Silikon Protez Kullanılarak Rekonstrüktif Meme Cerrahisi Uygulanmış Hastada Minimal İnvaziv Sinüs Venozus Defekti Onarımı
Abstract
Atriyal septal defekt erişkinde en sık rastlanan doğumsal kalp anomalilerinden biridir. Minimal invaziv cerrahi tekniklerdeki gelişmeler, seçilmiş uygun vakaların bu yöntemle daha yaygın olarak tedavi edilmesini artırmıştır. Sağ anterior torakotomi ile minimal invaziv olarak atriyal septal defekt onarımı güvenilir sonuçları, yüksek hasta memnuniyeti nedeniyle özellikle genç bayan hastalarda ilk sıralarda tercih edilecek yöntemlerden biridir. Biz bu yazıda yaklaşık 3 yıl önce silikon meme protezi ameliyatı olan hastada uyguladığımız minimal invaziv teknik ile sinüs venozus defekti onarımını anlatmaktayız. Mevcut kompleks atrial septal defekt ve cerrahi alanda silikon meme protezi bulunmasına rağmen sağ anterolateral mini torakotomi yaklaşımı sayesinde uygulanan tedavi başarılı ve kozmetik olarak sorunsuz olmuştur.
References
- Murphy JG, Gersh BJ, McGoon MD, Mair DD, Porter CJ, Ilstrup DM, et al. Long-term outcome after sugical repair of isolated atrial septal defect: follow-up at 27 to 32 years. N Engl J Med 1990;323:1645–50. [CrossRef]
- Erentuğ V, Sareyüpoğlu B, Göksedef D, Kırali K, Güler M, İpek G, et al. Closure of Atrial Septal Defects with Anterior Thoracotomy in Female Patients. Turkish J Thorac Cardiovasc Surg 2005;13:99–102. Erişim: http://tgkdc.dergisi.org/uploads/pdf/pdf_TGKDC_881.pdf
- Yoshimura N, Yamaguchi M, Oshima Y, Oka S, Ootaki Y, Yoshida M. Repair of atrial septal defect through a right posterolateral thoracotomy: a cosmetic approach for female patients. Ann Thorac Surg 2001;72:2103–5. [CrossRef]
- Radovan C. Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg 1982;69:195–206. [CrossRef]
- Serel S, Şen Z, Kaya B, Emiroğlu M, Zeki C. İmplantlar ve doku genişleticiler ile meme rekonstrüksiyon. Ankara Üniv Tıp Fak Derg 2004;57:167–73.
- Erdoğan BM, Uygur F, Meşe B, Tandoğan A, Hedbe L, Serçelik A, et al. Otuz beş yaş ve üzeri hastalarda atriyal septal defekt cerrahisi. Turk Göğüs Kalp Damar 2006;14:205–7.
- van de Woestijne PC, Oei FBS, Bogers AJJC. Minimally invasive atrial septal defect closure. Multimed Man Cardiothorac Surg 2014;2014:mmu002. [CrossRef]
- Senay S, Gullu AU, Kocyigit M, Degirmencioglu A, Karabulut H, Alhan C. Robotic atrial septal defect closure. Multimed Man Cardiothorac Surg 2014;2014:mmu014. [CrossRef]
- Xiao C, Gao C, Yang M, Wang G, Wu Y, Wang J, et al. Totally robotic atrial septal defect closure:7-year single-institution experience and follow-up. Interact Cardiovasc Thorac Surg 2014;19:933–7. [CrossRef]
- Jung JC, Kim KH. Minimally Invasive Cardiac Surgery versus Conventional Median Sternotomy for Atrial Septal Defect Closure. Korean J Thorac Cardiovasc Surg 2016;49:421–6. [CrossRef]
- Xu M, Zhu S, Wang X, Huang H, Zhao J. Two Different Minimally Invasive Techniques for Female Patients with Atrial Septal Defects: Totally Thoracoscopic Technique and Right Anterolateral Thoracotomy Technique. Ann Thorac Cardiovasc Surg 2015;21:459– 65. [CrossRef]
- Qiao Y, An G, Chen G, Zheng S, Ni L, Wang W, Ma L. Minimally invasive video-assisted double-valve replacement through right anterolateral Minithoracotomy. Heart Lung Circ 2014;23:847–51. [CrossRef]
Abstract
Atrial septal defect is one of the most common congenital cardiac anomalies in adulthood. Advances in minimally invasive surgical approaches result in an increased use of these techniques in selected patients. Atrial septal defect closure with minimal invasive surgery through right anterior thoracotomy is one of the first chosen treatment methods with reliable results and high patient satisfaction especially in young ladies. In this paper, we present the repair of sinus venosus defect with minimal invasive methods in a patient whom underwent breast reconstruction using a silicone prosthesis three years ago. The operation through right anterolateral minithoracotomy approach was successful and cosmetically uneventful even in the presence of a complex atrial septal defect and the silicone breast prosthesis in the surgical area
References
- Murphy JG, Gersh BJ, McGoon MD, Mair DD, Porter CJ, Ilstrup DM, et al. Long-term outcome after sugical repair of isolated atrial septal defect: follow-up at 27 to 32 years. N Engl J Med 1990;323:1645–50. [CrossRef]
- Erentuğ V, Sareyüpoğlu B, Göksedef D, Kırali K, Güler M, İpek G, et al. Closure of Atrial Septal Defects with Anterior Thoracotomy in Female Patients. Turkish J Thorac Cardiovasc Surg 2005;13:99–102. Erişim: http://tgkdc.dergisi.org/uploads/pdf/pdf_TGKDC_881.pdf
- Yoshimura N, Yamaguchi M, Oshima Y, Oka S, Ootaki Y, Yoshida M. Repair of atrial septal defect through a right posterolateral thoracotomy: a cosmetic approach for female patients. Ann Thorac Surg 2001;72:2103–5. [CrossRef]
- Radovan C. Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg 1982;69:195–206. [CrossRef]
- Serel S, Şen Z, Kaya B, Emiroğlu M, Zeki C. İmplantlar ve doku genişleticiler ile meme rekonstrüksiyon. Ankara Üniv Tıp Fak Derg 2004;57:167–73.
- Erdoğan BM, Uygur F, Meşe B, Tandoğan A, Hedbe L, Serçelik A, et al. Otuz beş yaş ve üzeri hastalarda atriyal septal defekt cerrahisi. Turk Göğüs Kalp Damar 2006;14:205–7.
- van de Woestijne PC, Oei FBS, Bogers AJJC. Minimally invasive atrial septal defect closure. Multimed Man Cardiothorac Surg 2014;2014:mmu002. [CrossRef]
- Senay S, Gullu AU, Kocyigit M, Degirmencioglu A, Karabulut H, Alhan C. Robotic atrial septal defect closure. Multimed Man Cardiothorac Surg 2014;2014:mmu014. [CrossRef]
- Xiao C, Gao C, Yang M, Wang G, Wu Y, Wang J, et al. Totally robotic atrial septal defect closure:7-year single-institution experience and follow-up. Interact Cardiovasc Thorac Surg 2014;19:933–7. [CrossRef]
- Jung JC, Kim KH. Minimally Invasive Cardiac Surgery versus Conventional Median Sternotomy for Atrial Septal Defect Closure. Korean J Thorac Cardiovasc Surg 2016;49:421–6. [CrossRef]
- Xu M, Zhu S, Wang X, Huang H, Zhao J. Two Different Minimally Invasive Techniques for Female Patients with Atrial Septal Defects: Totally Thoracoscopic Technique and Right Anterolateral Thoracotomy Technique. Ann Thorac Cardiovasc Surg 2015;21:459– 65. [CrossRef]
- Qiao Y, An G, Chen G, Zheng S, Ni L, Wang W, Ma L. Minimally invasive video-assisted double-valve replacement through right anterolateral Minithoracotomy. Heart Lung Circ 2014;23:847–51. [CrossRef]
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 1, 2019 |
| Published in Issue | Year 2019Issue: 3 |