U. Yetkin, M. Kestelli, Z. I. Akyıldız, M. Akyuz, I. Yurekli, O. Ergene, A. Gürbüz
Infective endocarditis remains a common and serious condition.In this study we present the surgical treatment of active infective mitral and aortic valves endocarditis with persistence of multiple mobile vegetations.Surgery has become an essential method of treatment in infective endocarditis.
{"title":"Surgical treatment of active infective mitral and aortic valves endocarditis with persistence of multiple mobile vegetations","authors":"U. Yetkin, M. Kestelli, Z. I. Akyıldız, M. Akyuz, I. Yurekli, O. Ergene, A. Gürbüz","doi":"10.5580/248f","DOIUrl":"https://doi.org/10.5580/248f","url":null,"abstract":"Infective endocarditis remains a common and serious condition.In this study we present the surgical treatment of active infective mitral and aortic valves endocarditis with persistence of multiple mobile vegetations.Surgery has become an essential method of treatment in infective endocarditis.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114735666","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}
U. Yetkin, B. Ozcem, Aykut Şahin, I. Yurekli, S. Yazman, A. Gürbüz
Deep vein thrombosis (DVT) is reported to be common among patients undergoing surgery for gastrointestinal cancer.In this study we present a case with ipsilateral upper and lower extremities deep venous thrombosis developed after surgery for gastrointestinal malignancy .Development of DVT is clearly associated with decreased survival because DVT reflects the presence of a biologically aggressive cancer. Correct diagnosis and treatment of DVT are crucial.
{"title":"A case with ipsilateral upper and lower extremities deep venous thrombosis developed after surgery for gastrointestinal malignancy","authors":"U. Yetkin, B. Ozcem, Aykut Şahin, I. Yurekli, S. Yazman, A. Gürbüz","doi":"10.5580/29c","DOIUrl":"https://doi.org/10.5580/29c","url":null,"abstract":"Deep vein thrombosis (DVT) is reported to be common among patients undergoing surgery for gastrointestinal cancer.In this study we present a case with ipsilateral upper and lower extremities deep venous thrombosis developed after surgery for gastrointestinal malignancy .Development of DVT is clearly associated with decreased survival because DVT reflects the presence of a biologically aggressive cancer. Correct diagnosis and treatment of DVT are crucial.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130972804","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. Özbek, Ufuk Yetk n, A. Gürbüz, N. Postaci, S. Bayata, L. MuratYe
Mitral stenosis is the most frequently encountered valvular pathology and may require surgical intervention when the lesion is severe in rheumatic etiology.It is now clearly established that restoration of a normal mitral valve function with reconstructive surgery is preferable to replacement with a device,whether bioprosthetic or mechanical. Closed mitral comissurotomy(CMC) was the first effective intervention in valvular heart disease. In this study we're presenting a new valve reconstruction technique used successfully in reoperation of a case who had CMC operation 16 years ago and symptomless up to last 4 months and the first patient repaired successfully after CMC.Mitral valve repair in rheumatic disease is technically difficult.From a purely surgical point of view,a safe myocardial protection,excellent valve exposure,and a direct visual testing method for competence are also essential.However excellent long-term results support flexibility in mitral valve repair.
{"title":"A Mıtral Valve Reconstructıon Case After 16 Years Of Closed Mıtral Commıssurotomy","authors":"C. Özbek, Ufuk Yetk n, A. Gürbüz, N. Postaci, S. Bayata, L. MuratYe","doi":"10.5580/2512","DOIUrl":"https://doi.org/10.5580/2512","url":null,"abstract":"Mitral stenosis is the most frequently encountered valvular pathology and may require surgical intervention when the lesion is severe in rheumatic etiology.It is now clearly established that restoration of a normal mitral valve function with reconstructive surgery is preferable to replacement with a device,whether bioprosthetic or mechanical. Closed mitral comissurotomy(CMC) was the first effective intervention in valvular heart disease. In this study we're presenting a new valve reconstruction technique used successfully in reoperation of a case who had CMC operation 16 years ago and symptomless up to last 4 months and the first patient repaired successfully after CMC.Mitral valve repair in rheumatic disease is technically difficult.From a purely surgical point of view,a safe myocardial protection,excellent valve exposure,and a direct visual testing method for competence are also essential.However excellent long-term results support flexibility in mitral valve repair.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117217067","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}
Thoracoscopy has become the standard for lung wedge resection and is commonly used for anatomic resection. Typically three incisions are used. Although perioperative pain may be lessened, chronic neuralgia is not uncommon. For many patients, three incisions may not be necessary. We describe a single incision method for performing lung resections which we term “UNIVATS”. All patients were discharged on postoperative day one without complication. This technique may lessen periosteal and intercostal nerve trauma and might further decrease hospital stay.
{"title":"Single Incision (Uniport) Videoscopic Lung Resection (UNIVATS)","authors":"Carsten Schroeder, Jinsun Kim, P. Linden","doi":"10.5580/1d7e","DOIUrl":"https://doi.org/10.5580/1d7e","url":null,"abstract":"Thoracoscopy has become the standard for lung wedge resection and is commonly used for anatomic resection. Typically three incisions are used. Although perioperative pain may be lessened, chronic neuralgia is not uncommon. For many patients, three incisions may not be necessary. We describe a single incision method for performing lung resections which we term “UNIVATS”. All patients were discharged on postoperative day one without complication. This technique may lessen periosteal and intercostal nerve trauma and might further decrease hospital stay.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132143946","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}
Background: Postpneumonectomy syndrome (PPS) is a late complication of pneumonectomy characterized by mediastinal shift and bronchial compression. It is most common following right pneumonectomy but is also seen left pneumonectomy. It can be treated with mediastinal repositioning and tissue expander placement in the postpneumonectomy space, but there is some interest in less invasive modalities. Endobronchial stent placement may be an option. We looked at our experience treating PPS with these two modalities. Methods: All patients with PPS treated with mediastinal repositioning/tissue expander placement or bronchial stenting at our institution from 1991 to 2005 were reviewed. Results: Mean age at the time of pneumonectomy was 45 years. Mean follow-up was 33 months. Six patients underwent tissue expander placement. They had relief of symptoms with the following complications: wound infection, atrial fibrillation, expander leak and esophageal dysmotility. Two patients underwent silastic stent placement with immediate resolution of symptoms, however they suffered from frequent mucous plugging, stent migration, and granulation tissue formation requiring repeat bronchoscopic treatment and stent replacement. Conclusions: Mediastinal repositioning with tissue expander placement provides durable relief of symptoms. Endobronchial stenting is a less invasive treatment option for PPS, however patients require close follow-up due to a high complication rate. Need for frequent bronchoscopy often emergently present serious limitations in this small group.
{"title":"Postpneumonectomy Syndrome: Results of mediastinal repositioning vs. stent placement","authors":"M. H. Jensen, E. Edell, C. Deschamps, S. Moran","doi":"10.5580/8d2","DOIUrl":"https://doi.org/10.5580/8d2","url":null,"abstract":"Background: Postpneumonectomy syndrome (PPS) is a late complication of pneumonectomy characterized by mediastinal shift and bronchial compression. It is most common following right pneumonectomy but is also seen left pneumonectomy. It can be treated with mediastinal repositioning and tissue expander placement in the postpneumonectomy space, but there is some interest in less invasive modalities. Endobronchial stent placement may be an option. We looked at our experience treating PPS with these two modalities. Methods: All patients with PPS treated with mediastinal repositioning/tissue expander placement or bronchial stenting at our institution from 1991 to 2005 were reviewed. Results: Mean age at the time of pneumonectomy was 45 years. Mean follow-up was 33 months. Six patients underwent tissue expander placement. They had relief of symptoms with the following complications: wound infection, atrial fibrillation, expander leak and esophageal dysmotility. Two patients underwent silastic stent placement with immediate resolution of symptoms, however they suffered from frequent mucous plugging, stent migration, and granulation tissue formation requiring repeat bronchoscopic treatment and stent replacement. Conclusions: Mediastinal repositioning with tissue expander placement provides durable relief of symptoms. Endobronchial stenting is a less invasive treatment option for PPS, however patients require close follow-up due to a high complication rate. Need for frequent bronchoscopy often emergently present serious limitations in this small group.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121164992","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}
Bako Ibrahim Gayo, Dewu Maryam Akor, Umar Abubakar Abdulkarim, Olorunshola Kolawole Victor
The cardiopulmonary changes among road truck pushers were studied in 200 subjects (100 experimental group and 100 control group). The cardiovascular parameters measured are blood pressure (systolic and diastolic), pulse and mean arterial blood pressure by auscultatory method using stethoscope and sphygmomanometer. The pulmonary parameters measured are peak expiratory flow rate (PEFR), forced expiratory volume in one second (FEV1 ) and FEV% by using Wright peak flow meter and vitalograph machine. The cardiopulmonary parameters (systolic and diastolic blood pressure, mean arterial blood pressure, PEFR, FEV1, FEV% and body mass index) of road truck pushers showed an appreciable significant statistical changes (p<.05) when compared to the control group.
{"title":"Cardiopulmonary Changes Among Road Truck Pushers (Garuwa) In Basawa District, Sabon Gari Local Government Zaria, Kaduna State Of Nigeria","authors":"Bako Ibrahim Gayo, Dewu Maryam Akor, Umar Abubakar Abdulkarim, Olorunshola Kolawole Victor","doi":"10.5580/17c6","DOIUrl":"https://doi.org/10.5580/17c6","url":null,"abstract":"The cardiopulmonary changes among road truck pushers were studied in 200 subjects (100 experimental group and 100 control group). The cardiovascular parameters measured are blood pressure (systolic and diastolic), pulse and mean arterial blood pressure by auscultatory method using stethoscope and sphygmomanometer. The pulmonary parameters measured are peak expiratory flow rate (PEFR), forced expiratory volume in one second (FEV1 ) and FEV% by using Wright peak flow meter and vitalograph machine. The cardiopulmonary parameters (systolic and diastolic blood pressure, mean arterial blood pressure, PEFR, FEV1, FEV% and body mass index) of road truck pushers showed an appreciable significant statistical changes (p<.05) when compared to the control group.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121406038","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}
S. Rawtani, S. Agarwal, H. Minhas, Sashi Prakash, A. Banerjee
A fractured and retained percutaneous transluminal coronary angioplasty catheter was successfully removed on a perfused beating heart with concomitant bypass grafting. We believe this is the first report in English literature of such an operation on a beating heart.Broken and retained percutaneous transluminal coronary angioplasty balloon catheter is a rare but serious complication of interventional cardiology. The presence of a calcified proximal lesion hinders withdrawal of the broken catheter. It requires retrieval and emergency coronary bypass grafting to prevent further complications.
{"title":"Retrieval Of A Fractured And Retained Percutaneous Coronary Angioplasty Catheter On Beating Perfused Heart","authors":"S. Rawtani, S. Agarwal, H. Minhas, Sashi Prakash, A. Banerjee","doi":"10.5580/212","DOIUrl":"https://doi.org/10.5580/212","url":null,"abstract":"A fractured and retained percutaneous transluminal coronary angioplasty catheter was successfully removed on a perfused beating heart with concomitant bypass grafting. We believe this is the first report in English literature of such an operation on a beating heart.Broken and retained percutaneous transluminal coronary angioplasty balloon catheter is a rare but serious complication of interventional cardiology. The presence of a calcified proximal lesion hinders withdrawal of the broken catheter. It requires retrieval and emergency coronary bypass grafting to prevent further complications.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122283949","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. Özelçi, U. Yetkin, M. Akyuz, smail Yürekli, A. Gürbüz
Ulnar artery pseudoaneurysms are rare lesions.We describe a case of posttraumatic pseudoaneurysm of the proximal ulnar artery.Open surgical repair must be the standard approach for the symptomatic and rapidly enlarging pseudoaneurysm.
{"title":"Posttraumatic pseudoaneurysm of the proximal ulnar artery","authors":"A. Özelçi, U. Yetkin, M. Akyuz, smail Yürekli, A. Gürbüz","doi":"10.5580/1b61","DOIUrl":"https://doi.org/10.5580/1b61","url":null,"abstract":"Ulnar artery pseudoaneurysms are rare lesions.We describe a case of posttraumatic pseudoaneurysm of the proximal ulnar artery.Open surgical repair must be the standard approach for the symptomatic and rapidly enlarging pseudoaneurysm.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130286567","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}
H. Yaşa, U. Yetkin, T. Goktogan, Aykut Şahin, I. Yurekli, A. Gürbüz
External iliac and/or common femoral arteries injury from blunt trauma is uncommon. The role of trauma as a causative factor in this condition has been previously documented rarely.In this study we present a case that had traumatic occlusion of the right external iliac and common femoral arteries.
{"title":"Traumatic occlusion of the right external iliac and common femoral arteries","authors":"H. Yaşa, U. Yetkin, T. Goktogan, Aykut Şahin, I. Yurekli, A. Gürbüz","doi":"10.5580/fa0","DOIUrl":"https://doi.org/10.5580/fa0","url":null,"abstract":"External iliac and/or common femoral arteries injury from blunt trauma is uncommon. The role of trauma as a causative factor in this condition has been previously documented rarely.In this study we present a case that had traumatic occlusion of the right external iliac and common femoral arteries.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132789426","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}
Refik Ülkü, Alpertunga Avci, Serdar Onat, Ahmet Nasır, Cemal Özçelik
We describe a 23-year-old woman developed spontaneously a right-side pneumothorax, a condition that has rarely been reported previously in association with systemic sclerosis (SSc). She presented to our clinic with acute onset of shortness of breath, dry cough and chest pain. The spontaneous pneumothorax is caused by rupture of a giant bullae that has been detected before by radiological examinations. Initial management consists of chest tube inserting, pleurodesis, and partial lobectomy in a required patient. We treated our patient by bullae excision operation, because of the prolonged air leakage into chest tube.
{"title":"Spontaneous Pneumothorax In Systemıc Sclerosıs","authors":"Refik Ülkü, Alpertunga Avci, Serdar Onat, Ahmet Nasır, Cemal Özçelik","doi":"10.5580/2619","DOIUrl":"https://doi.org/10.5580/2619","url":null,"abstract":"We describe a 23-year-old woman developed spontaneously a right-side pneumothorax, a condition that has rarely been reported previously in association with systemic sclerosis (SSc). She presented to our clinic with acute onset of shortness of breath, dry cough and chest pain. The spontaneous pneumothorax is caused by rupture of a giant bullae that has been detected before by radiological examinations. Initial management consists of chest tube inserting, pleurodesis, and partial lobectomy in a required patient. We treated our patient by bullae excision operation, because of the prolonged air leakage into chest tube.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128898523","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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