{"id":256938,"date":"2020-01-17T17:02:43","date_gmt":"2020-01-17T14:02:43","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/tum-ic-organlari-ters-tarafta-olan-hasta-sagligina-kavusturuldu\/"},"modified":"2020-01-17T17:02:43","modified_gmt":"2020-01-17T14:02:43","slug":"tum-ic-organlari-ters-tarafta-olan-hasta-sagligina-kavusturuldu","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/tum-ic-organlari-ters-tarafta-olan-hasta-sagligina-kavusturuldu\/","title":{"rendered":"T\u00fcm i\u00e7 organlar\u0131 ters tarafta olan hasta sa\u011fl\u0131\u011f\u0131na kavu\u015fturuldu"},"content":{"rendered":"<p>Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi\u2019ne nefes darl\u0131\u011f\u0131 \u015fikayetiyle ba\u015fvuran 57 ya\u015f\u0131ndaki Zeki Atakan\u2019a, yap\u0131lan kalp check-up\u2019\u0131nda, aort damar\u0131nda geni\u015fleme ve aort kapa\u011f\u0131nda ciddi yetmezlik te\u015fhisi kondu. Atakan, y\u00fcksek riskli olmas\u0131na ra\u011fmen ba\u015far\u0131yla tamamlanan operasyon sonras\u0131nda sa\u011fl\u0131kl\u0131 bir \u015fekilde taburcu edildi.<\/p>\n<p>Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi\u2019ne nefes darl\u0131\u011f\u0131 \u015fikayetiyle gelen 57 ya\u015f\u0131ndaki Zeki Atakan\u2019\u0131n, ger\u00e7ekle\u015ftirilen kalp check-up\u2019\u0131 sonucunda kalp dahil t\u00fcm organlar\u0131n\u0131n ters tarafta oldu\u011fu saptand\u0131. Aortas\u0131nda geni\u015flik ile aort kapa\u011f\u0131nda ciddi yetmezlik tespit edilen Zeki Atakan, ileri tetkik ve cerrahi tedavi amac\u0131yla Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi Kalp ve Damar Cerrahisi Klini\u011fi\u2019ne yat\u0131r\u0131ld\u0131. Kalp ve Damar Cerrahisi Anabilim Dal\u0131 Uzmanlar\u0131 taraf\u0131ndan ger\u00e7ekle\u015ftirilen nitelikli ameliyat literat\u00fcrde \u00f6rne\u011fine az rastlan\u0131r bir vak\u2019a olmas\u0131 dolay\u0131s\u0131yla uluslararas\u0131 bilimsel yay\u0131n organlar\u0131nda da yerini ald\u0131. Y\u00fcksek riskli olmas\u0131na ra\u011fmen ba\u015far\u0131yla tamamlanan operasyon sonras\u0131nda hasta sa\u011fl\u0131kl\u0131 bir \u015fekilde taburcu edildi.<\/p>\n<p>\u201cKalp check-up\u2019\u0131ndan aortta geni\u015fleme ve aort kapa\u011f\u0131nda ciddi yetmezlik ortaya \u00e7\u0131kt\u0131\u201d<\/p>\n<p>Hastan\u0131n kalp dahil t\u00fcm organlar\u0131n\u0131n ters tarafta yer almas\u0131n\u0131n ameliyat stratejisinin belirlenmesi a\u00e7\u0131s\u0131ndan \u00f6zellikli programlama gerektirdi\u011fini s\u00f6yleyen Yrd. Do\u00e7. Dr. \u00d6zlem Balc\u0131o\u011flu, ameliyat s\u0131ras\u0131nda cerrah\u0131n duru\u015f yeri ve pozisyonu gibi basit g\u00f6r\u00fcnen kriterlerin bile ameliyat ba\u015far\u0131s\u0131nda b\u00fcy\u00fck etken oldu\u011funu belirtti. Di\u011fer hastalardan farkl\u0131 olarak, Zeki Atakan\u2019\u0131n organlar\u0131n\u0131n ters tarafta olmas\u0131, ameliyat\u0131n seyri ile ilgili \u00f6ng\u00f6r\u00fcde bulunmak a\u00e7\u0131s\u0131ndan zorluk te\u015fkil etmekteydi.  Organlar\u0131n ters tarafta olmas\u0131 nedeniyle cerrahi yakla\u015f\u0131m ihtiyac\u0131 farkl\u0131 olabilirdi. Biz en do\u011fru oldu\u011funa inand\u0131\u011f\u0131m\u0131z yakla\u015f\u0131mla hastaya m\u00fcdahale ettik. Y\u00fcksek riskli operasyon s\u0131n\u0131f\u0131na giren bir ameliyat\u0131 ba\u015far\u0131yla ger\u00e7ekle\u015ftirdik. Hastan\u0131n aortas\u0131ndaki geni\u015flik nedeniyle kalbi besleyen aort damar\u0131n\u0131 sentetik damar ile aort kapa\u011f\u0131n\u0131 ise mekanik bir kapakla de\u011fi\u015ftirerek hastay\u0131 sa\u011fl\u0131\u011f\u0131na kavu\u015fturduk\u201d dedi.<\/p>\n<p>\u201cUygulad\u0131\u011f\u0131m\u0131z ameliyat\u0131n say\u0131s\u0131 ise d\u00fcnyada bug\u00fcne kadar birka\u00e7 taneyi ge\u00e7meyecek kadar az\u201d<\/p>\n<p>Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi Kalp ve Damar Cerrahisi Anabilim Dal\u0131 Uzman\u0131 Do\u00e7. Dr. Bar\u00e7\u0131n \u00d6zcem, d\u00fcnyada \u00e7ok nadir rastlanan bir vak\u2019a ile kar\u015f\u0131 kar\u015f\u0131ya kald\u0131klar\u0131n\u0131, kalp dahil t\u00fcm organlar\u0131 ters y\u00f6nde bulunan Zeki Atakan\u2019\u0131 ameliyat stratejisi zor, operasyon riski y\u00fcksek olan bir ameliyata ald\u0131klar\u0131n\u0131 belirterek, \u201cLiterat\u00fcrlere bak\u0131ld\u0131\u011f\u0131 zaman bu durumda \u00e7ok az vak\u2019aya rastl\u0131yoruz. D\u00fcnyada insanlar\u0131n organlar\u0131n\u0131n ters tarafta olmas\u0131 nadir rastlanan bir durumdur. Organlar\u0131n ters olmas\u0131 ile birlikte ayn\u0131 anda aortada geni\u015fleme ve aort kapak yetmezli\u011fi bulunmas\u0131 da nadir g\u00f6r\u00fclen bu durumu daha da az rastlan\u0131r hale getirmektedir. Dolay\u0131s\u0131yla bug\u00fcne kadar d\u00fcnyada uygulanm\u0131\u015f bu tip ameliyatlar\u0131n say\u0131s\u0131 olduk\u00e7a az olup, anabilim dal\u0131m\u0131z taraf\u0131ndan ger\u00e7ekle\u015ftirilen ameliyat\u0131n d\u00fcnyadaki \u00f6rneklerinin say\u0131s\u0131 ise neredeyse bir elin parmaklar\u0131n\u0131 ge\u00e7memektedir.  Bundan \u00f6t\u00fcr\u00fc bu hastay\u0131 yurt d\u0131\u015f\u0131 makalelerde de yay\u0131n olarak meslekta\u015flar\u0131m\u0131zla payla\u015ft\u0131k\u201d diye konu\u015ftu.<\/p>\n<p>\u201c\u00c7ok Nadir Uygulanan Bir Ameliyat Ger\u00e7ekle\u015ftirdik\u201d<\/p>\n<p>Uzm. Dr. Ali \u00d6nder K\u0131l\u0131\u00e7 ise Yak\u0131n Do\u011fu \u00dcniversitesi Hastanesi\u2019nde d\u00fcnyada \u00e7ok nadir ger\u00e7ekle\u015ftirilen bir i\u015flemin ba\u015far\u0131yla yap\u0131ld\u0131\u011f\u0131n\u0131 ifade etti. Zeki Atakan\u2019\u0131n iyile\u015fme s\u00fcreci ile ilgili a\u00e7\u0131klamalarda bulunan K\u0131l\u0131\u00e7, ameliyat yakla\u015f\u0131m\u0131 ile ilgili konsey karar\u0131n\u0131n ard\u0131ndan, deneyimli kalp ve damar cerrahisi uzmanlar\u0131 ile birlikte konusunda uzman anestezi ekibi, cerrahi hem\u015fire ve personelden olu\u015fan ameliyat ekibi taraf\u0131ndan hastan\u0131n ba\u015far\u0131yla opere edildi\u011fini s\u00f6yledi. Ameliyat s\u0131ras\u0131nda hi\u00e7bir komplikasyon ile kar\u015f\u0131 kar\u015f\u0131ya kal\u0131nmad\u0131\u011f\u0131n\u0131, 6 saat s\u00fcren ameliyat\u0131n ard\u0131ndan hastan\u0131n 3 g\u00fcn yo\u011fun bak\u0131mda takip edildi\u011fini, servis izleminin ard\u0131ndan ise \u015fifa ile taburcu edildi\u011fini bildirdi. V\u00fccutta sadece birka\u00e7 organ\u0131n ters tarafta bulunmas\u0131na daha s\u0131k rastlan\u0131rken, t\u00fcm organlar\u0131n ters y\u00f6nde bulunmas\u0131 \u00e7ok ender g\u00f6r\u00fclen bir durum oldu\u011funu yineleyen Uzm. Dr. Ali \u00d6nder K\u0131l\u0131\u00e7,   \u201cHastam\u0131z ameliyat\u0131n ard\u0131ndan olduk\u00e7a sa\u011fl\u0131kl\u0131 bir \u015fekilde rutin poliklinik kontrollerine devam etmektedir.  Meslekta\u015flar\u0131m\u0131n da belirtti\u011fi gibi t\u00fcm d\u00fcnyadaki kalp damar cerrahisi uzmanlar\u0131n\u0131n olduk\u00e7a nadir rastlayabilece\u011fi bir vak\u2019ay\u0131 ba\u015far\u0131 ile tamamlam\u0131\u015f olman\u0131n gururunu ya\u015f\u0131yoruz\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>AORT DAMARINDA GEN\u0130\u015eLEME VE AORT KAPA\u011eINDA C\u0130DD\u0130 YETMEZL\u0130K OLAN ZEK\u0130 ATAKAN, YAKIN DO\u011eU \u00dcN\u0130VERS\u0130TES\u0130 HASTANES\u0130NDE SA\u011eLI\u011eINA KAVU\u015eTU<\/p>\n","protected":false},"author":1,"featured_media":256939,"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":[4166,5110,14274,572,2666,3705,43283,583,1325],"class_list":["post-256938","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-hasta","tag-ic","tag-kavusturuldu","tag-olan","tag-organlari","tag-sagligina","tag-tarafta","tag-ters","tag-tum"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2020\/01\/tum-ic-organlari-ters-tarafta-olan-hasta-sagligina-kavusturuldu_28ac89c.jpg?fit=1000%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-14Qa","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/256938","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=256938"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/256938\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/256939"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=256938"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=256938"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=256938"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}