Koşuyolu Heart Journal最新文献_第9页

Iatrogenic Aortocoronary Dissection: A Life Threatening Complication During Percutaneous Coronary Intervention Requiring Urgent Diagnosis and Treatment 医源性冠状动脉夹层:经皮冠状动脉介入治疗中需要紧急诊断和治疗的危及生命的并发症

Koşuyolu Heart Journal Pub Date : 2020-12-01 DOI: 10.51645/KHJ.20045

Aykun Hakgör, Oğuzhan Bodur, B. Keskin, S. Tanyeri, A. Karagöz

引用次数: 0

Giant Intrapericardial Extracavitary Lipoma in a Patient Taken into Emergency Surgery with the Diagnosis of Massive Pericardial Effusion 巨大心包内腔外脂肪瘤1例急诊手术诊断为大量心包积液

Koşuyolu Heart Journal Pub Date : 2020-12-01 DOI: 10.51645/KHJ.20078

Ahmet Elibol, H. Erdem, I. Demir, Cüneyt Arkan, D. Yavuzer

引用次数: 0

A Confounding Mobile Mass Observed in Transthoracic Echocardiography After Mitral Valve Replacement Performed by the Preservation of the Native Mitral Apparatus 二尖瓣置换术后保留原有二尖瓣装置经胸超声心动图观察到一个混杂的移动肿块

Koşuyolu Heart Journal Pub Date : 2020-12-01 DOI: 10.51645/KHJ.20069

Sedat Taş, Ümmü Taş

{"title":"A Confounding Mobile Mass Observed in Transthoracic Echocardiography After Mitral Valve Replacement Performed by the Preservation of the Native Mitral Apparatus","authors":"Sedat Taş, Ümmü Taş","doi":"10.51645/KHJ.20069","DOIUrl":"https://doi.org/10.51645/KHJ.20069","url":null,"abstract":"Severe mitral regurgitation is associated with significant morbidity and mortality. Mitral valve repair or mitral valve replacement is recommended for symptomatic patients. Preservation of the subvalvular apparatus has the merits of postoperative outcomes during mitral valve replacement for mitral regurgitation. We report a case of a remnant mitral subvalvular apparatus detected by echocardiography after chordal preserving mitral valve replacement. It was performed as mitral valve replacement with posterior leaflet chordal preservation in a 44-year-old male patient due to rheumatic, symptomatic severe mitral regurgitation. On the third postoperative day, routine postoperative trans-thoracic echocardiography showed an unknown mobile mysterious formation in the left ventricle. We clarified the mysterious mass with the help of laboratory, blood culture and serial echocardiographic assessment and presented this case. We emphasize the importance of post-operative echocardiographic evaluation and a complete evaluation of the patients who have undergone mitral valve replacement. Serial echocardiographic evaluation is the main part of this assessment.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126085476","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}

引用次数: 0

Role of Mean Platelet Volume in the Development of Peripheral Artery Disease 平均血小板体积在外周动脉疾病发展中的作用

Koşuyolu Heart Journal Pub Date : 2020-08-16 DOI: 10.5578/khj.69474

Dilek Mersin Özcanoğlu, Bedih Balkan, Ünal Aydın

{"title":"Role of Mean Platelet Volume in the Development of Peripheral Artery Disease","authors":"Dilek Mersin Özcanoğlu, Bedih Balkan, Ünal Aydın","doi":"10.5578/khj.69474","DOIUrl":"https://doi.org/10.5578/khj.69474","url":null,"abstract":"Introduction: The mean platelet volume (MPV) is one of several indicators of platelet activity. Recent studies have shown that MPV is increased in myocardial infarction, unstable angina, and stroke. Peripheral artery disease (PAD) manifests with the narrowing or obstruction of the abdominal aorta and arteries distal to the aortic bifurcation due to progressive atherosclerosis. The objective of this study is to investigate the MPV and platelet count in patients with PAD. Patients and Methods: This study included 67 patients aged 40-80 years who underwent elective surgery for PAD in our hospital between January 2018 and June 2019, along with a control group comprising 67 patients without PAD. The MPV and platelet count values were obtained from a preoperatively performed hemogram analysis. Importantly, the groups were statistically compared in our study. Results: As compared to the control group, the patients with PAD had a significantly higher mean age (p= 0.02), prevalence of diabetes mellitus (p 0.05). The mean platelet count and MPV were also significantly higher in patients with PAD as compared to patients without PAD (p< 0.01). Conclusion: The use of inexpensive and widely used tests such as platelet count and MPV can facilitate an early diagnosis of the diseases with high morbidity and mortality, such as PAD.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128779229","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}

引用次数: 0

Open Heart Surgery in a Newly Established Cardiovascular Department: A Retrospective Evaluation of the First 450 Cases 新成立的心血管科的心内直视手术:对前450例的回顾性评估

Koşuyolu Heart Journal Pub Date : 2020-08-16 DOI: 10.5578/khj.69690

M. Bitargil, Helin El Kılıç, Nilüfer Bektaş, E. Engin, T. Demir, İ. Koramaz

{"title":"Open Heart Surgery in a Newly Established Cardiovascular Department: A Retrospective Evaluation of the First 450 Cases","authors":"M. Bitargil, Helin El Kılıç, Nilüfer Bektaş, E. Engin, T. Demir, İ. Koramaz","doi":"10.5578/khj.69690","DOIUrl":"https://doi.org/10.5578/khj.69690","url":null,"abstract":"Introduction: The Department of Cardiovascular Surgery at the Sisli Hamidiye Etfal Training and Research Hospital was founded in 2014, and the first open heart surgery was performed on November 19, 2014. We aim to evaluate the results of the first 450 open heart surgeries retrospectively. Patients and Methods: Records of the first 450 consecutive open heart surgeries performed between November 2014 and October 2019 were retrospectively evaluated. All patients were treated with acetylsalicylic acid (100 mg/day) up to the preoperative day, and those who had acute coronary syndrome were continued to be treated with clopidogrel (75 mg/day). In all cases, the surgeries were performed through median sternotomy. The standard cardiopulmonary bypass technique was used in all patients who underwent coronary artery bypass grafting (CABG). Antegrade blood cardioplegia was given at 20-minute intervals to achieve a diastolic arrest of cardiac activity. In patients who underwent CABG, proximal anastomoses were performed under a side clamp, and sometimes, with single clamp technique depending on the patient characteristics. Results: The mean age of the patients was 58.7 years. The most common comorbidity seen in the patients was hypertension (62.9%). Other comorbid diseases observed in the patients were diabetes mellitus (43.6%), hyperlipidemia (28.0%), chronic obstructive pulmonary disease (24.9%), peripheral arterial disease (13.1%), and chronic renal dysfunction (4.7%). In-hospital death occurred in 33 of 450 patients with a mortality rate of 7.3%. Conclusion: Open heart surgeries can be performed with reasonable and successful mortality rates in our center.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"305 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123472918","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}

引用次数: 0

Correlation Between Relative Handgrip Strength Index as well as Chronotropic Response Index and Heart Rate Recovery Index 相对握力指数、变时反应指数和心率恢复指数的相关性研究

Koşuyolu Heart Journal Pub Date : 2020-08-15 DOI: 10.5578/khj.69873

D. Öztürk, A. Çimen, I. Ural

{"title":"Correlation Between Relative Handgrip Strength Index as well as Chronotropic Response Index and Heart Rate Recovery Index","authors":"D. Öztürk, A. Çimen, I. Ural","doi":"10.5578/khj.69873","DOIUrl":"https://doi.org/10.5578/khj.69873","url":null,"abstract":"Introduction: This study evaluated the relationship between relative handgrip strenght index (rHGSi) as well as chronotropic response index (Cri) and heart rate recovery index (HRRi), which are the prognostic parameters of treadmill exercise. Patients and Methods: In total, 490 patients who were recommended to undergo the exercise electrocardiographic test were recruited in this study. The participants were divided into two groups based on both Cri (normal and low CRi groups) and rHGSi (high and low rHGSi groups). Results: The treadmill exercise time, peak heart rate, and metabolic equivalents were higher in the high rHGSi group than in the low rHGSi group. In addition, the 1st minute HRRi and Cri were higher in the high rHGSi group than in the low rHGSi group. The treadmill exercise time, basal and peak heart rate, metabolic equivalents, and 1st minute HRRi were significantly lower in the low CRi group than in the normal Cri group. rHGSi was considered an independent predictor of low chronotropic response index. Based on a bivariate analysis, a statistically significant positive correlation was observed between Cri and rHGSi. Similarly, there was a positive association between rHGSi and 1st minute HRRi. Conclusion: rHGSi might be a practical and effective tool in cardiovascular risk stratification.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"150 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":"127270722","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}

引用次数: 2

The Importance of Addressing Atrial Fibrillation During Concomitant Cardiac Surgery 在心脏手术中处理心房颤动的重要性

Koşuyolu Heart Journal Pub Date : 2020-08-15 DOI: 10.5578/khj.69866

A. Zengin, T. Adademir, K. Kırali

{"title":"The Importance of Addressing Atrial Fibrillation During Concomitant Cardiac Surgery","authors":"A. Zengin, T. Adademir, K. Kırali","doi":"10.5578/khj.69866","DOIUrl":"https://doi.org/10.5578/khj.69866","url":null,"abstract":"A long-term maintenance of sinus rhythm in patients undergoing cardiac surgery with atrial fibrillation is only possible with concomitant Cox-Maze IV procedure. Contemporary studies suggest that concomitant biatrial lesion sets produce long-term sinus conversion rates of up to 90%. This procedure holds the potential to improve life quality and even survival of the patients; however, many surgeons are reluctant to perform the same. More than half of the patients with atrial fibrillation undergoing cardiac surgery for different reasons never receive any kind of intervention for atrial fibrillation, which means missing a once-in-a-lifetime opportunity to treat atrial fibrillation. Rate control with anticoagulation remains the only alternative treatment for these patients. Anticoagulation can be a relatively safe option at the time of surgery but may become dangerous or even a contraindication with the patient’s increasing age and a possible development of new diseases. Sinus rhythm can become lifesaving at that point. The objective of this report is to describe a successful surgical treatment of a 74-year-old woman with severe mitral and tricuspid valve insufficiency along with atrial fibrillation. She had mild leucopenia and anemia at the time of surgery without any hematological diagnosis. She was diagnosed with myelodysplastic syndrome six months after the surgery. In addition to valve repairs, the maintenance of sinus rhythm prompted hematologists to treat her without using any anticoagulation medicines. We believe that atrial fibrillation should be addressed during cardiac surgery because the maintenance of sinus rhythm might become crucial during follow-up!","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"1 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":"122665946","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}

引用次数: 0

Long-term Outcomes of Modified Bentall Procedure 改良本特尔手术的远期疗效

Koşuyolu Heart Journal Pub Date : 2020-08-15 DOI: 10.5578/khj.69821

Emre Gök, M. Başaran

引用次数: 1

Effects of Fenofibrate Treatment on Aortic Stiffness in Patients with Pure Hypertriglyceridemia 非诺贝特治疗对单纯高甘油三酯血症患者主动脉僵硬的影响

Koşuyolu Heart Journal Pub Date : 2020-08-15 DOI: 10.5578/khj.69773

S. Efe, S. Öztürk, A. Gürbüz, Emrah Acar, M. F. Yılmaz, S. Kalkan, C. Kırma, İ. A. İzgi

{"title":"Effects of Fenofibrate Treatment on Aortic Stiffness in Patients with Pure Hypertriglyceridemia","authors":"S. Efe, S. Öztürk, A. Gürbüz, Emrah Acar, M. F. Yılmaz, S. Kalkan, C. Kırma, İ. A. İzgi","doi":"10.5578/khj.69773","DOIUrl":"https://doi.org/10.5578/khj.69773","url":null,"abstract":"Introduction: Hypertriglyceridemia is known as an independent risk factor for coronary artery disease (CAD). Fenofibrate that is used for the treatment of hypertriglyceridemia can prevent cardiovascular events in patients with CAD. However, there is little information regarding the vascular effects of fenofibrate on arterial wall stiffness in patients with hypertriglyceridemia and without CAD, diabetes mellitus (DT), and hypertension (HT). The objective of this study is to evaluate the effects of fenofibrate treatment on the arterial stiffness in the patients with pure hypertriglyceridemia. Patients and Methods: We included 37 patients with hypertriglyceridemia without CAD, HT, and DT in this study. We performed pre- and post-treament physical examination of the patients and took their blood samples. Patients were allocated fenofibrate for a duration of 168 ± 14 days for its administration. We assessed arterial stiffness by aortic pulse wave velocity (PWV) using a SphygmoCor device. Importantly, we estimated central arterial pressure waveform parameters by radial artery applanation tonometry and used augmentation index (AIx) as a measure of wave reflections. Results: Fenofibrate treatment resulted in significantly greater reductions in total cholesterol (201.3 ± 61.0 mg/dL vs. 270.0 ± 93.4 mg/dL), triglycerides (261.3 ± 234.3 mg/dL vs. 704.7 ± 338.7 mg/dL), and the C/H levels (5.3 ± 2.6 vs. 7.2 ± 1.9, respectively) as compared with the pretreatment levels (p 0.05). There was a significant reduction in PWV after fenofibrate treatment (11.3 ± 2.9 m/s vs. 9.2 ± 2.2 m/s, p= 0.001). Conclusion: Fenofibrate treatment appears to effectively improve the arterial wall stiffness in the patients with pure hypertriglyceridemia.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"23 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":"129555941","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}

引用次数: 0

Arcus Aorta Reconstructions in Neonates and Early Infants 新生儿和早期婴儿弓主动脉重建

Koşuyolu Heart Journal Pub Date : 2020-08-15 DOI: 10.5578/khj.69781

Özgür Yıldırım, Dilek Suzan

{"title":"Arcus Aorta Reconstructions in Neonates and Early Infants","authors":"Özgür Yıldırım, Dilek Suzan","doi":"10.5578/khj.69781","DOIUrl":"https://doi.org/10.5578/khj.69781","url":null,"abstract":"Introduction: Various instances of aortic arch hypoplasia (AAH) with a wide spectrum of severity have been observed in the neonatal patients. The purpose of this paper is to discuss the aortic arch reconstruction in the coarctation of the aorta and AAH while focusing on the surgical decisions and patient management for the neonatal and infant patients. Patients and Methods: We performed a retrospective review of 15 patients who underwent aortic arch reconstruction. Importantly, we investigated postoperative outcomes with associated complex congenital heart diseases. Results: The median age and mean weight of the patients were 74 days (range: 4-306 days) and 4192 ± 1253 gram, respectively. The surgical correction of aortic arch congenital abnormalities was performed under selective antegrade cerebral perfusion in all the 15 patients. All the reconstructions were performed with pericardial patch, and the coarcted segment of the aorta was completely resected in seven of the patients. One-stage repair was performed in the seven of the patients. The mean follow-up time was 13.7 ± 9.3 months. In one patient, transcatheter balloon angioplasty was performed for re-coarctation six months after operation. There was one early and one late mortality. Conclusion: Aortic arch reconstruction can be performed with a low mortality and morbidity in the newborn and infants.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"22 7 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":"116018600","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}

引用次数: 0