Travma Sonras� Ge� Prezente Olmu� Pulmoner Arteriyoven�z Fist�l�n Septal T�kay�c� Cihaz �le Kapat�lmas�

G��yetmez, B�lent; Saliho�lu, Ece; Ayy�ld�z, Aykut; Salt�k, Levent; Telci, L�tfi

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Travma Sonras� Ge� Prezente Olmu� Pulmoner Arteriyoven�z Fist�l�n Septal T�kay�c� Cihaz �le Kapat�lmas� [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2013; 19(6): 576-580 | DOI: 10.5505/tjtes.2013.06432

Travma Sonras� Ge� Prezente Olmu� Pulmoner Arteriyoven�z Fist�l�n Septal T�kay�c� Cihaz �le Kapat�lmas�

B�lent G��yetmez¹, Ece Saliho�lu², Aykut Ayy�ld�z³, Levent Salt�k⁴, L�tfi Telci⁵
¹�nternational Hospital, Genel Yo�un Bak�m �nitesi, �stanbul
²Ac�badem �niversitesi T�p Fak�ltesi, Kalp Damar Cerrahisi Ana Bilim Dal�, �stanbul
³Maslak Ac�badem Hastanesi, Genel Yo�un Bak�m �nitesi, �stanbul
⁴�stanbul �niversitesi Cerrahpa�a T�p Fak�ltesi, �ocuk Hastal�klar� Ana Bilim Dal�, �stanbul
⁵�stanbul �niversitesi �stanbul T�p Fak�ltesi, Anesteziyoloji Ana Bilim Dal�, �stanbul

Travmatik pulmoner arteriyoven�z fist�l (PAVF) genelde penetran yaralanmalardan sonra geli�en nadir bir komplikasyondur. Y�llarca asemptomatik kalarak ge� d�nemde tespit edilebilir. Bu yaz�da alt� y�l �nce ge�irilmi� penetran toraks travmas� sonras� geli�en ve septal t�kay�c� cihaz ile kapat�lan PAVF vakas� sunulmu�tur. Penetran toraks travmalar�nda bilgisayarl� tomografik anjiyografi(BT-Anjiyografi) ve pulmoner arteriyografinin rutin olarak kullan�lmas� ge� d�nemde olu�abilecek semptomatik PAVF tespitinde �nemlidir. Yeni nesil t�kay�c� cihazlar sayesinde daha geni� ve y�ksek bas�n�l� defektlerin kapat�lmas�nda transkateter yakla��m uygun vakalarda cerrahi tedaviye alternatif olabilir.

Anahtar Kelimeler: penetran toraks travmas�, pulmoner arteriyoven�z fist�l, septal t�kay�c� cihaz

Late Presented Posttraumatic Pulmonary Arteriovenous Fistulea Occlusion With Septal Occluder Device

B�lent G��yetmez¹, Ece Saliho�lu², Aykut Ayy�ld�z³, Levent Salt�k⁴, L�tfi Telci⁵
¹Department Of Intensive Care Unit, International Hospital, Istanbul, Turkey
²Department Of Cardiovascular Surgery, Ac�badem Faculty Of Medicine, Ac�badem Universty, Istanbul, Turkey
³Department Of Intensive Care Unit, Maslak Ac�badem Hospital, Istanbul, Turkey
⁴Department Of Pediatric Cardiology, Cerrahpasa Faculty Of Medicine, Istanbul Universty, Istanbul, Turkey
⁵Department Of Anaesthesiology, Istanbul Faculty Of Medicine, Istanbul Universty, Istanbul, Turkey

Posttraumatic pulmonary arteriovenous fistulea is a rare complication of generally penetrating type of injuries. It can be assymptomatic for years and can be subsequently diagnosed. We present a case of pulmonary arteriovenous fistulea related to penetrating thorax trauma before 6 years which was occluded with septal occluder device. Regular use of CT or conventional catheter pulmonary angiography following penetrating thorax trauma cases is essential for diagnose of pulmonary arteriovenous fistulea which can became symptomatic in the future. New generation occluder devices make transcatheter approach an alternative to surgery in selected cases for closure of high pressure and large defects.

Keywords: penetrating thoracic trauma, pulmonary arteriovenous fistulea, septal occluder device

Sorumlu Yazar: B�lent G��yetmez, T�rkiye
Makale Dili: T�rk�e

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