{"title":"Chimney TEVAR for descending aortic thrombosis involving the left subclavian artery ostium in a patient with chronic lymphocytic leukaemia: A rare case report.","authors":"Yalçın Günerhan, Mehmet Işık","doi":"10.4274/tjtcs.2025.28444","DOIUrl":"https://doi.org/10.4274/tjtcs.2025.28444","url":null,"abstract":"<p><p>A 61-year-old woman with chronic lymphocytic leukaemia was admitted with peripheral embolism in the left arm. Computed tomography angiography showed dense thrombus in the descending aorta, left subclavian artery ostium and radial artery. The patient was successfully treated with thoracic endovascular aortic replacement + chimney graft technique and discharged on postoperative day 5.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non-ischemic giant left ventricular aneurysm: A complication of Takotsubo cardiomyopathy-case report.","authors":"Üzeyir Yılmaz, Mustafa Karaarslan, Sabit Sarıkaya","doi":"10.4274/tjtcs.2025.27449","DOIUrl":"https://doi.org/10.4274/tjtcs.2025.27449","url":null,"abstract":"<p><p>Left ventricular (LV) aneurysms are rare but serious complications and usually result from ischemic etiologies. Non-ischemic causes such as Takotsubo syndrome (TS) are even rarer. We present the case of a 60-year-old male patient who presented with exertional dyspnea and chest pain lasting for a month. The patient had a history of significant emotional stress following a personal tragedy. His workup revealed a non-ischemic LV aneurysm (9 cm). He was discharged in good health after urgent surgery. Although TS has a good prognosis, sometimes such mortal complications can develop. In these cases, close follow-up and early intervention may be important to improve the outcome.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emre Demir Benli, Elif Coşkun Sungur, Ahmet Sarıtaş
{"title":"An extra-hepatopulmonary hydatid cyst fistulizing into the abdominal aorta mimicking an abdominal aortic aneurysm: A case report.","authors":"Emre Demir Benli, Elif Coşkun Sungur, Ahmet Sarıtaş","doi":"10.4274/tjtcs.2025.28111","DOIUrl":"https://doi.org/10.4274/tjtcs.2025.28111","url":null,"abstract":"<p><p>Cystic echinococcosis is a zoonotic parasitic disease that can cause serious mortality and morbidity in humans. A 45-year-old male patient presented to the emergency department of our center with complaints of nausea, vomiting, and swelling in the left leg. His medical history revealed that he was fine needle aspiration had been performed due to an intra-abdominal abscess and that treatment for cystic echinococcosis had been administered, but that the patient had neglected treatment and follow-up. Radiological imaging and serodiagnostic tests revealed a giant hydatid cyst fistulizing into the aorta, causing secondary obstruction in the abdominal aorta and leading to pseudoaneurysm. The patient was successfully treated with open surgery. In conclusion, cystic echinococcosis can be successfully treated involving the primary repair of the cysto-arterial fistula and removal of the cyst.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physician-modified four-fenestration endograft: The first case in Türkiye.","authors":"İlker İnce, İsa Civelek, Ceylan Gürcan","doi":"10.4274/tjtcs.2025.28885","DOIUrl":"https://doi.org/10.4274/tjtcs.2025.28885","url":null,"abstract":"<p><p>Endovascular repair has become a standardized approach for aortic diseases, but visceral branch involvement presents major technical challenges. Fenestrated repair allows aneurysm exclusion while maintaining organ perfusion, though custom-made devices are costly and often unavailable in urgent settings. We report the first physician-modified four-fenestration endograft (PMEG) procedure performed in Türkiye for a contained rupture of the visceral aorta. All four visceral branches were successfully revascularized with full exclusion of the aneurysm. The patient had an uneventful recovery, and one-month control computed tomography angiography confirmed complete graft integrity and patency of all visceral branches.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Şerif Şerifoğlu, Hacer Kamalı, Alper Güzeltaş, Okan Yıldız, Sertaç Haydin
{"title":"A very large ventricular septal defect in a 6-month-old infant: Single ventricle palliation or VSD closure?","authors":"Şerif Şerifoğlu, Hacer Kamalı, Alper Güzeltaş, Okan Yıldız, Sertaç Haydin","doi":"10.4274/tjtcs.2025.28560","DOIUrl":"https://doi.org/10.4274/tjtcs.2025.28560","url":null,"abstract":"<p><p>Even in very large ventricular septal defects that might suggest single-ventricle palliation, surgical inspection remains essential, since the possibility of complete repair must be carefully considered before excluding biventricular repair.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdul Samed Alp, İnanç Yazıcı, Ezgi Kılıçaslan, Tevrat Özalp, Damla Azaklı, Özgür İşgörücü, Kemal Karapınar, Celal Buğra Sezen
{"title":"Factors influencing recurrence in patients operated for primary spontaneous pneumothorax.","authors":"Abdul Samed Alp, İnanç Yazıcı, Ezgi Kılıçaslan, Tevrat Özalp, Damla Azaklı, Özgür İşgörücü, Kemal Karapınar, Celal Buğra Sezen","doi":"10.4274/tjtcs.2025.28007","DOIUrl":"10.4274/tjtcs.2025.28007","url":null,"abstract":"<p><strong>Background: </strong>This study aims to evaluate preoperative, perioperative, and postoperative parameters in patients with primary spontaneous pneumothorax (PSP) to minimize recurrence and improve predictability.</p><p><strong>Methods: </strong>This single-center retrospective cohort study included 207 patients who underwent surgery for PSP between 2016 and 2020. Recurrence data were obtained from the national electronic health record system and the institutional hospital information system. Pneumothorax size was calculated preoperatively on posteroanterior chest radiographs using the Collins method.</p><p><strong>Results: </strong>The mean age of the patients was 24.54±6.98 years and 87% of the patients were male. The overall recurrence rate was 9.7%. A higher Collins percentage (p<0.001), age ≤20 years (p=0.015), and continued smoking postoperatively (p=0.036) were found to be significantly associated with increased recurrence.</p><p><strong>Conclusion: </strong>The findings suggest that a high Collins percentage on posteroanterior chest radiography, young age at the time of surgery, and continued smoking postoperatively are significant risk factors for recurrence.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"34 1","pages":"79-83"},"PeriodicalIF":0.5,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12794458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960647","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":"Is intrapleural sericin administration toxic to the nervous system of rats?","authors":"Alkın Yazıcıoğlu, İlknur Aytekin Çelik, Mahmut Subaşı, Funda Demirağ, Nurettin Karaoğlanoğlu","doi":"10.4274/tjtcs.2025.28112","DOIUrl":"10.4274/tjtcs.2025.28112","url":null,"abstract":"<p><strong>Background: </strong>Sericin is a natural, macromolecular, adhesive protein that is derived from the cocoons of silkworm. There has been no study to date in literature evaluating the potential for neurotoxicity associated with sericin pleurodesis.</p><p><strong>Methods: </strong>Adult, male, Wistar-Albino rats aged 12-week-old, weighing 211-256 gr (n=22) were divided randomly into two groups, each comprising 11 rats. A left thoracotomy was performed following intramuscular anesthesia. The A group was administrated sericin 30 mg and B group constituted by sham thoracotomy group. The rats were fed ad-libitum, all were sacrificed on day 13. The brain and cerebellum were excised en-bloc; T9-L3 segment was excised, and a sampling was made from sciatic nerve.</p><p><strong>Results: </strong>A subarachnoid hemorrhage was observed in the brain specimens of four rats (36.4%) in the control group and six rats (54.5%) in the sericin group (p=0.416). A capillary hemorrhage in the cerebellum was observed in six rats (54.5%) in the control group and in one rat (9.1%) in the sericin group (p<0,.05; p=0.024). A hemorrhage was observed in the central canal in three rats (27.3%) in the control group, whereas no hemorrhage was observed in the sericin group (p=0.082). Congestion in the fibers of the sciatic nerve was observed in five rats (45.5%) in the control group and in seven rats (63.6%) in the sericin group (p=0.416). The observation of capillary hemorrhage in the cerebellar specimens was significantly more common in the control group.</p><p><strong>Conclusion: </strong>The administration of intrapleural sericin does not cause neurotoxicity in rats and can be safely used in pleurodesis procedures.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"34 1","pages":"75-78"},"PeriodicalIF":0.5,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12794456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960693","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":"An unusual application of percutaneous pulmonary valve implantation in congenitally corrected transposition of the great arteries.","authors":"Hicran Gül Emral, Sezen Ugan Atik, Selman Gökalp, İbrahim Cansaran Tanıdır, Alper Güzeltaş","doi":"10.4274/tjtcs.2025.27478","DOIUrl":"10.4274/tjtcs.2025.27478","url":null,"abstract":"<p><p>Percutaneous pulmonary valve implantation has emerged as a non-surgical intervention for patients with right ventricular outflow tract dysfunction. Congenitally corrected transposition of the great arteries is a rare congenital heart disease characterized by atrioventricular and ventriculoarterial discordance. The long-term follow-up and management of patients with this condition can be challenging. In this case report, we present a successful percutaneous pulmonary valve implantation in a 19-year-old male patient with physiologically repaired congenitally corrected transposition of the great arteries.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"34 1","pages":"46-55"},"PeriodicalIF":0.5,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12794497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960699","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}
İhsan Alur, Ali Baran Budak, Emre Külahçıoğlu, Ahmet Deniz Kaya, Tevfik Güneş, Yavuz Dodurga, İbrahim Gökşin
{"title":"Polymorphisms of the <i>MMP2</i> and <i>MMP9</i> genes in the development of aortic aneurysm in patients with bicuspid aortic valve.","authors":"İhsan Alur, Ali Baran Budak, Emre Külahçıoğlu, Ahmet Deniz Kaya, Tevfik Güneş, Yavuz Dodurga, İbrahim Gökşin","doi":"10.4274/tjtcs.2025.26780","DOIUrl":"10.4274/tjtcs.2025.26780","url":null,"abstract":"<p><strong>Background: </strong>Bicuspid aortic valve (BAV) increases the risk of thoracic-aortic dilatation/aneurysm and aortic dissection. In the pathogenesis of aortic aneurysm, matrix metalloproteinases have been found to play a role in the degradation of aortic wall proteins. Thus, this study aimed to investigate <i>MMP2</i> and <i>MMP9</i> gene polymorphisms in patients with BAV and ascending aortic aneurysm.</p><p><strong>Methods: </strong>Overall, 83 patients (36 patients admitted to the outpatient clinic and 47 controls) participated in this study. Genomic DNA was extracted from peripheral leukocytes using the MagNA Pure LC DNA Isolation Kit I on the MagNA Pure LC Instrument (Roche Applied Science). <i>MMP2</i> (C1306T) and <i>MMP9</i> (<i>C1562T</i>) gene polymorphisms were analyzed using the LightCycler<sup>®</sup> 480 High-Resolution Melting Master Kit (Roche Applied Science) with specific primers.</p><p><strong>Results: </strong>Both groups had similar sex distribution (p=0.601). Hypertension and smoking were more common in patients with <i>MMP9</i> polymorphism (p<0.001; p=0.011). A statistically significant relationship was found between smoking, hypertension, and <i>MMP9</i> gene expression. However, no significant relationship was noted between <i>MMP2</i> and aneur ysm diameter, hypertension, smoking, and antihypertensive drug use.</p><p><strong>Conclusion: </strong>Our findings indicate that increased aneurysm diameters and <i>MMP9</i> gene polymorphism are potential predictors of aneurysm development in patients with BAV.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"34 1","pages":"12-18"},"PeriodicalIF":0.9,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12784757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960636","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}