Development of pulmonary hypertansion after ventriculoatrial shunt implantation
Küçük Resim Yok
Tarih
2011
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Dergi ISSN
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Ventriküloatriyal şant komplikasyonların en ciddi olanlarından biri de pulmoner hipertansiyondur. Ventriküloatriyal şant yerleştirilmesi ile pulmoner hipertansiyon gelişmesi arasında uzun bir latent dönem vardır. Bu uzun latent dönem ve pulmoner hipertansiyonun genel popülasyon içinde nispeten nadir görülen bir durum olması sebebiyle bu hastalar yanlış teşhislerle takip edilebilirler. Genç bir erkek hasta başka bir merkezden kliniğimize ASD ön tanısı ile sevk edildi. Hastanın hidrosefali sebebiyle ventriküloatriyal şantı mevcuttu. Klinik öyküsü, EKG ve ekokardiyografi bulgularına göre hastada ventriküloatriyal şanta bağlı pulmoner hipertansiyon düşündük. Akciğer perfüzyon sintigrafisi tanıyı destekledi. Hastanın şantı Beyin Cerrahi Kliniğince ventriküloperitoneal şanta çevrildi.
Pulmonary hypertension is known as one of most serious complication of ventriculoatrial shunts. There is a long latency period between ventriculoatrial shunt implantation and development of pulmonary hypertension. Because of this latency and relative rarity of pulmonary hypertension in the general population, clinicians may misdiagnosis these patients. A young male patient was referred to our clinic with suspect of an atrial septal defect from an outside hospital. He had a ventriculoatrial shunt because of hydrocephalus. We tought the clinical diagnosis as pulmonary hypertension due to ventriculoatrial shunt according to the his clinical history, ECG and echocardiography findings. The pulmonary perfusion scintigraphy findings supported the diagnosis. His shunt was replaced to the ventriculoperitoneal shunt by Brain Surgery Clinic.
Pulmonary hypertension is known as one of most serious complication of ventriculoatrial shunts. There is a long latency period between ventriculoatrial shunt implantation and development of pulmonary hypertension. Because of this latency and relative rarity of pulmonary hypertension in the general population, clinicians may misdiagnosis these patients. A young male patient was referred to our clinic with suspect of an atrial septal defect from an outside hospital. He had a ventriculoatrial shunt because of hydrocephalus. We tought the clinical diagnosis as pulmonary hypertension due to ventriculoatrial shunt according to the his clinical history, ECG and echocardiography findings. The pulmonary perfusion scintigraphy findings supported the diagnosis. His shunt was replaced to the ventriculoperitoneal shunt by Brain Surgery Clinic.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
European Journal of General Medicine
WoS Q Değeri
Scopus Q Değeri
Cilt
8
Sayı
4
