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

{"title":"[MSB-51] Thrombus Localization and Its Impact on Aneurysm Sac Volume Shrinkage and Lumbar Artery Count After Endovascular Aortic Aneurysm Repair.","authors":"Mehmet Ali Türkcü, Emre Külahcıoğlu, Hakkı Zafer İşcan","doi":"10.5606/tgkdc.dergisi.2024.msb-51","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-51","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the relationship between thrombus localization, sac volume shrinkage, and the number of patent lumbar arteries following endovascular aortic aneurysm repair (EVAR).</p><p><strong>Methods: </strong>A total of 143 patients who underwent elective EVAR were included in the study. Preoperative and postoperative thrombus volume and localization were assessed, along with lumbar artery counts. Thrombus was categorized as either anterior, posterior, circular, or absent. A postoperative sac volume reduction ≥10% was considered positive remodeling.</p><p><strong>Results: </strong>Results demonstrated that patients with a posteriorly localized thrombus exhibited significantly more significant sac volume shrinkage (p=0.017) and fewer patent lumbar arteries (mean: 3.1±1.6; p=0.002). In contrast, circular thrombus localization was associated with less sac shrinkage and a higher number of patent lumbar arteries, which likely impeded effective remodeling. The presence of more than three patent lumbar arteries (p<0.001) and thrombus occupying ≥25% of the neck (p=0.049) were negatively correlated with sac shrinkage, suggesting an increased risk of secondary interventions.</p><p><strong>Conclusion: </strong>These findings highlight the critical role of thrombus localization and lumbar artery count in determining sac remodeling outcomes after EVAR. Posterior thrombus placement may promote effective sac shrinkage by reducing blood flow through lumbar arteries, thus potentially lowering the need for secondary interventions.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"076-76"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042081","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-43] Pulmonary Endarterectomy in Chronic Thromboembolic Pulmonary Hypertension: Our Initial Experience.","authors":"Selim Aydin, Bahar Temur, Yakup Tire, Ozgen Ilgaz Koçyiğit, Bedrettin Yildizeli, Ersin Erek","doi":"10.5606/tgkdc.dergisi.2024.msb-43","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-43","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to share the early results of the pulmonary endarterectomy program recently implemented in our clinic in the treatment of chronic thromboembolic pulmonary hypertension.</p><p><strong>Methods: </strong>Eighteen patients (10 females, 8 males; mean age: 46 years) who underwent pulmonary endarterectomy between October 2022 and August 2024 were included in the retrospective study. Perioperative and follow-up data, including age, in-hospital mortality, and the length of intensive care unit and hospital stays after pulmonary endarterectomy, were evaluated.</p><p><strong>Results: </strong>The majority of the patients (n=16) were New York Heart Association class III or IV before surgery. According to the University of California, San Diego level classification, almost all patients had at least level 1 and 2 lesions in one or more pulmonary artery (n=17). Cardiopulmonary bypass time, cross-clamp time, and total circulatory arrest time were 174.8±16.6, 34.7±12.2, and 21,7±6.2 min, respectively. The in-hospital mortality rate was 5.5% (n=1), and the morbidity rate was 16.6% (n=3). Extracorporeal membrane oxygenation was performed on two patients (one venoarterial, one venovenous). Both patients were successfully weaned off ECMO. However, the patient who received venoarterial ECMO died due to multiorgan failure in the second postoperative month. After pulmonary endarterectomy, the durations of mechanical ventilation, intensive care stay, and hospital stay before discharge were 6.1±13.1, 17.8±14.7, and 20.01±13.9 days, respectively. The systolic and mean pulmonary artery pressure fell from 97.6±22.6 and 63.1±18.1 mmHg before surgery to 42.5±12.8 and 25.7±6.1 mmHg after surgery.</p><p><strong>Conclusion: </strong>Pulmonary endarterectomy is a highly effective treatment for chronic thromboembolic pulmonary hypertension, providing dramatic clinical improvement in the early term with acceptable mortality and morbidity rates.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"068-68"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028543","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-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":"[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":"[MEP-46] A Case of Cyclosporine-Associated Early Hyperpigmentation.","authors":"Ali Umut Güler, Nazlı Melis Coşkun Yücel, Timuçin Sabuncu, Murat Güvener","doi":"10.5606/tgkdc.dergisi.2024.mep-46","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-46","url":null,"abstract":"<p><p>Cyclosporine is an immunosuppressive agent used to prevent rejection in organ transplants, as well as for the treatment of various immune diseases involving dermatological, hematological, renal, gastroenterological, neurological, and musculoskeletal systems. Cyclosporine has side effects such as blurred vision, fatigue, stomach discomfort, nephrotoxicity, hepatotoxicity, infections, lymphoma, hypertrichosis, gingivitis, and central nervous system toxicity. Herein, we presented a case of heart transplantation where a rare side effect of cyclosporine, hyperpigmentation, was observed. A 46-year-old female patient underwent heart transplantation surgery. Prednisone, mycophenolate mofetil, and tacrolimus were initiated as immunosuppressive therapy. Due to the involvement of tacrolimus in the etiology of posterior reversible encephalopathy syndrome, cyclosporine was chosen as the immunosuppressant. The patient was started on 300 mg of cyclosporine once daily (5 mg/kg/day), and the dosage was adjusted based on daily blood levels. Six days after starting cyclosporine therapy, widespread hyperpigmentation and hirsutism were noticed on the patient's body. Etiological factors such as adrenal insufficiency, drug therapy, and hemochromatosis, which could cause generalized hyperpigmentation, were ruled out. The existing hyperpigmentation was associated with cyclosporine therapy. Cyclosporine is a calcineurin inhibitor. According to the literature, cyclosporine-associated hyperpigmentation, hirsutism, hypertrichosis, and darkening of hair color are rare side effects. These have been observed with both oral and topical use. However, the literature shows that the onset of these side effects typically occurs between 45 days and four months after the initiation of the drug. In our experience, despite the patient not receiving a high dose of cyclosporine, the side effects emerged within six days, and no cases of such early occurrence have been reported in the literature.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"144-145"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058971","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}