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

{"title":"[MEP-02] A Buerger's Patient with Brachial Artery Aneurysm.","authors":"Onur Barış Dayanır, Erdem Erinç Silistreli","doi":"10.5606/tgkdc.dergisi.2024.mep-02","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-02","url":null,"abstract":"<p><p>Thromboangiitis obliterans (TAO) is a chronic, inflammatory and thrombotic vascular disease associated with tobacco use. This report described a TAO patient who underwent an aneurysmectomy due to a brachial artery aneurysm (BAA), which is not one of the classic findings of TAO and has no example in the literature. A 49-year-old male patient presented with swelling and pain in the right arm. In 2021, the patient was diagnosed with TAO. On physical examination, a pulsatile mass extending from the antecubital region was observed. Ultrasonography revealed aneurysmatic enlargement and mural thrombus (Figure1). Brachial aneurysmectomy was planned. The cephalic vein graft was interposed between the brachial artery and the radial artery. There was no flow issue. No postoperative complications were observed. The patient was discharged on the second day. Pathological examination was evaluated as compatible with TAO. After three months, the patient had no symptoms. Usually, BAA occurs due to arteriovenous fistula, trauma, or idiopathic causes. The TAO-specific findings in the pathological examination in this case is rare for BAA. Furthermore, BAA may contain specific pathological findings for TAO, which may be considered an atypical clinical presentation. Smoking may be a common etiological factor for TOA and BAA.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"098-98"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065037","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-48] Emergency Surgical Aortic Valve Replacement in Patients Following Failed Valve-in-Valve Transcatheter Valve Procedure: A Case Series.","authors":"Yunus Emre Ergin, Erdal Şimşek, Onur Karahasanoğlu, Yunus Şahin, Hatice Zengin, Altay Alili, Çağatay Kilinç, Serdar Günaydın","doi":"10.5606/tgkdc.dergisi.2024.msb-48","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-48","url":null,"abstract":"<p><p>Valve-in-valve transcatheter aortic valve implantation (TAVI) has become a less invasive alternative to reoperation for elderly or high-risk patients with failed bioprosthetic valves. Data from the EuRECS-TAVI (European Registry on Emergent Cardiac Surgery during TAVI) registry, covering 27,760 TAVI procedures, demonstrated that emergency cardiac surgery due to TAVI complications occurs in 0.76 to 0.98% of cases. The most common reasons include ventricular perforation (28.3%), annular rupture (21.2%), valve migration/embolization (12.7%), and aortic dissection (11.8%).</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"073-73"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005496","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-44] Abdominal Aortic Coarctation in an Adolescent Patient.","authors":"Bessam Ali, Mohammed Skaik, İlke Keleş, Türkan Tansel","doi":"10.5606/tgkdc.dergisi.2024.mep-44","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-44","url":null,"abstract":"<p><p>Herein, we presented a case of abdominal aortic coarctation in a patient with a rare atypical location. A 17-yearold female patient was referred to the clinic due to neurofibromatosis type 1, hypertension, optic glioma (she received 10 kt 12 years ago), significant lymphedema in both legs, and atypically located long segment abdominal coarctation due to right renal artery stenosis. A stent balloon procedure was performed five times for right renal artery stenosis, and right nephrectomy was done due to obstruction and kidney atrophy. The patient presented with complaints of dysphagia and postprandial pain for four years. In the radiological examination, coarctation was observed from the distal celiac artery to the iliac bifurcation including the SMA left renal artery. Abdominal aortic coarctation-SMA - l-renal artery coarctation repair (patchplasty with Dacron graft) was performed in the patient. The preoperative quadruple antihypertensive hypertensive patient became normotensive on the seventh postoperative day, and the patient's lymphedema regressed after the operation.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"141"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018493","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-08] Comparison of Plegisol and del Nido Cardioplegia on Right Ventricular Function and Outcomes in Cardiac Surgery.","authors":"Alp Yıldırım, Enis Burak Gül, Mehmet Erdoğan, Emrah Uğuz","doi":"10.5606/tgkdc.dergisi.2024.msb-08","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-08","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the impact of plegisol and del Nido cardioplegia on right ventricular (RV) function and assess the associated mortality and morbidity.</p><p><strong>Methods: </strong>This single-center prospective study was conducted with 70 patients who underwent aortic valve and ascending aorta procedures between March 2022 and August 2023. Plegisol was used in 35 patients (Group P), and del Nido cardioplegia was used in 35 patients (Group D). Right ventricular function was assessed preoperatively and postoperatively using the following echocardiographic parameters: TAPSE (tricuspid annular plane systolic excursion), fractional area change (FAC), TDI, pulmonary pressure time (PPT), and RV strain. Additionally, NT-proBNP (N-terminus pro-B-type natriuretic peptide) levels and MELD-Na (model for end-stage liver disease-sodium) scores were recorded.</p><p><strong>Results: </strong>On the fifth postoperative day, there were no statistically significant differences in strain, TDI, TAPSE, and FAC between the groups; however, PPT was significantly higher in Group D (mean PPT: 238±36 sec, p=0.002). At six months, the mean RV strain was -13.8±3.4 in Group P and -16.1±2.6 in Group D (p=0.007). The mean FAC was 35.1±7.6 in Group P and 40.3±5.5 in Group D (p=0.01). No significant differences were found in NT-proBNP levels. Intraoperative ventricular temperatures were consistently higher in Group D (p<0.001). The mean postoperative MELD-Na score was higher in Group P (13.9±7.2) compared to Group D (10.4±5.6, p=0.006). No significant difference was observed in postoperative mortality; however, hospitalization was longer in Group P (p=0.01).</p><p><strong>Conclusion: </strong>This study is the first to simultaneously evaluate five parameters for assessing RV function and to compare Plegisol and del Nido cardioplegia. The RV function declined postoperatively in both groups, with dysfunction persisting longer in Group P. No differences were found in mortality or morbidity. Differences in echocardiographic and laboratory tests did not affect clinical 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":"025-25"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051565","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-65] Investigation of the Effect of Ipsilateral Central Venous Catheter on Arteriovenous Fistula.","authors":"Betul Nur Keser, Buse Oztemel, Nur Karaburun, Sebil Merve Sen Topcu, Fatih Avni Bayraktar, Mehmet Senel Bademci, Cemal Kocaaaslan, Ebuzer Aydın","doi":"10.5606/tgkdc.dergisi.2024.msb-65","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-65","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the association between a history of ipsilateral central venous catheter (CVC) and arteriovenous fistula (AVF) failure.</p><p><strong>Methods: </strong>Ninety-eight patients who underwent primary distal radiocephalic AVF between July 2023 and June 2024 were retrospectively examined through institutional records and follow-up examination notes.</p><p><strong>Results: </strong>Arteriovenous fistula failure was observed in 28 (28.6%) patients. Sixteen (16.3%) of these patients had ipsilateral CVCs at the time of operation, and 31 (31.6%) had a history of ipsilateral CVC. The analysis revealed a statistically significant association between ipsilateral CVC at the time of operation and AVF failure (p=0.03). No relationship was observed between the history of ipsilateral CVC and AVF failure. Those with higher levels of low-density lipoprotein cholesterol and hemoglobin A1c had higher AVF failure rates (p=0.045 and p=0.048, respectively).</p><p><strong>Conclusion: </strong>Although the history of ipsilateral CVC was not associated with AVF failure, ipsilateral CVC at the time of the operation was found to be related to higher AVF failure rates. Avoiding interventions to ipsilateral vasculature preoperatively appears to be beneficial for AVF success. Moreover, preoperatively optimizing patients' blood sugar and cholesterol levels may be favorable.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"089-89"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053944","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-09] The Impact of Renal Functions on Mortality in Patients Undergoing Surgery for Infective Endocarditis.","authors":"Abdullah Burak Balcı, Gizem Kolay, Süleyman Yazıcı","doi":"10.5606/tgkdc.dergisi.2024.msb-09","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-09","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to provide clinicians with valuable information on the prognostic importance of renal function tests in the management of infective endocarditis (IE) patients and to guide potentially more effective perioperative interventions.</p><p><strong>Methods: </strong>In this study, the relationship between renal function tests and mortality in patients who underwent surgical treatment for IE between March 2020 and November 2023 was retrospectively examined. A total of 100 patients over the age of 18 were included in the study.</p><p><strong>Results: </strong>Patients who experienced mortality had significantly higher creatinine levels (1.8 <i>vs.</i> 1.2 mg/dL, p=0.02) and lower glomerular filtration rates (53.4 <i>vs.</i> 82.1 mL/min/1.73 m² , p=0.01). C-reactive protein levels were higher in the mortality group, but the difference was not statistically significant.</p><p><strong>Conclusion: </strong>The results indicate that renal functions are directly related to mortality in disease groups with high mortality, such as IE. Therefore, we believe that performing the operation after correcting renal functions, obtaining a nephrology consultation, and planning the operation under optimal treatment, except in very urgent conditions, can reduce mortality.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"026-26"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058518","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-19] Effects of Early Coronary Artery Bypass Grafting on Stent and Graft Patency Following Successful Stenting for Acute Coronary Syndromes.","authors":"Fatih Yamaç, Emrah Uğuz, Kemal Eşref Erdoğan, Muhammet Fethi Sağlam, Hüseyin Ünsal Erçelik","doi":"10.5606/tgkdc.dergisi.2024.msb-19","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-19","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare graft and stent patency in coronary stent implantation followed by early coronary artery bypass grafting (CABG) in patients with acute coronary syndrome (ACS).</p><p><strong>Methods: </strong>Seventy-one patients who underwent coronary stenting for ACS followed by early CABG within 30 days were retrospectively evaluated between 2019 and 2022. The patients were divided into two groups: those who received bypass on the stented artery (n=39; mean age: 59.1±10.4 years) and the non-bypass group (n=32; mean age: 62.9±9.5 years).</p><p><strong>Results: </strong>There was no significant difference in the mean ages of the two groups (p=0.114). The most frequently stented coronary artery was the right coronary artery (71.8%), and the most commonly used stent type was a drug-eluting stent (94%; p=0.414). In both groups, the most preferred dual antiplatelet regimen was acetylsalicylic acid+clopidogrel preoperatively (76.9% in the bypass group, 75% in the non-bypass group) and acetylsalicylic acid+clopidogrel postoperatively (79.5% in the bypass group, 87.5% in the non-bypass group). The mean follow-up time was 775.0±453.1 and 563.4±403.2 days in the non-bypass and bypass groups, respectively. The mortality rate was 7%. Coronary artery imaging was performed in 47 patients. In the nonbypass group, 86% of stents were patent, and 14% were occluded. In the bypass group, 81.8% of stents were patent, and 18.2% were occluded. In the bypass group, 81.8% of grafts were patent, and 18.2% were occluded. There was no significant difference in stent patency rates between the groups.</p><p><strong>Conclusion: </strong>Continuing dual antiplatelet therapy in patients with patent stents before early CABG could be beneficial for achieving better outcomes. In our study, no significant statistical differences were observed between groups in terms of mortality and postoperative myocardial infarction 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":"038-39"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049101","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-32] Comparison of Platelet Changes Between Mini-Extracorporeal Circulation and Conventional Cardiopulmonary Bypass.","authors":"Ömer Faruk Rahman, Ahmet Daylan, Mert Arslangilay, Zümra Hacıköleoğlu, Önder Turgut Bozkurt, Şahin Bozok","doi":"10.5606/tgkdc.dergisi.2024.msb-32","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-32","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the efficacy of mini-extracorporeal circulation (MECC) in reducing platelet damage compared to conventional cardiopulmonary bypass (CCPB).</p><p><strong>Methods: </strong>Sixty-seven patients (52 males, 15 females; mean age: 63.04±8.08 years) who underwent isolated coronary artery bypass grafting between August 2022 and February 2024 were retrospectively analyzed. The patients were divided into two groups: CCPB (n=37) and MECC (n=30). Demographic data, comorbidities, operative variables, laboratory values, and drainage volume data were collected from electronic medical records.</p><p><strong>Results: </strong>No significant difference in median drainage volume was found between the MECC group and the CCPB group (300 mL <i>vs.</i> 350 mL; p=0.178). There was no statistically significant difference between the groups regarding cardiopulmonary bypass time and cross-clamp time (p=0.160 and p=0.158, respectively). There was no significant difference between the groups in preoperative and postoperative platelet counts (p=0.687 and p=0.335, respectively). The mean decrease in postoperative platelet count was 0.89±3.99% in the MECC group and 13±2.98% in the CCPB group. The difference in platelet count change between the groups was found to be statistically significant (p=0.028).</p><p><strong>Conclusion: </strong>This study suggests that mini extracorporeal circulation significantly reduces postoperative platelet decline compared to conventional cardiopulmonary bypass, indicating its potential to better preserve platelet levels.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"056-56"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992406","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-14] Validation of the German Registry for Acute Aortic Dissection Type A Score After Aortic Dissection Surgery.","authors":"Salih Salihi, Bilhan Özalp, Yunus Emre Yazıcı, Mehmet Kalender, Hakan Saçlı, İbrahim Kara","doi":"10.5606/tgkdc.dergisi.2024.msb-14","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-14","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate how the German Registry of Acute Aortic Dissection Type A (GERAADA) score performs in predicting operative mortality for ATAAD.</p><p><strong>Methods: </strong>This retrospective study included 86 consecutive patients (60 males, 26 females; mean age: 61.37±12.96 years) who underwent surgical repair for ATAAD between January 2013 and December 2023. Data collection comprised the 11 preoperative main parameters required for calculation of the new GERAADA score: age, sex, previous cardiac surgery, inotropic support at referral, resuscitation before surgery, aortic regurgitation, hemiparesis, intubation/ ventilation at referral, preoperative organ malperfusion, extension of aortic dissection, and location of primary entry site.</p><p><strong>Results: </strong>Two (2.3%) patients had a history of previous cardiac surgery. The GERAADA scores and postoperative results were compared. The overall 30-day mortality for the entire study cohort was calculated by the GERAADA score to be 22.94% (range, 5.8 to 81%). In comparison, the actual 30-day mortality rate of the study cohort was 32.55%. The GERAADA score showed discriminative power with an area under the curve of 0.867 (95% confidence interval 0.79-0.94).</p><p><strong>Conclusion: </strong>The GERAADA score prediction of 30-day mortality after surgery is accurate, easily accessible due to its web-based platform, and can be calculated with basic preoperative clinical parameters.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"032-33"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028451","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-18] Removal of Huge Cardiac Fibroma from the Right Ventricle in an Infant: Video Presentation.","authors":"Yakup Tire, Bahar Temur, Selim Aydin, Ersin Erek","doi":"10.5606/tgkdc.dergisi.2024.mep-18","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-18","url":null,"abstract":"<p><p>Cardiac fibromas are rare primary benign tumors. They may cause symptoms such as intracavitary obstruction, coronary artery compression, thromboembolic events, conduction defects, and sudden death. They are typically intramural and are often found in the ventricles. In this video article, the surgical excision of a cardiac fibroma measuring 6.2×5×4.3 cm originating from the anterior wall of the right ventricle in an 11-month-old infant was presented. The tumor was located in the anterior wall of the right ventricle. Since exposure was insufficient from the right atrium, intervention could not be performed from within the tricuspid valve. The right ventricle infundibulum was opened from a position away from the mass. The mass, which was seen to be unencapsulated and elastic in consistency, was dissected and stripped from the myocardial tissue. A second incision was made in the right ventricular free wall for the mass that was highly adherent to the anterior wall of the right ventricle and was seen to have thinned the ventricular wall to a great extent. The tumor was completely excised together with the thinned ventricular tissue in the anterior wall. The defect formed by the excision of the highly thinned right ventricular myocardium was closed with 5-0 Prolene sutures, supported by an autogenous pericardial patch. Transesophageal echocardiography revealed that the tumor was completely removed, and the right ventricular and tricuspid valve functions were good. While surgical treatment is curative, total excision may sometimes be difficult or impossible. Nonetheless, partial resections also have a favorable prognosis. Since the involvement of the ventricular septum causes conduction defects and arrhythmias, it is associated with a poor prognosis. For surgical planning, the proximity to critical structures such as the septum, valves, conduction system, and coronary arteries should be rigorously evaluated.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"112-113"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041800","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}