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

{"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":"[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":"[MSB-13] Instutional ERAS Applications for Totally Endoscopic Mitral Valve Surgery.","authors":"Serkan Ertugay, Sedat Karaca, İrem Demiray, Yaprak Engin, Seden Kocabaş, Tanzer Çalkavur, Bağdat Çullu, Emine Satır, Mustafa Özbaran","doi":"10.5606/tgkdc.dergisi.2024.msb-13","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-13","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to present our institutional protocol for enhanced recovery after surgery (ERAS) and its results in patients who underwent totally endoscopic mitral valve surgery (TEMVS).</p><p><strong>Methods: </strong>One hundred thirteen consecutive patients (63 females, 50 males; mean age: 54.7 years) who underwent TEMVS between 2021 and 2023 were included in this study. The TEMVS was performed using a three-dimensional endoscopic technique. Institutional protocols were as follows: <i>(i)</i> education on operative course and cessation of smoking and alcohol; <i>(ii)</i> anemia; <i>(iii)</i> optimization of blood glucose; <i>(iv)</i> rehabilitation; <i>(v)</i> anxiety and analgesia treatment; <i>(vi)</i> blood conservation techniques such as antifibrinolytic, acute normovolemic hemodilution, miniincision, meticulous surgery by a three-dimensional endoscope; <i>(vii)</i> postoperative early extubation, prevention of nausea, aggressive analgesia, early mobilization, early removal of tubes; <i>(viii)</i> restrictive transfusion strategy; <i>(ix)</i> early discharge.</p><p><strong>Results: </strong>The rate of intravenous iron therapy for anemia was 26.5%. The repair rate of a degenerative mitral valve was 96.9%. Among all patients, 68.1% did not receive any erythrocyte suspension, and 15.9% had only one unit. The mean extubation time was 5 h. Ninety-six percent of Foley catheters, 87% of all central venous catheters, and 93% of all drainage tubes were removed on the first postoperative day. The rate of respiratory, infectious, and renal complications was 9%, 3.5%, and 3.4%, respectively. The median intensive care unit stay was 1 day, and the median hospitalization time was 5 days. There was one mortality in the early postoperative period.</p><p><strong>Conclusion: </strong>Totally endoscopic mitral valve surgery provides lesser surgical trauma. By the addition of wellestablished ERAS protocols, less complication, less transfusion, early recovery, and greater patient satisfaction can be achieved.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"031-31"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045463","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-10] The Biomarker Potential of Serum-Derived Exosomes Carrying Autophagic Regulators in Carotid Artery Stenosis Patients.","authors":"Ceyda Colakoglu Bergel, Isil Ezgi Eryilmaz, Bilge Arioz, Atif Yolgosteren, Unal Egeli, Basak Erdemli Gursel, Murat Bicer, Gulsah Cecener, Mustafa Tok","doi":"10.5606/tgkdc.dergisi.2024.msb-10","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-10","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the biomarker potential of exosomes as autophagic regulators for discriminating ulcerated from smooth ones by serum-derived exosome isolation and real-time quantitative polymerase chain reaction (RT-qPCR) analysis.</p><p><strong>Methods: </strong>Eight carotid artery stenosis (CAS) patients (6 males, 2 females; mean age: 65.7±11 years) were included in the study conducted. Plaque ulceration was determined by Doppler ultrasonography. Afterward, the serum was separated and exosome/exosomal RNA isolation was performed using an exoRNeasy Midi Kit. Transmission electron microscopy and nanoparticle tracking analysis were performed for exosome characterization. Finally, the expression of autophagy-related genes (Atg5, Atg12, Beclin, and LC3) was analyzed by RT-qPCR.</p><p><strong>Results: </strong>Five (62.5%) patients had ulcerated carotid plaques. The patients' stenosis degree was 70% or greater. Based on the RT-qPCR (120 nm), Atg12, Beclin, LC3, and Atg5 levels were downregulated by 3.79-, 5.28-, 2.40- (p>0.05), and 4.83-fold (p=0.02) in ulcerated plaques, respectively.</p><p><strong>Conclusion: </strong>Although further validation is needed, data suggests that autophagy-related mRNA cargoes of serum-derived exosomes may be potential biomarkers for risk stratification based on plaque surface morphology in CAS patients.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"027-27"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036844","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-53] Clinical Efficacy and Safety of Using N-Butyl Cyanoacrylate in the Treatment of Perforator Vein Insufficiency.","authors":"Nur Dikmen, Evren Özçınar, Ahmet Kayan, Nadir Polat, Zeynep Eyileten, Mustafa Şırlak","doi":"10.5606/tgkdc.dergisi.2024.msb-53","DOIUrl":"https://doi.org/10.5606/tgkdc.dergisi.2024.msb-53","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the efficacy of a nonthermal and nontumescent embolization method using N-butyl cyanoacrylate for managing perforator incompetence.</p><p><strong>Methods: </strong>This single-center retrospective study analyzed 98 consecutive patients diagnosed with perforator vein insufficiency treated with N-butyl cyanoacrylate. The study protocol included physical examinations, Doppler ultrasonography, venous clinical severity scoring, CEAP (Clinical, Etiological, Anatomical, and Pathophysiological) classification, and quality of life assessments before and after the procedure. The primary goal was to compare clinical, functional, and duplex ultrasonography parameters in managing varicose vein diseases with isolated primary perforator incompetence using duplex ultrasonography-guided N-butyl cyanoacrylate treatment. Furthermore, the study evaluated the occlusion rate, procedural pain, phlebitis, ecchymosis, and paresthesia.</p><p><strong>Results: </strong>The occlusion rate at six months was 96.9%, with a significant reduction in pain and other symptoms of chronic venous insufficiency. The incidence of complications was low. Phlebitis was observed in 3.4% of cases, ecchymosis in 2.8%, and transient paresthesia in 1.7%. There were no reports of severe adverse events, such as deep vein thrombosis or allergic reactions.</p><p><strong>Conclusion: </strong>Interruption of perforators effectively reduces the symptoms of chronic venous insufficiency and promotes rapid ulcer healing. This nontumescent, nonthermal embolization method can be safely applied with high success rates. The results of this study suggest that N-butyl cyanoacrylate is a viable option for treating perforator incompetence.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"078-79"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041687","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-35] Primary Cardiac Tumor: A Case Report of Right Atrial Angiosarcoma.","authors":"Fatma Akça, Levent Yazıcıoğlu, Ali İhsan Hasde, Onur Büyükçakır, Deniz Ladin Özdemir","doi":"10.5606/tgkdc.dergisi.2024.mep-35","DOIUrl":"10.5606/tgkdc.dergisi.2024.mep-35","url":null,"abstract":"<p><p>Cardiac tumors mainly present as metastases from tumors in other extracardiac organs. Primary cardiac tumors are relatively rare tumors, with a prevalence rate of 0.002 to 0.33%. Myxomas, which commonly occur in the left atrium, are the most frequent benign primary cardiac tumors. Angiosarcomas are the most common primary malignant cardiac tumors. A 63-year-old female patient who had exertional dyspnea presented to the clinic. After the detection of an invasive mass on the wall of the right atrium from the test results, the case was initiated following sternotomy, with aortic and peripheral venous cannulation. The right atrium was opened, and the tumor was dissected broadly from the normal tissue of the atrium wall. The right atrial defect was reconstructed with a pericardial patch. After extensive tumor resection and repair with a pericardial patch, the patient was transferred to the intensive care unit with inotropic support. The pathology result of the excised material was reported as angiosarcoma. The patient was discharged on the seventh postoperative day and continued with chemoradiotherapy. Cardiac tumors are rare, and angiosarcomas, which are more commonly observed on the right side of the heart, account for 25 to 30% of primary cardiac malignancies. Surgical resection of primary cardiac angiosarcoma is the primary treatment approach. Full resection of the tumor offers long-term survival for the patients. Reconstruction of cardiac structures may also be necessary after wide resections.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"133-134"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995076","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-03] Extra-Pericardial Modified Blalock-Taussig Shunt Via Sternotomy in Patients with A Right Aortic Arch.","authors":"Kamran Ahmadov, Kamran Musayev, Tornike Sologashvili","doi":"10.5606/tgkdc.dergisi.2024.mob-03","DOIUrl":"10.5606/tgkdc.dergisi.2024.mob-03","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to describe the feasibility and results of a left modified Blalock-Taussig shunt (mBTS) through a sternotomy without opening the pericardium in patients with a right-sided aortic arch.</p><p><strong>Methods: </strong>The study included eight patients (median age: 20 months; range, 10 to 56 months) who underwent a left mBTS. All mBTS procedures were performed through a median sternotomy without the use of cardiopulmonary bypass. Following sternotomy, the brachiocephalic trunk and left pulmonary artery were carefully identified and isolated without opening the pericardium. First, an end-to-side anastomosis was created between the Gore-Tex graft and the brachiocephalic trunk. Subsequently, the distal end-to-side anastomosis was performed between the graft and the left pulmonary artery. A single drain was positioned in the retrosternal space, and the sternum was closed in the standard manner.</p><p><strong>Results: </strong>Six patients had tetralogy of Fallot, and two had a double-outlet right ventricle with pulmonary stenosis. The median weight was 8 kg (range, 6.1 to 12.8 kg). The procedure was feasible in all patients (Figure 1). The median shunt size was 5 mm (range, 4 to 5 mm), and the median intensive care unit stay was three days. There were no cases of early- or mid-term mortality, shunt failure, or thrombosis. Additionally, no patients developed postoperative pericardial effusion. Six out of eight patients underwent resternotomy for complete correction, with preoperative cardiac catheterization confirming shunt patency (Figure 2). Notably, no intrapericardial adhesions were observed during resternotomy.</p><p><strong>Conclusion: </strong>This technique offers a significant advantage by avoiding intrapericardial adhesions, making it a viable alternative to standard sternotomy or thoracotomy approaches for mBTS in patients with a right-sided aortic arch.</p>","PeriodicalId":49413,"journal":{"name":"Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery","volume":"32 4 Suppl 2","pages":"006-7"},"PeriodicalIF":0.5,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018779","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":"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":"[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":"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}