{"title":"Comparison of radiofrequency and cryoablation procedures for mitral valve surgery patients with atrial fibrillation","authors":"Sedat Paslı","doi":"10.5606/e-cvsi.2019.731","DOIUrl":"https://doi.org/10.5606/e-cvsi.2019.731","url":null,"abstract":"Corresponding author: Emin Can Ata, MD. Medipol Mega Üniversite Hastanesi Kalp ve Damar Cerrahisi Bölümü, 34214 Bağcılar, İstanbul, Turkey. Tel: +90 212 460 77 77 e-mail: dr.enata@yahoo.com ABSTRACT Objectives: This study aims to compare the success of two different energy sources, radiofrequency versus cryoablation, in patients with atrial fibrillation. Patients and methods: Between August 2012 and August 2017, a total of 55 patients (27 males, 28 females; mean age 51.6±11.2 years; range, 44 to 71 years) with atrial fibrillation who underwent isolated left atrial ablation during mitral valve surgery in our clinic were included. Radiofrequency was applied to 41 patients and cryoablation to 14 patients. In both procedure, ablation was performed to isolate all pulmonary veins. Radiofrequency ablation utilized a RF current that was applied in a point-by-point mode, heating the tissue and leading to cellular necrosis. Cryogenic ablation induced necrosis by pumping refrigerant (nitrous oxide) through a balloon in a single-step mode, thereby freezing the tissue. The success of both techniques was evaluated through control echocardiography and electrocardiography. Results: There was no statistically significant difference in the success rates of both techniques in terms of returning to the sinus rhythm. Two patients in the radiofrequency ablation group developed third-degree atrioventricular block with the need of permanent pacemaker implantation. In contrast no patient in the cryoablation group developed the same block. In patients who underwent radiofrequency ablation, the need for inotropic support in the postoperative period was higher with prolonged length of stay in the intensive care unit. Conclusion: Our study results show that the success rate of both techniques is similar in patients with atrial fibrillation undergoing mitral valve surgery.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132279885","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}
{"title":"Densely calcified aortic arch and right coronary artery","authors":"Z. Doğan","doi":"10.5606/e-cvsi.2018.696","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.696","url":null,"abstract":"","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131718733","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}
{"title":"Cor triatriatum: A rare congenital cardiac disease in differential diagnosis","authors":"Nur Dikmen Yaman","doi":"10.5606/e-cvsi.2018.718","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.718","url":null,"abstract":"A four-month-old female infant with cough, rhinorrhea, and mild dyspnea was admitted to the emergency department and diagnosed with a viral illness. Chest radiograph showed moderate cardiomegaly and mild prominence of pulmonary vasculature. She was referred to the pediatric cardiology department. After examination, electrocardiogram showed sinus tachycardia with right axial deviation and right ventricular hypertrophy. Echocardiogram revealed the diagnosis of cor triatriatum sinistrum. An urgent surgical repair was decided (Figure 1). A written informed consent was obtained from each parent.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"281 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122942937","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}
{"title":"Percutaneous cholecystostomy in acute cholecystitis in a patient with stent restenosis suffering from recent non-ST myocardial infarction before coronary artery bypass grafting","authors":"Cüneyt Arkan","doi":"10.5606/e-cvsi.2018.699","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.699","url":null,"abstract":"It may be challenging to tailor the treatment of acute cholecystitis in patients undergoing coronary artery bypass grafting due to accompanying comorbid factors. A 62-year-old male patient was admitted to the cardiovascular surgery unit for elective coronary artery bypass grafting. He suffered from non-ST-elevation myocardial infarction a week ago. His medical history revealed insulin-dependent diabetes mellitus and severe chronic obstructive pulmonary disease and also percutaneous coronary interventions in the left anterior descending and circumflex arteries 18 month ago. A coronary artery bypass grafting operation was planned a week after his admission. However, before coronary artery bypass grafting, the patient suffered from abdominal pain, nausea, and vomiting and the diagnosis of acute cholecystitis was made by the gastroenterology department. Percutaneous cholecystostomy was applied under ultrasonographic guidance. After the procedure, the complaints of the patient improved dramatically. Twelve days after the procedure, coronary artery bypass grafting was performed without any perioperative complications. The patient was uneventfully discharged on postoperative Day 8. In conclusion, percutaneous cholecystostomy is an effective method to maintain clinical stability in patients with acute cholecystitis who are candidates for open heart surgery.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"67 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120999765","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}
{"title":"Endovascular intervention to a rare cause of hematuria: Nutcracker syndrome - A case report","authors":"Ismail Selcuk","doi":"10.5606/e-cvsi.2018.700","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.700","url":null,"abstract":"Corresponding author: Murat Uğur, MD. Sultan Abdulhamid Han Eğitim ve Araştırma Hastanesi Kalp ve Damar Cerrahisi Kliniği, 34668 Üsküdar, İstanbul, Turkey. Tel: +90 216 542 20 00 / 4055 e-mail: drmugur@gmail.com Nutcracker phenomenon is described as the compression of the left renal vein between the superior mesenteric artery and aorta characterized by renal vein stenosis at the level of the compression, increased renal vein compression, and renal vein dilatation proximal to the compression site. Infrequently, however, this phenomenon may occur at the retroaortic or circumaortic region due to the unusual course of the left renal vein.[1]","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128103148","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}
{"title":"Aberrant right subclavian artery aneurysm: A rare entity","authors":"I. Alur","doi":"10.5606/e-cvsi.2018.719","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.719","url":null,"abstract":"Corresponding author: İhsan Alur, MD. Hisar Hastanesi Intercontinental Kalp ve Damar Cerrahisi Bölümü, 34768 Ümraniye, İstanbul, Turkey. Tel: +90 216 524 13 00 e-mail: alur_i@hotmail.com Aberrant right subclavian artery (ARSA) is the most frequent abnormality of the arch which accounts for 1% of the population.[1] In this abnormality, the right subclavian artery leaves the left part of the aortic arch as the final branch and progresses into the right axillary region through the posterior aspect of the esophagus (i.e., from left to the right). It often progresses between the esophagus and trachea or by the anterior aspect of the trachea.[2] This pathology is usually asymptomatic; however, it may lead to respiratory symptoms in children and difficulty in swallowing or a chronic cough in adults. In case of pressure on the esophagus, dysphagia lusoria may be observed. In case of an aneurysmatic widening of the aberrant subclavian artery in a segment close to the aorta, it is referred to as the Kommerell's diverticulum. This diverticulum may cause pressure on the tracheoesophageal region, leading to dissection/rupture due to excessive widening.[3,4] Herein, we present an 80-year-old male patient with an ARSA aneurysm.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131387960","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}
{"title":"A giant sinus node artery fistulizing to superior vena cava presenting with steal phenomenon: An unusual case report","authors":"U. Vural","doi":"10.5606/e-cvsi.2018.713","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.713","url":null,"abstract":"Congenital coronary fistulas are rare anomalies. They can be either symptomatic or asymptomatic. Management strategy for coronary fistulas differs depending on the blood f low and symptoms. Nevertheless, it should be considered a serious health problem which may result in unpleasant complications such as congestive heart failure through left-to-right shunt, myocardial ischemia through steal phenomenon, endocarditis, and aneurysmal ruptures. Herein, we present the surgical management of a young female who was referred to our clinic with exercise-induced substernal chest pain and numbness in the left upper extremity caused by a giant sinus node artery fistulizing to the superior vena cava.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133081036","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}
{"title":"A different surgical technique for cardioverter defibrillator implantation in pediatric patients: Pericardial-pleural pocket","authors":"Tuğba Avcı","doi":"10.5606/e-cvsi.2017.592","DOIUrl":"https://doi.org/10.5606/e-cvsi.2017.592","url":null,"abstract":"","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131756168","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}
{"title":"Coronary revascularization in robotic cardiac surgery","authors":"B. Onan","doi":"10.5606/e-cvsi.2018.646","DOIUrl":"https://doi.org/10.5606/e-cvsi.2018.646","url":null,"abstract":"Robotic surgery has evolved worldwide after 2000s. In cardiac surgery, totally endoscopic robotic endoscopic surgery has been frequently performed in mitral/tricuspid valve pathologies, atrial septal defects, coronary revascularization, and intracardiac tumors. In this review, we discuss robotic approach to coronary revascularization and surgical technique in patients with ischemic heart disease in the light of literature data.","PeriodicalId":229686,"journal":{"name":"Cardiovascular Surgery and Interventions","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127284813","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}