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{"title":"Internal Carotid Artery Aneurysm","authors":"R. Aksoy, Ekrem Yilmaz, M. Rabus","doi":"10.5578/khj.69882","DOIUrl":"https://doi.org/10.5578/khj.69882","url":null,"abstract":"no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract no abstract","PeriodicalId":282398,"journal":{"name":"Kosuyolu Heart Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124721578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The aim of this study is to determine the prevalence of acute kidney injury after endovascular repair of an abdominal aortic aneurysm and examine the risk factors. Patients and Methods: Patients who underwent endovascular repair of abdominal aortic aneurysms between November 2013 and March 2019 were examined retrospectively. We have excluded the patients who had ruptured abdominal aortic aneurysms and were undergoing emergency repair and those who underwent endovascular procedures, such as renal or iliac stenting, in addition to endovascular repair. Other than procedural exclusion criteria, patients dependent on dialysis, those having acute kidney injury and those with missing data were not included in the study. The acute kidney injury was diagnosed in patients according to Kidney Disease: Improving Global Outcomes definition. Results: Out of 185 patients who underwent elective endovascular repair of abdominal aortic aneurysms, 167 patients were included in this study. There was no in-hospital mortality or requirement of reintervention. An acute kidney injury developed in 23 (13.8%) patients and 6 (3.3%) of these patients needed hemodialysis. The preoperative renal functions of patients who needed hemodialysis after the endovascular repair were significantly impaired than those who did not need hemodialysis [p< 0.001; CI (25.79-61.62)]. Conclusion: With new acute kidney injury definitions, the frequency of endovascular aneurysm repair-related acute kidney injury is much higher than expected. If acute kidney damage has developed after an endovascular repair, it is permanent and patients should be closely monitored for renal function.
{"title":"Acute Kidney Injury After Endovascular Repair of Abdominal Aortic Aneurysm","authors":"Murat Gücün, Mustafa Akblut","doi":"10.5578/khj.69493","DOIUrl":"https://doi.org/10.5578/khj.69493","url":null,"abstract":"Introduction: The aim of this study is to determine the prevalence of acute kidney injury after endovascular repair of an abdominal aortic aneurysm and examine the risk factors. Patients and Methods: Patients who underwent endovascular repair of abdominal aortic aneurysms between November 2013 and March 2019 were examined retrospectively. We have excluded the patients who had ruptured abdominal aortic aneurysms and were undergoing emergency repair and those who underwent endovascular procedures, such as renal or iliac stenting, in addition to endovascular repair. Other than procedural exclusion criteria, patients dependent on dialysis, those having acute kidney injury and those with missing data were not included in the study. The acute kidney injury was diagnosed in patients according to Kidney Disease: Improving Global Outcomes definition. Results: Out of 185 patients who underwent elective endovascular repair of abdominal aortic aneurysms, 167 patients were included in this study. There was no in-hospital mortality or requirement of reintervention. An acute kidney injury developed in 23 (13.8%) patients and 6 (3.3%) of these patients needed hemodialysis. The preoperative renal functions of patients who needed hemodialysis after the endovascular repair were significantly impaired than those who did not need hemodialysis [p< 0.001; CI (25.79-61.62)]. Conclusion: With new acute kidney injury definitions, the frequency of endovascular aneurysm repair-related acute kidney injury is much higher than expected. If acute kidney damage has developed after an endovascular repair, it is permanent and patients should be closely monitored for renal function.","PeriodicalId":282398,"journal":{"name":"Kosuyolu Heart Journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117020197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patent foramen ovale (PFO)'nin perkutan kapatilmasi, son yillarda cerrahi tedaviye gore daha sik uygulanmaya baslanan guvenilir ve etkili bir yontemdir. Bunun yani sira yonteme ait cesitli komplikasyonlar da gorulebilir. Bu olgu sunumunda, PFO’nun perkutan yolla kapatilmasi sirasinda sag atriyum arka duvari perfore olan, acil sartlarda basarili bir ameliyatla, sag atriyumun tamiri ve PFO’nun cerrahi olarak primer kapatildigi bir hastayi aktarmak istedik.
{"title":"Patent Foramen Ovale Perkütan Kapama Sırasında Gelişen Sağ Atriyum Rüptürü ve Başarılı Cerrahi Tedavisi","authors":"Murat Günday, Hakan Göçer","doi":"10.5578/khj.68400","DOIUrl":"https://doi.org/10.5578/khj.68400","url":null,"abstract":"Patent foramen ovale (PFO)'nin perkutan kapatilmasi, son yillarda cerrahi tedaviye gore daha sik uygulanmaya baslanan guvenilir ve etkili bir yontemdir. Bunun yani sira yonteme ait cesitli komplikasyonlar da gorulebilir. Bu olgu sunumunda, PFO’nun perkutan yolla kapatilmasi sirasinda sag atriyum arka duvari perfore olan, acil sartlarda basarili bir ameliyatla, sag atriyumun tamiri ve PFO’nun cerrahi olarak primer kapatildigi bir hastayi aktarmak istedik.","PeriodicalId":282398,"journal":{"name":"Kosuyolu Heart Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131754524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Antal, B. C. Karademir, Mehmet Dedemoğlu, E. Çelik, M. Tunçer
Introduction: The objective of the present study was to elucidate whether high left ventricular mass index (LVMI) affects early outcomes after sutureless bioprosthetic aortic valve replacement (AVR) in aortic stenosis (AS). Patients and Methods: Postoperative early outcomes of 60 high-risk patients with aortic valve stenosis after replacement with sutureless bioprosthetic valve were retrospectively analyzed. Patients were grouped into two depending on LVMI. Left ventricular (LV) mass was calculated using the Devereux formula and indexed to the body surface area. High LVMI was defined as LVMI > 134 g/m2 for males and LVMI > 100 g/m2 for females. Early outcomes of surgery were compared between the normal and high LVMI patient groups. Results: Preoperative patient characteristics were similar between the groups. Early mortality was 8.3%. There was no statistically significant difference between the groups with respect to postoperative early complication rates and mortality. LVMI decreased from 114.7 ± 13.7 g/m2 at baseline to 109 ± 32.2 g/m2 at follow-up in group I (p= 0.60) and from 192.5 ± 31.9 g/m2 at baseline to 117.9 ± 25.2 g/m2 in group II (p< 0.001). Conclusion: The impact of high LVMI on morbidity and mortality after AVR with sutureless bioprosthetic valve was not deleterious in patients with isolated AS. Significant reduction in LVMI at 6 months is encouraging for these high-risk patients with severe LV hypertrophy; however, long-term follow-up is required.
{"title":"Impact of Left Ventricular Mass Index on Early Outcomes After Aortic Valve Replacement with Sutureless Bioprosthetic Valve: A Comparison of Two Decades","authors":"A. Antal, B. C. Karademir, Mehmet Dedemoğlu, E. Çelik, M. Tunçer","doi":"10.5578/khj.68412","DOIUrl":"https://doi.org/10.5578/khj.68412","url":null,"abstract":"Introduction: The objective of the present study was to elucidate whether high left ventricular mass index (LVMI) affects early outcomes after sutureless bioprosthetic aortic valve replacement (AVR) in aortic stenosis (AS). Patients and Methods: Postoperative early outcomes of 60 high-risk patients with aortic valve stenosis after replacement with sutureless bioprosthetic valve were retrospectively analyzed. Patients were grouped into two depending on LVMI. Left ventricular (LV) mass was calculated using the Devereux formula and indexed to the body surface area. High LVMI was defined as LVMI > 134 g/m2 for males and LVMI > 100 g/m2 for females. Early outcomes of surgery were compared between the normal and high LVMI patient groups. Results: Preoperative patient characteristics were similar between the groups. Early mortality was 8.3%. There was no statistically significant difference between the groups with respect to postoperative early complication rates and mortality. LVMI decreased from 114.7 ± 13.7 g/m2 at baseline to 109 ± 32.2 g/m2 at follow-up in group I (p= 0.60) and from 192.5 ± 31.9 g/m2 at baseline to 117.9 ± 25.2 g/m2 in group II (p< 0.001). Conclusion: The impact of high LVMI on morbidity and mortality after AVR with sutureless bioprosthetic valve was not deleterious in patients with isolated AS. Significant reduction in LVMI at 6 months is encouraging for these high-risk patients with severe LV hypertrophy; however, long-term follow-up is required.","PeriodicalId":282398,"journal":{"name":"Kosuyolu Heart Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121913930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mehmet Aksüt, E. Çelik, Deniz Günay, Tanıl Özer, M. Özgür, M. Kırali
{"title":"Negative Correlation Between Body Mass Index and Chest Tube Out-put After Coronary Artery Bypass Graft Surgery","authors":"Mehmet Aksüt, E. Çelik, Deniz Günay, Tanıl Özer, M. Özgür, M. Kırali","doi":"10.5578/khj.68072","DOIUrl":"https://doi.org/10.5578/khj.68072","url":null,"abstract":"","PeriodicalId":282398,"journal":{"name":"Kosuyolu Heart Journal","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115915186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pacing lokalizasyonunda zorluklar nedeniyle mekanik trikuspid kapagi olan hastalarda transvenoz yol ile kalici pacemaker implantasyonu nadiren bildirilmistir. Bu olguda, trikuspid kapak replasmani yapilan bir hastada koroner sinus yoluyla sol ventrikuler pacing sunuldu.
{"title":"Coronary Sinus: An Approach for Left Ventricular Pacing in a Patient Undergoing Tricuspid Valve Replacement","authors":"İ. Çeli̇k, M. Duran, S. Murat","doi":"10.5578/khj.68065","DOIUrl":"https://doi.org/10.5578/khj.68065","url":null,"abstract":"Pacing lokalizasyonunda zorluklar nedeniyle mekanik trikuspid kapagi olan hastalarda transvenoz yol ile kalici pacemaker implantasyonu nadiren bildirilmistir. Bu olguda, trikuspid kapak replasmani yapilan bir hastada koroner sinus yoluyla sol ventrikuler pacing sunuldu.","PeriodicalId":282398,"journal":{"name":"Kosuyolu Heart Journal","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124754892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Yesin, Metin Çağdaş, Y. Karabağ, I. Rencüzoğulları, M. Kalçık, C. Burak, T. Çınar, S. Karakoyun, O. Gürsoy, I. Tanboğa
Introduction: Previous studies reported that inflammatory markers are associated with the development of new-onset atrial fibrillation (NOAF) in patients with coronary artery disease. However, the predictive value of serum C-reactive protein (CRP) to serum albumin ratio (CAR) for the development of NOAF in patients with ST elevation myocardial infarction (STEMI) has not been investigated yet. Hence, the aim of the present study was to evaluate the potential utility of the CAR in predicting NOAF in patients with STEMI who underwent primary percutaneous coronary intervention (pPCI). Patients and Methods: The present study was a retrospective analysis of the data related to 1153 patients with STEMI who underwent pPCI. CRP levels were measured according to the immunoturbidimetric method, and serum albumin levels were analyzed by the bromocresol green method. The CAR was defined as the serum CRP level divided by the serum albumin level. Results: The incidence of NOAF during in-hospital stay was 5.2% (n= 62 patients). Patients with NOAF had higher CAR values than those without NOAF. Multivariate logistic regression analyses revealed that elevated CAR value was an independent predictor of NOAF (odds ratio 3.280, 95% confidence interval 1.564-6.878; p= 0.002). Furthermore, comparison of receiver operating characteristic curves yielded that the predictive performance of CAR was higher than CRP and albumin alone, respectively. Conclusion: In the present study, we observed that elevated CAR values were independently associated with NOAF development in patients with STEMI treated with pPCI.
{"title":"Assessment of the Relationship Between C-Reactive Protein to Albumin Ratio and New-Onset Atrial Fibrillation in Patients with ST Elevation Myocardial Infarction","authors":"M. Yesin, Metin Çağdaş, Y. Karabağ, I. Rencüzoğulları, M. Kalçık, C. Burak, T. Çınar, S. Karakoyun, O. Gürsoy, I. Tanboğa","doi":"10.5578/khj.68260","DOIUrl":"https://doi.org/10.5578/khj.68260","url":null,"abstract":"Introduction: Previous studies reported that inflammatory markers are associated with the development of new-onset atrial fibrillation (NOAF) in patients with coronary artery disease. However, the predictive value of serum C-reactive protein (CRP) to serum albumin ratio (CAR) for the development of NOAF in patients with ST elevation myocardial infarction (STEMI) has not been investigated yet. Hence, the aim of the present study was to evaluate the potential utility of the CAR in predicting NOAF in patients with STEMI who underwent primary percutaneous coronary intervention (pPCI). Patients and Methods: The present study was a retrospective analysis of the data related to 1153 patients with STEMI who underwent pPCI. CRP levels were measured according to the immunoturbidimetric method, and serum albumin levels were analyzed by the bromocresol green method. The CAR was defined as the serum CRP level divided by the serum albumin level. Results: The incidence of NOAF during in-hospital stay was 5.2% (n= 62 patients). Patients with NOAF had higher CAR values than those without NOAF. Multivariate logistic regression analyses revealed that elevated CAR value was an independent predictor of NOAF (odds ratio 3.280, 95% confidence interval 1.564-6.878; p= 0.002). Furthermore, comparison of receiver operating characteristic curves yielded that the predictive performance of CAR was higher than CRP and albumin alone, respectively. Conclusion: In the present study, we observed that elevated CAR values were independently associated with NOAF development in patients with STEMI treated with pPCI.","PeriodicalId":282398,"journal":{"name":"Kosuyolu Heart Journal","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124890827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Doğan, O. Tasar, Z. Bayram, R. D. Acar, M. Çap, E. Erdoğan, C. Kaymaz, Nihal Özdemir
Introduction: This study aimed to investigate the association between remnant cholesterol and acute coronary syndrome (ACS) and its predictive value for acute coronary syndrome occurring for the first time. Patients and Methods: We compared increasing concentrations of non-fasting remnant cholesterol aside from other lipid profile parameters to investigate this association in 226 patients with ACS for the first time and 192 elective coronary angiography patients with normal coronary arteries. Results: Patients with ACS were mostly males and were younger than those in the control group; moreover, they had higher percentage of diabetes mellitus (for all p< 0.001). Glucose and white blood cell levels at admission were also higher in patients with ACS. Remnant cholesterol level (such as LDL-C) was statistically higher in the ACS group compared with those of the control group (p< 0.001). In the univariate and bivariate binary logistic regression analysis, high blood remnant cholesterol, high blood LDL-C, and low blood HDL-C levels had a predictive value for ACSs. Conclusion: This study demonstrated that remnant cholesterol levels (such as high blood LDL-C levels) are associated with increased risk of ACS for the first time. Further studies should be performed focusing on lowering remnant cholesterol levels apart from lowering LDL-C levels in patients with ACS.
{"title":"Increased Remnant Cholesterol Blood Concentration Associated with First Acute Coronary Syndrome","authors":"C. Doğan, O. Tasar, Z. Bayram, R. D. Acar, M. Çap, E. Erdoğan, C. Kaymaz, Nihal Özdemir","doi":"10.5578/khj.68005","DOIUrl":"https://doi.org/10.5578/khj.68005","url":null,"abstract":"Introduction: This study aimed to investigate the association between remnant cholesterol and acute coronary syndrome (ACS) and its predictive value for acute coronary syndrome occurring for the first time. Patients and Methods: We compared increasing concentrations of non-fasting remnant cholesterol aside from other lipid profile parameters to investigate this association in 226 patients with ACS for the first time and 192 elective coronary angiography patients with normal coronary arteries. Results: Patients with ACS were mostly males and were younger than those in the control group; moreover, they had higher percentage of diabetes mellitus (for all p< 0.001). Glucose and white blood cell levels at admission were also higher in patients with ACS. Remnant cholesterol level (such as LDL-C) was statistically higher in the ACS group compared with those of the control group (p< 0.001). In the univariate and bivariate binary logistic regression analysis, high blood remnant cholesterol, high blood LDL-C, and low blood HDL-C levels had a predictive value for ACSs. Conclusion: This study demonstrated that remnant cholesterol levels (such as high blood LDL-C levels) are associated with increased risk of ACS for the first time. Further studies should be performed focusing on lowering remnant cholesterol levels apart from lowering LDL-C levels in patients with ACS.","PeriodicalId":282398,"journal":{"name":"Kosuyolu Heart Journal","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125386814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: This study aims to investigate the correlation between cerebral perfusion changes and mortality rate in individuals undergoing adult cardiac surgery. Patients and Methods: Between April 2018-August 2018, 91 adult individuals who underwent open heart surgery with cardiopulmonary bypass (CPB) were prospectively evaluated. Cerebral perfusion was monitored via near-infrared spectroscopy (NIRS). The NIRS values were recorded at four intervals: T0, just before CPB; T1, cooling period (time taken to reach targeted hypothermia); T2, warming period (time taken to reach normal body temperature); and T3, following minutes of termination of CPB. Euro Score II and Acute Physiology and Chronic Health Evaluation (APACHE) II scores were recorded for each individual. Results: The operations performed include coronary artery bypass surgery (n= 41, 45%), valvular surgery (n= 47, 51%), and coronary artery bypass combined with valvular surgery (n= 3, 4%). Median Euro Score II was calculated to be 1.1 (range 0.7-36.6), and median APACHE II score was calculated to be 6 (range 0-23). Mortality occurred in four individuals for whom the Euro Score II C index was 0.702 (confidence interval, 0.4110.993; p= 0.048) and APACHE-II score C index was 0.871 (confidence interval, 0.660-1; p= 0.010). During the operative period, cerebral NIRS values decreased during T3 period, and significant changes occurred at T0-T3 period, consequently leading to an increase in the APACHE-II scores and the prediction of mortality. Conclusion: The changes at NIRS values were related with higher mortality, morbidity, and predicting scores. It is now suggested that these changes can eventually be a good guide and predictor for the management of patients during preoperative and postoperative periods.
{"title":"Relation Between Cerebral Perfusion Changes and Mortality Scores During Cardiopulmonary Bypass at Adult Cardiac Surgery","authors":"Onur Şen, Okan Yıldız","doi":"10.5578/khj.68121","DOIUrl":"https://doi.org/10.5578/khj.68121","url":null,"abstract":"Introduction: This study aims to investigate the correlation between cerebral perfusion changes and mortality rate in individuals undergoing adult cardiac surgery. Patients and Methods: Between April 2018-August 2018, 91 adult individuals who underwent open heart surgery with cardiopulmonary bypass (CPB) were prospectively evaluated. Cerebral perfusion was monitored via near-infrared spectroscopy (NIRS). The NIRS values were recorded at four intervals: T0, just before CPB; T1, cooling period (time taken to reach targeted hypothermia); T2, warming period (time taken to reach normal body temperature); and T3, following minutes of termination of CPB. Euro Score II and Acute Physiology and Chronic Health Evaluation (APACHE) II scores were recorded for each individual. Results: The operations performed include coronary artery bypass surgery (n= 41, 45%), valvular surgery (n= 47, 51%), and coronary artery bypass combined with valvular surgery (n= 3, 4%). Median Euro Score II was calculated to be 1.1 (range 0.7-36.6), and median APACHE II score was calculated to be 6 (range 0-23). Mortality occurred in four individuals for whom the Euro Score II C index was 0.702 (confidence interval, 0.4110.993; p= 0.048) and APACHE-II score C index was 0.871 (confidence interval, 0.660-1; p= 0.010). During the operative period, cerebral NIRS values decreased during T3 period, and significant changes occurred at T0-T3 period, consequently leading to an increase in the APACHE-II scores and the prediction of mortality. Conclusion: The changes at NIRS values were related with higher mortality, morbidity, and predicting scores. It is now suggested that these changes can eventually be a good guide and predictor for the management of patients during preoperative and postoperative periods.","PeriodicalId":282398,"journal":{"name":"Kosuyolu Heart Journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122708541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Özgür, M. Yanartaş, S. Taş, Ece Altınay, H. Oğuş, A. Erkılınç, B. Yıldızeli
Pulmoner endarterektomi (PEA) operasyonu sonrasi gelisen perioperatif reperfuzyon hasari, akut sag kalp yetmezligi ve masif pulmoner hemoraji gibi komplikasyonlar mortalite ve morbiditeyi belirleyen en onemli faktorlerdir. Bu olguda pulmoner endarterektomi operasyonunda intraoperatif masif pulmoner hemoraji gelisen hastada tedavi yonetimimiz tartisildi. 2017 yilinda yapilan pulmoner hemoraji gelisen PEA operasyonu geriye donuk olarak incelendi. Bu olguda masif kanamayi durdurmak icin endobronsiyal bloker kullanildi. Hemodinamik ve respiratuvar gereksinimden dolayi da ekstrakorporeal membran oksijenizasyonu (ECMO) kullanildi. ECMO kullanimi, PEA operasyonlarinda per ve postoperatif gelisen bircok komplikasyon icin alternatif bir yaklasimdir. Bizim olgumuzda oldugu gibi endobronsiyal bloker ve Ecmo'nun birlikte kullanimi PEA sonrasi gelisen masif pulmoner hemorajide etkin ve kullanisli bir yaklasim olabilir.
{"title":"Massive Pulmonary Hemorrhage Following Pulmonary Endarterectomy","authors":"M. Özgür, M. Yanartaş, S. Taş, Ece Altınay, H. Oğuş, A. Erkılınç, B. Yıldızeli","doi":"10.5578/khj.68380","DOIUrl":"https://doi.org/10.5578/khj.68380","url":null,"abstract":"Pulmoner endarterektomi (PEA) operasyonu sonrasi gelisen perioperatif reperfuzyon hasari, akut sag kalp yetmezligi ve masif pulmoner hemoraji gibi komplikasyonlar mortalite ve morbiditeyi belirleyen en onemli faktorlerdir. Bu olguda pulmoner endarterektomi operasyonunda intraoperatif masif pulmoner hemoraji gelisen hastada tedavi yonetimimiz tartisildi. 2017 yilinda yapilan pulmoner hemoraji gelisen PEA operasyonu geriye donuk olarak incelendi. Bu olguda masif kanamayi durdurmak icin endobronsiyal bloker kullanildi. Hemodinamik ve respiratuvar gereksinimden dolayi da ekstrakorporeal membran oksijenizasyonu (ECMO) kullanildi. ECMO kullanimi, PEA operasyonlarinda per ve postoperatif gelisen bircok komplikasyon icin alternatif bir yaklasimdir. Bizim olgumuzda oldugu gibi endobronsiyal bloker ve Ecmo'nun birlikte kullanimi PEA sonrasi gelisen masif pulmoner hemorajide etkin ve kullanisli bir yaklasim olabilir.","PeriodicalId":282398,"journal":{"name":"Kosuyolu Heart Journal","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121398328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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