{"id":10475,"date":"2019-01-14T10:31:36","date_gmt":"2019-01-14T07:31:36","guid":{"rendered":"https:\/\/dryavuzbesogul.com\/pulmoner-kapak-ameliyati\/"},"modified":"2025-10-14T10:41:00","modified_gmt":"2025-10-14T07:41:00","slug":"pulmoner-kapak-ameliyati","status":"publish","type":"page","link":"https:\/\/dryavuzbesogul.com\/de\/pulmoner-kapak-ameliyati\/","title":{"rendered":"Pulmoner Kapak Nedir? : Yetmezli\u011fi, Darl\u0131\u011f\u0131 ve Ameliyat\u0131"},"content":{"rendered":"<p>Pulmoner kapak ameliyat\u0131, kalbin sa\u011f ventrik\u00fcl ile pulmoner arter aras\u0131ndaki kapakta fonksiyon bozuklu\u011fu oldu\u011funda uygulanan cerrahi bir m\u00fcdahaledir. Genellikle kapak darl\u0131\u011f\u0131 veya yetersizli\u011fi durumlar\u0131nda, kapak onar\u0131m\u0131 veya mekanik\/ biyolojik kapakla de\u011fi\u015ftirme i\u015flemleri yap\u0131l\u0131r.<\/p>\n<p>Bu y\u00f6ntem, a\u00e7\u0131k cerrahi veya minimal invaziv tekniklerle uygulanabilir. Minimal invaziv yakla\u015f\u0131mda k\u00fc\u00e7\u00fck kesiler arac\u0131l\u0131\u011f\u0131yla giri\u015fim yap\u0131l\u0131r, hastanede kal\u0131\u015f s\u00fcresi azal\u0131r ve iyile\u015fme s\u00fcreci h\u0131zlan\u0131r. A\u00e7\u0131k cerrahi yakla\u015f\u0131mda ise sternum a\u00e7\u0131larak do\u011frudan eri\u015fim sa\u011flan\u0131r.<\/p>\n<p>Ameliyat sonras\u0131 d\u00f6nemde, d\u00fczenli kardiyoloji kontrolleri, ekokardiyografi takibi, yara bak\u0131m\u0131, fiziksel aktivitenin kademeli art\u0131r\u0131m\u0131 ve gerekli ila\u00e7 tedavilerine uyum (\u00f6rne\u011fin antikoag\u00fclan veya antibiyotik) b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r. Ya\u015fam tarz\u0131 d\u00fczenlemeleri ile uzun vadeli ba\u015far\u0131l\u0131 sonu\u00e7lar desteklenebilir.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Tan\u0131m<\/td>\n<td>Pulmoner kapakta darl\u0131k veya yetmezlik gibi i\u015flev bozukluklar\u0131n\u0131n cerrahi veya giri\u015fimsel y\u00f6ntemlerle tedavi edilmesi i\u015flemidir.<\/td>\n<\/tr>\n<tr>\n<td>Endikasyonlar<\/td>\n<td>Ciddi pulmoner kapak yetmezli\u011fi veya darl\u0131\u011f\u0131, sa\u011f ventrik\u00fcl disfonksiyonu, egzersiz intolerans\u0131, aritmi, Fallot tetralojisi sonras\u0131 rezid\u00fcel lezyonlar<\/td>\n<\/tr>\n<tr>\n<td>Cerrahi Y\u00f6ntemler<\/td>\n<td>A\u00e7\u0131k cerrahi (mekanik veya biyoprotez kapak replasman\u0131), minimal invaziv cerrahi (k\u00fc\u00e7\u00fck kesi ile kapak de\u011fi\u015fimi), transkateter pulmoner kapak replasman\u0131 (TPVR)<\/td>\n<\/tr>\n<tr>\n<td>Endovask\u00fcler Y\u00f6ntemler<\/td>\n<td>Perk\u00fctan pulmoner kapak replasman\u0131 (PPVR), \u00f6zellikle daha \u00f6nce konduit yerle\u015ftirilmi\u015f veya biyoprotez kapak disfonksiyonu olan hastalarda uygulan\u0131r<\/td>\n<\/tr>\n<tr>\n<td>Kapak Se\u00e7enekleri<\/td>\n<td>Mekanik kapaklar (\u00f6m\u00fcr boyu antikoag\u00fclasyon gerektirir), biyoprotez kapaklar (s\u0131n\u0131rl\u0131 \u00f6m\u00fcr, genellikle 10-15 y\u0131l)<\/td>\n<\/tr>\n<tr>\n<td>Komplikasyonlar<\/td>\n<td>Kanama, enfeksiyon, kapak disfonksiyonu, aritmi, tromboz, pulmoner arter darl\u0131\u011f\u0131, kapak migrasyonu<\/td>\n<\/tr>\n<tr>\n<td>Postoperatif \u0130zlem<\/td>\n<td>D\u00fczenli ekokardiyografi kontrolleri, antikoag\u00fclan tedavi uyumu, enfektif endokardit profilaksisi, ya\u015fam tarz\u0131 d\u00fczenlemeleri<\/td>\n<\/tr>\n<tr>\n<td>Uzun D\u00f6nem Takip<\/td>\n<td>Kapak fonksiyonunun izlenmesi, sa\u011f ventrik\u00fcl fonksiyonunun de\u011ferlendirilmesi, gerekirse yeniden m\u00fcdahale planlamas\u0131<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Pulmoner Kapak Nedir?<\/h2>\n<p>Pulmoner kapak, kalbin sa\u011f kar\u0131nc\u0131\u011f\u0131 ile akci\u011fer atardamar\u0131 aras\u0131nda yer alan ve kan\u0131n tek y\u00f6nl\u00fc ak\u0131\u015f\u0131n\u0131 sa\u011flayan bir kapakt\u0131r. Her kalp at\u0131\u015f\u0131nda sa\u011f kar\u0131nc\u0131ktan akci\u011ferlere oksijenlenmek \u00fczere g\u00f6nderilen kan\u0131n geri d\u00f6nmesini engeller. \u00dc\u00e7 yaprak\u00e7\u0131ktan olu\u015fur ve d\u00fczg\u00fcn \u00e7al\u0131\u015fmas\u0131, akci\u011ferlere yeterli miktarda kan gitmesi i\u00e7in hayati \u00f6nem ta\u015f\u0131r. Yap\u0131sal bozukluklar kalp yetmezli\u011fine yol a\u00e7abilir.<\/p>\n<h2>Pulmoner Kapak Ameliyat\u0131 \u00c7e\u015fitleri Nelerdir?<\/h2>\n<p>Pulmoner kapak ameliyat\u0131, kalpten akci\u011ferlere kan ta\u015f\u0131yan pulmoner kapa\u011f\u0131n daralmas\u0131 (stenoz) veya yetmezli\u011fi durumunda uygulan\u0131r. Hastan\u0131n ya\u015f\u0131, kapak yap\u0131s\u0131 ve altta yatan hastal\u0131\u011fa g\u00f6re farkl\u0131 cerrahi y\u00f6ntemler tercih edilir:<\/p>\n<ul>\n<li><strong>Pulmoner Kapak Onar\u0131m\u0131:<\/strong> Kapa\u011f\u0131n korunarak yeniden \u015fekillendirilmesi veya darl\u0131\u011f\u0131n giderilmesi amac\u0131yla yap\u0131lan cerrahidir; \u00f6zellikle \u00e7ocuk hastalarda tercih edilir.<\/li>\n<li><strong>Pulmoner Kapak De\u011fi\u015fimi:<\/strong> Hasarl\u0131 kapak \u00e7\u0131kar\u0131larak biyolojik veya mekanik kapakla de\u011fi\u015ftirilir; do\u011fumsal kalp hastal\u0131klar\u0131nda s\u0131k uygulan\u0131r.<\/li>\n<li><strong>Homogreft \/ Allogreft Uygulamas\u0131:<\/strong> \u0130nsan dokusundan elde edilen kapaklarla yap\u0131lan de\u011fi\u015fimdir; doku uyumu ve enfeksiyon riskini azalt\u0131r.<\/li>\n<li><strong>Konduit De\u011fi\u015fimi:<\/strong> Pulmoner kapak ve \u00e7evresindeki damar yap\u0131lar\u0131n\u0131n birlikte de\u011fi\u015ftirildi\u011fi kompleks cerrahidir; genellikle do\u011fumsal defektlerde kullan\u0131l\u0131r.<\/li>\n<li><strong>Transkateter Pulmoner Kapak \u0130mplantasyonu (TPVI):<\/strong> Uygun hastalarda, kas\u0131k damar\u0131ndan girilerek kapak stenti yerle\u015ftirilir; minimal invaziv bir y\u00f6ntemdir.<\/li>\n<\/ul>\n<h2>Pulmoner Kapak Yetmezli\u011fi Nedir?<\/h2>\n<p>Pulmoner kapak yetmezli\u011fi, kalbin sa\u011f kar\u0131nc\u0131\u011f\u0131ndan akci\u011ferlere giden kan\u0131n bir k\u0131sm\u0131n\u0131n pulmoner kapaktan geri ka\u00e7mas\u0131 durumudur. Bu durum, kapak tam kapanamad\u0131\u011f\u0131nda ortaya \u00e7\u0131kar ve kalbin sa\u011f taraf\u0131nda zamanla hacim y\u00fck\u00fcne neden olabilir. Hafif vakalar genellikle belirti vermezken, ileri d\u00fczeydeki yetmezlik yorgunluk, nefes darl\u0131\u011f\u0131 ve \u00e7arp\u0131nt\u0131ya yol a\u00e7abilir. Tedavi altta yatan nedene ve semptomlar\u0131n \u015fiddetine g\u00f6re planlan\u0131r.<\/p>\n<dl id=\"attachment_1305\">\n<dt><img decoding=\"async\" src=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2019\/06\/pulmoner-kapak-hastaligi.png\" alt=\"Pulmoner Kapak Hastal\u0131\u011f\u0131\" width=\"493\" height=\"285\" \/><\/dt>\n<\/dl>\n<h2>1,2,3-4 Derece Pulmoner Kapak Yetmezli\u011fi<\/h2>\n<p>Trik\u00fcspit yetmezli\u011fi dereceleri a\u015fa\u011f\u0131daki gibidir:<\/p>\n<h3>1. Derece (Hafif)<\/h3>\n<ul>\n<li aria-level=\"1\">Hafif d\u00fczeyde kan ka\u00e7a\u011f\u0131.<\/li>\n<li aria-level=\"1\">Ekokardiyografide k\u00fc\u00e7\u00fck jet alan\u0131.<\/li>\n<li aria-level=\"1\">Genellikle semptomsuzdur, takip yeterlidir.<\/li>\n<\/ul>\n<h3>2. Derece (Orta)<\/h3>\n<ul>\n<li aria-level=\"1\">Belirgin jet ak\u0131m\u0131 g\u00f6zlenir, ancak sa\u011f kalp geni\u015flemesi hen\u00fcz yoktur veya minimaldir.<\/li>\n<li aria-level=\"1\">Efor s\u0131ras\u0131nda hafif belirtiler olabilir (yorgunluk, hafif nefes darl\u0131\u011f\u0131).<\/li>\n<li aria-level=\"1\">D\u00fczenli takip gerekir.<\/li>\n<\/ul>\n<h3>3. Derece (Orta-ileri)<\/h3>\n<ul>\n<li aria-level=\"1\">Jet ak\u0131m\u0131 belirgin ve sa\u011f kalpte geni\u015fleme ba\u015flar.<\/li>\n<li aria-level=\"1\">Hastada \u00f6dem, halsizlik, efor kapasitesinde azalma ortaya \u00e7\u0131kar.<\/li>\n<li aria-level=\"1\">\u0130la\u00e7 tedavisi ve yak\u0131n takip \u00f6nerilir. Cerrahi m\u00fcdahale g\u00fcndeme gelebilir.<\/li>\n<\/ul>\n<h3>4. Derece (\u0130leri)<\/h3>\n<ul>\n<li>Ciddi d\u00fczeyde geri ka\u00e7ak, sa\u011f kalp odac\u0131klar\u0131nda belirgin geni\u015fleme ve fonksiyon kayb\u0131.<\/li>\n<li>A\u011f\u0131r sa\u011f kalp yetmezli\u011fi belirtileri (\u015fiddetli \u00f6dem, karaci\u011fer b\u00fcy\u00fcmesi, nefes darl\u0131\u011f\u0131, \u00e7abuk yorulma).<\/li>\n<li>Cerrahi giri\u015fim (kapak tamiri veya de\u011fi\u015fimi) genellikle ka\u00e7\u0131n\u0131lmazd\u0131r. Acil tedavi gerektirir.<\/li>\n<\/ul>\n<h2>Pulmoner Kapak Ameliyat\u0131 Nedir?<\/h2>\n<p>Pulmoner kapak ameliyat\u0131, kalbin sa\u011f kar\u0131nc\u0131\u011f\u0131 ile akci\u011ferlere giden pulmoner arter aras\u0131nda yer alan pulmoner kapakta do\u011fu\u015ftan ya da sonradan geli\u015fen sorunlar\u0131n tedavisi amac\u0131yla yap\u0131lan cerrahi bir m\u00fcdahaledir. Genellikle darl\u0131k (stenoz) veya yetersizlik (yetmezlik) durumlar\u0131nda uygulan\u0131r. Ameliyat y\u00f6ntemleri \u015funlard\u0131r:<\/p>\n<ul>\n<li><strong>Kapak onar\u0131m\u0131<\/strong>: Mevcut kapa\u011f\u0131n yap\u0131sal olarak d\u00fczeltilmesi<\/li>\n<li><strong>Kapak replasman\u0131<\/strong>: Bozulan kapa\u011f\u0131n biyolojik veya mekanik kapakla de\u011fi\u015ftirilmesi<\/li>\n<li><strong>Kateterle kapak yerle\u015ftirme (TPVR)<\/strong>: Uygun hastalarda kapal\u0131 y\u00f6ntemle yap\u0131lan i\u015flemdir<\/li>\n<\/ul>\n<p>Bu ameliyat, kalbin sa\u011f taraf\u0131ndaki bas\u0131n\u00e7 dengesini ve akci\u011fer dola\u015f\u0131m\u0131n\u0131 normalle\u015ftirmeyi ama\u00e7lar.<\/p>\n<h2>Pulmoner Kapak Ameliyat\u0131 Sonras\u0131 Dikkat Edilmesi Gerekenler<\/h2>\n<p>Pulmoner kapak ameliyat\u0131, de\u011fi\u015fiminden sonra en \u00f6nemli konulardan biri, hastalar\u0131n hekim taraf\u0131ndan tavsiye edildi\u011fi \u015fekilde kan suland\u0131r\u0131c\u0131 ila\u00e7lar\u0131n d\u00fczenli olarak kullanmalar\u0131d\u0131r. Biyolojik kapak de\u011fi\u015fiminde kan suland\u0131r\u0131c\u0131 ila\u00e7 kullan\u0131m\u0131 3 ay iken mekanik kapak de\u011fi\u015fiminde hastalar\u0131n \u00f6m\u00fcr boyu kan suland\u0131r\u0131c\u0131 ilac\u0131 kullanmalar\u0131 gerekir.Bunun yan\u0131nda hastan\u0131n enfeksiyonlardan korunmas\u0131 son derece \u00f6nemlidir. Ba\u015fka bir hastal\u0131ktan dolay\u0131 olabilecek cerrahi m\u00fcdahaleler gibi durumlarda hastan\u0131n kalp doktoruyla ileti\u015fime ge\u00e7mesi ve enfeksiyona kar\u015f\u0131 \u00f6nleyici tedbirler al\u0131nmas\u0131 \u00f6nemlidir. Bununla birlikte hasta, kalp ve kalp kapa\u011f\u0131n\u0131n takip edildi\u011fi hekim kontrolleri d\u00fczenli olarak yap\u0131lmal\u0131d\u0131r.<\/p>\n<p>Pulmoner kapak hastal\u0131klar\u0131 kalp yetmezli\u011fine neden olabilece\u011finden dolay\u0131 erken te\u015fhisi ve tedavisi son derece \u00f6nemlidir.<\/p>\n<ul>\n<li>Nefes darl\u0131\u011f\u0131<\/li>\n<li>Yorgunluk<\/li>\n<li>\u00c7arp\u0131nt\u0131<\/li>\n<li>Ritim bozuklu\u011fu<\/li>\n<\/ul>\n<p>Pulmoner kapak hastal\u0131\u011f\u0131 i\u00e7in kesin tan\u0131da uygulanmas\u0131 gereken tetkik kalbin ultrasonunun yani ekokardiyografisinin yap\u0131lmas\u0131d\u0131r.<\/p>\n<p>Pulmoner kapak hastal\u0131klar\u0131 \u015fu nedenlerle ortaya \u00e7\u0131kabilmektedir.<\/p>\n<ul>\n<li>Genellikle konjenital yani do\u011fumsald\u0131r.<\/li>\n<li>Romatizmal pulmoner kapak tutulumu nadir de olsa pulmoner kapak hastal\u0131\u011f\u0131na neden olabilir.<\/li>\n<li>Pulmoner tansiyona ba\u011fl\u0131 olarak pulmoner damar\u0131n geni\u015flemesi sonucunda pulmoner kapak yaprak\u00e7\u0131klar\u0131ndaki bozulma<\/li>\n<\/ul>\n<h2>Pulmoner kapak hastal\u0131klar\u0131nda darl\u0131k ya da yetmezli\u011fe ba\u011fl\u0131 olarak ortaya \u00e7\u0131kan belirtiler \u015funlard\u0131r:<\/h2>\n<ul>\n<li>Nefes darl\u0131\u011f\u0131<\/li>\n<li>\u00c7abuk yorulma<\/li>\n<li>\u00c7arp\u0131nt\u0131<\/li>\n<li>Ritim bozuklu\u011fu<\/li>\n<\/ul>\n<h2 class=\"accordion_title\">S\u0131k\u00e7a Sorulan Sorular<\/h2><div class=\"accordion\">\n\t<div id=\"accordion-514941839\" class=\"accordion-item\">\n\t\t<a id=\"accordion-514941839-label\" class=\"accordion-title plain\" href=\"#accordion-item-pulmoner-kapak-nedir?\" aria-expanded=\"false\" aria-controls=\"accordion-514941839-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Pulmoner kapak nedir?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-514941839-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-514941839-label\">\n\t\t\t\n<p>Pulmoner kapak, kalbin sa\u011f kar\u0131nc\u0131\u011f\u0131 ile akci\u011ferlere giden pulmoner arter aras\u0131nda bulunan ve kan\u0131n geriye ka\u00e7mas\u0131n\u0131 \u00f6nleyen kapakt\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-562746297\" class=\"accordion-item\">\n\t\t<a id=\"accordion-562746297-label\" class=\"accordion-title plain\" href=\"#accordion-item-pulmoner-kapakta-hangi-sorunlar-ameliyat-gerektirir?\" aria-expanded=\"false\" aria-controls=\"accordion-562746297-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Pulmoner kapakta hangi sorunlar ameliyat gerektirir?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-562746297-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-562746297-label\">\n\t\t\t\n<p>Pulmoner kapakta ileri derece darl\u0131k (stenoz) veya yetmezlik gibi durumlar cerrahi m\u00fcdahale gerektirebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2345563004\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2345563004-label\" class=\"accordion-title plain\" href=\"#accordion-item-pulmoner-kapak-ameliyat\u0131-neden-yap\u0131l\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-2345563004-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Pulmoner kapak ameliyat\u0131 neden yap\u0131l\u0131r?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2345563004-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2345563004-label\">\n\t\t\t\n<p>Akci\u011ferlere yeterli kan gitmesini sa\u011flamak, kalp \u00fczerindeki y\u00fck\u00fc azaltmak ve kalp fonksiyonlar\u0131n\u0131 korumak i\u00e7in yap\u0131l\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3755797689\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3755797689-label\" class=\"accordion-title plain\" href=\"#accordion-item-kimlere-pulmoner-kapak-ameliyat\u0131-yap\u0131l\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-3755797689-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Kimlere pulmoner kapak ameliyat\u0131 yap\u0131l\u0131r?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3755797689-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3755797689-label\">\n\t\t\t\n<p>Do\u011fu\u015ftan kalp hastal\u0131\u011f\u0131 olan \u00e7ocuklara, kapak deformitesi geli\u015fen yeti\u015fkinlere ve ileri d\u00fczey kapak disfonksiyonu ya\u015fayan hastalara uygulanabilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-715760715\" class=\"accordion-item\">\n\t\t<a id=\"accordion-715760715-label\" class=\"accordion-title plain\" href=\"#accordion-item-pulmoner-kapak-ameliyat\u0131-nas\u0131l-yap\u0131l\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-715760715-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Pulmoner kapak ameliyat\u0131 nas\u0131l yap\u0131l\u0131r?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-715760715-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-715760715-label\">\n\t\t\t\n<p>Kapak onar\u0131m\u0131 veya kapak de\u011fi\u015fimi \u015feklinde yap\u0131l\u0131r. Bazen a\u00e7\u0131k kalp ameliyat\u0131 ile bazen de kateter yoluyla ger\u00e7ekle\u015ftirilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-332541446\" class=\"accordion-item\">\n\t\t<a id=\"accordion-332541446-label\" class=\"accordion-title plain\" href=\"#accordion-item-kapak-onar\u0131m\u0131-m\u0131,-de\u011fi\u015fimi-mi-tercih-edilir?\" aria-expanded=\"false\" aria-controls=\"accordion-332541446-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Kapak onar\u0131m\u0131 m\u0131, de\u011fi\u015fimi mi tercih edilir?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-332541446-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-332541446-label\">\n\t\t\t\n<p>M\u00fcmk\u00fcnse onar\u0131m tercih edilir. Ancak kapak ciddi hasar g\u00f6rm\u00fc\u015fse mekanik ya da biyolojik kapakla de\u011fi\u015fim yap\u0131l\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1538619272\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1538619272-label\" class=\"accordion-title plain\" href=\"#accordion-item-mekanik-ve-biyolojik-kapak-fark\u0131-nedir?\" aria-expanded=\"false\" aria-controls=\"accordion-1538619272-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Mekanik ve biyolojik kapak fark\u0131 nedir?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1538619272-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1538619272-label\">\n\t\t\t\n<p>Mekanik kapaklar dayan\u0131kl\u0131d\u0131r ama \u00f6m\u00fcr boyu kan suland\u0131r\u0131c\u0131 ila\u00e7 gerekir. Biyolojik kapaklar daha k\u0131sa \u00f6m\u00fcrl\u00fcd\u00fcr, ancak genellikle kan suland\u0131r\u0131c\u0131 gerektirmez.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1955164026\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1955164026-label\" class=\"accordion-title plain\" href=\"#accordion-item-ameliyat-ne-kadar-s\u00fcrer?\" aria-expanded=\"false\" aria-controls=\"accordion-1955164026-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Ameliyat ne kadar s\u00fcrer?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-1955164026-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1955164026-label\">\n\t\t\t\n<p>Kapak de\u011fi\u015fim ameliyatlar\u0131 genellikle 3\u20135 saat s\u00fcrer; hastan\u0131n durumuna g\u00f6re s\u00fcre de\u011fi\u015febilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-972645872\" class=\"accordion-item\">\n\t\t<a id=\"accordion-972645872-label\" class=\"accordion-title plain\" href=\"#accordion-item-pulmoner-kapak-ameliyat\u0131-riskli-midir?\" aria-expanded=\"false\" aria-controls=\"accordion-972645872-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Pulmoner kapak ameliyat\u0131 riskli midir?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-972645872-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-972645872-label\">\n\t\t\t\n<p>Her cerrahi i\u015flemde risk vard\u0131r. Ancak deneyimli ekiplerle yap\u0131ld\u0131\u011f\u0131nda ba\u015far\u0131 oran\u0131 y\u00fcksektir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-684214667\" class=\"accordion-item\">\n\t\t<a id=\"accordion-684214667-label\" class=\"accordion-title plain\" href=\"#accordion-item-ameliyat-sonras\u0131-iyile\u015fme-s\u00fcreci-nas\u0131ld\u0131r?\" aria-expanded=\"false\" aria-controls=\"accordion-684214667-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Ameliyat sonras\u0131 iyile\u015fme s\u00fcreci nas\u0131ld\u0131r?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-684214667-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-684214667-label\">\n\t\t\t\n<p>Hastanede kal\u0131\u015f s\u00fcresi genellikle 5\u20137 g\u00fcnd\u00fcr. Tam iyile\u015fme birka\u00e7 hafta ila ay s\u00fcrebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2432514932\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2432514932-label\" class=\"accordion-title plain\" href=\"#accordion-item-ameliyat-sonras\u0131-nelere-dikkat-edilmelidir?\" aria-expanded=\"false\" aria-controls=\"accordion-2432514932-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Ameliyat sonras\u0131 nelere dikkat edilmelidir?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2432514932-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2432514932-label\">\n\t\t\t\n<p>Doktor kontrol\u00fcnde ila\u00e7 kullan\u0131m\u0131, beslenmeye dikkat, d\u00fczenli kontroller ve fiziksel aktivitelerde kademeli d\u00f6n\u00fc\u015f \u00f6nemlidir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-731554356\" class=\"accordion-item\">\n\t\t<a id=\"accordion-731554356-label\" class=\"accordion-title plain\" href=\"#accordion-item-pulmoner-kapak-de\u011fi\u015fimi-sonras\u0131-tekrar-ameliyat-gerekir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-731554356-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Pulmoner kapak de\u011fi\u015fimi sonras\u0131 tekrar ameliyat gerekir mi?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-731554356-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-731554356-label\">\n\t\t\t\n<p>Biyolojik kapaklar zamanla a\u015f\u0131nabilir. \u00d6zellikle gen\u00e7 hastalarda ilerleyen y\u0131llarda tekrar de\u011fi\u015fim gerekebilir.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-911214604\" class=\"accordion-item\">\n\t\t<a id=\"accordion-911214604-label\" class=\"accordion-title plain\" href=\"#accordion-item-pulmoner-kapak-ameliyat\u0131-sonras\u0131-spor-yap\u0131labilir-mi?\" aria-expanded=\"false\" aria-controls=\"accordion-911214604-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Pulmoner kapak ameliyat\u0131 sonras\u0131 spor yap\u0131labilir mi?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-911214604-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-911214604-label\">\n\t\t\t\n<p>Ameliyat sonras\u0131 doktorun onay\u0131yla hafif egzersizlere ba\u015flanabilir. A\u011f\u0131r egzersizlerden ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3081944341\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3081944341-label\" class=\"accordion-title plain\" href=\"#accordion-item-bu-ameliyat-do\u011fu\u015ftan-kalp-hastal\u0131klar\u0131nda-s\u0131k-yap\u0131l\u0131r-m\u0131?\" aria-expanded=\"false\" aria-controls=\"accordion-3081944341-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Bu ameliyat do\u011fu\u015ftan kalp hastal\u0131klar\u0131nda s\u0131k yap\u0131l\u0131r m\u0131?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3081944341-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3081944341-label\">\n\t\t\t\n<p>Evet, Fallot tetralojisi gibi do\u011fumsal kalp hastal\u0131klar\u0131nda pulmoner kapak m\u00fcdahaleleri s\u0131k g\u00f6r\u00fcl\u00fcr.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4067155717\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4067155717-label\" class=\"accordion-title plain\" href=\"#accordion-item-hangi-doktora-ba\u015fvurmal\u0131y\u0131m?\" aria-expanded=\"false\" aria-controls=\"accordion-4067155717-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\">Hangi doktora ba\u015fvurmal\u0131y\u0131m?<\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-4067155717-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4067155717-label\">\n\t\t\t\n<p>Kalp damar cerrahisi ve pediatrik kardiyoloji (\u00e7ocuk hastalarda) pulmoner kapak sorunlar\u0131nda ba\u015fvurulmas\u0131 gereken uzmanl\u0131k alanlar\u0131d\u0131r.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n<div class=\"container section-title-container\" ><h2 class=\"section-title section-title-normal\"><b aria-hidden=\"true\"><\/b><span class=\"section-title-main\" >Blogartikel<\/span><b aria-hidden=\"true\"><\/b><\/h2><\/div>\r\n\r\n\n  \n    <div class=\"row large-columns-4 medium-columns-1 small-columns-1\" >\n  <div class=\"col post-item\" >\n\t\t\t<div class=\"col-inner\">\n\t\t\t\t<div class=\"box box-default box-text-bottom box-blog-post has-hover\">\n            \t\t\t\t\t<div class=\"box-image\" >\n  \t\t\t\t\t\t<div class=\"image-cover\" style=\"padding-top:56.25%;\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/dryavuzbesogul.com\/de\/was-ist-eine-verdickung-des-herzmuskels-myokardiale-hypertrophie\/\" class=\"plain\" aria-label=\"Was ist eine Verdickung des Herzmuskels (myokardiale Hypertrophie)?\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"711\" height=\"400\" src=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Kalp-Kasi-Kalinlasmasi-Myokardiyal-Hipertrofi-Nedir-711x400.jpg\" class=\"attachment-medium size-medium wp-post-image\" alt=\"\" srcset=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Kalp-Kasi-Kalinlasmasi-Myokardiyal-Hipertrofi-Nedir-711x400.jpg 711w, https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Kalp-Kasi-Kalinlasmasi-Myokardiyal-Hipertrofi-Nedir-1400x788.jpg 1400w, https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Kalp-Kasi-Kalinlasmasi-Myokardiyal-Hipertrofi-Nedir-768x432.jpg 768w, https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Kalp-Kasi-Kalinlasmasi-Myokardiyal-Hipertrofi-Nedir-1536x864.jpg 1536w, https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Kalp-Kasi-Kalinlasmasi-Myokardiyal-Hipertrofi-Nedir.jpg 1600w\" sizes=\"(max-width: 711px) 100vw, 711px\">\t\t\t\t\t\t\t<\/a>\n  \t\t\t\t\t\t\t  \t\t\t\t\t\t\t  \t\t\t\t\t\t<\/div>\n  \t\t\t\t\t\t  \t\t\t\t\t<\/div>\n          \t\t\t\t\t<div class=\"box-text text-center\" >\n\t\t\t\t\t<div class=\"box-text-inner blog-post-inner\">\n\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<h5 class=\"post-title is-large \">\n\t\t\t\t\t\t<a href=\"https:\/\/dryavuzbesogul.com\/de\/was-ist-eine-verdickung-des-herzmuskels-myokardiale-hypertrophie\/\" class=\"plain\">Was ist eine Verdickung des Herzmuskels (myokardiale Hypertrophie)?<\/a>\n\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t<div class=\"is-divider\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<p class=\"from_the_blog_excerpt \">\n\t\t\t\t\t\tHerzmuskelverdickung, medizinisch als myokardiale Hypertrophie bezeichnet, ist das abnorme Wachstum und die Volumenzunahme des Muskelgewebes, [...]\t\t\t\t\t<\/p>\n\t\t\t\t\t                    \n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"badge absolute top post-date badge-outline\">\n\t\t\t\t\t\t\t<div class=\"badge-inner\">\n\t\t\t\t\t\t\t\t<span class=\"post-date-day\">29<\/span><br>\n\t\t\t\t\t\t\t\t<span class=\"post-date-month is-xsmall\">Apr<\/span>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><div class=\"col post-item\" >\n\t\t\t<div class=\"col-inner\">\n\t\t\t\t<div class=\"box box-default box-text-bottom box-blog-post has-hover\">\n            \t\t\t\t\t<div class=\"box-image\" >\n  \t\t\t\t\t\t<div class=\"image-cover\" style=\"padding-top:56.25%;\">\n\t\t\t\t\t\t\t<a href=\"https:\/\/dryavuzbesogul.com\/de\/endokard-herzinnenhaut\/\" class=\"plain\" aria-label=\"Endokard (Herzinnenhaut)\">\n\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"711\" height=\"400\" src=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Endokardiyum-kalp-ic-zari-711x400.jpg\" class=\"attachment-medium size-medium wp-post-image\" alt=\"\" srcset=\"https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Endokardiyum-kalp-ic-zari-711x400.jpg 711w, https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Endokardiyum-kalp-ic-zari-1400x788.jpg 1400w, https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Endokardiyum-kalp-ic-zari-768x432.jpg 768w, https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Endokardiyum-kalp-ic-zari-1536x864.jpg 1536w, https:\/\/dryavuzbesogul.com\/wp-content\/uploads\/2026\/04\/Endokardiyum-kalp-ic-zari.jpg 1600w\" sizes=\"(max-width: 711px) 100vw, 711px\">\t\t\t\t\t\t\t<\/a>\n  \t\t\t\t\t\t\t  \t\t\t\t\t\t\t  \t\t\t\t\t\t<\/div>\n  \t\t\t\t\t\t  \t\t\t\t\t<\/div>\n          \t\t\t\t\t<div class=\"box-text text-center\" >\n\t\t\t\t\t<div class=\"box-text-inner blog-post-inner\">\n\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<h5 class=\"post-title is-large \">\n\t\t\t\t\t\t<a href=\"https:\/\/dryavuzbesogul.com\/de\/endokard-herzinnenhaut\/\" class=\"plain\">Endokard (Herzinnenhaut)<\/a>\n\t\t\t\t\t<\/h5>\n\t\t\t\t\t\t\t\t\t\t<div class=\"is-divider\"><\/div>\n\t\t\t\t\t\t\t\t\t\t<p class=\"from_the_blog_excerpt \">\n\t\t\t\t\t\tDas Endokard, auch als Herzinnenhaut bekannt, ist eine d\u00fcnne, glatte und lebenswichtige Schutzschicht, die die [...]\t\t\t\t\t<\/p>\n\t\t\t\t\t                    \n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"badge absolute top post-date badge-outline\">\n\t\t\t\t\t\t\t<div class=\"badge-inner\">\n\t\t\t\t\t\t\t\t<span class=\"post-date-day\">29<\/span><br>\n\t\t\t\t\t\t\t\t<span class=\"post-date-month is-xsmall\">Apr<\/span>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>\r\n\n","protected":false},"excerpt":{"rendered":"<p>Pulmoner kapak ameliyat\u0131, kalbin sa\u011f ventrik\u00fcl ile pulmoner arter aras\u0131ndaki kapakta fonksiyon bozuklu\u011fu oldu\u011funda uygulanan cerrahi bir m\u00fcdahaledir. Genellikle kapak darl\u0131\u011f\u0131 veya yetersizli\u011fi durumlar\u0131nda, kapak onar\u0131m\u0131 veya mekanik\/ biyolojik kapakla de\u011fi\u015ftirme i\u015flemleri yap\u0131l\u0131r. Bu y\u00f6ntem, a\u00e7\u0131k cerrahi veya minimal invaziv tekniklerle uygulanabilir. Minimal invaziv yakla\u015f\u0131mda k\u00fc\u00e7\u00fck kesiler arac\u0131l\u0131\u011f\u0131yla giri\u015fim yap\u0131l\u0131r, hastanede kal\u0131\u015f s\u00fcresi azal\u0131r ve [&#8230;]\n","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank-title-center.php","meta":{"footnotes":""},"class_list":["post-10475","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dryavuzbesogul.com\/de\/wp-json\/wp\/v2\/pages\/10475","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dryavuzbesogul.com\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dryavuzbesogul.com\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/de\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dryavuzbesogul.com\/de\/wp-json\/wp\/v2\/comments?post=10475"}],"version-history":[{"count":2,"href":"https:\/\/dryavuzbesogul.com\/de\/wp-json\/wp\/v2\/pages\/10475\/revisions"}],"predecessor-version":[{"id":13910,"href":"https:\/\/dryavuzbesogul.com\/de\/wp-json\/wp\/v2\/pages\/10475\/revisions\/13910"}],"wp:attachment":[{"href":"https:\/\/dryavuzbesogul.com\/de\/wp-json\/wp\/v2\/media?parent=10475"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}