The arterial pattern of the upper limb is one of the systems that shows a large number of variati... more The arterial pattern of the upper limb is one of the systems that shows a large number of variations in the adult human body. Most of these variations occur in either the radial or ulnar artery; brachial artery variations are less common. In this case report we describe the anomaly in the formation of the brachial artery system. Appreciation of variations in the upper extremity vasculature is essential to prevent injury, particularly in patients undergoing arteriography.
Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-... more Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-stage heart disease but the availability of donor organs remains major limiting factor allowing only 1% of the candidates actually become transplant recipients. New therapeutic strategies are under intensive research for patients who do not meet patient selection criteria for transplantation or who suffer from donor organ shortage. Even though there are significant developments in the medical treatment of cardiac failure, the prognosis of this condition continues to be poor. The 20-40% of the candidates for cardiac transplantation die while they are included in the waiting list. Twenty percent mortality has been reported within the first year of transplantation with additional yearly mortality of 5% following the first year. Financial constraints, complications of immunosuppression and functional failure of the transplanted hearts are other limiting factors. This has brought up the necessity to search for alternative surgical treatment methods besides increasing the waiting periods of transplant candidates. The aim of this report is to summarize other currently available therapeutic alternatives for patients with end-stage cardiac disease.
Bulgular: Ameliyat öncesi ve ameliyat sırasındaki veriler iki grupta, ameliyat süresinin grup 2&#... more Bulgular: Ameliyat öncesi ve ameliyat sırasındaki veriler iki grupta, ameliyat süresinin grup 2'de daha kısa olması dışında benzerdi. Ameliyat öncesi sternum SPECT incelemeleri de iki grupta farklılık göstermedi. Erken ameliyat sonrası SPECT incelemelerinde iki grupta da ...
Essential thrombocythaemia (ET) is a rare chronic myeloproliferative disease characterised by per... more Essential thrombocythaemia (ET) is a rare chronic myeloproliferative disease characterised by persistent thrombocytosis. Cerebral, myocardial and peripheral thrombosis are frequently seen complications, but bleeding and venous thrombosis are more rare. Here, a case of essential thrombocythaemia complicated by cerebral and myocardial thrombosis is presented. The patient’s platelet count was 680×109/litre on admission. Electrocardiogram showed a slight ST elevation in leads V1 to V4. A coronary angiography was performed and it revealed a severe stenosis of the left anterior descending artery. The patient had a successful off-pump coronary artery bypass grafting surgery. After the operation the platelet count was 390×109/litre. The patient received hydroxyurea and aspirin treatment preoperatively and continued postoperatively. ET is a rare myeloproliferative disease; its complications are also rare, but the occurrence of two life-threatening complications in the same patient is rarer still. Further investigations are needed to determine the risk stratification for patients with ET undergoing cardiac surgery.
European Heart Journal - Cardiovascular Imaging, 2022
Funding Acknowledgements Type of funding sources: None. Introduction Pericardial effusion (PE) is... more Funding Acknowledgements Type of funding sources: None. Introduction Pericardial effusion (PE) is a frequent finding in patients that undergo coronary artery bypass grafting (GABG). Postoperative PE may be found in as many as 85% of patients. Although postoperative PE is a frequent finding following CABG, fortunately its course is usually benign and they randomly disappear within 7-10 days. However, in some instances PE may persist for longer and cause complications. There are currently limited data in the medical literature providing information regarding the factors that may contribute to postoperative pericarditis. We aimed to analyze the main echocardiographic characteristics that may influence the presence of PE 6 to 8 weeks following CABG. Material and methods: This was a prospective cross-sectional study that included 90 consecutive patients that underwent CABG procedure in the Cardio Surgery Department of our tertiary medical center. We excluded patients that underwent ot...
Turkiye Klinikleri Journal of Cardiovascular Surgery, 2003
T Klin Kalp-Damar Cerrahisi 2003, 4 166 Trunkus arteriyozus (TA) tüm konjenital anomalilerin %2.8... more T Klin Kalp-Damar Cerrahisi 2003, 4 166 Trunkus arteriyozus (TA) tüm konjenital anomalilerin %2.8’sini olu şturan, kompleks ancak uygun şartlarda opere edildi ğ nde kabul edilebilir bir cerrahi mortalite ile tedavi edilebilen bir patolojidir. Bu hastalarda kalpten çıkan, sistemik ve pulmoner kan akımlarını sa ğl yan tek bir büyük arter ile geni ş VSD bulunur. Trunkus arteriyozusda cerrahi tedavi uygulanmadı ğında bir yıllık yaşam oranı %10-25’dir (1). Preoperatif risk faktörleri olarak trunkal kapakta yetmezlik, bebe ğin 1 aydan küçük olması, ağırlığının düşük olması, preoperatif solunum desteği gerektirmesi, yüksek krosklemp zamanı, e şlik eden kesintili aortik arkus, koroner arter anomalil eTrunkus Arteriyozus Onarımı Sonrası Beklenmeyen Bir Mortalite Nedeni: Nekrotizan Enterokolit
Bulgular: Ameliyat öncesi ve ameliyat sırasındaki veriler iki grupta, ameliyat süresinin grup 2&#... more Bulgular: Ameliyat öncesi ve ameliyat sırasındaki veriler iki grupta, ameliyat süresinin grup 2'de daha kısa olması dışında benzerdi. Ameliyat öncesi sternum SPECT incelemeleri de iki grupta farklılık göstermedi. Erken ameliyat sonrası SPECT incelemelerinde iki grupta da ...
Off-pump versus on-pump coronary artery bypass grafting in acute coronary syndrome: a clinical an... more Off-pump versus on-pump coronary artery bypass grafting in acute coronary syndrome: a clinical analysis
Anadolu Kardiyoloji Dergisi/The Anatolian Journal of Cardiology, 2003
Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-... more Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-stage heart disease but the availability of donor organs remains major limiting factor allowing only 1% of the candidates actually become transplant recipients. New therapeutic strategies are under intensive research for patients who do not meet patient selection criteria for transplantation or who suffer from donor organ shortage. Even though there are significant developments in the medical treatment of cardiac failure, the prognosis of this condition continues to be poor. The 20-40% of the candidates for cardiac transplantation die while they are included in the waiting list. Twenty percent mortality has been reported within the first year of transplantation with additional yearly mortality of 5% following the first year. Financial constraints, complications of immunosuppression and functional failure of the transplanted hearts are other limiting factors. This has brought up the neces...
OBJECTIVE We aimed to preserve sternal vascularity better by harvesting only midsegment of the ri... more OBJECTIVE We aimed to preserve sternal vascularity better by harvesting only midsegment of the right internal thoracic artery (RITA) than using conventional bilateral internal thoracic artery (BITA) harvesting method, and we evaluated the sternal vascularity with single photon emission computed tomography (SPECT). METHODS In this prospective clinical randomized investigation, 135 patients undergoing coronary artery bypass surgery (CABG) were divided into three groups: Full-RITA group who had a full length of both ITA as a graft for CABG (n=45); mid-RITA group - a midsegment of RITA and left internal thoracic artery (LITA) (n=45); and non-RITA group who had only LITA (n=45). Before and after surgery, all patients underwent a bone scan with single photon emission computed tomography (SPECT) to evaluate the sternal vascular activity. Comparisons of variables were performed by Chi-square, ANOVA, Tukey HSD and paired t test as appropriate. The Bonferroni correction was applied for multip...
Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology, 2003
Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-... more Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-stage heart disease but the availability of donor organs remains major limiting factor allowing only 1% of the candidates actually become transplant recipients. New therapeutic strategies are under intensive research for patients who do not meet patient selection criteria for transplantation or who suffer from donor organ shortage. Even though there are significant developments in the medical treatment of cardiac failure, the prognosis of this condition continues to be poor. The 20-40% of the candidates for cardiac transplantation die while they are included in the waiting list. Twenty percent mortality has been reported within the first year of transplantation with additional yearly mortality of 5% following the first year. Financial constraints, complications of immunosuppression and functional failure of the transplanted hearts are other limiting factors. This has brought up the neces...
The arterial pattern of the upper limb is one of the systems that shows a large number of variati... more The arterial pattern of the upper limb is one of the systems that shows a large number of variations in the adult human body. Most of these variations occur in either the radial or ulnar artery; brachial artery variations are less common. In this case report we describe the anomaly in the formation of the brachial artery system. Appreciation of variations in the upper extremity vasculature is essential to prevent injury, particularly in patients undergoing arteriography.
Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-... more Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-stage heart disease but the availability of donor organs remains major limiting factor allowing only 1% of the candidates actually become transplant recipients. New therapeutic strategies are under intensive research for patients who do not meet patient selection criteria for transplantation or who suffer from donor organ shortage. Even though there are significant developments in the medical treatment of cardiac failure, the prognosis of this condition continues to be poor. The 20-40% of the candidates for cardiac transplantation die while they are included in the waiting list. Twenty percent mortality has been reported within the first year of transplantation with additional yearly mortality of 5% following the first year. Financial constraints, complications of immunosuppression and functional failure of the transplanted hearts are other limiting factors. This has brought up the necessity to search for alternative surgical treatment methods besides increasing the waiting periods of transplant candidates. The aim of this report is to summarize other currently available therapeutic alternatives for patients with end-stage cardiac disease.
Bulgular: Ameliyat öncesi ve ameliyat sırasındaki veriler iki grupta, ameliyat süresinin grup 2&#... more Bulgular: Ameliyat öncesi ve ameliyat sırasındaki veriler iki grupta, ameliyat süresinin grup 2'de daha kısa olması dışında benzerdi. Ameliyat öncesi sternum SPECT incelemeleri de iki grupta farklılık göstermedi. Erken ameliyat sonrası SPECT incelemelerinde iki grupta da ...
Essential thrombocythaemia (ET) is a rare chronic myeloproliferative disease characterised by per... more Essential thrombocythaemia (ET) is a rare chronic myeloproliferative disease characterised by persistent thrombocytosis. Cerebral, myocardial and peripheral thrombosis are frequently seen complications, but bleeding and venous thrombosis are more rare. Here, a case of essential thrombocythaemia complicated by cerebral and myocardial thrombosis is presented. The patient’s platelet count was 680×109/litre on admission. Electrocardiogram showed a slight ST elevation in leads V1 to V4. A coronary angiography was performed and it revealed a severe stenosis of the left anterior descending artery. The patient had a successful off-pump coronary artery bypass grafting surgery. After the operation the platelet count was 390×109/litre. The patient received hydroxyurea and aspirin treatment preoperatively and continued postoperatively. ET is a rare myeloproliferative disease; its complications are also rare, but the occurrence of two life-threatening complications in the same patient is rarer still. Further investigations are needed to determine the risk stratification for patients with ET undergoing cardiac surgery.
European Heart Journal - Cardiovascular Imaging, 2022
Funding Acknowledgements Type of funding sources: None. Introduction Pericardial effusion (PE) is... more Funding Acknowledgements Type of funding sources: None. Introduction Pericardial effusion (PE) is a frequent finding in patients that undergo coronary artery bypass grafting (GABG). Postoperative PE may be found in as many as 85% of patients. Although postoperative PE is a frequent finding following CABG, fortunately its course is usually benign and they randomly disappear within 7-10 days. However, in some instances PE may persist for longer and cause complications. There are currently limited data in the medical literature providing information regarding the factors that may contribute to postoperative pericarditis. We aimed to analyze the main echocardiographic characteristics that may influence the presence of PE 6 to 8 weeks following CABG. Material and methods: This was a prospective cross-sectional study that included 90 consecutive patients that underwent CABG procedure in the Cardio Surgery Department of our tertiary medical center. We excluded patients that underwent ot...
Turkiye Klinikleri Journal of Cardiovascular Surgery, 2003
T Klin Kalp-Damar Cerrahisi 2003, 4 166 Trunkus arteriyozus (TA) tüm konjenital anomalilerin %2.8... more T Klin Kalp-Damar Cerrahisi 2003, 4 166 Trunkus arteriyozus (TA) tüm konjenital anomalilerin %2.8’sini olu şturan, kompleks ancak uygun şartlarda opere edildi ğ nde kabul edilebilir bir cerrahi mortalite ile tedavi edilebilen bir patolojidir. Bu hastalarda kalpten çıkan, sistemik ve pulmoner kan akımlarını sa ğl yan tek bir büyük arter ile geni ş VSD bulunur. Trunkus arteriyozusda cerrahi tedavi uygulanmadı ğında bir yıllık yaşam oranı %10-25’dir (1). Preoperatif risk faktörleri olarak trunkal kapakta yetmezlik, bebe ğin 1 aydan küçük olması, ağırlığının düşük olması, preoperatif solunum desteği gerektirmesi, yüksek krosklemp zamanı, e şlik eden kesintili aortik arkus, koroner arter anomalil eTrunkus Arteriyozus Onarımı Sonrası Beklenmeyen Bir Mortalite Nedeni: Nekrotizan Enterokolit
Bulgular: Ameliyat öncesi ve ameliyat sırasındaki veriler iki grupta, ameliyat süresinin grup 2&#... more Bulgular: Ameliyat öncesi ve ameliyat sırasındaki veriler iki grupta, ameliyat süresinin grup 2'de daha kısa olması dışında benzerdi. Ameliyat öncesi sternum SPECT incelemeleri de iki grupta farklılık göstermedi. Erken ameliyat sonrası SPECT incelemelerinde iki grupta da ...
Off-pump versus on-pump coronary artery bypass grafting in acute coronary syndrome: a clinical an... more Off-pump versus on-pump coronary artery bypass grafting in acute coronary syndrome: a clinical analysis
Anadolu Kardiyoloji Dergisi/The Anatolian Journal of Cardiology, 2003
Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-... more Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-stage heart disease but the availability of donor organs remains major limiting factor allowing only 1% of the candidates actually become transplant recipients. New therapeutic strategies are under intensive research for patients who do not meet patient selection criteria for transplantation or who suffer from donor organ shortage. Even though there are significant developments in the medical treatment of cardiac failure, the prognosis of this condition continues to be poor. The 20-40% of the candidates for cardiac transplantation die while they are included in the waiting list. Twenty percent mortality has been reported within the first year of transplantation with additional yearly mortality of 5% following the first year. Financial constraints, complications of immunosuppression and functional failure of the transplanted hearts are other limiting factors. This has brought up the neces...
OBJECTIVE We aimed to preserve sternal vascularity better by harvesting only midsegment of the ri... more OBJECTIVE We aimed to preserve sternal vascularity better by harvesting only midsegment of the right internal thoracic artery (RITA) than using conventional bilateral internal thoracic artery (BITA) harvesting method, and we evaluated the sternal vascularity with single photon emission computed tomography (SPECT). METHODS In this prospective clinical randomized investigation, 135 patients undergoing coronary artery bypass surgery (CABG) were divided into three groups: Full-RITA group who had a full length of both ITA as a graft for CABG (n=45); mid-RITA group - a midsegment of RITA and left internal thoracic artery (LITA) (n=45); and non-RITA group who had only LITA (n=45). Before and after surgery, all patients underwent a bone scan with single photon emission computed tomography (SPECT) to evaluate the sternal vascular activity. Comparisons of variables were performed by Chi-square, ANOVA, Tukey HSD and paired t test as appropriate. The Bonferroni correction was applied for multip...
Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology, 2003
Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-... more Cardiac transplantation has emerged as the therapeutic procedure of choice for patients with end-stage heart disease but the availability of donor organs remains major limiting factor allowing only 1% of the candidates actually become transplant recipients. New therapeutic strategies are under intensive research for patients who do not meet patient selection criteria for transplantation or who suffer from donor organ shortage. Even though there are significant developments in the medical treatment of cardiac failure, the prognosis of this condition continues to be poor. The 20-40% of the candidates for cardiac transplantation die while they are included in the waiting list. Twenty percent mortality has been reported within the first year of transplantation with additional yearly mortality of 5% following the first year. Financial constraints, complications of immunosuppression and functional failure of the transplanted hearts are other limiting factors. This has brought up the neces...
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