its Surgical Treatment
Yaman ZORLUTUNA1, C.Levent BİRİNCİOĞLU1, Oğuz TAŞDEMİR1, Cevat YAKUT1, Ahmet ERALP1, Kemal BAYAZIT1Between 1968 and 1989, 19 patients with hypertrophic obstructive cardiomyopathy have been operated at Turkey's Yüksek İhtisas Hospital. The patients (7 female and 12 male) were between 6 and 55 years of age at the time of operation (mean 26 years). Peak systolic pressure gradients from the left ventricle to aorta ranged from 50 mmHg to 212 mmHg. Surgical treatment was performed in 11 patients with "selective septal" type, in 2 patients with diffuse type, in 6 patient with mixed type. In 7 patients myectomy, in 3 patients myectomy and resection of membrane, in 4 patients myectomy and mitral annuloplasty, in 1 patient myectomy and mitral valve replacement, in 3 patients myectomy and aortic valvotomy, in 1 patient apico-aortic valve conduit were performed. In the early period 2 patients died were performed. In the early period 2 patients died. In a mean follow-up period of 24 months no further fatality was noted.
Keywords: Hypertrophic obstructive cardiomyopathy, IHSS, surgical treatment| ARAÇLAR |
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