Aort Koarktasyonunda Perkütan Girişim
Özet
Aort koarktasyonu, aortanın kongenital ve segmental darlığıdır. Tedavi edilmediğinde, ortalama yaşam süresi 34 yıl civarındadır ve 50 yaşlarına gelindiğinde ölüm oranı %80'lere kadar yükselebilmektedir. Geleneksel olarak cerrahi yöntemler tercih edilse de, perkütan teknikler daha düşük invaziv özellikleri, daha hızlı iyileşme süreçleri ve yüksek başarı oranları nedeniyle giderek daha fazla tercih edilmektedir. Perkütan yöntemler arasında, balon anjiyoplasti ve stent yerleştirme yaygın olarak uygulanmakta olup, stent yerleştirme, komplikasyonların daha az olması ve işlem başarısının daha yüksek olması nedeniyle daha çok tercih edilmektedir.
Aortic coarctation is a congenital and segmental narrowing of the aorta. When left untreated, the average lifespan is approximately 34 years, with a mortality rate reaching up to 80% by the age of 50. Although surgical intervention has traditionally been the preferred approach, percutaneous techniques are increasingly utilized due to their less invasive nature, faster recovery times, and high success rates. Among percutaneous methods, balloon angioplasty and stent placement are commonly performed, with stent placement being preferred due to its lower complication rates and higher procedural success.
Referanslar
Sinha SN, Kardatzke ML, Cole RB, Muster AJ, Wessel HU, Paul MH. Coarctation of the aorta in infancy. Circulation 1969; 40: 385-98.
Ferencz C, Rubin JD, McCarter RJ, Brenner JI, Neill CA, Perry LW et al. Congenital heart disease: prevalence at livebirth. The Baltimore-Washington Infant Study. Am J Epidemiol 1985 ; 121: 31-36.
Campbell M. Natural history of coarctation of the aorta. Br Heart J 1970; 32: 633-640.
Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol 2002; 39: 1890-900.
Warnes CA, Williams RG, Bashore TM, et al. ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Circulation 2008; 118: e714-833.
Becker Ae E, Becker MJ, Edwards JE. Anomalies associated with coarctation of aorta: particular reference to infancy. Circulation 1970; 41: 1067-75.
Bonnet L. M. Sur la lesion dite stenose congenitale de l’aorte dans la region de l’isthme. Rev Med (Paris)1903; 23: 108.
Marc Cohen, MD, Valentin Fuster, MD, Peter M. Steele, MBBS, et al. McGoon.Coarctation of the Aorta Long-term Follow-up and Prediction of Outcome After Surgical Correction. Circulation 1989; 80: 840-845.
Warnes CA, Williams RG, Bashore TM, et al. ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Circulation 2008;118: e714-e833.
Chessa M, Carrozza M, Butera G, et al: The impact of interventional cardiology for the management of adults with congenital heart defects. Cathet Cardiovasc Interv 2006; 67: 258.
Baumgartner H, Bonhoeffer P, De Groot NM, et al. ESC guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J 2010;31:2915-57.
Crafoord C, Nylin G. Congenital coarctation of the aorta and its surgical treatment. J Thorac Surg 1945;14: 347.
Hornung TS, Benson LN, McLaughlin PR. Interventions for aortic coarctation. Cardiol Rev 2002; 10: 139-48.
Nakanishi T. Balloon dilatation and stent implantation for vascular stenosis. Pediatr Int 2001; 43: 548-52.
Referanslar
Sinha SN, Kardatzke ML, Cole RB, Muster AJ, Wessel HU, Paul MH. Coarctation of the aorta in infancy. Circulation 1969; 40: 385-98.
Ferencz C, Rubin JD, McCarter RJ, Brenner JI, Neill CA, Perry LW et al. Congenital heart disease: prevalence at livebirth. The Baltimore-Washington Infant Study. Am J Epidemiol 1985 ; 121: 31-36.
Campbell M. Natural history of coarctation of the aorta. Br Heart J 1970; 32: 633-640.
Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol 2002; 39: 1890-900.
Warnes CA, Williams RG, Bashore TM, et al. ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Circulation 2008; 118: e714-833.
Becker Ae E, Becker MJ, Edwards JE. Anomalies associated with coarctation of aorta: particular reference to infancy. Circulation 1970; 41: 1067-75.
Bonnet L. M. Sur la lesion dite stenose congenitale de l’aorte dans la region de l’isthme. Rev Med (Paris)1903; 23: 108.
Marc Cohen, MD, Valentin Fuster, MD, Peter M. Steele, MBBS, et al. McGoon.Coarctation of the Aorta Long-term Follow-up and Prediction of Outcome After Surgical Correction. Circulation 1989; 80: 840-845.
Warnes CA, Williams RG, Bashore TM, et al. ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease). Circulation 2008;118: e714-e833.
Chessa M, Carrozza M, Butera G, et al: The impact of interventional cardiology for the management of adults with congenital heart defects. Cathet Cardiovasc Interv 2006; 67: 258.
Baumgartner H, Bonhoeffer P, De Groot NM, et al. ESC guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J 2010;31:2915-57.
Crafoord C, Nylin G. Congenital coarctation of the aorta and its surgical treatment. J Thorac Surg 1945;14: 347.
Hornung TS, Benson LN, McLaughlin PR. Interventions for aortic coarctation. Cardiol Rev 2002; 10: 139-48.
Nakanishi T. Balloon dilatation and stent implantation for vascular stenosis. Pediatr Int 2001; 43: 548-52.
