Dergiler / Koşuyolu Heart Journal / 2010 / Cilt: 13 - Sayı: 1

66 yafl›nda ‹sole Kalsifik Pulmoner Stenozlu ve Esofagus Varis Kanamal› Erkek Hasta

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

Sayfa
22–23
DOI
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Özet

Pulmoner kapak stenozu hikayesi olan 66 yafl›ndaki erkek hasta, solunum s›k›nt›s› ve ani bafllayan a¤›zdan koyu kahverengi kanama flikayetlerinin bafllamas› ile hastaneye yat›r›ld›. Hastanedeki incelemelerinde özofagus varisleri ve karaci¤er sirozu tan›lar› konuldu. Yap›lan de¤erlendirmeler sonucunda izole pulmoner kapak stenozunun karaci¤ er yetmezli¤ine neden oldu¤una karar verildi. Bu yaz›m›zda pulmoner kapaktaki izole kalsifikasyonun fliddetli karaci¤er yetmezli¤i klinik bulgular›na ve özofagus varis kanamalar›na yol açt›¤›n› bildiren olguyu sunmay› amaçlad›k.

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.

Anahtar kelimeler: ‹zole, kalsifik pulmoner kapak, karaci¤er yetmezli¤i, özofagus varisleri