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Journals / Türk Kardiyoloji Derneği Arşivi / 2006 / Cilt: 34 - Sayı: 4

Dacron yama aortoplasti tekniğiyle aort koarktasyonu onarımından 19 yıl sonra gelişen aortopulmoner fistül

Aortopulmonary fistula occurring 19 years after repair of aortic coarctation with Dacron patch aortoplasty

Aydın AYTAÇ
Ahmet Tayfun GÜRBÜZ
Ali Can VURAN
Pages
235–238
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Magnetic resonance angiography performed three months after the repair showed a patent graft and no coarctation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A 39-year-old male patient presented with complaints of cough and hemoptysis.
📊
Key Findings & Data:He had a history of aortic coarctation repair with the use of Dacron patch aortoplasty 19 years before.Thoracic aortography showed significant narrowing of the aortic lumen and some extravasation of contrast material in the patch area.
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Conclusion & Impact:Magnetic resonance angiography performed three months after the repair showed a patent graft and no coarctation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

A 39-year-old male patient presented with complaints of cough and hemoptysis. He had a history of aortic coarctation repair with the use of Dacron patch aortoplasty 19 years before.Thoracic aortography showed significant narrowing of the aortic lumen and some extravasation of contrast material in the patch area. Computed tomography angiography of the chest revealed obvious narrowing at the repair site and a double lumen appearance. There was no evidence for a true aneurysm or pseudoaneurysm. Following a left thoracotomy and on partial cardiopulmonary bypass, the Dacron patch and coarctation segment were completely removed. A new Dacron graft of 20 mm was used to restore aortic continuity. A pleural flap was placed on the new Dacron graft to separate it from the lung tissue. The postoperative course was uneventful and the patient was discharged on the fifth postoperative day. Hemoptysis disappeared following the procedure. Magnetic resonance angiography performed three months after the repair showed a patent graft and no coarctation.

Özet

Otuz dokuz yaşında erkek hasta öksürük ve hemoptizi yakınmalarıyla başvurdu. Hastaya 19 yıl önce Dacron yama aortoplasti tekniğiyle aort koarktasyonu onarımı yapılmıştı. Torasik aortografide aort lümeninde belirgin daralma ve yama bölgesinde bir miktar kontrast madde kaçağı görüldü. Bilgisayarlı tomografi anjiyografide eski tamir bölgesinde belirgin daralma ve çift lümen görünümü izlendi. Anevrizma veya psödoanevrizma varlığına ilişkin bir bulgu yoktu. Sol torakotomiden sonra ve kısmi baypas altında, önceki Dacron yama ve koarktasyon segmenti tümüyle eksize edildi. Aort devamlılığını sağlamak için 20 mm’lik yeni bir Dacron yama yerleştirildi ve yamayı akciğer dokusundan ayırmak için üzerine plevral flep kondu. Ameliyat sonrası dönemi sorunsuz geçiren hasta ameliyatın beşinci gününde taburcu edildi. Onarımdan sonra hemoptizinin tümüyle kaybolduğu görüldü. Üçüncü ayda yapılan manyetik rezonans anjiyografide greftin açık olduğu izlendi ve koarktasyon görülmedi.

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Cite This Article

AYTAÇ, A., GÜRBÜZ, A. T., VURAN, A. C. (2022). Dacron yama aortoplasti tekniğiyle aort koarktasyonu onarımından 19 yıl sonra gelişen aortopulmoner fistül. Türk Kardiyoloji Derneği Arşivi, Cilt: 34 - Sayı: 4, 235–238. https://ajindex.com/articles/633715

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