Sabit Sarikaya

Istanbul Training and Research Hospital, İstanbul, Istanbul, Turkey

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Publications (16)8.74 Total impact

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    ABSTRACT: Recently, coronary artery stenting has been successful when used as an intervention for percutaneous coronary artery disease. However, the procedure may frequently produce complications. Although rare, stent dislodgement is one such complication, which may result in serious problems including coronary artery dissection, myocardial infarction, peripheral embolisation and death. Stent dislodgement is known to be an early complication of the coronary artery stenting procedure. In this case report, we present a 53-year-old male with late coronary stent dislodgement. To the best of our knowledge, no such case has been addressed in the literature to date.
    03/2015; 26(1):e4-7. DOI:10.5830/CVJA-2014-073
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    ABSTRACT: We sought to determine whether hypothermia provided any benefit in patients undergoing simultaneous coronary artery bypass graft surgery (CABG) and carotid endarterectomy (CEA) using one of two different surgical strategies. Group 1 patients (n = 34, 88.2% male, mean age 65.94 ± 6.67 years) underwent CEA under moderate hypothermia before cross clamping the aorta, whereas group 2 patients (n = 23, 69.6% male, mean age 65.78 ± 9.29 years) underwent CEA under normothermic conditions before initiating cardiopulmonary bypass (CPB). Primary outcome of interest was the occurrence of any new neurological event. The two groups were similar in terms of baseline characteristics. Permanent impairment occurred in one patient (2.9%) in group 1. One patient from each group (2.9 and 4.37%) had transient neurological events and they recovered completely on the sixth and 11th postoperative days, respectively. Overall, there was no statistically significant difference between the two groups with regard to occurrence of early neurological outcomes (n = 2, 5.8 % vs n = 1, 4.3 %, p = 0.12). This study could not provide evidence regarding benefit of hypothermia in simultaneous operations for carotid and coronary artery disease because of the low occurrence rate of adverse outcomes. The single-stage operation is safe and completion of the CEA before CPB may be considered when short duration of CPB is required.
    Cardiovascular journal of Africa 01/2015; 26(1):1-4. DOI:10.5830/CVJA-2014-056 · 0.79 Impact Factor
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    ABSTRACT: In the last decade, the number of elderly patients suffering from aortic valve disease has significantly increased. This study aimed to identify possible factors that could affect surgical and long-term outcomes in the light of a literature review regarding the management of aortic valve disease in the elderly. Between January 1990 and December 2012, a total of 114 patients (64 males, 50 females; mean age 76.6 ± 3.6 years; range 70-87 years) with aortic valve replacement (AVR) alone, or combined with coronary artery bypass grafting (CABG) or mitral surgery in our hospital, were retrospectively analysed. In-hospital mortality was seen in 19 patients. The major causes of in-hospital mortality were low-cardiac output syndrome in eight patients (42.1%), respiratory insufficiency or infection in six (31.5%), multi-organ failure in four (21%), and stroke in one patient (5.2%). The main postoperative complications included arrhythmia in 26 patients (22.8%), renal failure in 11 (9.6%), respiratory infection in nine (7.9%), and stroke in three patients (2.6%). The mean length of intensive care unit and hospital stays were 6.4 ± 4.3 and 18 ± 12.8 days, respectively. During follow up, late mortality was seen in 28 patients (29.4%). Possible risk factors for long-term mortality were type of prosthesis, EuroSCORE ≥ 15, postoperative pacemaker implantation, respiratory infection, and haemodialysis. Among 65 long-term survivors, their activity level was good in 53 (81.5%) and poor in two. Our study results demonstrated that an individually tailored approach including scheduled surgery increases short- and long-term outcomes of AVR in patients aged ≥ 70 years. In addition, shorter cardiopulmonary bypass time may be more beneficial in this high-risk patient population.
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    ABSTRACT: Renal transplantation is successfully implemented in patients undergoing coronary bypass surgery. We performed concomitant coronary bypass surgery and renal transplantation in a patient found to have a left main coronary artery lesion after coronary angiography, which was performed in our clinic during preoperative evaluation of renal transplantation. We suggest the application of coronary-artery bypass grafting (CABG) or stent implantation 2 months after renal transplantation in asymptomatic patients with coronary artery disease. But, if severe coronary artery disease is detected in symptomatic patients, we suggest the concurrent application CABG and renal transplantation.
    The Heart Surgery Forum 06/2014; 17(3):E180-1. DOI:10.1532/HSF98.2014330 · 0.56 Impact Factor
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    ABSTRACT: There is controversy over the best approach for patients with concomitant carotid and coronary artery disease. In this study, we report on our experience with simultaneous carotid endarterectomy (CEA) and coronary artery bypass graft (CABG) surgery in our clinic in the light of data in the literature.
    Cardiovascular journal of Africa 05/2014; 25(3):130-133. DOI:10.5830/CVJA-2014-018 · 0.79 Impact Factor
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    ABSTRACT: Drug-eluting stents have emerged as a solution to the problem of restenosis after bare-metal stent implantation, as an alternative to off-pump coronary bypass, for isolated left anterior descending coronary artery lesions at short-term follow-up. However, long-term follow-up is yet to be defined. From January to December 2004, 64 consecutive patients underwent myocardial revascularization: 31 by drug-eluting stents and 33 by off-pump coronary bypass. The primary endpoint was angiographic outcome, and the secondary endpoint was clinical outcome at 5 years. There was no early or late mortality in either group. Hospital stay was significantly shorter in the stent group (2.5 ± 2.1 vs. 7.1 ± 4.9 days, p = 0.003). Long-term patency was higher and major adverse cardiac events (recurrence of angina and revascularization of target vessel) were encountered less frequently in the coronary bypass group, although not significantly. The 5-year follow-up showed no significant difference between the off-pump coronary bypass and stent groups for the primary and secondary endpoints. As a significant difference between treatment options is lacking, decision-making for appropriate treatment in this group of patients requires the collaboration of cardiologists and cardiovascular surgeons and an individual approach, to achieve successful long-term outcomes.
    Asian cardiovascular & thoracic annals 10/2013; 21(5):528-32. DOI:10.1177/0218492312461262
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    ABSTRACT: OBJECTIVES: Different surgical strategies have been evolved for the surgical treatment of ruptured sinus of Valsalva aneurysm (RSVA) from simple primary closure to patching of the rupture site by a dual chamber approach. We reviewed our 25-year experience and current literature regarding the efficacy of different surgical approaches. METHODS: A retrospective review identified 55 patients who underwent RSVA repair between 1985 and 2011. The mean age was 30.9 ± 12.1 years. The RSVA originated from the right coronary sinus in 43 patients (78.2%), from the non-coronary sinus in 11 (20.0%) and from the left in 1. Rupture into the right ventricle was the most common result (n = 38). Dual-chamber exposure (the involved chamber and aorta) was used in 67.3% of the patients and isolated trans-aortic approach was used in 32.7%. RSVA was repaired with either a patch (n = 43) or direct sutures (n = 12), whereas the aortic valve was replaced in eight patients among the last group. RESULTS: The hospital mortality rate was 3.6%. The follow-up was available in 94.3% (50 patients) of survivors ranging from 1 month to 25 years (mean 15.3 ± 4.1 years). There were five late deaths. Recurrence of the fistula was seen in two primarily repaired (two of four patients) and none of the patched-closed patients. Actual survival was 93.4 ± 3.7% at 10 years and 87.1 ± 5.6% at 15 years. Freedom from reoperations was 81.6 ± 6.1% at 15 years. CONCLUSIONS: Surgical treatment for RSVA carries an acceptably low operative risk and long-term freedom from death and reoperation. Surgical approach must be chosen according to the ruptured chamber and associated lesions. Patch repair of RSVA must be preferred.
    European journal of cardio-thoracic surgery: official journal of the European Association for Cardio-thoracic Surgery 08/2012; 43(3). DOI:10.1093/ejcts/ezs450 · 2.81 Impact Factor
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    ABSTRACT: We compared results for repairs of rheumatic pure mitral regurgitation (MR) and mixed mitral stenosis (MS) and MR during early and midterm time intervals. We retrospectively analyzed 173 patients (mean age 47.6 +/- 15.1 years; 64 males) who underwent surgery for rheumatic heart disease during the period from January 1998 to June 2008. According to transvalvular mitral gradient, 91 patients had pure MR (group MR) and 82 (47%) had mixed MS-MR (group MS/MR). Preoperative and operative characteristics, postoperative MR severity, operative mortality, and early and midterm survival were examined for each surgical group. Preoperativley 153 patients (90.7%) were in New York Heart Association class III or IV. The most frequent pathology was leaflet prolapse (147 patients, 85.0%) and the most commonly performed procedure was annuloplasty (162 patients, 93.6%). Early mortality was similar for both groups (3.2% versus 1.2%; P = .621). The average duration of follow-up was 4.0 +/- 2.4 years (a total of 679.1 patient years). Logistic regression analysis results indicated that subvalvular repairs were related to mortality. There were no significant differences in early mortality rate, valve-related morbidity, or reoperations. Group MS/MR had more postoperative MR severity, and higher New York Heart Association class, but both groups had similar mortality and morbidity at the midterm survival point. Our results suggest that combined MS and MR repair can be performed as safely as pure MR.
    Heart Surgery Forum 04/2010; 13(2):E86-90. DOI:10.1532/HSF98.20091109
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    ABSTRACT: We report on the surgical treatment of a patient in whom hydatid cysts inside the right pulmonary artery and multiple right lung involvement were detected. Since the right pneumonectomy carried a high risk of cyst rupture, and migration of the cysts to the opposite lung during ligation of the pulmonary artery, a two-stage surgical approach was scheduled. Hydatid cysts located at the proximal pulmonary artery were removed by performing a longitudinal arteriotomy along the pulmonary artery to the bifurcation. Subsequently, a right pneumonectomy was performed on a safe right pulmonary artery in a different session.
    Annals of thoracic and cardiovascular surgery: official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia 11/2006; 12(5):349-51. · 0.69 Impact Factor
  • Anadolu kardiyoloji dergisi: AKD = the Anatolian journal of cardiology 04/2005; 5(1):59-61. · 0.76 Impact Factor
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    ABSTRACT: Patients who require coronary artery bypass grafting and who also have vascular disease or lung malignancy constitute a high-risk group, and their management remains controversial. Combining off-pump coronary surgery (OPCAB) with peripheral artery revascularization or lung resection is an attractive proposition, as it avoids the risks associated with cardiopulmonary bypass. This paper presents the results of 26 such combined procedures consisting of simultaneous OPCAB and peripheral revascularization or lung resection, between April 2001 and March 2003. Twenty underwent concomitant carotid endarterectomy and OPCAB, four underwent aortobifemoral bypass and OPCAB, and two underwent pneumonectomy and OPCAB. There was no in-hospital mortality. Prolonged ventilatory support was necessary in one patient who had a lung resection. The median postoperative length of stay in the Intensive Care Unit was 1.3 days (range 1 to 6) and the median length of hospital stay was 5.7 days (range 4 to 16 days). Off-pump coronary surgery clearly has a place for patients with peripheral vascular disease or pulmonary malignancy who additionally require myocardial revascularization.
    Middle East journal of anaesthesiology 11/2004; 17(6):1069-77.
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    ABSTRACT: We describe a case of adult coarctation of the aorta, which presented unusually as a poststenotic fusiform aneurysm in a 48-year-old female. She was normotensive and had a history of back pain and palpitations. Under partial cardiopulmonary bypass, the stenosis and the aneurysm were resected and replaced with a Dacron tube graft.
    Cardiovascular Pathology 01/2004; 13(1):54-5. DOI:10.1016/S1054-8807(03)00094-2 · 2.34 Impact Factor
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    Cengiz Köksal, Sabit Sarikaya, Mustafa Zengin
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    ABSTRACT: Descending thoracic aorta-to-femoral artery bypass grafting is considered a good alternative procedure for revascularization in cases of aortic graft failure, graft infection, and other intraabdominal pathologies not amenable to standard aortofemoral revascularization. Its use as the primary mode of treatment in selected cases is still under investigation. From January 1998 to June 2001, 5 patients underwent descending thoracic aorta-to-femoral artery bypass grafting as primary treatment for juxtarenal aortic occlusion. There was no operative mortality nor major morbidity; a groin incision infection occurred in one case. The mean hospital stay was 8.2 days and intensive care unit stay was 2.6 days. Graft failure was not encountered in the short-term follow-up. In spite of the small number of patients, it was concluded that thoracic aortofemoral bypass offers excellent inflow and reliable patency and may be considered for primary revascularization in cases of juxtarenal aortic occlusion.
    Asian cardiovascular & thoracic annals 07/2002; 10(2):141-4. DOI:10.1177/021849230201000211
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    ABSTRACT: Concomittant severe coronary artery disease and lung malignancies occur rarely. Combined conventional coronary artery bypass grafting (CABG) with the use of cardiopulmonary bypass (CPB) with lung resection posses several perioperative and postoperative problems related to extracorporeal circulation and heparinization. The avoidance of CPB may be advantageous by decreasing blood loss, pulmonary complications and hospital stay. Further, exposure to the immunosuppressive and inflammatory effects of CPB may have deleterious impact on tumor growth and dissemination. Off-pump CABG makes the combined procedure safer as it abolishes the complications of CPB. We report two patients with the diagnosis of severe coronary artery disease and lung malignancies, underwent off-pump CABG and lung resections in the same surgical setting.
    Acta medica (Hradec Králové) / Universitas Carolina, Facultas Medica Hradec Králové 02/2002; 45(3):119-21.
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    Cengiz KÖKSAL, Sabit SARIKAYA, Vural ÖZCAN
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    ABSTRACT: Background and Design.- Whether the clinical outcomes of off-pump coronary artery bypass grafting surgery is superior to on-pump coronary arter surgery is still a matter of debate. The aim of this clinical prospective study was to compare the early-term results of off-pump and on-pump techniques for myocardial revascularization. Between 2001 and 2003, 100 patients who needed myocardial revascularization was scheduled to be operated with either conventional technique (n: 50) or off-pump technique (n: 50). In the postoperative period, both groups were compared in terms of blood urea, creatinine, SGOT, SGPT levels, need for (+) inotrop agents, ventilation time, amount of blood and blood products transfusion, hospital and intensive care unit stay and amount of drainage. Results.- Statistically significant difference was found between the two groups, favoring off-pump coronary revascularization, with respect to intensive care unit stay, ventilation time, need for (+) inotropic agents, and hepatic enzyme (SGOT, SGPT) levels in the postoperative early period. Conclusion.- Off-pump coronary revascularization offers important clinical advantages in the early postoperative period compared to conventional technique. However, long-term follow-up is required to assess the future effectiveness of off-pump technique. Köksal C, Çörtelekoğlu T. A, Altan H. S, Sarikaya S, Özcan V, Zengin M. Comparison of early-term results of on- pump and off-pump technique for coronary revascularization. Cerrahpaşa J Med 2005; 36: 7-11.

Publication Stats

24 Citations
8.74 Total Impact Points

Institutions

  • 2014–2015
    • Istanbul Training and Research Hospital
      İstanbul, Istanbul, Turkey
  • 2012–2015
    • Koşuyolu Kalp ve Araştırma Hastanesi
      İstanbul, Istanbul, Turkey