{"id":57286,"date":"2026-10-24T09:13:25","date_gmt":"2026-10-24T06:13:25","guid":{"rendered":"https:\/\/www.merceknet.com\/tr\/?p=57286"},"modified":"2026-10-24T09:13:25","modified_gmt":"2026-10-24T06:13:25","slug":"cocuklarda-vsd-anjiyo-ile-kapatilabilir-mi","status":"publish","type":"post","link":"https:\/\/www.merceknet.com\/tr\/2026\/10\/24\/cocuklarda-vsd-anjiyo-ile-kapatilabilir-mi\/","title":{"rendered":"\u00c7ocuklarda VSD anjiyo ile kapat\u0131labilir mi?"},"content":{"rendered":"

\u00c7ocuklarda en s\u0131k g\u00f6r\u00fclen do\u011fumsal kalp hastal\u0131klar\u0131ndan biri olan ventrik\u00fcler septal defekt (VSD)<\/strong>, kalbin alt iki odac\u0131\u011f\u0131 aras\u0131ndaki duvarda do\u011fu\u015ftan bir a\u00e7\u0131kl\u0131k bulunmas\u0131yla ortaya \u00e7\u0131k\u0131yor.<\/p>\n

A\u00e7\u0131kl\u0131\u011f\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fcne ve bulundu\u011fu b\u00f6lgeye g\u00f6re hastal\u0131\u011f\u0131n seyri de\u011fi\u015febiliyor. \u00d6zellikle b\u00fcy\u00fck VSD\u2019lerde akci\u011ferlere normalden fazla kan gitmesi, kalbin \u00e7al\u0131\u015fma y\u00fck\u00fcn\u00fc art\u0131rabiliyor.<\/p>\n

\u00c7ocuk Kardiyolojisi Uzman\u0131 Prof. Dr. \u0130brahim Cansaran Tan\u0131d\u0131r, VSD\u2019nin her \u00e7ocukta ayn\u0131 tabloya yol a\u00e7mad\u0131\u011f\u0131n\u0131, tedavi karar\u0131nda a\u00e7\u0131kl\u0131\u011f\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fc, konumu ve kalp fonksiyonlar\u0131na etkisinin birlikte de\u011ferlendirilmesi gerekti\u011fini belirtiyor.<\/p>\n

B\u00fcy\u00fck VSD\u2019lerde belirtiler daha belirgin olabiliyor<\/h2>\n

Kalbin sol kar\u0131nc\u0131\u011f\u0131ndaki bas\u0131nc\u0131n sa\u011f kar\u0131nc\u0131ktan daha y\u00fcksek olmas\u0131 nedeniyle kan\u0131n bir b\u00f6l\u00fcm\u00fc VSD olarak adland\u0131r\u0131lan a\u00e7\u0131kl\u0131ktan sa\u011f tarafa ge\u00e7ebiliyor.<\/p>\n

Bu durum akci\u011ferlere giden kan miktar\u0131n\u0131 art\u0131rabiliyor. \u00d6zellikle b\u00fcy\u00fck a\u00e7\u0131kl\u0131klarda bebeklerde h\u0131zl\u0131 nefes alma, beslenme g\u00fc\u00e7l\u00fc\u011f\u00fc, a\u015f\u0131r\u0131 terleme, yeterince kilo alamama ve b\u00fcy\u00fcme gerili\u011fi<\/strong> gibi belirtiler g\u00f6r\u00fclebiliyor.<\/p>\n

VSD\u2019nin kalp \u00fczerindeki etkisi a\u00e7\u0131kl\u0131\u011f\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fc ve dola\u015f\u0131m sistemi \u00fczerinde olu\u015fturdu\u011fu y\u00fckle yak\u0131ndan ili\u015fkili bulunuyor.<\/p>\n

Baz\u0131 VSD\u2019ler anjiyo y\u00f6ntemiyle kapat\u0131labiliyor<\/h2>\n

Uygun hastalarda VSD\u2019nin kateter, yani anjiyo y\u00f6ntemiyle kapat\u0131lmas\u0131 m\u00fcmk\u00fcn olabiliyor.<\/p>\n

\u0130\u015flem s\u0131ras\u0131nda kas\u0131k b\u00f6lgesindeki damarlardan ilerletilen kateterlerle kalbe ula\u015f\u0131l\u0131yor. A\u00e7\u0131kl\u0131\u011f\u0131n bulundu\u011fu b\u00f6lgeye \u00f6zel bir kapatma cihaz\u0131 yerle\u015ftirilerek iki kar\u0131nc\u0131k aras\u0131ndaki anormal kan ge\u00e7i\u015finin durdurulmas\u0131 ama\u00e7lan\u0131yor.<\/p>\n

Cihaz\u0131n do\u011fru noktaya yerle\u015ftirilmesi s\u0131ras\u0131nda anjiyografik g\u00f6r\u00fcnt\u00fcleme ve ekokardiyografiden yararlan\u0131l\u0131yor.<\/p>\n

Bu y\u00f6ntemde a\u00e7\u0131k kalp ameliyat\u0131ndaki gibi g\u00f6\u011f\u00fcs kafesinin a\u00e7\u0131lmas\u0131na ihtiya\u00e7 duyulmayabiliyor.<\/p>\n

Ancak her VSD t\u00fcr\u00fc anjiyo y\u00f6ntemiyle kapat\u0131lmaya uygun de\u011fil.<\/strong><\/p>\n

Hangi VSD t\u00fcrlerinde anjiyo tercih edilebilir?<\/h2>\n

Kateterle kapatma karar\u0131nda a\u00e7\u0131kl\u0131\u011f\u0131n anatomik konumu b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor.<\/p>\n

Baz\u0131 m\u00fcsk\u00fcler VSD\u2019ler<\/strong> anjiyo y\u00f6ntemiyle kapatma a\u00e7\u0131s\u0131ndan uygun olabiliyor. Belirli perimembran\u00f6z VSD\u2019lerde<\/strong> de cihazla kapatma de\u011ferlendirilebiliyor ancak bu b\u00f6lgenin kalbin elektriksel ileti sistemi ve kapak yap\u0131lar\u0131na yak\u0131n olmas\u0131 nedeniyle hasta se\u00e7iminin dikkatle yap\u0131lmas\u0131 gerekiyor.<\/p>\n

Kalp kapaklar\u0131na \u00e7ok yak\u0131n a\u00e7\u0131kl\u0131klarda ise cihazla kapatma uygun olmayabiliyor.<\/p>\n

B\u00fcy\u00fck, karma\u015f\u0131k veya ba\u015fka kalp anomalileriyle birlikte g\u00f6r\u00fclen VSD\u2019lerde cerrahi y\u00f6ntem tercih edilebiliyor.<\/p>\n

Anjiyo y\u00f6nteminin avantajlar\u0131 ve riskleri var<\/h2>\n

Kateterle kapatma, uygun hastalarda daha az giri\u015fimsel bir se\u00e7enek sunuyor.<\/p>\n

G\u00f6\u011f\u00fcs kafesinin a\u00e7\u0131lmamas\u0131, b\u00fcy\u00fck bir cerrahi kesi gerektirmemesi ve baz\u0131 hastalarda hastanede kal\u0131\u015f s\u00fcresinin daha k\u0131sa olmas\u0131 y\u00f6ntemin avantajlar\u0131 aras\u0131nda bulunuyor.<\/p>\n

Bununla birlikte i\u015flem sonras\u0131nda ritim bozuklu\u011fu, cihaz\u0131n yer de\u011fi\u015ftirmesi, kalp kapaklar\u0131n\u0131n etkilenmesi veya damarsal komplikasyonlar<\/strong> g\u00f6r\u00fclebiliyor.<\/p>\n

\u00d6zellikle perimembran\u00f6z VSD\u2019lerde kalbin elektriksel ileti sistemine yak\u0131nl\u0131k nedeniyle kalp blo\u011fu riski<\/strong> \u00f6nem ta\u015f\u0131yor.<\/p>\n

Bu nedenle y\u00f6ntemin olas\u0131 yararlar\u0131 ve risklerinin her \u00e7ocuk i\u00e7in ayr\u0131 ayr\u0131 de\u011ferlendirilmesi gerekiyor.<\/p>\n

Cerrahi ne zaman gerekiyor?<\/h2>\n

VSD\u2019nin b\u00fcy\u00fck olmas\u0131 ve kalpte \u00f6nemli hacim y\u00fck\u00fc olu\u015fturmas\u0131, a\u00e7\u0131kl\u0131\u011f\u0131n kapat\u0131lmas\u0131n\u0131 gerekli hale getirebiliyor.<\/p>\n

\u00d6zellikle bebeklerde kalp yetersizli\u011fi belirtileri, kilo alamama ve akci\u011ferlere a\u015f\u0131r\u0131 kan gitmesi gibi durumlarda erken tedavi g\u00fcndeme gelebiliyor.<\/p>\n

Kateter y\u00f6ntemi i\u00e7in anatomik olarak uygun olmayan \u00e7ocuklarda ise cerrahi kapatma \u00f6n plana \u00e7\u0131k\u0131yor.<\/p>\n

Tedavi sonras\u0131nda d\u00fczenli takip \u00f6nemli<\/h2>\n

VSD kapat\u0131ld\u0131ktan sonra \u00e7ocu\u011fun kalp yap\u0131s\u0131 ve fonksiyonlar\u0131n\u0131n d\u00fczenli olarak takip edilmesi gerekiyor.<\/p>\n

Ekokardiyografiyle kapat\u0131lan b\u00f6lge, olas\u0131 art\u0131k kan ge\u00e7i\u015fi, kalp kapaklar\u0131n\u0131n durumu ve kalp odac\u0131klar\u0131n\u0131n geli\u015fimi izleniyor.<\/p>\n

Uzmanlar, \u00e7ocuklarda VSD\u2019nin anjiyo ile kapat\u0131lmas\u0131n\u0131n se\u00e7ilmi\u015f hastalarda \u00f6nemli bir tedavi se\u00e7ene\u011fi<\/strong> olabilece\u011fini, ancak g\u00fcvenli ve etkili sonu\u00e7lar i\u00e7in do\u011fru hasta se\u00e7imi, uygun i\u015flem planlamas\u0131 ve d\u00fczenli kardiyoloji takibinin b\u00fcy\u00fck \u00f6nem ta\u015f\u0131d\u0131\u011f\u0131n\u0131 vurguluyor.<\/p>\n","protected":false},"excerpt":{"rendered":"

Halk aras\u0131nda \u201ckalp deli\u011fi\u201d olarak bilinen ventrik\u00fcler septal defekt (VSD), \u00e7ocuklarda s\u0131k g\u00f6r\u00fclen do\u011fumsal kalp hastal\u0131klar\u0131 aras\u0131nda yer al\u0131yor. Uzmanlar, baz\u0131 VSD t\u00fcrlerinin anjiyo y\u00f6ntemiyle kapat\u0131labildi\u011fini ancak tedavi karar\u0131n\u0131n a\u00e7\u0131kl\u0131\u011f\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fcne, bulundu\u011fu b\u00f6lgeye ve kalbin \u00e7al\u0131\u015fmas\u0131na etkisine g\u00f6re verilmesi gerekti\u011fini belirtiyor.<\/p>\n","protected":false},"author":14,"featured_media":57287,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[17054,17055,17053],"class_list":["post-57286","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-cocuk-kardiyolojisi","tag-kalp-deligi","tag-vsd"],"yoast_head":"\n\u00c7ocuklarda VSD anjiyo ile kapat\u0131labilir mi? - Merceknet Haber<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.merceknet.com\/tr\/2026\/10\/24\/cocuklarda-vsd-anjiyo-ile-kapatilabilir-mi\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00c7ocuklarda VSD anjiyo ile kapat\u0131labilir mi? - Merceknet Haber\" \/>\n<meta property=\"og:description\" content=\"Halk aras\u0131nda \u201ckalp deli\u011fi\u201d olarak bilinen ventrik\u00fcler septal defekt (VSD), \u00e7ocuklarda s\u0131k g\u00f6r\u00fclen do\u011fumsal kalp hastal\u0131klar\u0131 aras\u0131nda yer al\u0131yor. Uzmanlar, baz\u0131 VSD t\u00fcrlerinin anjiyo y\u00f6ntemiyle kapat\u0131labildi\u011fini ancak tedavi karar\u0131n\u0131n a\u00e7\u0131kl\u0131\u011f\u0131n b\u00fcy\u00fckl\u00fc\u011f\u00fcne, bulundu\u011fu b\u00f6lgeye ve kalbin \u00e7al\u0131\u015fmas\u0131na etkisine g\u00f6re verilmesi gerekti\u011fini belirtiyor.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.merceknet.com\/tr\/2026\/10\/24\/cocuklarda-vsd-anjiyo-ile-kapatilabilir-mi\/\" \/>\n<meta property=\"og:site_name\" content=\"Merceknet Haber\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/merceknet\" \/>\n<meta property=\"article:published_time\" content=\"2026-10-24T06:13:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.merceknet.com\/tr\/wp-content\/uploads\/2026\/10\/cocuk-kalp.png\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"450\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"G\u00f6zde Karacan\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@merceknethaber\" \/>\n<meta name=\"twitter:site\" content=\"@merceknethaber\" \/>\n<meta name=\"twitter:label1\" content=\"Yazan:\" \/>\n\t<meta name=\"twitter:data1\" content=\"G\u00f6zde Karacan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tahmini okuma s\u00fcresi\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 dakika\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.merceknet.com\\\/tr\\\/2026\\\/10\\\/24\\\/cocuklarda-vsd-anjiyo-ile-kapatilabilir-mi\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.merceknet.com\\\/tr\\\/2026\\\/10\\\/24\\\/cocuklarda-vsd-anjiyo-ile-kapatilabilir-mi\\\/\"},\"author\":{\"name\":\"G\u00f6zde Karacan\",\"@id\":\"https:\\\/\\\/www.merceknet.com\\\/tr\\\/#\\\/schema\\\/person\\\/df7a42cc86ed4cf66e71bfe34ded036d\"},\"headline\":\"\u00c7ocuklarda VSD anjiyo ile kapat\u0131labilir mi?\",\"datePublished\":\"2026-10-24T06:13:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.merceknet.com\\\/tr\\\/2026\\\/10\\\/24\\\/cocuklarda-vsd-anjiyo-ile-kapatilabilir-mi\\\/\"},\"wordCount\":743,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.merceknet.com\\\/tr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.merceknet.com\\\/tr\\\/2026\\\/10\\\/24\\\/cocuklarda-vsd-anjiyo-ile-kapatilabilir-mi\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.merceknet.com\\\/tr\\\/wp-content\\\/uploads\\\/2026\\\/10\\\/cocuk-kalp.png\",\"keywords\":[\"\u00e7ocuk kardiyolojisi\",\"kalp deli\u011fi\",\"VSD\"],\"articleSection\":[\"Sa\u011fl\u0131k\"],\"inLanguage\":\"tr\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.merceknet.com\\\/tr\\\/2026\\\/10\\\/24\\\/cocuklarda-vsd-anjiyo-ile-kapatilabilir-mi\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.merceknet.com\\\/tr\\\/2026\\\/10\\\/24\\\/cocuklarda-vsd-anjiyo-ile-kapatilabilir-mi\\\/\",\"url\":\"https:\\\/\\\/www.merceknet.com\\\/tr\\\/2026\\\/10\\\/24\\\/cocuklarda-vsd-anjiyo-ile-kapatilabilir-mi\\\/\",\"name\":\"\u00c7ocuklarda VSD anjiyo ile kapat\u0131labilir mi? 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