Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"[MSB-50] Early Results of Patients Who Underwent Button Bentall Operation.","authors":"Yüksel Dereli, Abdullah Güner, Volkan Burak Taban, Yalçın Günerhan, Serkan Yıldırım, Ömer Tanyeli, Niyazi Görmüş","doi":"10.5606/tgkdc.dergisi.2024.msb-50","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-50","url":null,"abstract":"<p><strong>Objective: </strong>This study to analyze the early-term results of patients who underwent button Bentall operation.</p><p><strong>Methods: </strong>Twenty-one patients (12 males, 9 females; 50.67±13.79 years) who underwent an elective button Bentall operation between 2020 and 2023 were included in the study. Patients who were pregnant or breastfeeding, those younger than 18 years of age, who underwent emergency operation, who had type 1 aortic dissection, and who underwent additional valve operations other than aortic valve, infective endocarditis, and reoperations were excluded.</p><p><strong>Results: </strong>Ten (47.6%) patients had bicuspid aortic valve structure, and all patients had severe aortic valve insufficiency. Four (19%) patients required early revision surgery due to hemorrhage. No mortality was observed during the hospitalization period. The mean cross-clamp time was 87.33±16.77 min, and the mean cardiopulmonary bypass time was 118.81±19.88 min.</p><p><strong>Conclusion: </strong>In our study, early in-hospital mortality was not observed and we believe that this difference may be due to the small number of patients. Nevertheless, button Bentall operation for ascending aortic aneurysm and valve insufficiency appears to be a safe surgical treatment method with short-term results.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"075-75"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-66] Does Balloon Dilatation Increase the Need for A Permanent Pacemaker in Sutureless Aortic Valve Replacement?","authors":"Adem Reyhancan, Fadil Shehu, Mürsel Büyükadali, Serhat Hüseyin, Orkut Güçlü, Suat Canbaz","doi":"10.5606/tgkdc.dergisi.2024.msb-66","DOIUrl":"10.5606/tgkdc.dergisi.2024.msb-66","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to present the results of balloon dilatation in sutureless valves considering the temporary and permanent need for a pacemaker.</p><p><strong>Methods: </strong>Thirty-eight patients (27 females, 11 males; mean age: 69.42±4.85 years; range, 61 to 82 years) who underwent surgical aortic valve replacement with a sutureless aortic valve bioprosthesis between January 2019 and June 2024 and received balloon dilation at 4 atm (standard atmosphere) pressure for 30 sec during the procedure were retrospectively evaluated. Demographic data, preoperative and postoperative echocardiographic data, and postoperative follow-up data of the patients were collected.</p><p><strong>Results: </strong>On preoperative echocardiographic evaluation, the mean aortic root diameter was 20.99±2.24 mm, the ejection fraction was 59.29±9.57%, and the mean preoperative aortic valve gradient was 38.08±7.31 mmHg. Isolated aortic valve replacement was performed in 22 (57.9%) patients, concomitant coronary bypass was performed in 14 (36.8%) patients, and ascending aorta replacement was performed in two (5.3%) patients. A small valve was inserted in six patients, a medium valve in 13 patients, a large valve in 17 patients, and an extra-large valve in two patients. The mean postoperative aortic valve gradient was 11.52±3.36 mmHg. After surgery, three (7.9%) patients were transferred to the intensive care unit with temporary pacemakers. Permanent pacemaker implantation was required in three (7.9%) patients due to complete atrioventricular block.</p><p><strong>Conclusion: </strong>Although the clinical results with sutureless aortic bioprostheses are satisfactory, the use of balloon dilatation increases the need for permanent pacemakers.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"090-90"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MEP-32] Unusual Origin of Anomalous Left Main Coronary Artery From the Pulmonary Artery.","authors":"Arda Sezen, Defne Gunes Ergi, Akin Cinkooglu, Eser Dogan, Mahsati Akhundova, Osman Nuri Tuncer, Yuksel Atay","doi":"10.5606/tgkdc.dergisi.2024.mep-32","DOIUrl":"10.5606/tgkdc.dergisi.2024.mep-32","url":null,"abstract":"<p><p>Herein, we presented a case of an anomaly in which the left main coronary artery (LMCA) originates from the right pulmonary artery (RPA). A six-year-old female patient presented for a cardiology follow-up due to the mother's history of sudden cardiac death. On transthoracic echocardiography, the right coronary artery (RCA) was dilated, and the LMCA was not identified. There was no LMCA ostium on the aorta. The computed tomography and the coronary angiography revealed the wide and tortuous RCA originating from the aorta. Following primary median sternotomy, proximal visualization of the coronary ostium was challenging. Cardioplegia was given via the aortic root, revealing leakage from the RPA. For better visualization of the RPA, the aorta was transected above the RCA ostium. Subsequently, the MPA incision was extended towards the RPA, facilitating the coronary ostium visualization. Afterward, the left coronary ostium was freed from the RPA and implanted at its anatomical location on the ascending aorta. Subsequently, the RPA and MPA incisions were reconstructed with 7-0 Prolene sutures. The aortotomy was closed with a bovine patch, and warming was recommenced. The postoperative course was uneventful, and the patient was discharged on the seventh postoperative day. Complex cases of anomalous left main coronary artery from the pulmonary artery are surgically challenging. In rare instances where the LMCA originates from the RPA, ostial identification can be difficult. Detailed imaging is crucial for surgical planning. Conventional translocation is the gold standard method for these cases. This rare anomaly, also scarcely reported in the literature, is a variation that should be carefully considered in congenital heart surgery and coronary artery disease diagnosis.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"131-132"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MEP-26] Safety and Efficacy of Endovascular Repair Using Multilayer Flow Modulators for Thoracic Aortic Aneurysms After Type 1 Aortic Dissection.","authors":"Ömer Faruk Doğan, Muhittin Zafer Samsa, Mete Kubilay Kasap, Özgür Çoban","doi":"10.5606/tgkdc.dergisi.2024.mep-26","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-26","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the outcomes of thoracic endovascular aortic aneurysm repair (TEVAR) for thoracic aortic aneurysms (TAAs) with or without concurrent endovascular abdominal aneurysm repair (EVAR) using multilayer flow modulator stents.</p><p><strong>Methods: </strong>This study included 23 patients (16 males, 7 females; mean age: 64 years) who underwent acute type 1 ascending aortic dissection repair. Symptoms varied from chest and abdominal pain, dyspnea, and fatigue to asymptomatic cases. Multislice computed tomography (CT) angiography assessed all segments of the aorta. We identified TAAs in all patients, with four also having abdominal aneurysms. All patients underwent TEVAR, and EVAR was added when necessary, using a multilayer flow modulator. Control CT angiography was conducted one month after discharge.</p><p><strong>Results: </strong>There were no deaths or major complications. The median interval between primary surgery and CT angiography was 19 months (range, 6 to 60 months). The median hospital stay was 4.2 days. Control angiograms demonstrated 100% technical success with patent aortic lumens and branches. The only complication was a superficial infection in the femoral region. No cases of aortic rupture, stent migration, thrombosis, or stent fracture were observed. One patient had an endoleak at proximal and distal aortic ends, which was addressed with an additional multilayer flow modulator.</p><p><strong>Conclusion: </strong>Thoracic aortic aneurysms with or without abdominal aneurysms should be considered after type I aortic dissection surgery. We recommend it as an effective treatment method because it does not obstruct blood flow in the visceral arteries in patients with complex aortic aneurysms. Further randomized clinical trials are necessary to validate the effectivity of multilayer flow modulator stent.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"124"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-59] Comparison of Outcomes in Patients Undergoing Mitral Valve Surgery and Cryoablation with Sternotomy and Thoracotomy.","authors":"Aysen Yaprak Engin, Deniz Can Başaran, Serkan Ertugay, Emrah Oğuz, Hakan Posacıoğlu, Anıl Ziya Apaydın, Fatih İslamoğlu, Tanzer Çalkavur, Rıfat İsmili, Erkan Erdoğan","doi":"10.5606/tgkdc.dergisi.2024.msb-59","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-59","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to show the differences in the results of cryoablation simultaneously applied with the operation to convert atrial fibrillation (AF) to sinus rhythm in patients with AF who underwent mitral valve surgery and the differences in the thoracotomy and sternotomy groups.</p><p><strong>Methods: </strong>A total of 62 patients who underwent mitral valve surgery in a single center between 2017 and 2023 were included in the study. The patients were divided into two groups: the sternotomy group and the thoracotomy group. Patient data in the study were obtained by file scanning and current patient records. In the study, the preoperative demographic characteristics, the medications, additional diseases, echocardiographic findings, mitral valve pathologies, laboratory values, AF types of the patients, data related to the operation, intensive care unit and hospital stays, and data on postoperative early- and mid-term complications were recorded.</p><p><strong>Results: </strong>The length of hospital stay, the age at surgery, and the preoperative left atrium diameter and alanine transaminase value were found to be higher in the sternotomy group. The preoperative albumin value was higher in the thoracotomy group compared to the sternotomy group. In addition, a tricuspid ring was more frequently applied in the sternotomy group. The cardiopulmonary bypass period was significantly longer in the thoracotomy group. The rate of respiratory failure and pericardial effusion development were significantly higher in the sternotomy group. No significant difference was found in terms of postoperative rhythms, laboratory values, and other complications in both groups.</p><p><strong>Conclusion: </strong>Cryoablation is an effective method in correcting existing AF to sinus rhythm. In patients who undergo cryoablation simultaneously with mitral valve surgery, thoracotomy produces more positive results than sternotomy.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"084-84"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MEP-45] Traumatic Blowout Injury-Related Gerbode Defect and Aortic Dissection.","authors":"Timuçin Sabuncu, Bilgehan Betül Biçer, Elif Tuzdelen, Hayrettin Hakan Aykan, Murat Güvener","doi":"10.5606/tgkdc.dergisi.2024.mep-45","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-45","url":null,"abstract":"<p><p>The Gerbode defect is a defect between the left ventricle and the right atrium and can be congenital or acquired. It is known that structural heart diseases may occur secondary to mechanical damage/trauma. The Gerbode defect, sinus Valsalva injuries, and tricuspid valve damage are the most frequently reported acquired heart diseases due to vehicle accidents or mechanical traumas. Herein, we shared the first case of ventricular septal defect (VSD), aortic dissection, Gerbode defect, and severe tricuspid valve damage secondary to trauma caused by a truck tire explosion and its transcatheter/surgical management. A 13-year-old male patient, who was standing next to a truck when he suddenly fell to the ground after feeling severe chest pain due to the pressure effect of a high-pressure truck tire explosion, was referred to our hospital. The patient had a history of thoracic endovascular aortic repair due to VSD and aortic dissection in the descending thoracic aorta. The echocardiographic evaluation revealed right atrium enlargement, perimembranous VSD extending to the inlet region, 8-mm direct Gerbode defect causing a shunt between the left ventricle and the right atrium, and defects of up to 5 mm in size on the tricuspid valve septal leaflet causing severe tricuspid insufficiency. The patient underwent surgery for VSD closure. Two separate patches were used for VSD closure (one for the Gerbode-type defect and the second one for the perimembranous-type defect). There were no defects on the tricuspid valve; therefore, two separate patches were used for closure. Cardiac traumas may be examined under two groups: penetrating cardiac traumas and blunt cardiac traumas. The most common abnormality following a blunt cardiac trauma is asymptomatic myocardial contusion.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"142-143"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-37] Comparison of Radiofrequency Ablation and Cyanoacrylate Closure for Large-Diameter Great Saphenous Vein Insufficiency.","authors":"Ali Aycan Kavala, Gülsüm Türkyılmaz, Yusuf Kuserli, Hasan Toz, Saygın Türkyılmaz, Utku Çelik","doi":"10.5606/tgkdc.dergisi.2024.msb-37","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-37","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare radiofrequency ablation (RFA) and cyanoacrylate closure (CAC) for large-diameter great saphenous vein (GSV) insufficiency between diameters of 12 and 16 mm.</p><p><strong>Methods: </strong>This single-center retrospective study was conducted with 142 patients who underwent endovenous treatment with RFA (Group A; n=71) or CAC (Group B; n=71) for GSV insufficiency between June 2015 and June 2021. The patients who were followed for at least two years were included in the study. Patients who had a 12- to 16-mm target vessel diameter and two with grade 3 or 4 reflux were included. During follow-up, patients were evaluated with duplex ultrasonography and the Venous Clinical Severity Score (VCSS) at 1, 6, 12, and 24 months.</p><p><strong>Results: </strong>The mean GSV diameter was 13.21±1.00 for Group A and 13.51±0.97 for Group B. The groups did not differ in terms of age, sex, body mass index, clinical, etiological, anatomic, and pathophysiologic classification, GSV diameter, reflux grade, target GSV length, preoperative VCSS, complications, postoperative 24-h pain status, and postoperative 14-day patient satisfaction scale. The procedure time was significantly shorter in Group B. At one and six months, duplex ultrasonography revealed partial closure, and patency rates in Group B were significantly higher than those in Group A. At 12 and 24 months, closure rates did not show a statistically significant difference between the groups. Preoperative and one-month VCSS measurements did not show a statistically significant difference between groups. The 6-, 12-, and 24-month VCSS measurements of Group A were significantly higher than those in Group B.</p><p><strong>Conclusion: </strong>The complication rates were similar between the two techniques. Cyanoacrylate closure had a shorter procedure time. Although the closure rates in the early postoperative period were better in the RFA group, long-term follow-up demonstrated similar patency rates. The functional results in the long-term follow-up were better in the RFA group.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"063-63"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MÖB-01] Study of the Effect of Fat Mass Index and Fat Free Mass Index on Postoperative Complications and Hospitalization in Patients Undergoing Isolated Coronary Artery Bypass Grafting Operation.","authors":"Osman Türe, Fatih Öztürk, Elif Demirbaş, Koray Ak, Sinan Arsan","doi":"10.5606/tgkdc.dergisi.2024.mob-01","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mob-01","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the effect of preoperative fat mass and fat-free mass measurements on postoperative morbidity and mortality in patients scheduled for coronary artery bypass grafting (CABG).</p><p><strong>Methods: </strong>In the prospective study conducted preoperative biochemistry analyses, sex, age, height, weight, body mass index, body surface area, fat mass index (FMI), fat-free mass index (FFMI), fat mass ratio (FMR), and fat-free mass ratio (FFMR) of 120 individuals were recorded. The number of vessels with CABG, postoperative need for inotropic drugs, time of extubation, total duration of intubation, duration of intensive care unit stay, duration of hospitalization, presence of wound drainage, cases of revision, development of pulmonary embolism, postoperative atrial fibrillation, ventricular arrhythmia, postoperative need for an intra-aortic balloon pump and extracorporeal membrane oxygenation, and death. For FMR, FFMR, and FMI, thresholds were determined by receiver operating characteristic analyses on wound drainage. The FFMI was evaluated within the ranges of 18.7 to 21 kg/m² in males and 14.9 to 17.2 kg/m² in females.</p><p><strong>Results: </strong>Receiver operating characteristic analysis yielded the following thresholds: FMR, 0.26; FFMR, 0.73; and FMI, 7.46. Sex, age, body mass index, hypertension, diabetes, the need for postoperative continuous positive airway pressure or Vapotherm, wound drainage, need for inotropes, intensive care, and length of hospitalization were observed to be associated with FMI, FMR, and FFMR. Furthermore, FMR and FFMR were associated with pulmonary embolism. Patients with FFMI in the normal range had significantly less atrial fibrillation and wound drainage.</p><p><strong>Conclusion: </strong>Preoperative fat mass measurements (FMI, FMR, FFMR, and FFMI) could effectively predict postoperative morbidity and mortality in patients after CABG. The findings underscore the importance of including fat and fat-free masses in operative risk calculations, as it can significantly enhance the accuracy of predicting complications, improving patient outcomes.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"002-3"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MSB-21] Minimally Invasive Tricuspid Valve Surgery Without Inferior Vena Cava Clamping.","authors":"Deniz Günay, Cengiz Köksal","doi":"10.5606/tgkdc.dergisi.2024.msb-21","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-21","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the results of minimally invasive tricuspid valve surgery performed under vacuum assistance without inferior vena cava (IVC) clamping.</p><p><strong>Methods: </strong>All 125 patients who underwent minimally invasive tricuspid valve surgery by the same surgical team between January 2023 and August 2024 were included in this study. Cannulation was performed peripherally, and the superior vena cava was clamped in all patients. The IVC was clamped in 112 patients (Group 1). In the remaining 13 patients (Group 2), vacuum assistance was used, and the IVC was not clamped during cardiopulmonary bypass. Operative success, morbidity and mortality rates, bleeding, and hemolysis were investigated in the postoperative period.</p><p><strong>Results: </strong>The demographic characteristics were similar between groups. However, redo cases were more common in Group 2 compared to Group 1 (53.8% <i>vs.</i> 14.3%, p<0.01). A total of 121 mitral valve surgeries and 125 tricuspid valve surgeries were performed. The operation success rate was 100% in both groups. Operative mortality occurred in one patient in Group 1 (0.9%). Bleeding and other postoperative data were similar between the groups (p>0.05).</p><p><strong>Conclusion: </strong>Minimally invasive tricuspid valve surgery can be safely performed by vacuum assistance without IVC clamping.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"041-41"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[MEP-41] Management of Diaphgramatic Dehiscence and Wound Infection After Open Repair of Thoracoabdominal Aortic Aneurysm.","authors":"Aysen Yaprak Engin, Dilek Erdinli, Ümit Kahraman, Emrah Oğuz, Hakan Posacıoğlu, Anıl Ziya Apaydın","doi":"10.5606/tgkdc.dergisi.2024.mep-41","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-41","url":null,"abstract":"<p><p>Herein, we presented a case of thoracoabdominal aneurysm that was surgically treated and was complicated with diaphragmatic dehiscence and wound infection. Management and treatment methods of this challenging complication were discussed. A 59-year-old male patient with a history of renal operation underwent an open surgical treatment for thoracoabdominal aortic aneurysm. After extubation, the chest radiograph revealed left pneumothorax, and diaphragmatic dehiscence was detected on computed tomography. In the reoperation, steel wires attaching to the arcus costarum were broken off, and the diaphragmatic dehiscence and eventration of organs were observed. Diaphragmatic defect was closed with a Dacron patch, as it was very large for primary closure. Chylothorax was noticed and treated by somatostatin infusion. Vacuum therapy was applied as a purulent discharge started, and necrotic tissue was observed with evidence of infection when debridement was performed. Antibiotic therapy was started according to antibiogram. Vacuum therapy of thoracal incision was stopped as granulation tissue was observed, and the wound was closed by retention sutures. The wound in the abdominal region was closed with an advancement flap by subcutaneous detachment by plastic surgery, and a hemovac drain was placed. Since purulent discharge persisted, the Dacron graft was replaced by bovine pericardium for the diaphragmatic defect. The wound in the abdominal region was closed with retention sutures. The skin was closed primarily. When the infection resolved, the patient was discharged with peroral antibiotics. In open surgical repair of thoracoabdominal aortic aneurysm, rapid diagnosis and surgical intervention in case of diaphragm dehiscence, closure of the wound with appropriate treatment methods, reduction of the wound size with vacuum assisted closure, and initiation of effective antibiotic therapy by taking serial cultures are important in the treatment process.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"138-139"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}