Porselen Aort ve Aort Kalsifikasyonu

Devrim Kurt

doi:10.37609/akya.3207

Yazarlar

Devrim Kurt

https://orcid.org/0000-0003-4230-3248

DOI: https://doi.org/10.37609/akya.3207.c12072

Özet

Aort kalsifikasyonu, kalsiyum birikimi nedeniyle aort duvarında meydana gelen ve kardiyovasküler riskleri artıran bir hastalıktır. Porselen Aorta (PA), aşırı kalsiyum birikimi sonucu aort duvarının diffüz ve çevresel tutulumu ile karakterizedir, genellikle asendan aortta görülür. İntimal kalsifikasyon inme ve emboli riskini artırırken, media kalsifikasyonu cerrahi komplikasyonları artırır. Aterosklerotik ve non-aterosklerotik olmak üzere iki ana tipte görülür ve etiyolojisi buna göre değişir. PA'nın preoperatif tespiti, cerrahi planlamada değişiklikler yapmayı gerektirir. PA, özellikle kardiyak cerrahilerde ciddi komplikasyonlara yol açabilir, bu nedenle tanı ve tedavide dikkatli olunmalıdır. Avrupa ve Amerika kılavuzları, PA varlığında cerrahi yerine transkateter aortik kapak replasmanını önermektedir. PA, yüksek kardiyovasküler mortalite ve morbidite riskine sahip ciddi bir patolojidir.

Aortic calcification is a condition characterized by calcium deposits in the aortic wall, increasing cardiovascular risk. Porcelain Aorta (PA) refers to the diffuse and circumferential calcification of the aortic wall, most commonly seen in the ascending aorta. Intimal calcification raises the risk of stroke and embolism, while medial calcification increases surgical complications. PA occurs in two main types: atherosclerotic and non-atherosclerotic, with varying etiologies. Preoperative detection of PA is crucial for surgical planning. PA can lead to severe complications, especially during cardiac surgeries, making careful diagnosis and treatment essential. European and American guidelines recommend transcatheter aortic valve replacement instead of surgery in the presence of PA. PA is a serious pathology associated with high cardiovascular mortality and morbidity risks.

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