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

{"title":"[MEP-24] Middle Aortic Syndrome in An Adult Presenting with Limb Ischemia.","authors":"Dilşad Amanvermez Şenarslan, Halil Demren, Ömer Tetik","doi":"10.5606/tgkdc.dergisi.2024.mep-24","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.mep-24","url":null,"abstract":"<p><p>Middle aortic syndrome (MAS) is a segmental narrowing of the distal descending thoracic or abdominal aorta. This rare condition accounts for 0.5 to 2% of aortic coarctations. Middle aortic syndrome may be acquired, caused by Takayasu arteritis or giant cell arteritis, neurofibromatosis, fibromuscular dysplasia, retroperitoneal fibrosis, mucopolysaccharidosis, and the Williams syndrome, or it may be congenital. Stenosis is usually located at the suprarenal, interrenal, or infrarenal aorta. Concomitant stenoses in the renal (63%) and visceral (33%) arteries may be encountered. In this case report, we presented a 66-year-old male patient with MAS. The patient's primary complaint was claudication and rest pain in the last three months. The patient had hypertension for two years and a history of lumbar disc hernia operation. Thoracoabdominal computed tomography angiography revealed an enlarged ascending aorta, an aberrant right subclavian artery, and a narrowed segment with an hourglass appearance in the infrarenal aorta. The vessel diameter decreased to 9×10 mm at this level, and both iliac arteries were occluded distally. The patient underwent aortobifemoral bypass surgery with a 14/7 mm Dacron graft. In the postoperative period, all distal pulses were palpable, and leg pain resolved. The patient was discharged from the hospital on the sixth day without complications. This case report presented an adult MAS patient with rest pain in the legs related to occluded iliac arteries and aortic bifurcation. The coarctation in the infrarenal aorta was successfully treated by open surgery (aortobifemoral bypass). Children may benefit more from early diagnosis before the onset of severe hypertension. Open surgery is the primary treatment modality for tubular MAS. Usually bypass of the diseased segment or, less often, patch angioplasty is preferred. Bypass grafting of the stenosed renal and visceral arteries is performed when necessary. Endovascular therapy may provide less invasive treatment.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"122-123"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041736","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-03] Comparison of Preoperative Multislice Computed Tomography Measurements with Intraoperative Valve Sizes in Sutureless Rapidly Implantable Biological Aortic Heart Valve and Mechanical Aortic Valve Cases.","authors":"Özgür Çoban, İbrahim Özsöyler","doi":"10.5606/tgkdc.dergisi.2024.msb-03","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-03","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the alignment between preoperative multislice computed tomography measurements and intraoperative valve sizes in sutureless rapidly implantable biological aortic valve and mechanical aortic valve replacements.</p><p><strong>Methods: </strong>The study included 40 patients (22 males, 18 females; mean age: 61.5±9.1 years) who underwent elective open heart surgery for aortic valve stenosis between February 20, 2023, and May 20, 2023. The patients underwent valve replacement with either sutureles biological valves (n=20) or mechanical valves (n=20). Data were collected from patient files and the hospital's database, including demographic, preoperative, intraoperative, and postoperative information.</p><p><strong>Results: </strong>Patients had a mean height of 165.7±10.7 cm, weight of 83.0±15.9 kg, and body mass index of 30.3±5.5. Common comorbidities were diabetes mellitus (42.5%), hypertension (25%), atrial fibrillation (7.5%), and chronic obstructive pulmonary disease (7.5%). Mechanical valve patients had significantly longer cross-clamp and cardiopulmonary bypass times (p<0.001 and p=0.011, respectively). The mean sinotubular junction diameter was lower in the mechanical group (p=0.025). Although there was no significant difference in the mean value of the aortic annulus between the groups (p=0.171), the optimum and mean effective orifice area index values were found to be higher in patients in the sutureless group compared to those in the mechanical group (p<0.001 for both).</p><p><strong>Conclusion: </strong>Preoperative multislice computed tomography is valuable for aortic valve replacement. Biological valves show advantages over mechanical valves in terms of shorter cross-clamp and cardiopulmonary bypass times. More importantly, surgeons tend to avoid procedures such as root enlargement with mechanical valves to reduce operative time, opting for smaller valve sizes. Sutureless valves allow for a larger effective orifice area and less anxiety during surgery, with reduced cross-clamp and bypass times.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"017-18"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004494","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-73] Hypertrophic Obstructive Cardiomyopathy Management in the Pediatric Population: The Dilemma of Mitral Valve Replacement.","authors":"Nazlı Melis Coşkun Yücel, Ahmet Aydın, Timuçin Sabuncu, Şafak Alpat, Murat Güvener, Mustafa Yılmaz","doi":"10.5606/tgkdc.dergisi.2024.msb-73","DOIUrl":"10.5606/tgkdc.dergisi.2024.msb-73","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to share our surgical experience with 10 pediatric patients with hypertrophic cardiomyopathy (HOCM).</p><p><strong>Methods: </strong>This study included 10 HOCM patients, aged between 8 months and 18 years, who underwent surgery due to conditions such as aortic insufficiency, mitral insufficiency, significant narrowing of the left ventricular cavity, and left ventricular outflow tract (LVOT) obstruction.</p><p><strong>Results: </strong>Two patients underwent isolated myectomy, while the remaining eight underwent myectomy combined with mitral valve replacement (MVR). Myectomy was performed via aortotomy, left atriotomy, and apical ventriculotomy. All patients had preoperative signs of systolic anterior motion (SAM) and a gradient in the LVOT. In the two patients who underwent isolated myectomy, SAM signs persisted postoperatively. Additionally, the gradient in the LVOT was measured to be higher in isolated myectomy cases compared to cases in which MVR was performed. Despite being in the pediatric age group with narrow annuli, all patients tolerated the MVR procedure with low-profile valves.</p><p><strong>Conclusion: </strong>According to our experience, simultaneous MVR in pediatric HOCM cases requiring surgery is more effective in enlarging the left ventricular cavity and reducing the gradient in the LVOT, as it allows both the removal of the mitral valvular apparatus and the prevention of SAM. It provides a greater cavity volume gain compared to the alternative manipulation of the mitral valve apparatus. In our clinic, MVR surgery combined with myectomy is safely performed in pediatric HOCM 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":"095-95"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024708","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-06] Clinical Outcomes of Injectable Biopulmonic Valve Replacement vs. Conventional Pulmonary Valve Replacement in Tetralogy of Fallot Patients with Severe Pulmonary Regurgitation: A Comparative Study.","authors":"Sercan Tak, Murat Koç, Ali Kutsal, Vehbi Doğan","doi":"10.5606/tgkdc.dergisi.2024.mob-06","DOIUrl":"10.5606/tgkdc.dergisi.2024.mob-06","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare early- to mid-term outcomes of injectable biopulmonic valve replacement without cardiopulmonary bypass and conventional pulmonary valve replacement in patients with severe pulmonary regurgitation following tetralogy of Fallot (TOF) corrective surgery.</p><p><strong>Methods: </strong>The study was conducted with 22 patients between 2011 and 2020. Injectable pulmonary valve replacement was performed in nine patients, while 13 patients underwent bioprosthetic aortic valve replacement using a conventional surgical approach. An injectable valve was chosen for patients with a pulmonary annulus diameter ≤30 mm and ≥15 mm when there was no need for additional procedures.</p><p><strong>Results: </strong>Comparing postoperative outcomes between the injectable valve group and the conventional surgery group, the mean duration of intensive care unit stay was 16.78±6.22 <i>vs.</i> 37.00±23.43 h (p=0.003); the mean postoperative mechanical ventilation time was 5.22±3.93 <i>vs.</i> 15.38±23.43 h (p=0.001); the mean volume of chest tube drainage was 206.67±108.16 mL <i>vs.</i> 513.08±274.11 mL (p=0.003); the mean inotropic score was 5.00±5.59 <i>vs.</i> 10.96±8.98 (p=0.05); the mean vasoactive score was 6.11±8.20 <i>vs.</i> 12.11±10.40 (p=0.04); and the mean length of hospital stay was 5.44±2.35 <i>vs.</i> 8.38±3.09 days (p=0.04).</p><p><strong>Conclusion: </strong>Injectable pulmonary valve replacement, which can be applied without cardiopulmonary bypass, has advantages such as being less invasive and having better postoperative results compared to the conventional procedure. However, more comprehensive studies with long-term results are needed.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"011-11"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055441","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-27] Delta Neutrophil Index And Mortality During Cardiopulmonary Bypass: An Observational Study.","authors":"Abdulkadir Bilgiç, Burak Toprak, Rahime Akın","doi":"10.5606/tgkdc.dergisi.2024.msb-27","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-27","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the relationship between the delta neutrophil index (DNI) during cardiopulmonary bypass (CPB) and postoperative mortality.</p><p><strong>Methods: </strong>This retrospective cohort study was conducted with 200 patients who underwent open heart surgery with CPB between May 1, 2023, and March 1, 2024. Demographic data, laboratory results, and surgery durations were collected. Delta neutrophil index values were measured at specific intervals.</p><p><strong>Results: </strong>Age, pump time, and cross-clamp duration were found to be associated with mortality. Higher DNI levels were significantly correlated with longer CPB times and increased mortality.</p><p><strong>Conclusion: </strong>This study confirms that DNI is a strong biomarker for predicting mortality. The clinical utility of this biomarker should be further assessed through additional research.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"047-47"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024324","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-02] Modern Approaches to Venous Ulcer Healing: A Study on Cyanoacrylate Embolization, Radiofrequency Ablation, and Laser Ablation.","authors":"Ali Kemal Gur","doi":"10.5606/tgkdc.dergisi.2024.msb-02","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-02","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to investigate the effects of radiofrequency ablation (RFA), cyanoacrylate embolization (CE), and laser ablation (LA) in the treatment of perforating venous insufficiency.</p><p><strong>Methods: </strong>One hundred eighteen patients with CEAP (Clinical, Etiological, Anatomical, and Pathophysiological) class 6 active ulcers were retrospectively reviewed between January 2018 and June 2023. The patients were divided into groups according to the treatment method: the CE group (n=55), the RFA group (n=63), and the LA group (n=30). Duplex scanning for venous ulcer and perforating insufficiency was performed in all patients, and healing rates at one-month, one-year, and two-year controls were calculated.</p><p><strong>Results: </strong>At one month, occlusion rates were significantly lower for CE compared to 85%, RFA 90%, and LA 88% (p=0.05). The one- and two-year closure rates were 81% and 76% for CE, 84% and 78% for RFA, and 82% and 77% for LA, respectively. No significant difference was found between the one- and two-year closure rates. Deep vein thrombosis without pulmonary embolism was detected in five patients who underwent CE. The thrombus resolved in these patients after three months of anticoagulant therapy. All ulcers healed within three months.</p><p><strong>Conclusion: </strong>Closure of perforator veins using minimally invasive techniques appears to predict wound healing with minimal morbidity. Radiofrequency ablation, CE, and LA are increasingly used for perforating vein failure in venous ulcer healing. In terms of deep vein thrombosis, RFA is safer than CE and LA.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"016-16"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023498","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-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}