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

{"title":"[MSB-56] Comparison of Drug-Coated Balloon Angioplasty Alone and Directional Atherectomy Combined with Drug-Coated Balloon Angioplasty in Patients with Lower Extremity Peripheral Arterial Disease with Claudication.","authors":"Ali Aycan Kavala, Yusuf Kuserli, Gülsüm Türkyılmaz, Mehmet Ali Yeşiltaş, Saygın Türkyılmaz, Necdet Kılıçaslan","doi":"10.5606/tgkdc.dergisi.2024.msb-56","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-56","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the study was to compare drug-coated balloon (DCB) angioplasty alone and directional atherectomy (DA) combined with DCB angioplasty in patients with lower extremity peripheral arterial disease (LE-PAD).</p><p><strong>Methods: </strong>A total of 226 patients treated with DCB angioplasty alone (Group A) and DA combined with DCB angioplasty (Group B) were enrolled in the retrospective study. Patients with severe and occluded LE-PAD were included. Demographic data, atherosclerotic vessel properties, and procedural data were recorded. Success rates (technical, procedural, and clinical) were presented for both groups.</p><p><strong>Results: </strong>For baseline characteristics, only tobacco use and hyperlipidemia were higher in Group B (p=0.001 and p=0.010, respectively). For the ankle-brachial index, no significant difference existed at the 1-, 3-, 6-, 12- or 24-month follow-ups. No significant difference existed for the Rutherford class at the first, third, sixth, or 12th months according to the groups. A significant difference was found at the 24-month Rutherford levels. The incidence of severe claudication in Group A was significantly higher than in Group B (n=13, 12.4% vs. n=3, 2.8%; p=0.035). The stenosis rate after predilatation in Group B was significantly higher than in Group A (54.56±5.36 vs. 59.20±6.21, p=0.012). The distribution of full patency at 12 months was significantly higher in Group B than in Group A. The rate of 70 to 100% stenosis at 12 months was significantly higher in Group A than in Group B. The distribution of the patients who were lost to follow-up and those who died during the follow-up, secondary results, primary patency rates, and two-year disease-free survival rates were also similar between the groups.</p><p><strong>Conclusion: </strong>Directional atherectomy combined with DCB is superior for the long-term treatment of LE-PAD.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"082-82"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056322","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-04] Demonstrative Thoracofemoral Extra-Anatomic Bypass: A Good Choice for Patients with High Risk for Laparotomy.","authors":"Ferit Kasimzade, Bahadır Aytekin, Sinan Özçelik, Hande Çuhadar, H Zafer İşcan","doi":"10.5606/tgkdc.dergisi.2024.mob-04","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mob-04","url":null,"abstract":"<p><p>Extra-anatomic bypasses, known to have limited success rates for peripheral vascular surgery, are not the first choice of surgery. These surgeries have a wide range of configurations with different success rates. They are preferred in patients with high risk for abdominal approaches, such as those with adhesions or infections in the native area. We share a 50-year-old male thoracofemoral bypass patient with peripheral artery disease (PAD), claudication at 20 m, and a smoking habit. The patient described gastrointestinal symptoms such as constipation and distension. The patient was evaluated with contrast-enhanced computed tomography (Figure 1), which revealed that only the right renal artery was open after truncus celiacus in the abdominal aorta; the abdominal aorta and all other branches were chronically occluded. The patient had a history of abdominal surgery due to bladder stones and was diagnosed with moderate renal failure. It was observed that distal mesenteric bed perfusion was provided with collaterals, and collateral flow was provided to the lower extremity with epigastric arteries. A 10-mm Dacron graft was anastomosed to the thoracic aorta with a side clamp and tunneled from the left costophrenic sinus to the inguinal region. After the distal part of the left common femoral artery was sutured, a crossover bypass was performed with a graft of the same diameter (Figure 2). The patient's claudication complaints immediately disappeared after early postoperative mobilization, and the gastrointestinal symptoms began to regress after the first day. The patient was discharged on the fifth day. Contrast imaging was avoided due to the patient's renal dysfunction, but lower extremity pulses were palpable at the one-year follow-up. The thoracic aorta to femoral artery bypass approach is an easy and safe alternative solution for patients with peripheral arterial disease and high laparotomy risks.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"008-8"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056879","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-06] Retrospective Cohort Analysis of Ventricular Assist Device Driveline Infections: A Single-Center Experience.","authors":"Melisa Kandemir, Mehmet Cahit Sarıcaoğlu, Mukime Elif Sarıcaoğlu, Mustafa Bahadır İnan, Tuğba Altuntaş, Zeynep Eyileten, Sadık Eryılmaz, Ahmet Rüçhan Akar","doi":"10.5606/tgkdc.dergisi.2024.msb-06","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-06","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to discuss our approach to driveline infections (DLIs), which can be managed by debridement, open packing, delayed closure, closed catheter irrigation, and rectus muscle relocation, and define the risk factors.</p><p><strong>Methods: </strong>This retrospective study reviewed all patients who underwent ventricular assist device (VAD) implantation at our institution between May 2011 and May 2023. Demographic data, comorbidities, VAD type, time from VAD implantation to infection, microbiological testing, surgical debridement, antibiotic therapy, infectious symptoms, hospital readmissions, postoperative complications, and overall survival were evaluated.</p><p><strong>Results: </strong>During the study period, 90 patients underwent VAD implantation, and DLIs were detected in 20 patients. The mean VAD time was 561 days in all patients, and the mean VAD time was 1277 days in those with DLIs. A statistically significant relationship was found between the risk of DLI and the total duration of VAD time (p<0.05). Median time from VAD implantation to first DLI admission was 513 days. Most commonly detected pathogens were Staphylococcus spp. (64%) and <i>Pseudomonas aeruginosa</i> (25%). Surgical debridement was performed in 10 patients; nine had driveline relocation followed by vacuum-assisted closure until their culture results were negative.</p><p><strong>Conclusion: </strong>Driveline infections endanger the final objectives of VAD therapy by disrupting patient autonomy, the chance of bridging to heart transplantation, and decreasing overall survival and quality of life. Management of DLI usually requires extended, repeated hospitalizations and intense outpatient care. Vacuum therapy and muscle relocation have emerged as essential adjuncts to treating DLIs. Surgical treatment modalities should be standardized.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"023-23"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053770","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-22] Acute Cardiac Tamponade Secondary to Pericardial Cyst.","authors":"Kamran Ahmadov, Vali Behbudov, Fahraddin Alakbarov, Kamran Musayev","doi":"10.5606/tgkdc.dergisi.2024.mep-22","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-22","url":null,"abstract":"<p><p>Pericardial cysts are rare, with an estimated incidence of approximately 1 in 100,000, and are typically benign and incidentally discovered. However, pericardial cysts leading to cardiac tamponade are exceptionally rare. Herein, we presented the case of a five-year-old male patient who was admitted to the emergency department with symptoms of acute shortness of breath. Initial echocardiography revealed signs of cardiac tamponade, along with the presence of a cystic lesion within the pericardial cavity. Subsequent computed tomography and magnetic resonance imaging confirmed the presence of the cyst, leading to an emergency surgical intervention. A median sternotomy was performed, revealing a significant accumulation of hemorrhagic liquid, which was aspirated and sent to the pathological examination. A large cyst was identified situated between the aorta, superior vena cava, and right pulmonary artery. The cyst was excised and sent for pathological examination. The procedure was completed without complications. Histopathological analysis of the cyst revealed no evidence of malignancy. The patient had an uneventful recovery and was discharged on the sixth postoperative day in good condition. The patient continued to do well at the 10-month follow-up. This case underscores the importance of considering pericardial cysts in the differential diagnosis of cardiac tamponade, despite their rarity. Early imaging and surgical intervention are critical to preventing fatal outcomes in such cases.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"118-119"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053800","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-01] Patency and Effectiveness of Vascular Access For Hemodialysis Patients: A Descriptive Study.","authors":"Ferit Cetinkaya, Ayşe Taş","doi":"10.5606/tgkdc.dergisi.2024.msb-01","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-01","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to reveal the infection rates of permanent catheters and the thrombosis, maturation time, and patency rates of arteriovenous fistulas according to the regions in the arm in dialysis patients.</p><p><strong>Methods: </strong>The study included a total of 109 arteriovenous fistulas and nine permanent catheters of 75 dialysisdependent patients with chronic kidney disease from six different dialysis centers. Arteriovenous fistulas were examined in three groups according to their location in the forearm: distal radiocephalic, proximal radiocephalic, and brachial regions.</p><p><strong>Results: </strong>Among those undergoing dialysis with a permanent tunneled catheter (PTC; n=9), 77.8% (n=7) used a PTC by choice, while 22.2% (n=2) used it due to heart failure instead of an arteriovenous fistula. Of the participants, 66.7% (n=50) used at least one PTC in their lifetime; 6% of these patients experienced a PTC infection, while 44% had a thrombosed fistula. Among all patients, 66 of the fistulas were patent, and 43 were thrombosed. Of these patients, 41.3% had a thrombosed distal radiocephalic fistula, 2.7% had a thrombosed proximal radiocephalic fistula, and 8.0% had a thrombosed brachial fistula. No relationship was found between the number of thrombosed fistulas and smoking, obesity, sex, or chronic diseases. The maturation time of arteriovenous fistulas was on average 38 days. Those under the age of 65 had shorter maturation times compared to those over the age of 65 (p<0.05).</p><p><strong>Conclusion: </strong>Approximately half (41.3%) of dialysis-dependent patients had a thrombosed distal radiocephalic fistula. The maturation time of arteriovenous fistulas increases with age. There was no statistically significant difference in maturation times among distal radiocephalic, proximal radiocephalic, and brachial arteriovenous fistulas.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"014-15"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054529","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-40] Right Ventricular Myxoma: A Rare Case.","authors":"Aylin Yıldız, Dilşad Amanvermez Şenarslan, Funda Yıldırım, Ömer Tetik","doi":"10.5606/tgkdc.dergisi.2024.mep-40","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-40","url":null,"abstract":"<p><p>Primary cardiac tumors are rare tumors that are mostly benign. Myxomas are the most common primary cardiac neoplasm. Symptoms depend on its size, mobility, and location. Approximately 75% of myxomas are located in the left atrium, usually originating from the fossa ovalis, 23% in the right atrium, and 2% in the ventricles. Myxomas originating from the right ventricle are even less common. Herein, we presented a 49-year-old male patient who was referred to the hospital with dyspnea for three months. The patient had no history of embolic events. Transthoracic echocardiography showed a 13×14 mm mass in the right ventricular cavity. Median sternotomy and cardiopulmonary bypass were the preferred surgical approach. Surgical resection was performed by a right atrial incision, through the tricuspid valve. The stalk of the myxoma was gently detached from the ventricular septum. Pathological examination of the soft mass confirmed that the tumor was myxoma. The patient was discharged from the hospital on the fifth postoperative day, and the dyspnea symptoms dramatically regressed. Right ventricular myxomas are rare benign tumors. The soft and lobulated structure of the tumor can result in fatal complications and may easily lead to embolic events; thus, they should be carefully resected as soon as possible after 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":"136-137"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062945","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-47] Anterior Prosthetic Knee Dislocation with Popliteal Artery Injury: A Case Report.","authors":"Ali Fuat Karaçuha, Mehmet Cahit Sarıcaoğlu, Evren Özçınar, Levent Yazıcıoğlu, Sadık Eryılmaz","doi":"10.5606/tgkdc.dergisi.2024.mep-47","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-47","url":null,"abstract":"<p><p>Anterior dislocation is very rare in patients with a knee prosthesis. Few cases of acute vascular injury after anterior prosthesis dislocation have been reported in the literature with extremely poor outcomes. Herein, we reported the case of a 69-year-old female who developed an anterior knee prosthesis dislocation after a slip and fall at home, injuring the popliteal artery, which was spontaneously reduced. Following orthopedic controls, the patient was taken to the hybrid operating room, and digital subtraction angiography showed a transection of the right popliteal artery with no distal flow. Emergency fasciotomy and popliteal bypass were performed with simultaneous external fixation of the joint. Distal flow was restored and the limb was saved. External fixation of the knee allowed better stabilization of the joint, and preservation of the repaired vascular injury. Although there are no clear guidelines for management, we emphasize the importance of the hybrid operating room for rapid diagnosis of vascular trauma and rapid transition to open surgery to repair the injury.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"146-147"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028436","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-52] Neonatal Thrombosis in Pediatric Patients: A Report of Two Cases.","authors":"İrem Canıaz, Birol Akdoğan, Gulchin Nabiyeva, Türkan Tansel","doi":"10.5606/tgkdc.dergisi.2024.msb-52","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-52","url":null,"abstract":"<p><p>This study presented the management of neonatal arterial thrombosis secondary to hypernatremia and breech presentation trauma. In the first case, an 18-day-old male born at 41 weeks gestation presented with ischemic left foot and absent peripheral pulses in both legs. Abdominal duplex ultrasonography revealed extensive aortic thrombosis from the infrarenal level to the lower extremity trifurcation arteries. An embolectomy was planned. Heparin infusion and hyperbaric oxygen therapy was administered to minimize the amputation level following the embolectomy. After consultation with the relevant departments, the patient was followed in the ward for autoamputation. In the second case, a male infant born at 39 weeks, presented with cyanosis in the left upper extremity, absent Moro reflex in the left arm, and abdominal swelling. Ultrasound showed no flow in the left brachial artery. A computed tomography scan revealed shoulder dislocation and total thrombosis of the left axillary artery. An embolectomy and debridement were performed to prevent further tissue loss, followed by heparin infusion and hyperbaric oxygen therapy. A below-elbow amputation was performed. Collagen wound dressing and skin grafting were applied for wound healing, and the patient was discharged after graft epithelialization. Neonatal arterial thrombosis poses a high risk of severe complications, permanent tissue damage, and mortality. Key causes include malignant diseases, autoimmune conditions, perinatal asphyxia, trauma, and dehydration. Rapid medical and surgical intervention is essential to prevent long-term 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":"077-77"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047199","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-11] Replantation of Traumatic Limb Loss: A Case Report of Multidisciplinary Approach with Cardiopulmonary Bypass Technique for Ischemic Perfusion.","authors":"Ayşegül Durmaz, Ali Ahmet Arıkan, Hasan Bayram, Şadan Yavuz","doi":"10.5606/tgkdc.dergisi.2024.mep-11","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-11","url":null,"abstract":"<p><p>Reimplanting a traumatically amputated limb requires minimal ischemia duration with adequate perfusion at low temperatures. Cardiopulmonary bypass (CPB) techniques play a significant role in the limb salvage algorithm in reducing ischemia time, allowing planning, and preventing reperfusion injury. A 23-year-old female was admitted to the emergency department due to a traffic accident. The right arm at the shoulder and the left arm at the elbow were amputated. The patient was initially taken into surgery due to injuries to the liver and spleen. During this process, a CPB circuit was used to perfuse the amputated limb. The total cold ischemia time of the limbs was 90 min. The right arm's brachial and the left arm's radial arteries were used for arterial cannulation. A 10-Fr arterial cannula was placed in the left brachial artery. The right radial artery was cannulated with a 20-gauge branula and connected to the arterial cannula via a vascular line. The limbs were placed in a sterile container at an angle of 20°C. The venous flow was first accumulated and then returned to the CPB circuit using a sucker. Since the weights of the amputated limbs were unknown, appropriate cannula sizes and flow rates were determined using the rule of nine. The weight was calculated as 2 kg, and the surface area as 0.12 m² . Tissues were perfused at 25°C for 224 min with a maximum flow rate of 288 mL/min. After CPB, replantation of both amputated limbs was performed by plastic surgery. The right arm was demarcated, and a secondary amputation was made on the 21^st postoperative day. The left arm was consistent with positive findings in the motor and sensory examinations approximately six months later. Complex limb salvage procedures require a multidisciplinary approach. Cardiopulmonary bypass plays a critical role in the algorithm in prolonging the critical period of ischemia, facilitating replantation planning, and preventing reperfusion injury.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"106-107"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028113","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-30] Clinical Outcomes of Bicuspid Aortic Valve Pathologies Treated with Tricuspidization Using the Ozaki Procedure.","authors":"Furkan Burak Akyol, Tayfun Özdem, Mehmet Emin Varol, Tuna Demirkıran, Yiğit Tokgöz, Emre Kubat, Murat Kadan, Kubilay Karabacak","doi":"10.5606/tgkdc.dergisi.2024.msb-30","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-30","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to share early- and mid-term results in patients with bicuspid aortic valve (BAV) disease who underwent tricuspidization with the Ozaki procedure.<b>METHOD:</b> The data of 44 patients (32 males, 12 females; mean age: 51.47±15.18 years) diagnosed with BAV who underwent tricuspidization with the aortic valve neocuspidization technique between February 2019 and July 2024 were retrospectively analyzed.</p><p><strong>Results: </strong>Additional surgical procedures were performed on 21 (47.72%) patients with BAV morphology. Echocardiographic measurements showed a significant reduction in preoperative peak and mean aortic valve pressures at one and 12 months. In patients who underwent simultaneous surgical procedures, the mean aortic cross-clamp time was 111±29.7 min, and the mean cardiopulmonary bypass time was 153±43.9 min. For isolated BAV defects, the mean aortic cross-clamp and cardiopulmonary bypass times were 89.9 ±19.5 and respectively. During the follow-up period, no patient required mechanical aortic valve replacement. One patient required pacemaker implantation on the seventh postoperative day due to the development of a third-degree atrioventricular block. In one patient, an ischemic cerebrovascular event occurred in the early postoperative period.</p><p><strong>Discussion: </strong>Although aortic valve neocuspidization requires experience, the application of standardized procedures allows for successful outcomes in BAV defects through the tricuspidization procedure. The tricuspidization procedure provides a more physiological structure and excellent hemodynamic performance of the aortic valve.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"052-53"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044457","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}