Yıl: 2018 Cilt: 46 Sayı: 4 Sayfa Aralığı: 301 - 305 Metin Dili: İngilizce DOI: 10.5543/tkda.2018.63847 İndeks Tarihi: 04-08-2020

Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder

Öz:
Presently described is the case of a 41-yearold male patient with signs of high-output right heart failure(HF) due to a possibly iatrogenic arteriovenous fistula (AVF)between the left common iliac artery and the left commoniliac vein. Invasively evaluated hemodynamic measurements were consistent with severe shunting, which resultedin precapillary pulmonary hypertension (PH). The AVF wassuccessfully closed with a non-dedicated, 16-mm Amplatzerpatent ductus arteriosus occluder (St. Jude Medical, Inc.,St. Paul, MN, USA). Although his signs and symptoms weredocumented to be dramatically improved after closure, because mild PH persisted, adjuvant pulmonary arterial hypertension-targeted treatment with bosentan was initiatedto prevent late pulmonary vascular disease.
Anahtar Kelime:

Pulmoner hipertansiyon ile birlikte yüksek debili sağ kalp yetersizliğine sebep olan bir olguda, geniş iliyak arteriyovenöz fistülün patent duktus arteriyosus kapatma cihazı kullanılarak perkütan yoldan kapatılması

Öz:
Bu yazıda, sol ana iliyak arter ile sol ana iliyak ven arasında, muhtemelen iyatrojenik sebeple oluşmuş bir arteriyovenöz fistüle (AVF) sahip olan ve yüksek debili sağ kalp yetersizliği bulguları ile kendini gösteren 41 yaşındaki bir erkek hasta sunuldu. Hastanın invaziv kalp kateterizasyonu ile ölçülen hemodinamik verileri, ciddi şant akımının sebep olduğu prekapiller pulmoner hipertansiyon (PH) ile uyumlu saptandı ve sonrasında bu AVF 16 mm Amplatzer™ patent duktus arteriyozus cihazı ile perkütan yolla başarılı bir şekilde kapatıldı. Kapatma işleminden sonra hastanın şikayetlerinin ve klinik bulgularının dramatik bir şekilde düzelmesine rağmen, hafif PH varlığının devam etmesi sebebiyle, uzun dönem pulmoner vasküler hastalık gelişimini önlemesi adına bosentan tedavisi başlandı.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA Akbal O, Hakgör A, YILMAZ F, TANYERİ S, KAYMAZ C (2018). Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder. , 301 - 305. 10.5543/tkda.2018.63847
Chicago Akbal Ozgur Yasar,Hakgör Aykun,YILMAZ Fatih,TANYERİ Seda,KAYMAZ Cihangir Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder. (2018): 301 - 305. 10.5543/tkda.2018.63847
MLA Akbal Ozgur Yasar,Hakgör Aykun,YILMAZ Fatih,TANYERİ Seda,KAYMAZ Cihangir Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder. , 2018, ss.301 - 305. 10.5543/tkda.2018.63847
AMA Akbal O,Hakgör A,YILMAZ F,TANYERİ S,KAYMAZ C Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder. . 2018; 301 - 305. 10.5543/tkda.2018.63847
Vancouver Akbal O,Hakgör A,YILMAZ F,TANYERİ S,KAYMAZ C Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder. . 2018; 301 - 305. 10.5543/tkda.2018.63847
IEEE Akbal O,Hakgör A,YILMAZ F,TANYERİ S,KAYMAZ C "Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder." , ss.301 - 305, 2018. 10.5543/tkda.2018.63847
ISNAD Akbal, Ozgur Yasar vd. "Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder". (2018), 301-305. https://doi.org/10.5543/tkda.2018.63847
APA Akbal O, Hakgör A, YILMAZ F, TANYERİ S, KAYMAZ C (2018). Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder. Türk Kardiyoloji Derneği Arşivi, 46(4), 301 - 305. 10.5543/tkda.2018.63847
Chicago Akbal Ozgur Yasar,Hakgör Aykun,YILMAZ Fatih,TANYERİ Seda,KAYMAZ Cihangir Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder. Türk Kardiyoloji Derneği Arşivi 46, no.4 (2018): 301 - 305. 10.5543/tkda.2018.63847
MLA Akbal Ozgur Yasar,Hakgör Aykun,YILMAZ Fatih,TANYERİ Seda,KAYMAZ Cihangir Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder. Türk Kardiyoloji Derneği Arşivi, vol.46, no.4, 2018, ss.301 - 305. 10.5543/tkda.2018.63847
AMA Akbal O,Hakgör A,YILMAZ F,TANYERİ S,KAYMAZ C Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder. Türk Kardiyoloji Derneği Arşivi. 2018; 46(4): 301 - 305. 10.5543/tkda.2018.63847
Vancouver Akbal O,Hakgör A,YILMAZ F,TANYERİ S,KAYMAZ C Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder. Türk Kardiyoloji Derneği Arşivi. 2018; 46(4): 301 - 305. 10.5543/tkda.2018.63847
IEEE Akbal O,Hakgör A,YILMAZ F,TANYERİ S,KAYMAZ C "Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder." Türk Kardiyoloji Derneği Arşivi, 46, ss.301 - 305, 2018. 10.5543/tkda.2018.63847
ISNAD Akbal, Ozgur Yasar vd. "Percutaneous treatment of high-output right heart failure with pulmonary hypertension due to a large iliac arteriovenous fistula using a patent ductus arteriosus occluder". Türk Kardiyoloji Derneği Arşivi 46/4 (2018), 301-305. https://doi.org/10.5543/tkda.2018.63847