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March 2013 - present
Publications
Publications (90)
Değerli meslektaşlarım;
Yeni bir kitap ile daha karşınızdayız. EKG ile ilgili yaklaşık 500 açıklamalı sorudan oluşan bir eser hazırladık. Bu eserin Kardiyoloji, Kalp ve Damar cerrahisi, İç Hastalıkları, Acil Tıp, Yoğun Bakım profesyonelleri için faydalı olacağını umuyorum. EKG ile ilgili vaka soruları veya teorik bilgi içeren kitaplar mevcuttur. A...
between patients with peripheral artery disease (PAD) and healthy individuals and investigate whether there is a relationship between low-grade inflammation and PAD. Patients and methods: This case-control study was conducted with 162 individuals (107 males, 55 females; mean age: 52.5±13.7 years; range, 24 to 87) between January 2023 to January 202...
Amlodipine is a dihydropyridine calcium channel blocker that acts on intravascular L-type calcium channels. It is most effective on vascular smooth muscle cells and has little effect on cardiac tissue. Its most common use is hypertension, angina, arrhythmias, subarachnoid hemorrhage, migraine, and Raynaud's disease. Amlodipine is preferred because...
Splenic artery aneurysm (SpAA) is the most common among visceral artery aneurysms and accounts for approximately 60% of visceral artery aneurysms. Generally, 80% of cases with SpAA are asymptomatic. The most common symptoms are abdominal pain, nausea and intra-abdominal bleeding due to aneurysm rupture, hypotension and hemorrhagic shock. The most s...
Prosthetic vascular grafts (PVG) are artificial vascular materials used for revascularization in the treatment of vascular diseases. Due to increase in life expectancy, the number of individuals requiring PVGs is increasing and encountering the PVGI is also more frequent. We presented an interesting case operated because of infected graft in which...
Splenic artery aneurysm (SpAA) is the most common among visceral artery aneurysms and accounts for approximately 60% of visceral artery aneurysms. Generally, 80% of cases with SpAA are asymptomatic. The most common symptoms are abdominal pain, nausea and intra-abdominal bleeding due to aneurysm rupture, hypotension and hemorrhagic shock. The most s...
In this article, we would like to highlight
an interesting patient and draw attention to an
important issue. Edema in the lower extremities
is a common clinical condition. As it is known,
there are three types of leg edema. Venous edema,
lymphedema and lipoedema. Venous edema
consists of an extremely low-viscosity, protein-poor
interstitial fluid r...
Değerli Meslektaşlarım,
‘’Cardiac Surgical Complications Strategic Analysis and Clinical Review’’ adlı kitabı muhteşem bir ekip ve kararlı bir çalışma sonucunda Türk Tıp Literatürüne ve özelde de Türk Kalp ve Damar Cerrahisi Topluluğu’na kazandırmanın haklı gururunu yaşıyoruz. Bu kitap, Kalp ve Damar Cerrahisi pratiğinde karşılaşılabilecek potansiy...
With great interest I read the paper by Sakaue et al 1 published in a recent issue of JACC: Basic to Trans-lational Science. I would like to draw attention to this important issue in cardiovascular surgery. I would like to talk about low-grade inflammation (LGI), which seems to be linked to bioprosthetic valve deterioration, a major issue in cardia...
Subclavian artery aneurysm (SAA) is a rare condition seen in less than 1% of peripheral artery aneurysms. It is usually asymptomatic. However, it may become symptomatic as a result of pressure on the surrounding organs due to the progressive growth of the aneurysm. The standard treatment for SAA is surgery. In this article, we wanted to present a 6...
Median arcuate ligament syndrome is a rare condition that is usually recognized late. Chronic postprandial abdominal pain, weight loss, loss of appetite, nausea, and diarrhea are usual symptoms due to the median arcuate ligament's mechanical compression on the celiac trunk and celiac plexus. The gold standard in treatment is to eliminate the mechan...
Budak ve arkadaşlarının yazısını ilgiyle okuduk. (1) “Atriyal Kitleyi Taklit Eden Spontan İntramural Sol Atriyal Hematomların Robot Yardımlı Yönetimi” başlıklı yazı derginin 1/2023 sayısında yayınlandı. Bu yazı için yazarları tebrik ederim.
1577 questions about heart surgery.
Myocardial protection
Cardiopulmonary bypass
Coronary artery disease and surgery
Aortic valve disease
Mitral valve disease
Tricuspid valve disease
Infective endocarditis
Adult congeintal heart disease
Hypertrophic cardiomyopathy
Heart failure and treatment
Heart tumors
Pericardial disease
Coronavirus pandemic is a viral infection that affects the world and has high mortality and infectiousness. The most common symptoms of this infection are fever, cough and shortness of breath. In addition, there may be atypical symptoms such as muscle pain and weakness. COVID-19 should also be considered in cases with other systemic manifestations...
Congenital diaphragmatic hernia (CDH) is a developmental closure defect characterized by the absence of diaphragm integrity or aperture in the diaphragm causing the abdominal organs to herniate from this opening. This pathological condition is also associated with severe pulmonary hypoplasia and pulmonary hypertension. 1 CDH is most commonly locate...
Renal artery occlusion and infarction following aortobifemoral bypass is extremely rare complication and its diagnosis is challenging. Early diagnosis and treatment of this pathology is critical. Herein, we present a 49-year-old male case who was operated for peripheral artery disease and in whom subtotal renal infarction developed in the postopera...
Objectives: This study aims to investigate the retinal vessel caliber, choroidal thickness, and ocular perfusion pressure in patients with low cardiac output. Patients and methods: Between June 2014 and June 2015, a total of 44 patients (34 males, 10 females; mean age 59.3±12.4 years) with low ejection fraction due to dilated cardiomyopathy and 44...
Citation: Alur İ. Seeking solutions for arteriovenous fistula formation for hemodialysis. Turk J Vasc Surg 2019;28(1):61-62.
Renal artery occlusion and infarction following aortobifemoral bypass is extremely rare complication and its diagnosis is challenging. Early diagnosis and treatment of this pathology is critical. Herein, we present a 49-year-old male case who was operated for peripheral artery disease and in whom subtotal renal infarction developed in the postopera...
Acute acalculous cholecystitis is a very rare complication of gastrointestinal system that can be seen after coronary artery bypass surgery. Early recognition of this clinical-pathological condition and initiation of treatment are very important and vital to prevent serious complications. In this article, we present a 67-year-old male patient of ac...
An incidental intrahepatic portal vein aneurysm
Aberrant right subclavian artery (ARSA) is the
most frequent abnormality of the arch which accounts
for 1% of the population.[1] In this abnormality, the
right subclavian artery leaves the left part of the
aortic arch as the final branch and progresses into
the right axillary region through the posterior aspect
of the esophagus (i.e., from left to...
We read the case report by Gajjar et al.[1] with a
great interest. We, firstly, congratulate the authors and
thank them for sharing their rare case and experiences
with us. Nonetheless, we would like to make some
contributions to this issue.
Popliteal artery aneurysms comprise about 70-80% of all peripheral artery aneurysms. Symptoms range from intermittent claudication due to tibioperoneal trunk and anterior tiabial ar- tery embolization to critical limb ischemia. In this case study, our patient presented with left lower limb claudication and blue toe syndrome (purple toe syndrome). A...
The common carotid artery typically does not have any branches in the neck before it bifurcates into the external and internal carotid arteries. Anomalies of the common carotid artery are rare and are usually incidental findings in postmortem anatomical dissection. One of these anomalies is the superior thyroid artery (STA), which occasionally orig...
Having read the interesting case report by Banerjee and
Patra1 in the August 2016 issue of the Journal, we wish
to contribute to their discussion on coronary–cameral
fistulas (CCFs).
Acquired CCFs may be iatrogenic or post-traumatic.
For a CCF to be classified as acquired, it must not
have been present at birth, it must not have been seen
on prior...
Z Pulmoner arter anevrizmaları Marfan sendromu, Ehler-Danlos sendromu veya kollajen doku hastalıkları ile birlikte görülebilen, nadir patolojilerdir. Bu anevrizmalar pulmoner arteriyel hipertansiyon, tüberküloz, sifiliz, kandida, mukormikozis gibi enfeksiyonlar, Behçet hastalığı, dev hücreli arterit gibi vaskülitler veya travma sonrası vaskülit gib...
ABSTRACT
Background: This study aims to present the results of surgical
treatment of intracardiac tumors in our cardiac surgery center.
Methods: Data of 21 patients with intracardiac tumors
(15 males, 6 females; median age 60.9 years; range
35 to 87 years) who underwent surgery between April
2006 and May 2015 were retrospectively analyzed. The
pati...
A calcified left ventricular aneurysm (CLVA) is a rare, serious complication of acute myocardial infarction. It can lead to angina pectoris, thromboembolism of ventricular origin, ventricular arrhythmia, ventricular pseudoaneurysm or rupture, progressively enlarging aneurysms, congestive heart failure, and death. Treatment is surgical for symptomat...
Recent researches have demonstrated improved survival in oncologic patients treated with low molecular weight heparins (LMWHs) which are anticoagulant drugs. We evaluated "second generation" LMWH bemiparin and its in vitro anti-tumor effects on HepG2 hepatocellular carcinoma and Mia Paca-2 cancer cells. The aim of the study is to investigate anti-c...
Objective: In this study, we investigated whether there was any difference between the
extremity that was used for harvesting saphenous vein and the contralateral one with regard to fre-
quency of venous thrombosis (VT) and the risk factors in patients who underwent coronary artery
bypass graft (CABG) procedure. Material and Methods: This prospecti...
A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : In this study, we investigated whether there was any difference between the extremity that was used for harvesting saphenous vein and the contralateral one with regard to frequency of venous thrombosis (VT) and the risk factors in patients who underwent coronary artery bypass graft (CABG) proc...
94 emodialysis-dependent chronic renal failure patients (CRF) require a venous-arterial access path with an adequate flow (at least 300 ml/minute). The access path is the double lumen dialysis catheter or arteriovenous fistula (AVF), and because of the ease of access to dialysis and suitability for constant use in hemodialysis-dependent CRF patient...
We have read the original article 'Evaluation of the Variations in the Aortic Arch and its Branches by Multi-sectional Computed Tomography' by Boyacı at al. [1] in your journal published in the January 2015 with interest. We congratulate the authors for this article. As known, as a standard left aortic arch and descending thoracic aorta is observed...
We have read the original article 'Evaluation of the Variations in the Aortic Arch and its Branches by Multi-sectional Computed Tomography' by Boyacı at al. [1] in your journal published in the January 2015 with interest. We congratulate the authors for this article. As known, as a standard left aortic arch and descending thoracic aorta is observed...
An assessment of the clinical significance of aortic arc variations
Dislodgment of a stent during or after percutaneous
coronary intervention (PCI) is a rare complication
with an incidence ranging from 0.32 to 8%.[1,2] The
main risk factors for stent dislodgment include extreme
coronary angulations and tortuosity, diffuse long
lesions, and highly calcified coronary arteries.[1,2]
Also, direct stent deployment and t...
Biküspit aort kapak ve asendan aort anevrizmalı olgularda matriks metalloproteinaz gen polimorfizminin literatür eşliğinde değerlendirilmesi Literature-based evaluation of matrix metalloproteinase gene polymorphisms in patients with the bicuspid aortic valve and ascending aortic aneurysm patients Özet Biküspit aort kapak (BAK) en sık konjenital kal...
Background: Endovenous laser ablation (EVLA) is a treatment option for lower extremity varicose veins. In the present study, we investigate to the genetic changes and possibility of living tissue in the saphenous vein wall after the EVLA procedure. Methods: Eleven saphenous vein grafts were randomized in two groups: (1) 4 cm SVG segments of perform...
Background:
Endovenous laser ablation (EVLA) is a treatment option for lower extremity varicose veins. In the present study, we investigate to the genetic changes and possibility of living tissue in the saphenous vein wall after the EVLA procedure.
Methods:
Eleven saphenous vein grafts were randomized in two groups: (1) 4 cm SVG segments of perf...
There has been little investigation of videos related to varicose veins in Internet media. This study aimed to investigate the characteristics and scientific accuracy of the videos related to varicose veins which were uploaded to the youtube.com website.
The YouTube site was searched in October 2014 using the keywords varicose vein, varicose veins,...
Transcatheter aortic valve implantation is preferred to treat high surgical risk patients with severe aort stenosis. Wrapping of a pig tail catheter with device struts during transcatheter aortic valve implantation is a very rare complication. In this report, we present the images and videos of an attempt of retrieval of an aortic valve wrapped wit...
Pop li te al ar tery ane urysms com pri se abo ut 70-80% of all pe rip he ral ar tery ane urysms.
Symptoms ran ge from in ter mit tent cla u di ca ti on du e to ti bi o pe ro ne al trunk and an te ri or ti a bi al artery
em bo li za ti on to cri ti cal limb isc he mi a. In this ca se study, our pa ti ent pre sen ted with left lo wer
limb cla u di c...
The Kalangos Biodegradable Tricuspid Ring (Kalangos Biodegradable Tricuspid Ring®, Bioring SA, Lonay, Switzerland) is a biodegradable prothesis in the treatment of functional tricuspid regurgitation (FTR). In this study, we aimed to determine the clinical and echocardiographic results of this prosthesis for moderate and severe FTR treatment and com...
Behcet Disease (BD) is a chronic systemic inflammatory disorder characterized by recurrent oral and genital ulcerations, üveitis and skin lesions. Vascular system involvement is common in Behcet disease. Aneurysm formation appears to be more common than arterial occlusion. Extracranial carotid aneurysms in Behcet Disease are extremely rare. In this...
The most common type of tumor occupying the inferior vena cava and extending to the right atrial cavity is renal cell carcinoma. Herein,
we report a 54-year-old male patient with renal cell carcinoma with a tumor extending into the inferior vena cava and right atrium
along with coronary artery disease. The patient successfully underwent simultaneou...
zet Abstract Koroner arter hastalığının tanısında konvansiyonel koroner anjiografi altın standart olarak kabul edilmektedir. Ancak tanısal veya girişimsel amaçlı koroner anjiografi sırasında serebrovasküler olay gerçekleşebilir. Bu durum hastaya ait risklere veya işlemin invaziv olmasına bağlıdır. Hastada yaygın aterosklerotik damar hastalığı, kals...
Thymoma is the most common anterior mediastinal
primary tumor in adults. It is rarely localized and it rarely
metastasizes outside mediastinum. Some of patients are
asymptomatic at the time of diagnosis. It may present with
regional symptoms such as dyspnea due to compression,
sore throat, cough, and hoarseness of voice, or systemic
symptoms such a...
In the cases of coronary artery disease (CAD) concomitant with carotid artery stenosis (CAS), what to manage first is still a controversial subject. Patients with CAS who will undergo coronary artery bypass grafting are considered to be under a high risk of cerebrovascular accidents. On the other hand, patients with CAD who will undergo surgery for...
Thymoma is the most common anterior mediastinal primary tumor in adults. It is rarely localized and it rarely metastasizes outside mediastinum. Some of patients are asymptomatic at the time of diagnosis. It may present with regional symptoms such as dyspnea due to compression, sore throat, cough, and hoarseness of voice, or systemic symptoms such a...
We read the case report of Hakan Güllü et al. entitled 'Aortic Root Rupture During Trans-catheter Aortic Valve Replacement Operation: " Case Report " , which was published in January 2015 with interest. We congratulate the authors (1). Aortic root rupture (ARR) is a severe complication of Trans-catheter Aortic Valve Replacement (TAVR) or Trans-cath...
Jugular vein aneurysm (JVA) is described as a fusiform
or saccular dilatation of the jugular vein without
torsion in the jugular vein wall.[1] The etiology of JVA
is unclear, however some predisposing factors have
been suggested such as congenital agenesis of the
muscular layer of the vein wall, external compression
of the jugular vein by the cupol...
Introduction: Right atrial thrombus carries a potential risk for pulmonary embolism; 3%-23% of patients with acute pulmonary embolism have mobile thrombus, and treatment should be started immediately once a diagnosis is made. In patients with acute pulmonary embolism, medical and surgical methods of treatment can be applied.
Aim:
The retina and ocular vasculature are vulnerable to alterations in systemic hemodynamics, such as in open heart surgeries. Our aim was to investigate retinal vascular caliber (RVC), ocular pulse amplitude (OPA), peripapillary retinal nerve fiber layer (RNFL) and macular thickness in coronary artery bypass grafting (CABG) surgery patients.
Me...
Choroid, which is the vascular tissue responsible for blood supply to the outer parts of the retina, might be affected by hemodynamic events. We aimed to reveal choroidal thickness and ocular pulse amplitude changes after cardiopulmonary bypass in which gross hemodynamic alterations occur.
Forty-two eyes of 42 patients who underwent heart surgery w...
Primary tumors of the heart are rare. Approximately 75 % of primary tumors are benign and 50 % of benign tumors are myxomas. Although traditionally less frequently reported, papillary fibroelastoma is increasingly recognized [1]. Other benign tumors of the heart include rhabdomyomas, fibromas, fibroelastomas, and lipomas. Lipomas are well-encapsula...
The aim of this study is to evaluate heart rate recovery and association between coronary flow rate and heart rate recovery in patients with metabolic syndrome who had morphologically normal coronary angiogram.
Study population included 43 patients with metabolic syndrome and 37 control subjects without metabolic syndrome. All patients were selecte...
Perikardiyal mezotelyal inklüzyon kistleri, aberran yer-leşimli olan ve çölomik boşluktan köken alan genellikle benign toraks içi lezyonlardır. Asemptomatik olmalarına karşın, büyük boyutlara ulaşıp komşu yapıları enfekte edebilir veya bu yapılara bası yapabilir. Tanı sıklıkla göğüs röntgeni ile tesadüfen konur. Bu yazıda, nefes darlığı ve bacaklar...
It is known that there is an interaction between oral contraceptive pills and the cardiovascular-hemostatic system. In this case report, we discuss a 29-year-old female patient, who had been taking oral contraceptive drugs, who was admitted to the emergency department with chest pain. Acute anterior myocardial infarction was diagnosed.
Objectives:
This study investigated the appropriateness of treatment for patients admitted with ST-segment elevation myocardial infarction (STEMI) according to the current guidelines. We also aimed to determine in-patient and out-patient factors affecting optimal reperfusion therapy.
Study design:
The reperfusion therapy of 176 patients with STE...
Objectives: This study investigated the appropriateness of treatment for patients admitted with ST-segment elevation myocardial infarction (STEMI) according to the current guidelines. We also aimed to determine in-patient and out-patient factors affecting optimal re perfusion therapy. Study design: The reperfusion therapy of 176 patients with STEMI...
zet Torasik aorta hastalıkları mortalite ve morbiditesi yüksek olan gruptur. Semptomların başlangıcından itibaren hızlı tanı ve erken müdahale gerektirir. Bu olgu sunumunda TEVAR uyguladığımız kronik böbrek yetersizliği nedeniyle hemodiyaliz uygulanan, antihipertansif tedavi alan ve acil servise şiddetli sırt ağrısıyla başvuran Tip B aort diseksiyo...