�LER� YA�TA H�POKSEM�N�N NAD�R B�R NEDEN�: FALLOT TETRALOJ�S�

HOCANLI, �clal; NAYMAN, Abdullah Emre

Cilt : 37 Say� : 3 Y�l : 2023

37/3Son Say� Erken Bask� Ar�iv Pop�ler Makaleler

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�LER� YA�TA H�POKSEM�N�N NAD�R B�R NEDEN�: FALLOT TETRALOJ�S� [G��s Hastanesi Dergisi]

G��s Hastanesi Dergisi. 2018; 32(2): 111-115

�LER� YA�TA H�POKSEM�N�N NAD�R B�R NEDEN�: FALLOT TETRALOJ�S�

�clal HOCANLI¹, Abdullah Emre NAYMAN¹
Harran �niversitesi, G��s Hastal�klar�, �anl�urfa, T�rkiye

Hipoksemiye neden olan en �nemli mekanizmalardan biri sa�dan sola �antt�r. Fallot tetralojisi; ventrik�ler septal defekt, sa� ventrik�l ��k�� yolu t�kan�kl��, ventrik�ler septumun aort k�k� taraf�ndan ge�ersiz k�l�nmas� ve sa� ventrik�l hipertrofisinden olu�an konjenital bir kalp malformasyonudur. Fallot tetralojisi, en yayg�n siyanotik konjenital kalp defektidir ve t�m konjenital kardiyopatilerin yakla��k % 5'ini olu�turmaktad�r. G�r�lme s�kl�� her milyon canl� do�umda yakla��k 400 d�r. Hastan�n sa�kal�m� pulmoner t�kan�kl��n derecesine ve pulmoner kan dola��m�na ba�l�d�r. Hastalar, d�rd�nc� dekattan sonra nadiren hayatta kalmaktad�r. Preoperatif de�erlendirme s�ras�nda, tesad�fen tan� konulan 41 ya��ndaki kad�n hasta, hipoksemi etyolojisinde kardiyak malformasyonlara dikkat �ekmek ve d�rd�nc� dekada kadar tan� konulamam�� olmas� nedeni ile sunuldu.

Anahtar Kelimeler: Fallot tetralojisi, Hipoksemi, Nefes darl��, �ant

A RARE CAUSE OF HYPOXEMIA AT ADULT AGE: TETRALOGY OF FALLOT

�clal HOCANLI¹, Abdullah Emre NAYMAN¹
Harran �niversitesi, G��s Hastal�klar�, �anl�urfa, T�rkiye

One of the most important mechanisms causing hypoxemia is shunt from right to left. Tetralogy of Fallot; Ventricular septal defect, right ventricular outflow tract obstruction, ventricular septum is overridden by aortic root, and right ventricular hypertrophy is a congenital heart malformation. Tetralogy of Fallot is the most common cyanotic congenital heart defect and accounts for approximately 5% of all congenital cardiopathies. The prevalence is about 400 per million live births. The survival of the patient depends on the degree of pulmonary obstruction and pulmonary circulation. Patients rarely survive after the fourth decade. A 41-year-old female patient who was diagnosed by chance during preoperative evaluation was presented to draw attention cardiac malformations in etiology of hypoxemia and the diagnosis was not made until the fourth decade.

Keywords: Tetralogy of Fallot, Hypoxemia, Dyspnea, Shunt

Makale Dili: T�rk�e

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