A Case Report: Isolated Calcification of the Pulmonary Valve and Bleeding of the Esophageal Varices

66 yaflnda sole Kalsifik Pulmoner Stenozlu ve Esofagus Varis Kanamal Erkek Hasta

Fuat BÜYÜKBAYRAK,Ahmet FİAFLMAZEL,Onursal BU¤RA,Ayfle BAYSAL,Ali FEDAKAR,Orhan Tezcan,Hasan SUNAR

Abstract

A 66 years-old man with a history of pulmonary valve stenosis was admitted with the complaints of respiratory insufficiency and sudden onset of dark brown bleeding from the mouth. The in-hospital investigation revealed he had esophageal varices and cirrhosis of the liver. Further studies demonstrated that isolated pulmonary valve stenosis was present and this was the only cause of the hepatic failure. This is a case report of an isolated calcification of a pulmonary valve causing development of severe hepatic failure with abrupt bleeding of the esophageal varices.

Özet

Pulmoner kapak stenozu hikayesi olan 66 yaflndaki erkek hasta, solunum sknts ve ani bafllayan a¤zdan koyu kahverengi kanama flikayetlerinin bafllamas ile hastaneye yatrld. Hastanedeki incelemelerinde özofagus varisleri ve karaci¤er sirozu tanlar konuldu. Yaplan de¤erlendirmeler sonucunda izole pulmoner kapak stenozunun karaci¤ er yetmezli¤ine neden oldu¤una karar verildi. Bu yazmzda pulmoner kapaktaki izole kalsifikasyonun fliddetli karaci¤er yetmezli¤i klinik bulgularna ve özofagus varis kanamalarna yol açt¤n bildiren olguyu sunmay amaçladk.

Keywords: zole, kalsifik pulmoner kapak, karaci¤er yetmezli¤i, özofagus varisleri