GKD Anest Yoð Bak Dern Derg. 2013; 19(1): 2-9 | DOI: 10.5222/GKDAD.2013.002

Pediyatrik Konjenital Kalp Hastalýklarýna Baðlý Pulmoner Hipertansiyonda Anestezik Yaklaþým

Zeliha Tuncel, Þefika Türkan Kudsioðlu, Zuhal Aykaç
Dr. Siyami Ersek Göðüs Kalp Ve Damar Cerrahisi Hastanesi, Anesteziyoloji Kliniði, Ýstanbul

Konjenital kalp hastalýklarýnda morbidite ve erken mortalitenin en önemli nedenlerinden biri konjenital kalp hastalýklarýna baðlý pulmoner hipertansiyondur (PHT). Konjenital kalp hastalýklarýna baðlý PHT sýklýðý opere olmayan hastalarda % 30 ve tamir edilen hastalarda % 15’tir. PHT perioperatif pulmoner hipertansif kriz ve kardiyak arrest gibi önemli komplikasyonlara yol açar. Anestezistlerin amacý pulmoner damar direnci artýþýný ve miyokard fonksiyonlarýndaki depresyonu en aza indirebilmektedir.

Anahtar Kelimeler: pulmoner hipertansiyon, konjenital kalp hastalýklarý, anestezi, pediyatri

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Anesthetic Management of Pulmonary Hypertension Secondary to Pediatric Congenital Cardiac Disease

Zeliha Tuncel, Þefika Türkan Kudsioðlu, Zuhal Aykaç
Dr. Siyami Ersek Hospital For Thoracic And Cardiovascular Surgery, Anesthesiology Clinic, Istanbul

Pulmonary hypertension associated with congenital heart disease (CHD) is one of the most common causes of morbidity and premature mortality in pediatric patients with CHD. Estimated prevalance of pulmonary hypertension associated with CHD remains 30 % in unoperated paients and 15 % in surgically repaired patients. Pulmonary hypertension is associated with significant perioperative risk for major complications, including pulmonary hypertensive crisis and cardiac arrest. The aim of anesthesiologist should be to minimize increases in pulmoner vascular resistance and depression of myocardial function.

Keywords: pulmonary hypertension, conjenital heart disease, anesthesia, pediatric

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ATIF KOPYALA