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

{"title":"The effect of perioperative dexmedetomidine on early extubation time in patients undergoing pediatric cardiac surgical patients: A retrospective cohort study.","authors":"Ceren Atatepe, Zeliha Alıcıkuş, Ayşe Duygu Kavas, Şenay Göksu, Mehmet Dedemoğlu, Ayten Saraçoğlu, Tolga Saraçoğlu","doi":"10.4274/tjtcs.2025.28329","DOIUrl":"10.4274/tjtcs.2025.28329","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effects of perioperative dexmedetomidine administration on opioid consumption and extubation timing in pediatric patients undergoing congenital heart surgery.</p><p><strong>Methods: </strong>In this single-center, retrospective cohort study, 112 pediatric patients (aged >1 month to <14 years) undergoing congenital cardiac surgery between January 2021-January 2022 were reviewed. Patients were divided into two groups; dexmedetomidine group (n=55) and a control group (n=57). Primary outcome measures included postoperative opioid consumption and mechanical ventilation duration. Secondary outcomes included high-flow oxygen therapy requirement, non-invasive ventilation, intensive care unit stay length, and reintubation rates.</p><p><strong>Results: </strong>Demographic characteristics were comparable between groups, although the Dex group had a higher proportion of complex surgical cases (risk adjustment for congenital heart surgery-1 category III: 34.5% vs. 25.9%, p=0.034). Mechanical ventilation duration was significantly longer in the Dex group (1.9±3.4 vs. 0.9±0.8 days, p=0.024), as was the requirement for high-flow oxygen therapy (56.4% vs. 31.0%, p=0.007). No significant differences were observed in non-invasive ventilation use, reintubation rates, or mortality.</p><p><strong>Conclusion: </strong>Perioperative dexmedetomidine was paradoxically associated with prolonged mechanical ventilation and increased postoperative respiratory support requirements. These findings suggest that dexmedetomidine should be employed as an adjunct rather than a substitute for opioids, particularly in patients undergoing complex procedures. Prospective randomized trials are warranted to refine dexmedetomidine's role in fast-track extubation protocols in this high-risk population.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":"152-158"},"PeriodicalIF":0.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167625","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":"The role of clinical frailty in predicting mortality following surgery for infective endocarditis.","authors":"Özer Kandemir, Murat Koç, Kaan Kaya, Ufuk Mungan, Dilek Karamanlıoğlu, Hatice Tolunay, İbrahim Duvan, Erşah Doğramacı, Ferit Çiçekçioğlu","doi":"10.4274/tjtcs.2025.28395","DOIUrl":"10.4274/tjtcs.2025.28395","url":null,"abstract":"<p><strong>Background: </strong>Infective endocarditis continues to pose a significant challenge in cardiovascular surgery, with high morbidity and mortality rates despite advancements in diagnosis and treatment. This study aimed to identify predictors of in-hospital mortality among patients undergoing surgical intervention for active infective endocarditis, with a particular focus on frailty.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on fifty-five consecutive patients who underwent surgery for active infective endocarditis between October 2022 and April 2025. Clinical variables, operative data, and outcomes were also collected. Frailty was assessed using the clinical frailty scale. Univariate and multivariate logistic regression analyses were performed.</p><p><strong>Results: </strong>The in-hospital mortality rate was 25.5%. Patients who did not survive were significantly older (median age 65.7 <i>vs.</i> 56.2 years) and had higher clinical frailty scale scores (mean 7.1 <i>vs.</i> 5.4) than those who survived. Frailty emerged as the sole independent predictor of mortality (odds ratio =3.41; 95% confidence interval: 1.20-9.65; p=0.021).</p><p><strong>Conclusion: </strong>Frailty is a key predictor of early mortality in patients with surgical infective endocarditis. Preoperative frailty assessment and targeted interventions may enhance outcomes in this high-risk population.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":"96-101"},"PeriodicalIF":0.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127092","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":"Incidence and clinical implications of aortic root thrombosis in LVAD patients: A single-center experience.","authors":"Mehmet Karahan, Sinan Sabit Kocabeyoğlu, Doğan Emre Sert, Omaç Tüfekçioğlu, Burcu Demirkan, Hülya Özen, Ümit Kervan, Mehmet Ali Özatık","doi":"10.4274/tjtcs.2025.27741","DOIUrl":"10.4274/tjtcs.2025.27741","url":null,"abstract":"<p><strong>Background: </strong>Aortic root thrombosis (ART) in left ventricular assist device (LVAD) patients has gained attention due to potential clinical consequences. This study aims to assess the clinical outcomes associated with ART in LVAD patients.</p><p><strong>Methods: </strong>We retrospectively evaluated adult patients who received LVAD implants at our center between January 2020 and March 2022. Pre-operative data, including demographics, laboratory values, and echocardiographic assessments, were similar between the ART and non-ART groups. Composite outcomes such as cerebrovascular events, pump thrombosis, myocardial infarction, embolic events, bleeding, right ventricular (RV) failure, and mortality post-discharge were examined.</p><p><strong>Results: </strong>The study included 44 outpatients (36 HeartMate 3, 8 HeartWare). ART was identified in 20 patients (45%) post-discharge. The \"no ART\" group had a mean age of 47±10 years (23 of 24 patients were male, 95.8%), while the \"ART\" group had a mean age of 48±12 years (15 of 20 patients were male, 75%), with no significant age difference (p>0.05). Thrombosis occurred at a median of 59 days post-implantation, primarily affecting the non-coronary cusp in 50% of the ART group. The median follow-up period was 416 days. No significant differences were found in composite outcomes (p=0.276), mortality (p=0.814), bleeding (p=0.808), or RV failure (p=0.197).</p><p><strong>Conclusion: </strong>ART may be under-recognized in LVAD patients, potentially leading to cardiac and end-organ damage. While ART does not significantly impact mortality, it emphasizes the need for careful management of LVAD patients.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":"109-115"},"PeriodicalIF":0.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167650","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":"Neo aortic valve leaflet tear after Ozaki procedure.","authors":"Mohammed Emad Eldin Omar, Mahmoud Elshazly, Hamza Elnady","doi":"10.4274/tjtcs.2025.26774","DOIUrl":"10.4274/tjtcs.2025.26774","url":null,"abstract":"","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":"146-149"},"PeriodicalIF":0.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208183","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":"Factors affecting prognosis in patients diagnosed with epithelioid pleural mesothelioma who underwent surgery.","authors":"Neslihan Akanil Fener, Nurcan Ünver, Halide Nur Ürer, Aysu Sinem Koç, Gülçehre Oğuztürk, Ekrem Cengiz Seyhan, Celal Buğra Sezen","doi":"10.4274/tjtcs.2026.28506","DOIUrl":"10.4274/tjtcs.2026.28506","url":null,"abstract":"<p><strong>Background: </strong>To examine how pathological variables affect prognosis in patients undergoing surgery for epithelioid pleural mesothelioma (PM).</p><p><strong>Methods: </strong>The study examined 64 patients treated surgery for PM between January 2007 and October 2019, retrospectively. Clinicopathological variables including age, surgical procedure, tumor stage, and detailed histopathological features (nuclear atypia, mitotic count, necrosis, nuclear grading, and tumor grade) were evaluated. Overall survival was analyzed using Kaplan-Meier and Cox proportional hazards regression models. To avoid multicollinearity among interrelated pathological parameters, two separate multivariate Cox models were constructed.</p><p><strong>Results: </strong>The 5-year survival rate was 8 percent, compared to 62 percent in the first year. Individuals 65 and older had no 5-year survival, whereas patients 65 and younger had a rate of 11 percent (p=0.046). In comparison to groups with mild and moderately high mitotic scores, those with a high mitotic score (p=0.019) had significantly lower median survival and 5-year survival rates. Variables (p<0.15) included in the univariate survival analysis were patients who 65 years and older, type of operation, mitosis, necrosis, tumor stage, nuclear grading, and grade of mesotheliomas. In multivariate analysis, high nuclear grade (Model 1: Hazard ratio [HR]=2.48, 95% confidence interval [CI]: 1.09-5.62, p=0.030) and high tumor grade (Model 2: HR=2.36, 95% CI: 1.05-5.31, p=0.037) were independently associated with worse overall survival.</p><p><strong>Conclusion: </strong>Pathological grading, represented by either nuclear grade or tumor grade, is the strongest independent prognostic factor for survival in patients with epithelioid PM.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":"198-206"},"PeriodicalIF":0.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463522","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":"The impact of the Naples prognostic score on outcomes in patients undergoing coronary artery bypass grafting.","authors":"Ceren Sayarer, Onur Barış Dayanır, Emek Nazım Eken, Tuğra Gençpınar, Serdar Bayrak","doi":"10.4274/tjtcs.2025.28487","DOIUrl":"10.4274/tjtcs.2025.28487","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the prognostic value of the Naples prognostic score (NPS) in patients undergoing isolated coronary artery bypass grafting (CABG).</p><p><strong>Methods: </strong>Patients undergoing isolated CABG were retrospectively analyzed. Patients were stratified into three groups based on preoperative NPS values. Thirty-day and one-year mortality, postoperative atrial fibrillation (AF), intensive care unit (ICU) and ward length of stay were recorded. Logistic regression analysis was used to assess the independent predictive value of NPS. Its contribution to the European System for Cardiac Operative Risk Evaluation II (EuroSCORE II) model was evaluated using ROC curves and Nagelkerke R².</p><p><strong>Results: </strong>A total of 1.195 patients were included. Higher NPS was significantly associated with 30-day (odds ratio [OR] =1.838) and 1-year mortality (OR=1.620) (p<0.001). Postoperative AF was significantly more common in higher NPS groups (p=0.010). NPS was significantly associated with both ICU length of stay (p<0.001) and ward length of stay (p=0.029). The addition of NPS to EuroSCORE improved the predictive performance for both 30-day and 1-year mortality. Patients with higher NPS had significantly lower survival during follow-up.</p><p><strong>Conclusion: </strong>The NPS is an independent and significant predictor of short- and long-term mortality in patients undergoing isolated CABG. As a simple, objective score reflecting both inflammatory and nutritional status, NPS enhances the predictive capacity of established risk models when integrated preoperatively.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":"116-120"},"PeriodicalIF":0.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960682","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":"Relationship of arterial stiffness value with hemodynamic parameters in patients undergoing cardiac surgery.","authors":"Mustafa Aydemir, Gamze Sarkılar, Turgay Atay, Ömer Tanyeli, Aybars Tavlan","doi":"10.4274/tjtcs.2025.28548","DOIUrl":"10.4274/tjtcs.2025.28548","url":null,"abstract":"<p><strong>Background: </strong>Hypotension during anesthesia induction is a clinically significant event linked to perioperative complications. This study aimed to assess if arterial stiffness and stiffness index, measured by Doppler ultrasonography (USG), can predict hypotension during anesthesia induction in cardiac surgery patients. Secondary objectives included exploring the relationship between arterial stiffness parameters and intraoperative hemodynamics, vasoactive drug use, length of hospital and intensive care unit (ICU) stays, and mortality.</p><p><strong>Methods: </strong>This prospective, single-center observational study included patients undergoing elective open cardiac surgery between 1^st October 2022, and 1^st May 2023. Arterial stiffness was assessed preoperatively using carotid-femoral pulse wave velocity (PWV) and β-index via Doppler USG. The primary outcome was the development of hypotension during anesthesia induction.</p><p><strong>Results: </strong>A total of 121 patients were enrolled. The mean PWV was 8.1±3.2 m/s and the median β-index was 8 (range: 1-67). No significant association was found between PWV or β-index and the incidence of induction-related hypotension (p>0.05). PWV showed weak positive correlations with age (r=0.204; p=0.025) and minimum carotid diameter (r=0.219; p=0.016), while the β-index was positively correlated with baseline systolic pressure (ρ=0.260; p=0.004) and minimum carotid diameter (ρ=0.278; p=0.002). No significant correlation was observed with vasoactive drug use, ICU/hospital stay, or mortality (10%).</p><p><strong>Conclusion: </strong>Preoperative arterial stiffness and stiffness index measured by Doppler USG did not predict anesthesia induction hypotension in cardiac surgery patients. Their clinical utility in this context appears limited, warranting further investigation.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":"138-145"},"PeriodicalIF":0.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311921","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":"Prognostic effect of systemic inflammation in patients undergoing cytoreductive surgery and hyperthermic intrathoracic chemotherapy.","authors":"Ahmet Kayahan Tekneci, Hasan Yavuz, Gizem Keçeci Özgür, Tevfik İlker Akçam, Ayşe Gül Ergönül, Kutsal Turhan, Alpaslan Çakan, Ufuk Çağırıcı","doi":"10.4274/tjtcs.2025.28900","DOIUrl":"10.4274/tjtcs.2025.28900","url":null,"abstract":"<p><strong>Background: </strong>To investigate prognostic significance of systemic inflammation-related parameters in patients undergoing cytoreductive surgery and hyperthermic intrathoracic chemotherapy for malignant pleural mesothelioma (MPM).</p><p><strong>Methods: </strong>Data from 55 patients were analyzed retrospectively. Demographic characteristics, survival outcomes and inflammation-related parameters (neutrophil/lymphocyte ratio [NLR], platelet/lymphocyte ratio [PLR], lymphocyte/monocyte ratio [LMR] and pan-immune inflammation value [PIV]) were evaluated.</p><p><strong>Results: </strong>Overall survival (OS) was 61.26±13.03 (3-79) months in patients with low NLR, whereas, it was 23.18±3.53 (1-147) months in patients with high NLR (p=0.012). No statistically significant differences in OS were detected according to LMR, PLR and PIV. In addition, OS was 24.40±4.91 (3-92) months in men and 52.8±10.92 (1-147) months in women (p=0.031).</p><p><strong>Conclusion: </strong>In this study, NLR was found to be associated with survival in agreement with the existing literature, thereby distinguishing it from other inflammatory markers as a prognostic factor. In clinical practice, predicting patient prognosis based on pre-treatment NLR may provide a valuable guidance for treatment decision-making.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":"192-197"},"PeriodicalIF":0.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285897","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":"The impact of position changes of the inflow cannula in LVAD patients.","authors":"Defne Gunes Ergi, Umit Kahraman, Osman Nuri Tuncer, Aysen Yaprak Kapkin, Cagatay Engin, Tahir Yagdi","doi":"10.4274/tjtcs.2025.28019","DOIUrl":"10.4274/tjtcs.2025.28019","url":null,"abstract":"<p><strong>Background: </strong>Left ventricular assist device inflow cannula malposition can contribute to numerous negative outcomes after device implantation. We analyzed the impact of position changes in the inflow cannula angle in HeartMate II (HM II) and HeartMate 3 (HM 3) patients.</p><p><strong>Methods: </strong>Between January 2012 and December 2023, patients who underwent HM II and HM 3 implantation were reviewed. Among them, patients with suitable chest X-rays for angle calculation at both 1-2 months and 6-12 months post-implantation were identified.</p><p><strong>Results: </strong>The study cohort consisted of 66 (82.5%) HM 3 and 14 (17.5%) HM II patients. The median age of the cohort was 57.6 years (Interquartile range [IQR], 47.4-63.2), and the majority were males (n=73, 91.2%). Operative data and demographics were similar between the groups except for the body surface area (p<0.01), body mass index (p=0.01) and hypertension (p=0.02). A significant increase in the inflow cannula coronal angle was observed in the HM 3 group (p=0.03), while the pump depth distance remained similar (p=0.37). In contrast, the HM II group showed no significant changes in the inflow cannula angle (p=0.39) or the pump body angle (p=0.32). The HM 3 group exhibited a significant increase in pump power and pulstility index over time (p<0.01 and p=0.02, respectively).</p><p><strong>Conclusion: </strong>A significant increase in the coronal angle of the inflow cannula over time was observed in HM 3 patients. Proper assessment of pump positioning at implantation is important, especially in hypertensive and overweight patients, as changes in pump angle over time may influence pump parameters.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":"102-108"},"PeriodicalIF":0.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107750","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":"Carotid body tumors: A 10-year observation study of clinical presentation and surgical outcomes.","authors":"Berk Arapi, Çiğdem Tel Üstünışık, Ozan Onur Balkanay, Ömer Faruk Soydaş, Serkan Burç Deşer, Deniz Göksedef, Suat Nail Ömeroğlu, Kürşat Bozkurt, Gökhan İpek","doi":"10.4274/tjtcs.2025.28951","DOIUrl":"10.4274/tjtcs.2025.28951","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the relationship between Shamblin classification, operative parameters, and postoperative neurological outcomes in patients undergoing carotid body tumor (CBT) surgery, and to assess the potential benefit of preoperative embolization.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 52 patients (41 males, 11 females; mean age 47.2±14.8 years) who underwent CBT resection between January 2008 and June 2023 at a tertiary care center. Demographic, clinical, and perioperative variables were reviewed. Tumors were classified according to the modified Shamblin system. Postoperative neurological complications, operation time, blood loss, and hospital stay were analyzed. Statistical comparisons were performed using appropriate parametric and non-parametric tests, with p<0.05 considered significant.</p><p><strong>Results: </strong>Nineteen patients (36.5%) had Shamblin class I, 25 (48.1%) class II, and 8 (15.3%) class III tumors. Preoperative embolization was performed in one patient. Neurological complications occurred in 11 patients (21.2%), including hypoglossal and vagus nerve injuries. A significant correlation was observed between higher Shamblin class and increased operation time, intraoperative blood loss, and postoperative neurological deficits (p<0.01). Hospital stay was also significantly longer in patients with neurological complications.</p><p><strong>Conclusion: </strong>Advanced Shamblin classification is associated with greater surgical complexity and higher neurological morbidity. While preoperative embolization may reduce bleeding, its neuroprotective effect remains uncertain. Surgical resection remains the cornerstone of CBT management, with careful dissection crucial to minimizing complications.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":"166-171"},"PeriodicalIF":0.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594624","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}