Yazar "Yagdi T." seçeneğine göre listele

Listeleniyor 1 - 20 / 46
  • Küçük Resim Yok
    Öğe
    Amiodarone for postoperative atrial fibrillation [5] (multiple letters)
    (Mosby Inc., 2004) Yazigi A.; Haddad F.; Madi-Jebara S.; Sleilaty G.; Jebara V.A.; Yagdi T.
    [No abstract available]
  • Küçük Resim Yok
    Öğe
    Aorta-left renal vein fistula in a woman
    (2004) Yagdi T.; Atay Y.; Engin C.; Ozbek S.S.; Buket S.
    Spontaneous rupture of an abdominal aortic aneurysm into a retroaortic left renal vein is an uncommon occurrence. A 55-year-old woman presented with shortness of breath, vomiting, and diffuse abdominal pain that had radiated to her back and legs for the preceding 10 days. A pulsatile abdominal mass, hematuria, renal insufficiency, and heart failure were present at the initial evaluation. Computed tomography showed an infrarenal abdominal aortic aneurysm that communicated with a retroaortic left renal vein. After urgent surgical repair, cardiac and renal function were dramatically improved. To the best of our knowledge, this is the 1st reported case of a woman with such a fistula. We review treatments reported in the literature.
  • Küçük Resim Yok
    Öğe
    Aortopulmonary artery fistula: Presenting with congestive heart failure in a patient with aortic dissection
    (1998) Atay Y.; Can L.; Yagdi T.; Büket S.
    Although it is a rare occurrence, aortic dissections can rupture into the cardiac chambers or great vessels. A review of the English literature revealed only 3 cases of fistula between an aortic false lumen and the main pulmonary artery that were repaired successfully. In this article, we report the case of a chronic type I aortic dissection with an aortopulmonary artery fistula. The patient presented with congestive heart failure. One year earlier he had undergone aortic valve replacement. To our knowledge, this is the 4th case of a successfully repaired type I aortic dissection with rupture into the pulmonary artery and the 1st such case involving a patient who had undergone a previous cardiac operation.
  • Küçük Resim Yok
    Öğe
    Apolipoprotein E ?4 allele and neurobehavioral status after on-pump coronary artery bypass grafting
    (2005) Askar F.Z.; Cetin H.Y.; Kumral E.; Cetin O.; Acarer A.; Kosova B.; Yagdi T.
    Background and Aim: The presence of apolipoprotein E ?4 allele is being considered as a risk factor for cognitive decline after cardiac surgery. We sought the effect of apolipoprotein E ?4 allele on neurobehavioral status after on-pump coronary artery bypass grafting. Methods: Prior to the operation, neurologic examination and neurobehavioral cognitive status test (COGNISTAT) were performed. Both procedures were repeated on the day of discharge and 3 months after surgery. Apolipoprotein E ?4 allele positive and apolipoprotein E ?4 allele negative patients' performance on COGNISTAT were compared. Results: There was no statistically significant demographic and operative data difference between two groups. No neurological impairment was observed on examinations. There was no statistically significant neurocognitive decline difference between two groups' postoperative performances. Conclusions: It seems that apolipoprotein E ?4 allele may not affect neurobehavioral status in the intermediate period after on-pump coronary artery bypass grafting.
  • Küçük Resim Yok
    Öğe
    Arch-first technique used with commercial T-graft: To treat subacute type-A aortic dissection in patient with Marfan syndrome
    (2002) Apaydin A.Z.; Posacioglu H.; Yagdi T.; Islamoglu F.; Calkavur T.; Buket S.
    Staged repair of extensive thoracic aortic aneurysms puts certain patients at risk of rupture. We report the case of a patient with Marfan syndrome who presented with subacute type-A aortic dissection and a large descending aortic aneurysm. We used the arch-first technique with a commercially available Dacron T-graft. A clamshell incision was used for exposure. A button of arch vessels was anastomosed to the T-graft. Antegrade cerebral perfusion was established through the side branch. The distal end of the graft was anastomosed to the descending aorta and the proximal end to a composite graft. The duration of cerebral ischemia was 30 minutes; antegrade cerebral perfusion lasted 52 minutes. The patient experienced no neurologic dysfunction and was discharged with no major deficit. This technique shortens brain-ischemia time and is a good option if the risk of rupture of the descending component of an extensive thoracic aortic aneurysm is high. To the best of our knowledge, this is the 1st reported case in which the arch-first technique has been used with a commercially available T-graft to treat subacute type-A aortic dissection in a patient with Marfan syndrome.
  • Küçük Resim Yok
    Öğe
    Changes in etiology, cause of death, survival, and mortality rates in cardiac transplant patients from 1998 to 2011 [1998-2011 arasi dönemde kalp nakli hastalarinda etyoloji, ölüm nedenleri, sagkalim ve mortalite oranlarindaki degişim]
    (2012) Güngör H.; Nalbantgil S.; Oguz E.; Ayik M.F.; Zoghi M.; Ertugay S.; Karakula S.; Engin Ç.; Yagdi T.; Özbaran M.
    Objectives: We retrospectively analyzed changes in heart failure etiology, causes of death, mortality and survival rates in cardiac transplant patients from 1998 to 2011. Study design: A total of 144 patients (112 men, 32 women; mean age 40.2±14.3 years) underwent cardiac transplantation between February 1998 and January 2011. The patients were divided into two groups; hence, 63 patients (group 1; mean age 42.5±12.6 years) receiving transplantation up to January 2006, and 81 patients (group 2; mean age 38.4±15.3 years) receiving transplantation from 2006 to 2011. In the latter period, a ventricular assist device was used in 17 patients before transplantation. Results: Dilated cardiomyopathy was the main cause of heart transplantation in both groups (71.4% vs. 74.1%). Overall mortality, in-hospital mortality (<30 days), and late mortality (?30 days) rates were 39.6% (n=57), 13.9% (n=20), and 25.7% (n=37), respectively. Survival rates for 1, 2, 5, and 10 years were 76%, 69%, 59%, and 46%, respectively. The second group had significantly lower rates of overall mortality and late mortality compared to group 1 (29.6% vs. 52.4%, p=0.005; 16.0% vs. 38.1%, p=0.002, respectively), whereas early mortality rates were similar. Survival rates were also higher in the second group, but these differences did not reach significance (1-year, 76.1% vs. 74.6%; 2-year, 73.0% vs. 65.1%; 5-year, 63.8% vs. 55.6%; log rank 0.33). In both groups, infections (30.3% vs. 33.3%), right ventricular failure (12.1% vs. 29.2%), and sudden cardiac death (15.2% vs. 16.7%) were the leading causes of death. Conclusion: Our data show that overall and late mortality rates show significant decreases in cardiac transplant patients from 1998 to 2011. © 2012 Türk Kardiyoloji Dernegi.
  • Küçük Resim Yok
    Öğe
    Changing face of heart failure surgery
    (2012) Yagdi T.; Oguz E.; Engin C.; Engin Y.; Nalbantgil S.; Zoghi M.; Ozbaran M.
    Background: Heart failure is a serious disease ending with death if untreated. Although heart transplantation is the best therapy for end-stage heart failure, most candidates die in the waiting period due to the lack of donor organs. This condition represent a new era of heart failure surgery. Methods: We retrospectively investigated 159 patients from 1998 to 2011 with a mean age of 40.0 years (range = 5-65), who were mostly diagnosed as dilated cardiomyopathy (n = 113). After April 2007, 67 patients underwent vascular assist device (VAD) implantation surgery for acute or chronic end-stage heart failure. We performed 69 heart transplantation with 27 on VAD systems before transplantation. Results: Early mortality was 13.3% with 21 patients after the heart transplantation. The 67 patients supported with VAD did not experience an intraoperative death. The mean support time was 214 days (range = 3-1035). Twenty-four patients (35.8%) are still on pump support. The overall survival until transplantation or weaning was 77.6% at mean of 250.7 days survival reached 90% with Heartware (Hartware Inc, Miramar, Fla, USA) continuous flow pumps. Conclusion: After the introduction of VAD in 2007, the overall picture has been restructured radically for heart failure surgery, reducing patient loss on the waiting list. Especially, since 2009 nearly 80% of donor hearts were used for patients on mechanical circulatory support. © 2012 Elsevier Inc. All rights reserved.
  • Küçük Resim Yok
    Öğe
    Clinical and hemodynamic features of Eisenmenger syndrome patients at the time of first admission: A tertiary referral-center experience [Eisenmenger sendromlu hastalari{dotless}n ilk başvuru ani{dotless}ndaki klinik ve hemodinamik özellikleri: Tersiyer merkez deneyimi]
    (2012) Güngör H.; Ertugay S.; Ayik M.F.; Demir E.; Engin Ç.; Yagdi T.; Özbaran M.; Atay Y.; Nalbantgil S.
    Objective: In this study, patients admitted with the diagnosis of Eisenmenger syndrome (ES) in a tertiary referral center were analyzed. Methods: The data of 20 consecutive patients (mean age: 27.6+1.8 years, 7 male and mean follow-up time: 35.6±9.1 months) with ES were retrospectively analyzed. Demographic characteristics, symptoms, physical examination, laboratory and hemodynamic parameters were analyzed at the time of first admission. Results: The most frequent underlying heart diseases were ventricular septal defect (VSD) with complex congenital disease (n:8, 40%) and isolated VSD (n:7, 35%). 6-minute walking test distance was 347.9±33.7 meters and 15 patients (75%) had a functional capacity of NYHA Class III, at the time of admission. ES was diagnosed with catheterization in all patients and mean systolic pulmonary arterial pressure measured by catheterization was 112±6.8 mmHg. Pulmonary function tests, FVC (forced vital capacity), FEV 1 (forced expiratory volume), FEV 1/FVC values were respectively, 3.1±0.4, 2.5±0.4 L and 76.7±3.3%. Metabolic tests were performed in all patients at the first visit. Mean VO2 max was 16.7 ±1.0 ml / kg/min and VE/VCO2 rate was 53.9±3.2%. Although PH and partial pressure of carbon dioxide levels were within normal range in blood gas analysis, oxygen saturation and partial pressure of oxygen levels were low. Conclusion: The most common underlying heart disease of ES patients is VSD. In this cases exercise capacity is restricted and this restriction is reflected in laboratory parameters. © 2012 by AVES Yayi{dotless}nci{dotless}li{dotless}k Ltd.ss}k Ltd.
  • Küçük Resim Yok
    Öğe
    Clinical results of retrograde cerebral perfusion in treatment of aortic disease
    (Asia Publishing Exchange Pte Ltd, 1998) Calkavur T.; Atay Y.; Yagdi T.; Cikirikcioglu M.; Can L.; Gurcun U.; Ogbaran M.; Biilkay O.; Buket S.
    Between 1993 and 1998, 106 adults underwent ascending aorta or aortic arch operations using deep-hypothermic circulatory arrest and retrograde cerebral perfusion via the superior vena cava. Aortic lesions were acute type I dissection in 44 (41.5%), chronic type I dissection in 12 (11.3%), acute type II dissection in 6 (5.7%), chronic type H dissection in 9 (8.5%), ascending aorta or aortic arch aneurysms in 34 (32.1%), and an aneurysm of the sinus of Valsalva with aortic arch aneurysm in 1 (0.9%). The overall neurologic dysfunction rate was 6.6%. Early mortality was 18.8%. By multivariate analysis, circulatory arrest longer than 60 minutes and chronic renal failure were significant predictors of neurological dysfunction. Female gender, preoperative hemodynamic instability, circulatory arrest longer than 60 minutes, preoperative neurological dysfunction, and preoperative organ malperfusion were significant predictors of early mortality. We concluded that retrograde cerebral perfusion minimized neurological complications by preventing debris and air emboli and by providing adequate metabolic support in patients who needed circulatory arrest for surgical treatment of aortic pathology.
  • Küçük Resim Yok
    Öğe
    Comparison of heart transplantation patients with ischemic and idiopathic dilated cardiomyopathy
    (2011) Gungor H.; Oguz E.; Ayik M.F.; Ertugay S.; Engin C.; Yagdi T.; Nalbantgil S.; Zoghi M.; Ozbaran M.
    We retrospectively analyzed our data to compare preoperative demographic, laboratory, echocardiographic, hemodynamic findings mortality and survival rates of heart transplantation patients with ischemic (ICM) and idiopathic dilated (IDCM) cardiomyopathy. The data of 144 patients transplanted from February 1998 to January 2011 were analyzed. 38 patients with ischemic ICM and 86 patients with IDCM were compared. Recipient age, preoperative creatinine, recipient body mass index, intraoperative cross-clamp time, donor male sex ratio, recipient male sex ratio, hyperlipidemia ratio, and previous nitrate use were significantly higher and left ventricular end systolic diameter significantly lower in patients with ICM. Major causes of death after heart transplantation were infections (31.9%), right ventricle failure (14.8%), and sudden cardiac death (14.8%). Causes of death were not different between the groups. Overall mortality in the entire population was 37.9% (47/124), and it was not different between the groups (39.5% vs 37.2%; P =.48). Early mortality (<30 days) rate was 11.2% (14/124), late mortality rate was 26.6% (33/124), and no statistically significant difference was observed between the groups. Survival analysis showed that ICM patients were not associated with worse survival compared with IDCM (71.1% vs 81.1% after 1 year, 68.1% vs 73.0% at 2 years, and 54.2% vs 62.3% at 5 years; log rank = 0.57). Multivariate analysis showed that the only predictor of mortality was preoperative urea level and that heart failure etiology was not a predictor of this end point. Patients with ICM had similar survival and mortality rate compared with IDCM. © 2011 Published by Elsevier Inc.
  • Küçük Resim Yok
    Öğe
    Coronary artery bypass and carotid endarterectomy: Combined approach
    (2001) Hamulu A.; Yagdi T.; Atay Y.; Buket S.; Calkavur T.; Iyem H.
    Controversy exists concerning the best management of patients with coronary artery and carotid artery disease. Between June 1994 and July 2000, 88 patients with coronary artery and carotid artery disease underwent combined coronary artery surgery and carotid endarterectomy. Demographics and perioperative variables of these patients were compared with those of 266 patients undergoing isolated coronary artery surgery. Patients in the combined coronary artery bypass grafting and carotid endarterectomy group were elderly patients (p=0.0001) with a higher prevalence of female gender (p=0.000), left ventricular dysfunction (p=0.006), left main coronary artery disease (p=0.033), triple-vessel coronary artery disease (p=0.002), unstable angina pectoris (p=0.004), and history of prior neurologic events (p=0.0001). Three (3.4%) patients in the combined group and 5 (1.9%) patients in the isolated coronary artery surgery group (p=0.317) developed perioperative myocardial infarction. Two (2.3%) patients in the combined group developed a permanent postoperative neurologic event. Hospital mortality was 5.7% (5 patients) in the combined coronary artery bypass grafting and carotid endarterectomy group and 1.5% (4 patients) in the isolated coronary artery surgery group (p=0.046). Patients with concomitant carotid and coronary artery disease have an advanced arteriosclerosis. Although combined coronary artery bypass grafting and carotid endarterectomy is associated with a higher risk of death and perioperative myocardial infarction than simple coronary artery surgery, this procedure is a preferable approach for these high-risk patients and results in lower neurologic morbidity.
  • Küçük Resim Yok
    Öğe
    Coronary artery bypass re-operations: basic principles [Koroner bypass reoperasynolari: temel prensipler.]
    (2001) Yagdi T.; Calkavur T.; Durmaz I.
    Mortality and major complications during primary coronary artery bypass operation has decreased substantially during the past 20 years. However, patients undergoing reoperative myocardial revascularization still face markedly elevated perioperative mortality and morbidity. On the other hand, the incidence of reoperative coronary bypass surgery continues to increase. Aggressive perioperative care and optimal myocardial protection is mandatory in these patients. In this article we reviewed the patient profiles, indications for operation, operative techniques and their impact on the surgical results for patients undergoing reoperative coronary artery bypass surgery.
  • Küçük Resim Yok
    Öğe
    Discrete Subaortic Stenosis: Surgical Outcomes and Follow-Up Results
    (2003) Darcin O.T.; Yagdi T.; Atay Y.; Engin C.; Levent E.; Buket S.; Alayunt E.A.
    Discrete subaortic stenosis, which is an obstructing lesion of the left ventricular outflow tract, remains a surgical challenge. The recurrence rate is high despite sufficient conventional resection. We retrospectively reviewed the results of surgery for discrete subaortic stenosis at our institution from September 1995 through March 2001. Twenty-one patients with this lesion underwent surgical treatment during this period. Excision of the fibromuscular membrane with myectomy was performed in all of the patients. Follow-up in all patients ranged from 7 to 67 months (mean follow-up period, 39.57 ± 15. 46 months). The mean systolic gradient between the left ventricle and the aorta decreased from 59.23 ± 35.38 mmHg preoperatively to 9.47 ± 9.91 mmHg postoperatively. There was no instance of heart block that required a permanent pacemaker, nor of bacterial endocarditis. There was no early or late postoperative death. A 22nd patient, who had 3+ aortic regurgitation, required aortic valve replacement and was excluded from the study. Two of the patients (9.5%) underwent reoperation because of recurrent gradient and residual ventricular septal defect. Our results suggest that fibromuscular membrane excision combined with myectomy in patients with discrete subaortic stenosis produces sufficient relief of obstruction with low morbidity.
  • Küçük Resim Yok
    Öğe
    Donor management in heart transplantation [Kalp transplantasyonunda donör bakimi]
    (2004) Yagdi T.; Nalbantgil S.; Engin C.; Zoghi M.; Özbaran M.
    [No abstract available]
  • Küçük Resim Yok
    Öğe
    Early atherosclerosis following heart transplantation: An intravascular ultrasonography study [Kalp transplantasyonu uygulanan hastalarda erken ateroskleroz: Bir i·ntravasküler ultrasonografik çalişma]
    (2004) Zoghi M.; Nalbantgil S.; Yagdi T.; Nart D.; Yavuzgil O.; Akilli A.; Akin M.; Özbaran M.
    There are several invasive and noninvasive techniques investigating the development of coronary artey disease following heart transplantation (TxCAD). This study attempts to investigate the extent of vasculopathy in heart transplant recipients by using intravascular ultrasonography (IVUS) compared to coronary angiography and to define the relationship between the rate of cellular rejection and intimal coronary thickness which is measured by IVUS. Our study is the first experience in Turkey. To investigate the extent of TxCAD, 18 heart transplant recipients were studied for 22±12 months after transplantation with intravascular ultrasound (IVUS). Dobutamine stress echocardiography (DES) and coronary angiography were performed in all patients. Coronary angiographically narrowing of more than 50% and intimal wall thickness >0.5mm detected by IVUS were defined as TxCAD. Biopsy score was considered as the average numerical value assigned to each grade of rejection divided by the total number of biopsies. According to the IVUS findings the patients were evaluated in two groups. There were 8 patients with TxCAD in group I, and group II consisted of 10 patients without TxCAD. The TxCAD was shown in 5.5% patients angiographically whereas this rate was 44% by IVUS. The results of DES were normal in all patients. The extent of coronary vessel wall alterations on ultrasound correlated with donor age (r=0.42, p=0.02), but not with perioperative ischemia time and other coronary artery risk factors (p>0.05). The intimal thickening was more pronounced in segments of the LAD than the other arteries (p<0.001). The value of biopsy score (the mean grade of rejection) demonstrated a correlation with the mean intimal thickening (r = 0.82, p = 0.01). Conclusion: 1) The rate of cellular rejection is an important factor for developing TxCAD. 2) IVUS is a more sensitive method for detection of TxCAD than coronary angiography.
  • Küçük Resim Yok
    Öğe
    The effect of heart transplantation on mortality in end-stage heart failure patients with UNOS status 2 [UNOS 2 statüsündeki son dönem kalp yetersizligi hastalarinda kalp naklinin mortaliteye etkisi]
    (2006) Duygu H.; Zoghi M.; Nalbantgil S.; Engin Ç.; Yagdi T.; Akilli A.; Akin M.; Özbaran M.
    Objectives: Despite recent developments in medical treatments and assist device applications, management strategies for end-stage heart failure patients with UNOS status 2 (United Network for Organ Sharing) are still controversial. We evaluated the clinical condition and prognosis of end-stage heart failure patients with UNOS status 2, who were placed on the waiting list for heart transplantation. Study design: The study included 78 patients (62 men, 16 women; mean age 43±12 years) with UNOS status 2. The patients were assessed in terms of frequency of hospitalization during waiting for transplantation, shift to a higher level of UNOS status, transplantations performed, and mortality. Results: The mean duration of waiting on the list was 17±10 months. The frequency of hospitalization due to heart failure was 4±2/year. An implantable cardioverter defibrillator was used in seven patients (9%) for persistent ventricular tachycardia. Nine patients (11.5%) shifted to UNOS status 1B. Eighteen patients (23.1%) underwent orthotopic heart transplantation following six months of waiting on the list. Mortality rates were 25% (n=15) and 22.2% (n=4) for patients on the waiting list and for transplant patients at the end of the first year of transplantation, respectively (p=0.03). The main cause of mortality was sudden cardiac death (73.3%, n=11) for patients on the transplantation list. There was a significant difference in terms of combined end-point of mortality and shift to UNOS status 1B between transplanted (n=24, 40%) and untransplanted (n=4, 22.2%) patients (p=0.01). Conclusion: Heart transplantation is an appropriate alternative for preventing impending clinical deterioration, frequent attacks of heart failure, and cardiac deaths in patients with UNOS status 2.
  • Küçük Resim Yok
    Öğe
    Effects of cardiac rehabilitation program on exercise capacity and chronotropic variables in patients with orthotopic heart transplant
    (2008) Karapolat H.; Eyigor S.; Zoghi M.; Yagdi T.; Nalbantgil S.; Durmaz B.; Ozbaran M.
    Aim: To evaluate the effects of home- and hospital-exercise programs on exercise capacity and chronotropic variables in patients with heart transplantation. Methods: Forty patients were randomized into two groups either hospital- or home-based exercise program. The patients were compared, before and after the rehabilitation program, with respect to maximal oxygen uptake (pVO2), chronotropic variables [heart rate reserve (HRRe), heart rate recovery (HRR1), and chronotropic response index (CRI)] and Duke Treadmill Score (DTS). Results: Hospital-based exercise group has shown a significant recovery in post-exercise pVO2 (pre-exercise 16.73 ± 3.9 ml/kg/min, post-exercise 19.53 ± 3.89 ml/kg/min, P = 0.002) and DTS (pre-exercise 4.74 ± 1.17, post-exercise 5.61 ± 1.11, P = 0.002). A significant recovery in favor of the hospital-based exercise group was found in HRRe (pre-exercise 26.9 ± 14.6, post-exercise 34.6 ± 14.6, P = 0.01). No significant change was observed in HRR1 (pre-exercise -1.38 ± 1.04, post-exercise -1.21 ± 1.89, P = 0.49) and CRI (pre-exercise 0.44 ± 0.23, post-exercise 0.48 ± 0.20, P = 0.15) in hospital-based exercise group. No significant change was observed in any parameters of home-based group (P > 0.05). Conclusion: A significant recovery was observed both in the functional capacity and the chronotropic response in hospital-based exercise program. Exercise programs that are planned to be performed under supervision in rehabilitation units are useful for the patients with heart transplant in terms of the exercise capacity and chronotropic variables. © 2008 Springer-Verlag.
  • Küçük Resim Yok
    Öğe
    Effects of pleurotomy on respiratory sequelae after internal mammary artery harvesting
    (2006) Iyem H.; Islamoglu F.; Yagdi T.; Sargin M.; Berber O.; Hamulu A.; Buket S.; Durmaz I.
    The preservation of pleural integrity during mammary artery harvesting may decrease atelectasis and pleural effusion during the postoperative period. We designed this retrospective study to evaluate the effects on postoperative pulmonary function of pleural integrity versus opened pleura, in patients who receive a left internal mammary artery graft. The study group consisted of 1,141 patients who underwent elective coronary artery bypass grafting. The patients were retrospectively evaluated and divided into 2 groups: those who underwent internal mammary artery harvesting with opened pleura (n=873) or with pleural integrity (n=268). To monitor pleural effusion and atelectasis, chest radiography was performed routinely 1 day before operation and on the 2nd, 5th, and 7th postoperative days. The preoperative, after extubation, and 1st postoperative day values of partial oxygen pressure (PaO2), partial carbon dioxide pressure (PaCO2), and oxygen (O2) saturation were recorded for comparison, as was the hematocrit. The mean age of the patients was 57.4 ±8.81 years. There were no significant differences between the groups in mean values of PaO2, PaCO2, O 2 saturation, and hematocrit after extubation or on the 1st postoperative day. Atelectasis on the 5th and 7th postoperative days, pleural effusion on the 2nd, 5th, and 7th days, and postoperative bleeding were significantly less in the group with preserved pleural integrity. We showed that preservation of pleural integrity during internal mammary artery harvesting decreases postoperative bleeding, pleural effusion, and atelectasis. We conclude that preservation of pleural integrity, when possible, can decrease these postoperative complications of coronary artery bypass grafting. © 2006 by the Texas Heart® Institute.
  • Küçük Resim Yok
    Öğe
    Endoaneurysmorrhaphy for left ventricular aneurysm: Follow-up in 69 patients
    (1996) Hamulu A.; Discigil B.; Özbaran M.; Atay Y.; Yagdi T.; Buket S.; Yüksel M.; Durmaz I.
    We reviewed the cases of 69 consecutive patients who underwent physiologic reconstruction of the left ventricular cavity with an endoventricular patch (endoaneurysmorrhaphy) after aneurysmectomy. Eight patients had isolated endoaneurysmorrhaphy, 60 patients had concomitant coronary artery bypass grafting, and 1 patient had concomitant closure of an atrial septal defect The primary indications for operation were angina pectoris (New York Heart Association functional class I or II) in 42 patients and dyspnea (functional class III or IV) in 27 patients The preoperative left ventricular election fraction evaluated with ventriculography was 28.95% ± 7.27% (mean ± standard error of the mean) The global perioperative mortality rate was 2.8%. Total follow-up was 139.3 patient-years. The late mortality rate was 4.3% per patient-year. A marked increase was found in the mean postoperative left ventricular ejection fraction of the patients: 41.91% ± 11.83%. Survivors were interviewed in person, their functional status was class I or II in 58 patients and class III in 3 patients. We conclude that left ventricular endoaneurysmorrhaphy results in satisfactory functional improvement and can be performed with relatively low early and late mortality rates.
  • Küçük Resim Yok
    Öğe
    Epicardial hemangioma [Epikardiyal yerlesimli hemanjiyom]
    (2012) Ayik M.F.; Oguz E.; Engin C.; Yagdi T.
    [No abstract available]