Mehmet Bademci

Publications (7)8.52 Total impact

• Article: Is the cause of death in hypertrophic cardiomyopathy low pressure gradient in left ventricular outflow?

  Mert Kestelli, Ismail Yurekli, Mehmet Bademci
  The Journal of thoracic and cardiovascular surgery 12/2012; 144(6):1537. · 3.41 Impact Factor
• Article: α-Tocopherol and ascorbic acid in early postoperative period of cardiopulmonary bypass.

  Tevfik Gunes, Sahin Bozok, Mert Kestelli, Ismail Yurekli, Gokhan Ilhan, Berkan Ozpak, Mehmet Bademci, Barcin Ozcem, Aykut Sahin
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  ABSTRACT: AIM: To investigate whether α-tocopherol and ascorbic acid have effect on the suppression of inflammation in the early postoperative period after open heart surgery. METHODS: A total of 59 patients who had undergone cardiopulmonary bypass (CPB) in the Cardiovascular Surgery Department of a tertiary center between June 2008 and December 2008 were retrospectively investigated. The study group consisted of 34 patients (25 men, 9 women) to whom ascorbic acid (500 mg/day) and α-tocopherol (300 mg/day) were administered on the day of operation (0th day) and the first four consecutive postoperative days. In contrast, 25 controls (20 men, 5 women) received no additional anti-inflammatory medications. The two groups were compared in terms of demographics, blood parameters such as C-reactive protein (CRP) and white blood cell (WBC) count, and durations of cross-clamp and CPB. RESULTS: In the control group, CRP levels were found to be increased on the first postoperative day (P < 0.001) and CRP levels were correlated with triglyceride levels on the day of operation (P = 0.009) and the first postoperative day (P = 0.021). On the second postoperative day WBC count was found to be decreased (P = 0.008) and correlated with glucose level (P < 0.005). In the study group, CRP levels were found to be inversely correlated with serum high-density lipoprotein (HDL) (P = 0.049) on the first postoperative day and directly correlated with triglyceride levels on the second postoperative day (P = 0.017). Blood glucose levels were found to be increased on the first postoperative day (P = 0.021) and a correlation was detected between WBC count on the fourth postoperative day and doses of ascorbic acid and α-tocopherol (P = 0.027). CONCLUSION: Suppression of the systemic inflammatory response to CPB is a double-edged sword and whether this suppression aids in the attenuation of morbidity and mortality is obscure. In this respect, ascorbic acid and α-tocopherol seem to display some anti-inflammatory effect, but further studies are necessary to reveal the actual therapeutic potential and the complex mechanism related to biochemical and inflammatory parameters.
  Journal of Cardiovascular Medicine 08/2012; · 1.51 Impact Factor
• Article: Femorofemoral bypass in addition to femoropopliteal bypass.

  Orhan Gokalp, Ismail Yurekli, Serkan Gur, Mehmet Bademci, Barcin Ozcem, Ali Gurbuz
  Annals of Vascular Surgery 08/2012; 26(6):885. · 1.03 Impact Factor
• Article: Thrombolytic treatment of pulmonary embolism via catheter.

  Orhan Gokalp, Mert Kestelli, Yuksel Besir, Ufuk Yetkin, Mehmet Bademci, Ali Gurbuz
  Annals of Vascular Surgery 04/2012; 26(3):446. · 1.03 Impact Factor
• Article: Surgical treatment of a giant external-iliac-vein aneurysm in a patient with a post-traumatic femoral arteriovenous fistula.

  Omer Tetik, Kazim Ergunes, Ismail Yurekli, Orhan Gokalp, Mehmet Bademci, Ovunc Aslan, Ali Gurbuz
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  ABSTRACT: Iliac vein aneurysm is a rare vascular abnormality. It has been reported as a primary aneurysm of unknown cause, or, when a cause could be identified, as a secondary iliac vein aneurysm. Occasionally, iliac vein aneurysm develops in association with distal arteriovenous fistula. Although venous aneurysms occur most commonly in the neck and central thoracic veins, they also have been reported in the visceral veins and the extremities.Herein, we present the case of a 34-year-old man in whom a giant external-iliac-vein aneurysm was incidentally found during the investigation of a post-traumatic femoral arteriovenous fistula. The aneurysm was surgically resected, the iliac vein was reconstructed by means of lateral venorrhaphy, and the patient had an uneventful, complete recovery. We discuss the origin of the aneurysm and our choice of surgical techniques.
  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital 01/2011; 38(2):187-90. · 0.65 Impact Factor
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  Available from: Mert Kestelli

  Article: Delayed sternal closure: an effective procedure for life-saving in open-heart surgery.

  Haydar Yasa, Banu Lafçi, Levent Yilik, Mehmet Bademci, Aykut Sahin, Mert Kestelli, Murat Yeşil, Ali Gürbüz
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  ABSTRACT: To determine the incidence, short term survival and safety of delayed sternal closure following open-heart operation due to myocardial edema, non-surgical bleeding and malignant arrhythmia. We retrospectively reviewed our medical records to identify the patients who underwent delayed sternal closure following open-heart operation and recorded morbidity, mortality postoperative complications of these patients. Among 2698 patients who underwent on- pump cardiac surgery, the sternum was left open in 46 (1.7%) patients, 31 men and 15 women, ranging in age from 2 to 73 years (mean 57.0+/-7.6 years). In 39 patients sternum was left opened following the initial operation and in 7 patients sternum was re-opened due to bleeding or hemodynamic instability after initial surgery. Statistical analysis was accomplished using Chi-square test, Mann Whitney U test and analysis of variances for repeated measurements. The operative procedures were classified as elective in 24 (52.8%), emergency in 10 (22%), urgent in 7 (15.4%), and redo cardiac operations in 5 patients (11%). Bleeding (n=21), hemodynamic instability (n=16), arrest (n=5), and arrhythmia (n=4) were the reasons of delayed sternal closure. The patients had an open sternum for 3.48+/-0.35 days. Time to discharge was 21.5+/-1.6 days after operation and 17.6+/-1.6 days after sternal closure. Mortality within 30 days was 23.9% (7 patients died before closure and the remaining 4 after closure). Complications were mediastinitis (n=2), minor wound infection (n=3) and renal failure (n=5). Delayed sternal closure is a safe and simple method for treating bleeding, arrhythmia and myocardial edema following on pump cardiac surgery. It is anticipated that as cardiac surgeons become more familiar with the technique of delayed sternal closure, the frequency of its use following on pump cardiac surgery may increase.
  Anadolu kardiyoloji dergisi: AKD = the Anatolian journal of cardiology 04/2010; 10(2):163-7. · 0.44 Impact Factor
• Article: [The myxoma's artery].

  Mert Kestelli, Ismail Yürekli, Ahmet Ozelçi, Sahin Bozok, Orhan Gökalp, Engin Tulukoğlu, Mehmet Bademci, Ali Gürbüz
  Anadolu kardiyoloji dergisi: AKD = the Anatolian journal of cardiology 10/2009; 9(5):432. · 0.44 Impact Factor