Atriyal septal defekt erişkinde en sık rastlanan doğumsal kalp anomalilerinden biridir. Minimal invaziv cerrahi tekniklerdeki gelişmeler, seçilmiş uygun vakaların bu yöntemle daha yaygın olarak tedavi edilmesini artırmıştır. Sağ anterior torakotomi ile minimal invaziv olarak atriyal septal defekt onarımı güvenilir sonuçları, yüksek hasta memnuniyeti nedeniyle özellikle genç bayan hastalarda ilk sıralarda tercih edilecek yöntemlerden biridir. Biz bu yazıda yaklaşık 3 yıl önce silikon meme protezi ameliyatı olan hastada uyguladığımız minimal invaziv teknik ile sinüs venozus defekti onarımını anlatmaktayız. Mevcut kompleks atrial septal defekt ve cerrahi alanda silikon meme protezi bulunmasına rağmen sağ anterolateral mini torakotomi yaklaşımı sayesinde uygulanan tedavi başarılı ve kozmetik olarak sorunsuz olmuştur.

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Background: We aimed to indicate the frequency of this disease according to blood groups, other disease types, age, weight and other demographic characteristics.Methods: We examined total of 236 patients who applied to our clinic because of lower extremity edema within 5 years. All patients had a diagnosis of lymphedema. Patients with a diagnosis of congenital lymphedema or a diagnosis secondary to cancer were excluded. Obesity, presence of venous disease, diabetes mellitus and hypertension which are considered as causes of secondary lymphedema were included in the study. Also the relationship between lymphedema patients and blood groups were evaluated.Results: 81% (n:193) of patients were women. The mean age of the patients was 50.71 (±10.28). All patients had diagnosis of lymphedema. Most of patients (n:189) had bilateral lower extremity edema. Body mass index was above 25 in 149 (63.1%) patients. Deep venous insufficiency accompanied in 75 (31.8%) patients. Perforator vein incompetance was observed with lymphedema in 96 (40.7%) patients. The number of diabetic and hypertensive patients was 64 (27.1%) and 67 (28.4%), respectively. Patients with B type blood group constituted the largest patient profile with a rate of 41.9% (n:99).Conclusions: In our study, demographic characteristics were not statistically corolated to lymphedema development, however, the rate of lymphedema in patients with perforating vein insufficiency was statistically significant (p<0.05, P=0.002). The most important point to be considered here is whether lymphedema plays a role in the development of additional pathology or do additional pathologies trigger the development of lymphedema?