Liv Hospital Ankara Hastanesi Kalp ve Damar Cerrahi Uzman\u0131 Prof. Dr. Kerim \u00c7a\u011fl\u0131, \u0130PAH hastas\u0131na uygulad\u0131\u011f\u0131 ameliyat tekni\u011finin, d\u00fcnyada ilk kullan\u0131ld\u0131\u011f\u0131 vaka oldu\u011funu belirtti.<\/p>\n
Hastal\u0131kla ilgili bilgi veren Liv Hospital Ankara Hastanesi Kalp ve Damar Cerrahi Uzman\u0131 Prof. Dr. Kerim \u00c7a\u011fl\u0131, hastan\u0131n 10 y\u0131ld\u0131r \u0130diyopatik Pulmoner Arteriyel Hipertansiyon (\u0130PAH) tan\u0131s\u0131 konmu\u015f bir hasta oldu\u011funu belirterek, \u201cNadir g\u00f6r\u00fclen bir hastal\u0131kt\u0131. Hastal\u0131k akci\u011fer ana atar damar\u0131nda nedeni bilinmeyen bir mekanizmayla tansiyon y\u00fckselmesiyle karakterize bir hastal\u0131kt\u0131r. Hastam\u0131z bu altta yatan hastal\u0131\u011fa ba\u011fl\u0131 olarak akci\u011fer ana atar damar\u0131nda 8 santimi bulan bir balonla\u015fma beraberinde, bu damarla ili\u015fkili kapak yap\u0131s\u0131nda ciddi yetersizlik ve balonla\u015fan damar\u0131n kom\u015fu sol ana korner artere ba\u011fl\u0131 olarak ciddi bir kardiyak beslenme bozuklu\u011fuyla merkezime acil cerrahide bulunmak \u00fczere g\u00f6nderilmi\u015fti\u201d diye konu\u015ftu.<\/p>\n
Bu hastal\u0131\u011f\u0131n olu\u015fabilecek komplikasyonlar nedeniyle de \u00e7ok riskli oldu\u011funun alt\u0131n\u0131 \u00e7izen \u00c7a\u011fl\u0131, bu hastal\u0131k i\u00e7in kardiyologlardan, kalp damar cerrahlar\u0131ndan ve anestezistlerden olu\u015fan bir ekip olu\u015fturduklar\u0131n\u0131 s\u00f6yleyerek, bu ekiple ameliyat planlamas\u0131n\u0131 yapt\u0131klar\u0131n\u0131 ve bu planlama neticesinde ameliyata ba\u015flad\u0131klar\u0131n\u0131 kaydetti.<\/p>\n
Hastaya ameliyat\u0131nda hem koroner arter bypass cerrahisi yapt\u0131klar\u0131n\u0131 hem de balonla\u015fan ana ve yan dal pulmoner atar damarlar\u0131 suni damarlar ile de\u011fi\u015ftirdiklerini s\u00f6yleyen \u00c7a\u011fl\u0131, hastaya uygulanan tekni\u011fin d\u00fcnyada bir ilk oldu\u011funu vurgulayarak, \u201cBu damarla ili\u015fkili olan pulmoner kapak dedi\u011fimiz kapa\u011f\u0131 da protez kapak kullanmadan \u00f6zel bir tamir tekni\u011fiyle tamirini yapt\u0131k ki bu tamir tekni\u011fi t\u00fcm k\u00f6ke y\u00f6nelik kapa\u011f\u0131n yaprak\u00e7\u0131klar\u0131, mente\u015fe k\u0131sm\u0131, o yaprak\u00e7\u0131k k\u0131sm\u0131n\u0131n oturdu\u011fu \u00e7er\u00e7eve k\u0131sm\u0131 ve onu \u00e7evreleyen damar k\u0131sm\u0131n\u0131 i\u00e7erecek \u015fekilde kompleks bir tamir oldu. Tamir edildikten sonra bu yap\u0131y\u0131 suni damar\u0131n i\u00e7ine adapte ettik. Dolay\u0131s\u0131yla bu uygulanan teknik itibariyle ve ayn\u0131 seansta kombine prosed\u00fcrler itibariyle bu hastam\u0131z literat\u00fcrdeki tek vakayd\u0131 dolay\u0131s\u0131yla D\u00fcnyada bu tekni\u011fin ilk kullan\u0131ld\u0131\u011f\u0131 bir vaka\u201d \u015feklinde konu\u015ftu.<\/p>\n
Ameliyat sonras\u0131 s\u00fcre\u00e7le ilgili bilgi veren \u00c7a\u011fl\u0131, tedbir ama\u00e7l\u0131 hastay\u0131, ya\u015fam deste\u011fi olan ECMO cihaz\u0131na takarak yo\u011fun bak\u0131ma \u00e7\u0131kard\u0131klar\u0131n\u0131 belirterek, \u201c3 g\u00fcnl\u00fck bir uyutmay\u0131 planlad\u0131k ve 3 g\u00fcn\u00fcn sonunda hastam\u0131z hem ba\u015far\u0131l\u0131 bir \u015fekilde ECMO cihaz\u0131ndan hem de solunum makinesinden ayr\u0131ld\u0131. 5\u2019inci g\u00fcn de yo\u011fun bak\u0131mdan servise \u00e7\u0131kar\u0131ld\u0131. 10\u2019uncu g\u00fcn de servisten hem mutlu hem de sa\u011fl\u0131kl\u0131 bir \u015fekilde taburcu edildi\u201d ifadelerini kulland\u0131.<\/p>\n
Bu hastal\u0131\u011f\u0131n \u00e7ok riskli oldu\u011funu bir kez daha hat\u0131rlatan \u00c7a\u011fl\u0131, \u201cNadir cerrahi teknikler uygulanan bir hastal\u0131kt\u0131r. Dolay\u0131s\u0131yla bu hastam\u0131z\u0131n t\u00fcm t\u0131p camias\u0131nda ilham verici bir vaka oldu\u011funu d\u00fc\u015f\u00fcnmekteyiz. Bu durumda olan vakalar\u0131m\u0131z\u0131n \u00f6zellikle b\u00fcy\u00fck damar cerrahisi uygulanan merkezlere, beraberinde kapak cerrahisi uygulanan merkezlere y\u00f6nlendirilmesi hasta i\u00e7in hayatiyet arz etmektedir. Burada tamir cerrahisi \u00e7ok \u00f6nemlidir. Tamirde temel \u015fart\u0131m\u0131z do\u011fru hastaya uygun zamanda do\u011fru tekni\u011fin uygulanmas\u0131d\u0131r\u201d ifadelerini kaydetti.<\/p>\n
Hastal\u0131\u011f\u0131nda ya\u015fad\u0131\u011f\u0131 s\u00fcre\u00e7leri anlatan hasta Demet Telliler de bu s\u00fcre\u00e7te s\u00fcrekli bay\u0131ld\u0131\u011f\u0131n\u0131 ve nefes al\u0131p vermekte zorluk ya\u015fad\u0131\u011f\u0131n\u0131 s\u00f6yleyerek, \u201cS\u00fcrekli acile gidiyordum. \u00c7ocuklu\u011fumdan beri olan bir \u015feydi. Biraz fazla hareket edince, y\u00fcr\u00fcy\u00fcnce, ko\u015funca, oldu\u011fum yere bay\u0131l\u0131p d\u00fc\u015f\u00fcyordum. Hastal\u0131\u011f\u0131m hakk\u0131nda farkl\u0131 farkl\u0131 \u015feyler s\u00f6ylendi. 10 y\u0131l \u00f6nce ad\u0131n\u0131 bile duymad\u0131\u011f\u0131m bu hastal\u0131k te\u015fhisi konuldu\u201d diye konu\u015ftu.<\/p>\n
Telliler sonraki s\u00fcre\u00e7te, hastal\u0131\u011f\u0131n\u0131n seyrinin ilerlemeye ba\u015flad\u0131\u011f\u0131n\u0131 ama ameliyat olman\u0131n \u00e7ok riskli oldu\u011funu ve \u00f6l\u00fcmle sonu\u00e7lanabilece\u011fi i\u00e7in kendisine tavsiye etmediklerini s\u00f6yleyerek, \u201cMecbur kal\u0131nd\u0131\u011f\u0131 i\u00e7in bana stent at\u0131ld\u0131 ve sonras\u0131nda tekrar \u015fikayetlerim fazlala\u015ft\u0131. Y\u00fcr\u00fcmem k\u0131s\u0131tlanmaya ba\u015flad\u0131, yemek yerken daralmalar\u0131m ba\u015flad\u0131, g\u00f6\u011f\u00fcs a\u011fr\u0131lar\u0131m, bay\u0131lmalar\u0131m ba\u015flad\u0131. Beni Kerim Bey\u2019e sevk ettiler ve ba\u015fka kimseye de g\u00fcvenemeyece\u011fimi s\u00f6ylediler\u201d \u015feklinde konu\u015ftu.<\/p>\n
Ameliyat sonras\u0131 \u00fczerinden bir y\u00fck kalkt\u0131\u011f\u0131n\u0131 vurgulayan Tellier, \u015fu an yeniden do\u011fmu\u015f gibi hissetti\u011fini belirterek, \u201cBu, bana verilen ikinci bir \u015fans. \u0130lk uyand\u0131\u011f\u0131mda hayatta oldu\u011fumu fark ettim. \u00c7ok g\u00fczel bir duyguydu. Hocalar ba\u015f\u0131mdayd\u0131. Benimle \u00e7ok ilgilendiler. Bu hastal\u0131\u011f\u0131 \u00e7o\u011fu insan bilmiyor ve anla\u015f\u0131lmas\u0131 \u00e7ok zor. Bu hastal\u0131k anla\u015f\u0131ld\u0131ktan sonra en iyi yerde tedavi olmalar\u0131n\u0131, ger\u00e7ekten ameliyat olmalar\u0131 gerekiyorsa \u00e7ok iyi ara\u015ft\u0131rmalar\u0131 gerekti\u011fini s\u00f6ylemek istiyorum. Ben Kerim Hocamdan \u00e7ok memnunum\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
L\u0130V HOSP\u0130TAL ANKARA HASTANES\u0130 KALP VE DAMAR CERRAHI UZMANI PROF. DR. KER\u0130M \u00c7A\u011eLI, \u201cBU UYGULANAN TEKN\u0130K \u0130T\u0130BAR\u0130YLE VE AYNI SEANSTA KOMB\u0130NE PROSED\u00dcRLER \u0130T\u0130BAR\u0130YLE BU HASTAMIZ L\u0130TERAT\u00dcRDEK\u0130 TEK VAKAYDI VE DOLAYISIYLA D\u00dcNYADA BU TEKN\u0130\u011e\u0130N \u0130LK KULLANILDI\u011eI B\u0130R VAKA\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":168293,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[2773,6371,4467,37,2120,40339,2383,4468,40338],"class_list":["post-168292","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-ameliyati","tag-defa","tag-hayata","tag-ilk","tag-kalp","tag-teknigiyle","tag-turkiyede","tag-tutundu","tag-uygulanan"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/06\/turkiyede-ilk-defa-uygulanan-kalp-ameliyati-teknigiyle-hayata-tutundu_1928425.jpg?fit=1000%2C750","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-HMo","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/168292","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=168292"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/168292\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/168293"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=168292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=168292"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=168292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}