The Internet Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"A Chronic Constrictive Tuberculous Pericarditis Case With Large Calcific Pericardial Deposits","authors":"U. Yetkin, K. Erguneş, M. Bademci, B. Ozcem, A. Gürbüz","doi":"10.5580/5ad","DOIUrl":"https://doi.org/10.5580/5ad","url":null,"abstract":"The frequency of tuberculous pericarditis has diminished in recent years. Large calcific pericardial deposits are specific signs for pericardial tuberculosis. In this study we’re presenting a case of chronic constrictive tuberculous pericarditis with large calcific pericardial deposits. Conventional open pericardiectomy via the median sternotomy , which enables a safer, wider, and more effective approach.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"11 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":"132884226","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":"Surgical Management of a Patient with Small Aorta Syndrome: Report of a case and review of the literature","authors":"M. Dumantepe, A. Gullu, Gurkun Komurcu, K. Ak, A. Yilmaz","doi":"10.5580/196b","DOIUrl":"https://doi.org/10.5580/196b","url":null,"abstract":"Small aorta syndrome (SAS) is defined as a syndrome of peripheral obliterating arterial disease characterized by aortoiliac steno-occlusion. It typically occurs in young women of small stature with relatively typical risk factors. We present here, a 51year-old female with 2-year history of bilateral intermittent claudication who was referred to our clinic and diagnosed as having SAS. The patient was successfully treated by aortic thromboendarterectomy and inverted “Y” dacron patchplasty. Additionally, we discussed this topic with the current literature knowledge.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"145 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":"129823943","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":"Study To Compare The Effect Of Supine Lying Position Along With Mobilization Over Half Lying Position Head Up 45 Degree In Patients Following Open Heart Surgery","authors":"I. Wani, Suhail Sangeen, Q. Khan, Muddasir Wani, Z. Shah, A. Banerjee, D. Balsaree","doi":"10.5580/2ac","DOIUrl":"https://doi.org/10.5580/2ac","url":null,"abstract":"Effect of body positioning on lung volumes and capacities have been well established over past three decades with supine lying being the least physiological and standing the most physiological position. This study with same subject cross over design aims to compare the effect of supine lying position along with mobilization over half lying position in subjects following open heart surgery in relation to heart rate, blood pressure, partial pressure of oxygen and carbon dioxide. 30 subjects who underwent open heart surgery between 15 January 2005 to 30 January 2006 were studied.12 patient out of 30 patients studied underwent mitral valve replacement,7 patients underwent coronary artery bypass grafting ,3 patients underwent aortic valve replacement ,2 patients have undergone left atrial myxoma excision ,3 patients have undergone ventricular septal closure and 1 each have undergone atrial septal defect closure,left atrial clot excision and repair of tetralogy of fallot .Significant changes were observed between HLrr with Serr (p < .005) while non significant changes were observed in other compared variables. The overall result of this study indicate that the half lying position (Hi) is equally effective as supine lying with mobilization. Thus the null hypothesis is accepted.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"1 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":"133414669","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":"Digital ischemia of the upper limb:Our systematic treatment protocol","authors":"U. Yetkin, B. Ozpak, Aykut Şahin, I. Yurekli, A. Gürbüz","doi":"10.5580/fd","DOIUrl":"https://doi.org/10.5580/fd","url":null,"abstract":"Upper limb digital ischemia is an unusual clinical entity.In this study we present the subject of digital ischemia of the upper limb and our systematic treatment protocol approach. INTRODUCTION Symptomatic upper extremity digital ischemia is an uncommon disorder reflecting diverse etiologies (1). The evaluation and treatment of our practical application for digital ischemia is demonstrated through illustrative cases. The relative rarity of vascular disorders of the arm accounts for unfamiliarity with upper extremity diagnostic testing on the part of even experienced vascular clinicians (2). Upperextremity digital ischemia needs a high index of suspicion in cases with unknown or unproven primary focus of the emboli. Prompt recognition and early consultation seem necessary to prevent or reduce the extent of the amputation (3). CASE PRESENTATION One of our cases was a 72-year-old male who had undergone coronary bypass surgery 7 years ago at our institution. He was admitted to our clinic with complaints of discoloration and pain in the 2 finger of his left hand, started 5 days ago (Figure 1). Figure 1 Figure 1 His physical examination revealed that all the peripheral pulses were palpable. Clinical examination shows a negative Allen test. His serological tests identified no pathological finding. Duplex scanning revealed no proximal source of emboli and arterial obstruction sign. Transthoracic echocardiography showed no cardiac foci for peripheral emboli. Avoidance of cold and other conservative treatment modalities were initiated. Our medical treatment strategy was as follows: Digital ischemia of the upper limb:Our systematic treatment protocol","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"22 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133111674","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":"Is It True Bilateral Internal Thoracic Artery Harvest for Coronary Artery Bypass Grafting Increase the Risk of Mediastinitis","authors":"E. Hijazi","doi":"10.5580/e2b","DOIUrl":"https://doi.org/10.5580/e2b","url":null,"abstract":"Summary: The single internal thoracic artery (SITA) has been used almost exclusively as a pedicled graft. Many publications report that bilateral pedicled internal thoracic artery (ITA) grafting increases the risk of mediastinitis. Recently in order to gain the additional length, increase the number of arterial anastomoses and decrease the occurrence of deep sternal infections, there has been an increasing popularity of bilateral use of the skeletonized internal thoracic artery (ITA) for CABG. The aim of this article is to review English literature from multicenter and different cardiac surgeon's experiences regarding this fact. We used terms bilateral mammary harvesting, harvesting of bilateral mammary, mediastinitis and related keywords to search MEDLINE, other literature databases and article reference lists for English-language single versus bilateral internal mammary artery for coronary artery bypass grafting that were published from 1990 – December, 2007. Current available evidence shows that skeletonized BITA grafting carries an acceptable risk of deep sternal infection but is not recommended for repeat CABG or for patients with chronic obstructive pulmonary disease (COPD). Skeletonized BITA grafting can be safely applied in almost every patient. All cardiac surgeons should be trained efficiently in using skeletonized BITA.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"48 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":"114825690","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 medical treatment protocol for symptomatic distal ulnar artery occlusion","authors":"U. Yetkin, B. Ozpak, T. Goktogan, I. Yurekli, A. Gürbüz","doi":"10.5580/1bf","DOIUrl":"https://doi.org/10.5580/1bf","url":null,"abstract":"Arterial occlusive disease of the upper extremity is a rare entity.In this study ,we report our medical treatment protocol for symptomatic distal ulnar artery occlusion. INTRODUCTION The vascular patterns of the palmar arches and their interconnecting branches present a complex and challenging area. Improvements in microsurgical techniques have made a better understanding of vascular patterns and vessel diameters more important (1). CASE PRESENTATION Our case was a 72-year-old male. He was suffering from pain in the left hand and discoloration and coldness of the tips of 3, 4 and 5 digits for one month. Physical examination revealed no ulceration of this non-dominant hand (Figures 1&2). Only the left ulnar arterial pulse was detectable with sonic Doppler device and the remaining pulses were easily palpable. Clinical examination shows a positive Allen test for ulnar artery occlusion. Figure 1 Figure 1 Our medical treatment protocol for symptomatic distal ulnar artery occlusion 2 of 4 Figure 2 Figure 2 His past medical history was significant for Type 2 Diabetes Mellitus for 8 years that was regulated with oral antidiabetic agents. He also was an ex-smoker who quit smoking 10 years ago. Selective left upper extremity DSA revealed patent left subclavianaxillarybrachialand radial arteries (Figures 3&4). Figure 3 Figure 3 Figure 4 Figure 4 Ulnar artery was occluded at distal segment. Moreover, palmar arch was invisible and metacarpal arteries were occluded at multiple levels (Figures 5&6). Figure 5 Figure 5 Our medical treatment protocol for symptomatic distal ulnar artery occlusion 3 of 4 Figure 6 Figure 6 Taking these findings into account, our medical treatment strategy was as follows: Figure 7 He completed the late period after the onset of therapy with this ambulatory treatment protocol. His complaints of pain and discoloration completely faded away. His sensorimotor neurological status is normal. DISCUSSION Arterial occlusive disease of the upper extremity is most often due to posttraumatic occlusion of the ulnar artery. An embolic source of the ischemia should be considered most strongly when sudden ischemia or vasospasm is associated with atrial fibrillation or follows a myocardial infarction. Connective tissue disorders and several arteridities are infrequent causes of upper-extremity occlusive disease (2). Because damage to either the radial or the ulnar artery in the form of laceration or thrombosis can occur with no or minimal symptoms due to adequate collateral circulation, the prevalence of asymptomatic occlusions is unknown (3). Increased sympathetic tone from reflex vasospasm in the face of otherwise adequate collateral vessels may decrease perfusion sufficiently to cause ischemic symptoms and signs(3,4). Isolated ulnar artery occlusion is seldom the cause of digital tip necrosis (3). Only 5% of normal subjects had ulnar artery dominance in all digits(5). Arteriography still remains the reference standard for the evaluation of vascular","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"25 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":"123610548","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":"Idiopathic deep venous thrombosis of the right upper extremity and our medical strategy","authors":"U. Yetkin, T. Goktogan, Aykut Şahin, I. Yurekli, A. Gürbüz","doi":"10.5580/b24","DOIUrl":"https://doi.org/10.5580/b24","url":null,"abstract":"Upper extremity deep vein thrombosis is a rare thrombotic disorder. Ultrasonography is the primary imaging modality for the diagnosis of upper extremity thrombosis.In this paper we present an idiopathic deep venous thrombosis of the right upper extremity and our medical strategy.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"8 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":"132608752","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":"Mitral valve repair in a case with very large giant left atrial organised thrombus","authors":"C. Özbek, U. Yetkin, Tevfik Güne, A. Çall, A. Gürbüz","doi":"10.5580/189d","DOIUrl":"https://doi.org/10.5580/189d","url":null,"abstract":"Large left atrial mural thrombus is usually observed with mitral valve disease.This mass has risks of sudden circulatory collapse and systemic embolization. The aim of mitral valve repair is to obtain a component mitral valve with the largest possible nonstenotic orifice and this repair represents a beter alternative than valve replacement.In this study ,we report a patient in whom a very large and organised thrombus in the left atrium with mitral valve stenosis and our successful surgical removal therapy.We considered the emergent surgery for the large left atrial mural thrombus. This approach at the time is the best treatment option. Mitral valve repair 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.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"22 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":"115601978","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":"Endarterectomy for diffuse right coronary artery disease","authors":"U. Yetkin, T. Goktogan, B. Ozpak, A. Gürbüz","doi":"10.5580/bd7","DOIUrl":"https://doi.org/10.5580/bd7","url":null,"abstract":"Coronary endarterectomy has become a safe procedure.In this study ,we report a case that we applied a successful endarterectomy for diffuse right coronary artery disease.","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"18 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":"115476542","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":"Cardiac Injuries Due To Blunt Trauma","authors":"U. Yetkin, smail Yürekli, S. Bayrak, C. Özbek, brahim Özsöyler, A. Gürbüz","doi":"10.5580/106e","DOIUrl":"https://doi.org/10.5580/106e","url":null,"abstract":"Blunt cardiac trauma develops frequently following motor-vehicle accidents and its mortality rate is high. Early use of echocardiography for the initial assessment of severely injured patients has facilitated to detect the associated cardiac injuries. Fast transportation, urgent diagnostic workup and immediate surgical intervention to these patients with well-trained teams are very important and this approach will improve their survival. INTRODUCTION AND BRIEF HISTORY Although cardiac injuries have been known since ancient era, their surgical interventions couldn't have been possible until 19th century. In 16th century, Fabricius reported that cardiac injuries resulted in sudden death and that it was impossible to treat these injuries; even an attempt made to treat was unnecessary. First case with cardiac injury was reported by Oluff Borch. First case with myocardial contusion was defined Akenside in 1764. Pericardiocentesis as a treatment modality for cardiac injury was first recommended by Riolanus in 1649. But first successful pericardiocentesis was performed in 1829 by Larrey. Suturing a cardiac wound was first recommended by Roberts in 1881. Between years 1882 and 1885, surgical correction of cardiac wounds in experimental animals were reported. In 1897, Rehn reported the first successful repair of a penetrating cardiac wound (1).","PeriodicalId":330833,"journal":{"name":"The Internet Journal of Thoracic and Cardiovascular Surgery","volume":"40 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":"124996376","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}