Unfavorable results following surgical, endovascular and dermal treatments of vascular anomalies

Aim. The aim of this paper to summarize the clinical characteristics of unfavorable results occurred following an unsuitable surgical, endovascular or dermal treatment for vascular anomalies

Omentopexy in mediastinal infections: Case report Medi̇asti̇nal i̇nfeksi̇yonlarda omentum transpozi̇syonu tekni̇gi̇: Olgu sunumu

Omental transposition was performed on in two cases: a 43 year-old man with acute pericarditis who had no response to systemic antibiotics and pericardial tube drainage, and a 37 year-old woman who developed mediastinitis after mitral valve replacement. In this technique, the pedicled free omental graft was lied on contaminated area and the sternum reapproximated. There was no abdominal complication and both patients recovered rapidly and infection signs vanished completely

No additional benefit from higher dose erythropoietin to reduce infarct size after coronary artery ligation in wistar rats

Conference on Frontiers in Cardiovascular Biology -- JUL 16-19, 2010 -- Berlin, GERMANYAsgun, H. Fatih/0000-0002-8969-5886; Asgun, H. Fatih/0000-0002-8969-5886WOS: 000282114100413

Reoperative tricuspid valve replacement through right anterolateral thoracotomy: Case report Reoperati̇f tri̇küspi̇d kapak replasmaninda saǧ anterolateral torakotomi̇ yaklaşimi: Olgu sunumu

We report a patient who had undergone a reoperative tricuspid valve replacement through right anterolateral thoracotomy after a previous mitral valve replacement. A 53 year-old woman whose mitral valve had been replaced 18 years previously was taken to reoperation for tricuspid valve replacement. She had grade 4 tricuspid insufficiency and stenosis (tricuspid valve area 1.44 cm2, mean transvalvular gradient 6.5 mmHg, peak transvalvular gradient 16 mmHg). Following right femoral artery cannulation right anterolateral thoracotomy was performed and thorax was entered through the 4th intercostal space. The pericardium was opened and adhesions were dissected. Total cardiopulmonary bypass was instituted with bicaval cannulation and tricuspid valve was replaced with a mechanical prosthesis while heart beating. We emphasize that the right anterolateral thoracotomy is a safe and quick approach in reoperative tricuspid valve surgery and that either operation or postoperative period has an uneventful course

The influence of leukocyte filtration during cardiopulmonary bypass on early postoperative lung function Kardiyopulmoner bypass esnasinda sistemik lökosit filtrasyonunun postoperatif erken dönem akciǧer fonksiyonlari üzerine etkisi

Objective: The damage occurred during cardiopulmonary bypass (CPB) by activated leukocytes is a common problem in open-heart surgery and may cause postoperative morbidity. Several techniques have been investigated to limit these damaging effects of leukocytes. One of these is leukocyte filtration during CPB either systemically through the arterial or venous line of the bypass circuit or through the cardioplegic solution. We studied the effects of systemic arterial line filtration during reperfusion period, on early postoperative heart functions. Material and Methods: Thirty patients scheduled for an elective coronary artery bypass grafting were registered for the study and they were divided equally into 2 groups as control and systemic leukocyte filtration through the arterial line of the CPB circuit. Conventional arterial line filter was used in the control group while in the leukocyte filtration group, a commercially available leukocyte filter and a conventional arterial line filter were parallely incorporated into the CPB circuit. Blood passed through the arterial line was filtered during the reperfusion phase and the rest of the CPB duration. Results: Preoperative and intraoperative data obtained from the participants did not reveal any differences between groups. Similarly no statistically significant difference was present in terms of complete blood count, duration of mechanic ventilation, and length of intensive care unit and hospital stay. Intrapulmonary shunt calculations at postoperative hour 1 (11.64 ± 2.80% vs. 9.17 ± 1.82%, p= 0,02), and arterial oxygen pressure (74.20 ± 8.24 mmHg vs. 81.80 ± 10.04 mmHg, p= 0.04), respiratory rate (24.27 ± 2.05 breath/min vs 22.20 ± 3.14 breath/min, p= 0.02), alveolar-arterial oxygen differences (138.73 ± 44.87 mmHg vs 131.37 ± 28.70 mmHg, p= 0.04) and oxygenization index (353.33 ± 39.23 vs 389.52 ± 47.83, p= 0.05) measurements at postoperative hour 24 were significantly better in the leukocyte filtration group. Conclusion: We concluded that, in the elective coronary artery bypass grafting patients, leukocyte filtration through the arterial line during the reperfusion period did not reduce the white blood cell count in the peripheral blood adequately. Moreover, although filtration performed in this fashion may reduce lung damage, this effect is temporary in nature and does not extend beyond 24 hours of operation, and does not provide an evident clinical benefit. Copyright © 2006 by Türkiye Klinikleri