{"id":7278,"date":"2026-01-20T00:26:15","date_gmt":"2026-01-19T21:26:15","guid":{"rendered":"https:\/\/www.bursacocukkardiyoloji.com\/?p=7278"},"modified":"2026-02-02T16:59:36","modified_gmt":"2026-02-02T13:59:36","slug":"aberran-sag-subklavian-arter-arsa","status":"publish","type":"post","link":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/2026\/01\/20\/aberran-sag-subklavian-arter-arsa\/","title":{"rendered":"Aberran Sa\u011f Subklavian Arter (ARSA)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Aberran sa\u011f subklavian arter (ARSA), sa\u011f kola giden ana damar\u0131n kalpten <strong>normalden farkl\u0131 bir noktadan<\/strong> \u00e7\u0131kmas\u0131yla karakterize, <strong>do\u011fumsal bir damar varyasyonudur<\/strong>.<br>Bu durum, genel toplumda yakla\u015f\u0131k <strong>%1\u20132 oran\u0131nda<\/strong> g\u00f6r\u00fclebilir ve \u00e7o\u011fu bireyde ya\u015fam boyu <strong>herhangi bir belirtiye yol a\u00e7maz<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ARSA, kalbin yap\u0131sal bir hastal\u0131\u011f\u0131 de\u011fil; kalpten \u00e7\u0131kan damarlar\u0131n <strong>yerle\u015fim farkl\u0131l\u0131\u011f\u0131d\u0131r<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5 class=\"wp-block-heading\">1. Olu\u015f Mekanizmas\u0131<\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">Anne karn\u0131ndaki geli\u015fim s\u0131ras\u0131nda, b\u00fcy\u00fck damarlar belirli bir s\u0131rayla \u015fekillenir.<br>ARSA durumunda:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sa\u011f kola giden damar, Aorttan (ana atardamar) <strong>biraz daha geriden<\/strong> \u00e7\u0131kar,<\/li>\n\n\n\n<li>Yemek borusu ve soluk borusunun arkas\u0131ndan ilerleyerek sa\u011f kola ula\u015f\u0131r.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bu anatomik farkl\u0131l\u0131k \u00e7o\u011fu zaman <strong>fizyolojik olarak sorunsuzdur<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5 class=\"wp-block-heading\">2. ARSA Bir Kalp Hastal\u0131\u011f\u0131 de\u011fildir<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kalp deli\u011fi de\u011fildir<\/li>\n\n\n\n<li>Kalp kas\u0131 hastal\u0131\u011f\u0131 de\u011fildir<\/li>\n\n\n\n<li>Kalbin pompa g\u00fcc\u00fcn\u00fc etkilemez<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle <strong>tek ba\u015f\u0131na ARSA<\/strong>, do\u011frudan bir kalp hastal\u0131\u011f\u0131 anlam\u0131na gelmez.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5 class=\"wp-block-heading\">3. Klinik \u00d6nemi<\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">E\u011fer ARSA; ba\u015fka bir kalp anomalisi olmadan ve di\u011fer organlarda yap\u0131sal bir sorun e\u015flik etmeden saptanm\u0131\u015fsa, buna <strong>\u201cizole ARSA\u201d<\/strong> denir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bilimsel \u00e7al\u0131\u015fmalar g\u00f6stermektedir ki:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0130zole ARSA olgular\u0131nda <strong>kromozomal veya ciddi yap\u0131sal hastal\u0131k riski d\u00fc\u015f\u00fckt\u00fcr<\/strong><\/li>\n\n\n\n<li>\u00c7o\u011fu bebek <strong>tamamen sa\u011fl\u0131kl\u0131<\/strong> olarak do\u011far<\/li>\n\n\n\n<li>Rutin olarak ameliyat, ila\u00e7 veya yo\u011fun takip gerekmez.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5 class=\"wp-block-heading\">4. Ne Zaman Daha Ayr\u0131nt\u0131l\u0131 De\u011ferlendirme Gerekir?<\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">ARSA baz\u0131 durumlarda, kalpte ba\u015fka yap\u0131sal farkl\u0131l\u0131klar ve di\u011fer organlara ait anomaliler ile birlikte g\u00f6r\u00fclebilir. Bu durumda ARSA, baz\u0131 genetik durumlar\u0131n olas\u0131l\u0131\u011f\u0131 artabilir. Dolay\u0131s\u0131yla bu gibi durumlarda hekimler:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Detayl\u0131 fetal kalp incelemesi ve gerekirse genetik dan\u0131\u015fmanl\u0131k \u00f6nerebilir. <\/li>\n\n\n\n<li>Bu yakla\u015f\u0131m <strong>\u00f6nleyici ve bilgilendirici<\/strong> ama\u00e7 ta\u015f\u0131r.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5 class=\"wp-block-heading\">5. Do\u011fum Sonras\u0131 D\u00f6nem<\/h5>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130zole ARSA saptanan bebeklerde:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Do\u011fumdan sonra genellikle ek bir i\u015flem gerekmez<\/li>\n\n\n\n<li>\u00c7ocuk doktoru ve gerekirse \u00e7ocuk kardiyolo\u011fu taraf\u0131ndan de\u011ferlendirme yeterlidir<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Nadir olarak baz\u0131 bebeklerde; beslenme s\u0131ras\u0131nda zorlanma ve h\u0131r\u0131lt\u0131l\u0131 solunum (stridor) g\u00f6r\u00fclebilir; ancak bu durum <strong>\u00e7ok enderdir<\/strong> ve \u00e7o\u011fu ARSA\u2019 l\u0131 bebekte ortaya \u00e7\u0131kmaz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130zole ARSA&#8217; da prognoz olduk\u00e7a iyidir. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Normal ya\u015fam s\u00fcresi ve kalitesini etkilemez. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">G\u00fcnl\u00fck ya\u015famda k\u0131s\u0131tlama yap\u0131lmas\u0131 gerekmez.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dolay\u0131s\u0131yla, ARSA tan\u0131s\u0131, tek ba\u015f\u0131na <strong>olumsuz bir gelecek \u00f6ng\u00f6r\u00fcs\u00fc anlam\u0131na gelmez<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5 class=\"wp-block-heading\">6. \u00d6zetle<\/h5>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Aberran sa\u011f subklavian arter, \u00e7o\u011fu zaman klinik \u00f6nemi olmayan, do\u011fumsal bir damar varyasyonudur. \u0130zole olarak saptand\u0131\u011f\u0131nda, bebe\u011fin kalp sa\u011fl\u0131\u011f\u0131 ve genel geli\u015fimi \u00fczerinde olumsuz bir etkisi olmaz.<\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Aberran sa\u011f subklavian arter (ARSA), sa\u011f kola giden ana damar\u0131n kalpten normalden farkl\u0131 bir noktadan \u00e7\u0131kmas\u0131yla karakterize, do\u011fumsal bir damar varyasyonudur.Bu durum, genel toplumda yakla\u015f\u0131k %1\u20132 oran\u0131nda g\u00f6r\u00fclebilir ve \u00e7o\u011fu bireyde ya\u015fam boyu herhangi bir belirtiye yol a\u00e7maz. ARSA, kalbin yap\u0131sal bir hastal\u0131\u011f\u0131 de\u011fil; kalpten \u00e7\u0131kan damarlar\u0131n yerle\u015fim farkl\u0131l\u0131\u011f\u0131d\u0131r. 1. Olu\u015f Mekanizmas\u0131 Anne karn\u0131ndaki geli\u015fim s\u0131ras\u0131nda, b\u00fcy\u00fck damarlar belirli bir [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":7282,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-7278","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/7278","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/comments?post=7278"}],"version-history":[{"count":4,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/7278\/revisions"}],"predecessor-version":[{"id":7297,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/posts\/7278\/revisions\/7297"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/media\/7282"}],"wp:attachment":[{"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/media?parent=7278"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/categories?post=7278"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bursacocukkardiyoloji.com\/index.php\/wp-json\/wp\/v2\/tags?post=7278"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}