Öz
Çift odacıklı sağ ventrikül, anormal gelişmiş kas bantlarının sağ
ventrikülü iki parçaya böldüğü konjenital bir kardiyak anomalidir.
Kırk altı yaşında erkek hastada çift odacıklı sağ venrtikül, biküspid
aort kapak ve ciddi koroner arter hastalığı tespit edilerek cerrahi
girişime karar verildi. Operasyonda sağ ventrikülotomi yoluyla
obstrüksiyona sebep olan anormal adale bantları rezeke edildi.
İnfundibular darlık Gore-tex yama ile genişletildi. İlave olarak sol
internal torasik arter ile sol ön inen koroner artere bypass girişimi
uygulandı. Erişkin hasta popülasyonunda, çift odacıklı sağ ventrikül
ile koroner arter hastalığı birlikteliği son derece nadir olup
sunduğumuz olgu literatür taramasından elde ettiğimiz bilgiye göre,
bildirilen üçüncü olgudur.
Anahtar Kelimeler
Erişkin çağ Çift odacıklı sağ ventrikül Pulmoner hipertansiyon
Kaynakça
- Alva C, Ho SY, Lincoln CR, Rigby ML, Wright A, Anderson RH. The nature of the obstructive muscular bundles in double-chambered right ventricle. J Thorac Cardiovasc Surg 1999;117:1180-9. doi: 1016/S0022-5223(99)70258-8
- Restivo A, Cameron AH, Anderson RH, Allwork SP. Divided right ventricle: a review of its anatomical varieties. Pediatr Cardiol 1984;5:197-204. doi: 10.1007/BF02427045
- McElhinney DB, Chatterjee KM, Reddy VM. Double chambered right ventricle presenting in adulthood. Ann Thorac Surg 2000;70:124-7. doi:10.1016/S0003-4975(00)01320-5
- Osborn RC Jr, Taylor J, Soto B, Burnum JF. Double chambered right ventricle in a 70-year-old woman. Ala J Med Sci 1984;21:73-7.
- Nagashima M, Tomino T, Satoh H, Nakata T, Ohtani T, Saito H. Double-chambered right ventricle in adulthood. Asian Cardiovasc Thorac Ann 2005;3:127–30.
- Lascano ME, Schaad MS, Moodie DS, Murphy D Jr. Difficulty in diagnosing double-chambered right ventricle in adults. Am J Cardiol 2001;88:816–9.
- Pongiglione G, Freedom RM, Cook D, Rowe RD. Mechanism of acquired right ventricular out flow tract obstruction in patients with ventricular septal defect: an angiocardiographic study. Am J Cardiol 1982;50:776-80.
- Wong PC, Sanders SP, Jonas RA, et al. Pulmonary valve-moderator band distance and association with development of double-chambered right ventricle. Am J Cardiol 1991;68:1681-6.
- Oliver JM, Garrido A, Gonzalez A, et al. Rapid progression of midventricular obstruction in adults with double-chambered right ventricle. J Thorac Cardiovasc Surg 2003; 126: 711–7. doi: 10.1016/ S0022-5223(03)00044-8
- Cil E, Saraclar M, Ozkutlu S, et al. Double-chambered rightventricle: experience with 52 cases. Int J Cardiol 1995; 50: 19–29.
- Cabrera A, Martinez P, Rumoroso JR, et al. Double-chambered right ventricle. Eur Heart J 1995; 16: 682–6.
- Kottayil BP, Dharan BS, Pillai VV, Panicker V.T, Gopalakrishnan S.K, Jayakumar K. Surgical repair of double-chambered right ventricle in adulthood. Asian Cardiovasc Thorac Ann 2011; 19 57–
- Chang RY, Kuo CH, Rim RS, Chou YS, Tsai CH. Transesophageal echocardiographic image of double-chambered right ventricle. J Am Soc Echocardiogr 1996;9:347-52. doi: 10.1016/S08947317(96)90151-0
- Hoffman P, Wojcik AW, Rozanski J, et al. The role of echocardiography in diagnosing double chambered right ventricle in adults. Heart 2004;90:789-93. doi: 10.1136/hrt.2003.017137
- Joseph T, Raccuglia S, Kort S, Oviasu F, Mangion JR. Anomalous right coronary artery from the main pulmonary artery in a patient with double-chambered right ventricle. Echocardiography 2002;19:687-90. doi: 10.1046/j.1540-8175.2002.00687.x
- Nakata T, Hattori A, Shimamoto K. Double chambered right ventricle. Lancet 2004; 363: 1137. doi: 10.1016/S01406736(04)15898-4
- Hachiro Y, Takagi N, Koyanagi T, Morikawa M, Abe T. Repair of double-chambered right ventricle: surgical results and long-term follow-up. Ann Thorac Surg 2001;72:1520-2.doi: 10.1016/S00034975(01)02982-4
Öz
Double-chambered right ventricle is a congenital cardiac anomaly in which the right ventricle is divided into two portions by anomalous muscle bundles. We discuss a patient aged 46 who had a double-chambered right ventricle, with coronary artery stenosis and a bicuspid valve. Our patient underwent successful surgical resection of the obstruction by a right ventriculotomy and the infundibular stenosis was expanded with a Gore-tex patch. Also, a left internal mammary artery-left anterior descending coronary artery anostomosis was performed for the left anterior descending stenosis. Although, double-chambered right ventricles are extremely rare in adults, the example of double-chambered right ventricle with coronary artery stenosis which we diagnosed and operated on was the third case reported according to our review of the literature.
Anahtar Kelimeler
Adulthood Double-chambered right ventricle Pulmonary hypertension
Kaynakça
- Alva C, Ho SY, Lincoln CR, Rigby ML, Wright A, Anderson RH. The nature of the obstructive muscular bundles in double-chambered right ventricle. J Thorac Cardiovasc Surg 1999;117:1180-9. doi: 1016/S0022-5223(99)70258-8
- Restivo A, Cameron AH, Anderson RH, Allwork SP. Divided right ventricle: a review of its anatomical varieties. Pediatr Cardiol 1984;5:197-204. doi: 10.1007/BF02427045
- McElhinney DB, Chatterjee KM, Reddy VM. Double chambered right ventricle presenting in adulthood. Ann Thorac Surg 2000;70:124-7. doi:10.1016/S0003-4975(00)01320-5
- Osborn RC Jr, Taylor J, Soto B, Burnum JF. Double chambered right ventricle in a 70-year-old woman. Ala J Med Sci 1984;21:73-7.
- Nagashima M, Tomino T, Satoh H, Nakata T, Ohtani T, Saito H. Double-chambered right ventricle in adulthood. Asian Cardiovasc Thorac Ann 2005;3:127–30.
- Lascano ME, Schaad MS, Moodie DS, Murphy D Jr. Difficulty in diagnosing double-chambered right ventricle in adults. Am J Cardiol 2001;88:816–9.
- Pongiglione G, Freedom RM, Cook D, Rowe RD. Mechanism of acquired right ventricular out flow tract obstruction in patients with ventricular septal defect: an angiocardiographic study. Am J Cardiol 1982;50:776-80.
- Wong PC, Sanders SP, Jonas RA, et al. Pulmonary valve-moderator band distance and association with development of double-chambered right ventricle. Am J Cardiol 1991;68:1681-6.
- Oliver JM, Garrido A, Gonzalez A, et al. Rapid progression of midventricular obstruction in adults with double-chambered right ventricle. J Thorac Cardiovasc Surg 2003; 126: 711–7. doi: 10.1016/ S0022-5223(03)00044-8
- Cil E, Saraclar M, Ozkutlu S, et al. Double-chambered rightventricle: experience with 52 cases. Int J Cardiol 1995; 50: 19–29.
- Cabrera A, Martinez P, Rumoroso JR, et al. Double-chambered right ventricle. Eur Heart J 1995; 16: 682–6.
- Kottayil BP, Dharan BS, Pillai VV, Panicker V.T, Gopalakrishnan S.K, Jayakumar K. Surgical repair of double-chambered right ventricle in adulthood. Asian Cardiovasc Thorac Ann 2011; 19 57–
- Chang RY, Kuo CH, Rim RS, Chou YS, Tsai CH. Transesophageal echocardiographic image of double-chambered right ventricle. J Am Soc Echocardiogr 1996;9:347-52. doi: 10.1016/S08947317(96)90151-0
- Hoffman P, Wojcik AW, Rozanski J, et al. The role of echocardiography in diagnosing double chambered right ventricle in adults. Heart 2004;90:789-93. doi: 10.1136/hrt.2003.017137
- Joseph T, Raccuglia S, Kort S, Oviasu F, Mangion JR. Anomalous right coronary artery from the main pulmonary artery in a patient with double-chambered right ventricle. Echocardiography 2002;19:687-90. doi: 10.1046/j.1540-8175.2002.00687.x
- Nakata T, Hattori A, Shimamoto K. Double chambered right ventricle. Lancet 2004; 363: 1137. doi: 10.1016/S01406736(04)15898-4
- Hachiro Y, Takagi N, Koyanagi T, Morikawa M, Abe T. Repair of double-chambered right ventricle: surgical results and long-term follow-up. Ann Thorac Surg 2001;72:1520-2.doi: 10.1016/S00034975(01)02982-4
Ayrıntılar
| Birincil Dil | tr. |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Eylül 2015 |
| Yayımlandığı Sayı | Yıl 2014 Cilt: 27 Sayı: 1 |