The Internet Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"Idiopathic Chronic Hemorrhagic Pericarditis","authors":"A. Gürbüz, U. Yetkin, C. Özbek, O. Gokalp, smail Yürekli, A. Çall, N. Postac, Murat Ye il","doi":"10.5580/169e","DOIUrl":"https://doi.org/10.5580/169e","url":null,"abstract":"Pericardial diseases imitate more common cardiac diseases and therefore can be difficult to diagnose. We describe a case of idiopathic chronic hemorrhagic pericarditis. A pragmatic clinical and scientific approach for improved diagnosis of pericardial diseases is outlined","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"21 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":"114343168","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":"Our strategy of coronary bypass procedure in a case with bicuspid aortic valve and mild dilation of ascending aorta","authors":"U. Yetkin, K. Erguneş, Aykut Şahin, I. Yurekli, A. Gürbüz","doi":"10.5580/1398","DOIUrl":"https://doi.org/10.5580/1398","url":null,"abstract":"Bicuspid aortic valve is the most common congenital cardiac anomaly in the adult population including other cardiovascular diseases.In this study we present our strategy of coronary bypass procedure in a case with bicuspid aortic valve and mild dilation of ascending aorta.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"86 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":"124841053","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":"Using Of Levosimendan In A Redo Cardiac Pediatric Operation","authors":"M. Aksun, A. Gürbüz, Ufuk Yetk n, Ertan Damar, Banu Lafç, A. Özelçi, T. Goktogan, N. Karahan","doi":"10.5580/126","DOIUrl":"https://doi.org/10.5580/126","url":null,"abstract":"Levosimendan (LS), a new inodilator used in the treatment of decompensate heart failure, has been reported to be effective in patients with high perioperative risks, with abnormal left ventricular function, and who face difficulties in weaning off cardiopulmonary bypass. Cause of its many beneficial effects, the use of LS in cardiac surgery arises. However, experiences about the use of LS in pediatric patients are limited. We administered LS in a case of 3 years old child who developed heart failure during cardiopulmonary bypass removal period. A 3 years old, 11 kg female child was admitted in our center who had a total revision of tetralogy of Fallot four months ago. Any postoperative complaints or symptoms were not present since we find out a large progressive aneurysm in the echocardiographic evaluation of the otogen pericardial patch which was prepared with gluteraldehide. Induction of anesthesia was done with 2 mg/kg ketamin and 0.5 mg/kg atracurium, 20μg/kg atropin was administered also. After endotracheal entubation, invasive blood pressure of the left radial artery and central venous pressure monitoring of the right internal jugular vein was successfully. After the excision of the pericardial patch, the repair of the right ventricular outflow was done with e-PTFE graft. At the end of cardiopulmonary bypass (CPB) surgery deep hypotension occurred. In spite of dopamine (15 μg/kg/min), dobutamine (15μg/kg/min) and adrenalin (1mg/h) infusions, myocardium failed to maintain normotension. Diuresis was suboptimal in our patient also. Upon these LS infusion was started with the loading dose of 12 μg/kg over 10 minutes. Later, 0.2 μg/kg/min maintenance dosage was applied. In an hour we observed 200 cc diuresis and the vital signs were taken under control. LV infusion was completed after 24 hours postoperatively in our intensive care unit. Six hours later we started to reduce the analogous inotropic support (dopamine 10μg/kg/min, dobutamine 10μg/kg/min, adrenalin 0.5mg/h) since the hemodynamic parameters were satisfactory. Twelve hours later another reduction was applied. Since the well tolerance of the myocardium, we were able to stop the other inotropic drug infusions after 48 hours and the patient was discharged from the hospital 10 days after the surgery. Our clinical experiences with LS has shown that it reduces conventional inotropic agents dosages and could be a satisfactory agent in myocardial depression therapy which occurred in CPB surgery intraoperatively also in pediatric patients. However the need for serial randomized controlled studies in pediatric patient about the use of LS is indisputable.","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":"129908601","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":"Complicated brucella endocarditis of the aortic valve","authors":"C. Özbek, Ufuk Yetk n, B. Ozcem, smail Yürekl, A. Gürbüz","doi":"10.5580/97c","DOIUrl":"https://doi.org/10.5580/97c","url":null,"abstract":"Endocarditis is a rare and the most fatal complication of brucellosis and can cause severe cardiac injuries.Generally aortic valve invasion is seen.We describe a case of Complicated brucella endocarditis of the aortic valve.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"51 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":"128344491","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":"Clinical utility of magnetic resonance angiography for femoro-popliteal arterial occlusive disease","authors":"U. Yetkin, K. Erguneş, A. Özelçi, T. Goktogan, A. Gürbüz","doi":"10.5580/14a0","DOIUrl":"https://doi.org/10.5580/14a0","url":null,"abstract":"Magnetic resonance angiography (MRA) has recently become instrumental in the diagnosis of arterial disease and is gaining an important role in the study of plaining revascularization.In this study we present clinical utility of magnetic resonance angiography for femoro-popliteal arterial occlusive disease.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"75 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":"128406292","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":"C-Reactive Proteins and Cardiovascular Risk Indices in Hypertensive Nigerians.","authors":"J. Idemudia, E. Ugwuja, O. Afonja, Idogun Es, N. Ugwu","doi":"10.5580/fa9","DOIUrl":"https://doi.org/10.5580/fa9","url":null,"abstract":"C-reactive protein (CRP), a biomarker of inflammation, has been found to play a role in the pathogenesis of cardiovascular disease and its determination has been proposed as one method of improving the prediction of the risk of cardiovascular events. CRP was determined in 150 hypertensive patients aged 30-59 years and 30 apparently healthy normotensive individuals matched for age and socioeconomic status by ELISA technique. Atherogenic index (LDL-C/HDL-C) and coronary heart disease risk (HDL-C/TC) were also calculated from the lipid profile. Among the hypertensive patients, only 1 (1.2%) female had a dangerous coronary heart disease risk, while 14 (9.3%) (6 males and 8 females) were at high risk of CHD and only 16 (10.7%) (11 males and 5 females) had probable protection against CHD. Hypertensive patients were significantly (p < 0.05) heavier than the normotensive patients (28.34 ± 4.40kg/m vs. 25.79 ± 2.91kg/m), with significantly higher atherogenic indices and CRP. Among the hypertensive patients, CRP positively correlated with atherogenic index (r = 0.551, p < 0.05) and CHD risk (r = 0.589, p < 0.05). However, in normotensive patients, CRP was positively correlated with atherogenic index (r = 0.492, p < 0.01) but negatively correlated with CHD risk (r = -0.475, p < 0.01). In conclusion, hypertensive Nigerians have significantly higher CRP than their normotensive counterparts, which correlates with CHD risk.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"47 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":"122258578","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":"Successful Mitral Valve Repair and Ring Annuloplasty In A Case With Giant Left Atrial Thrombus","authors":"Ufuk Yetk n, C. Özbek, M. Akyüz, A. Çallı, Ali Gürbüz","doi":"10.5580/2119","DOIUrl":"https://doi.org/10.5580/2119","url":null,"abstract":"Left atrial ball thrombus appears to be uncommon. Ball thrombi of the left atrium are usually observed with mitral valve disease.In this study ,we report a case of successful mitral valve repair and ring annuloplasty in a case with giant left atrial thrombus. Removal of the ball thrombus and mitral valve repair were performed simultaneously.Early diagnosis and emergent surgical intervention are mandatory for giant left atrial thrombus","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"4 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":"122303382","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":"Statins in the Treatment of Type 2 Diabetes Mellitus: A Systematic Review.","authors":"C. Anyanwu, C. Nosiri","doi":"10.5580/2443","DOIUrl":"https://doi.org/10.5580/2443","url":null,"abstract":"Globally, Type 2 diabetes mellitus (T2DM) continues to prove a huge challenge to patients and clinicians. Treatment of T2DM has traditionally been focused on the regulation of sugar in the blood with diet and drugs. Substantial epidemiological data has demonstrated since the 1970s that cardiovascular diseases (CVD) constitute the primary cause of morbidity and mortality in patients with diabetes. This systematic review was aimed at using clinical trials on published literature to pull out evidence based medicine to support or discount the mortality benefits of statin therapy in T2DM patients. From the clinical trials reviewed, statin therapy in non diabetic and T2DM showed varying degrees of reduction in CHD events. Pravastatin therapy reduced the risk among all patients from 15.9 % to 12.3% (relative risk reduction (RRR) 24%). In diabetics, the RRR was 19%. Same therapy reduced the risk of stroke from 9.9% to 6.3% in diabetic group. Another study observed in their results a significant reduction in mortality (1328:12.9%) deaths among 10,269 patients in the simvastatin group versus 1507: 14.7% among 10,267 patients in the placebo group. Other studies also reported significant or near significant reduction in mortality or death rate. Artovastatin reduced acute CHD events by 36%, coronary revascularization by 31% and rate of stroke by 48%. Pravastatin on the other hand showed 25% reduction of risk of coronary events (CHD, death, non fatal myocardial Infarction (MI) and coronary artery by pass graft (CABG)). Another study showed that patients with T2DM and other risk factors of coronary artery disease or retinopathy had a 35% relative risk reduction in CVD when Atorvaststin 10mg was given daily which was similar to a 33% relative risk reduction in CVD with Simvastatin 40mg. Other clinical trials showed significant evidence that the pharmacological treatment with statins reduced mortality and morbidity associated with CVD especially those who are already at higher risk of CHD events, such as patients with T2DM while long term treatment is often necessary.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"39 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":"126082225","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":"Portal vein aneurysm due to traumatic etiology","authors":"Ay egül Sars lmaz, Melda Apayd n, U. Yetkin, Ergun Öziz, M. Varer, smail Yürekli, E. Uluç, A. Gürbüz","doi":"10.5580/f7d","DOIUrl":"https://doi.org/10.5580/f7d","url":null,"abstract":"Portal vein aneurysm is a rare clinical entity. We describe a case of portal vein aneurysm due to traumatic etiology. Our patient had no signs suggestive of portal hypertension; the lesion was incidentally detected by ultrasound. It appears that these aneurysms can be found at any age and that there is no sexual preference. This pathology is increasingly encountered with the frequent use of radiological imaging modalities. INTRODUCTION Portal vein aneurysm is a rare clinical entity, with only 41 published cases in the English-language literature. Twentyfive of them were congenital(1). Portal venous aneurysms are described as focal dilatations of the portal venous system(2).Generally it was incidentally diagnosed during an investigation for dyspepsia(1). CASE PRESENTATION Our case was a 65-year-old male. He was suffering from flatulance and dyspepsia for 2 years. His past medical history was significant for a blunt trauma to the right upper quadrant of the abdomen he had experienced 19 years ago due to a traffic accident. Upper abdominal ultrasound imaging was carried out for a possible diagnosis of cholelithiasis. A venous aneurysm of 28x24 mm corresponding to the proximal zone of left branch of portal vein next to the falciform ligament. (Figures 1 and 2). Figure 1 Figure 1 Portal vein aneurysm due to traumatic etiology 2 of 4 Figure 2 Figure 2 Color Doppler ultrasound imaging revealed venous aneurysmal dilation with continuous flow pattern as in the case with portal flow (Figure 3).","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"6 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":"114102636","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":"Right ventricle myxoma obstructing partially right ventricular outflow tract","authors":"A. G. Ciss, O. Diarra, A. Ndiaye, P. A. Dieng, P. S. Ba, M. Ba, S. Beye, O. Kane, I. Diop, M. Ndiaye","doi":"10.5580/10f2","DOIUrl":"https://doi.org/10.5580/10f2","url":null,"abstract":"A 13-year old female was referred from paediatric department for severe dyspnoea (stage III NYHA), with swelling of the face and the lower limbs. The physical examination revealed bad general health status and a clinical anaemia. There was also an enlargement of the jugular veins and the liver. The heart auscultation allowed a diagnosis of a pulmonary stenosis bruit, which was not varying with the changes of postures. The patient did not present any neuro-endocrine clinical signs or skin problems.The transthoracic echocardiography (TTE) revealed a cardiac tumour mimicking a myxoma was implanted on the antero lateral side of the right ventricular wall with an expansion into the outflow tract. The patient was operated within 48 hours following her admission. On CPB the tumour looking like myxoma was excised through a right atriotomy. The tricuspid valve was normal. Cross clamping time was 15 minutes. The pathological examination showed a myxoma-like tumour with two lobes measuring 4.2 x 2.3 centimeters. The evolution was simple; the post operative TTE check ups were satisfactoryRight ventricular myxoma protruding into the outflow tract is rare and can present with right heart failure. Surgical excision is seldom possible.We emphasize the importance of periodic follow up of this young patient with TEE for early detection of recurrence.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"20 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":"123787100","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}