Kalp cerrahisi uygulanacak, koagulopati tanısı olan hastalar, yüksek oranda kanama ve tromboz riski ile karşı karşıya kalabilirler. Bu çalışmada kompleks kalp anomalisi ile birlikte Protein C eksikliği tanısı bulunan ve 4 yaşında, aşamalı Rastelli operasyonu uyguladığımız hastamız sunulmaktadır. Protein C eksikliği tanısı, hastamız 1.5 yaşında iken modifiye-BT şant uygulanmasının ardından erken dönem şant trombozu oluşumu nedeniyle yapılan tetkikler sonucunda konulmuştu. Şant ameliyatı sonrasında 2.5 yıl antikoagülan ve antiagregan tedaviyle şantı açık olarak izlenmiş ve 4 yaşında başarılı Rastelli operasyonu uygulanmıştır. Olgumuzu paylaşmaktaki amacımız kalp cerrahisi sonrası tromboembolik olaylara yol açabilen predispozan faktörlerin önemine dikkat çekmektir
Patients with pre-existing coagulopathies who undergo cardiac surgery are at increased risk for bleeding and thrombosis. In this study we report a staged Rastelli operation in a 4 year old child with complex congenital cardiac anomaly associated with protein C deficiency which was diagnosed due to early shunt thrombosis after modified BT shunt operation, when the patient was 1.5 years old. During 2.5 years follow-up shunt was open under anticoagulan and antiaggregant treatment. When the patient was 4 years old, Rasteli operation was performed successfully Our aim by sharing this case is to emphasize the importance of predispozing risk factors in patients with thromboembolic events after cardiac surgery
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