Osman Nuri Tuncer

• Medical Doctor at Ege University

Herein, we presented a case of an anomaly in which the left main coronary artery (LMCA) originates from the right pulmonary artery (RPA). A six-year-old female patient presented for a cardiology follow-up due to the mother's history of sudden cardiac death. On transthoracic echocardiography, the right coronary artery (RCA) was dilated, and the LMCA...

Objective: This study aimed to compare the outcomes of HVAD (Heartware Ventricular Assist Device) and HeartMate 3 (HM3) used as a bridge to transplantation in end-stage heart failure. Methods: This retrospective study included 34 patients under 18 years of age who underwent HVAD (n=22; 13 females, 9 males; mean age: 12.7 years) or HM3 (n=12; 8 fema...

Herein, we presented a case of an anomaly in which the left main coronary artery (LMCA) originates from the right pulmonary artery (RPA). A six-year-old female patient presented for a cardiology follow-up due to the mother's history of sudden cardiac death. On transthoracic echocardiography, the right coronary artery (RCA) was dilated, and the LMCA...

Objective: This study aimed to compare the outcomes of HVAD (Heartware Ventricular Assist Device) and HeartMate 3 (HM3) used as a bridge to transplantation in end-stage heart failure. Methods: This retrospective study included 34 patients under 18 years of age who underwent HVAD (n=22; 13 females, 9 males; mean age: 12.7 years) or HM3 (n=12; 8 fema...

The Pulse Index Contour Continuous Cardiac Output (PICCO) module provides advanced and continuous monitoring of cardiac output through the use of arterial pulse contour analysis and transpulmonary thermodilution. The objective of this study was to compare the early postoperative outcomes of patients who were monitored using the conventional method...

Objectives We aim to evaluate our initial experience with the HeartMate 3 (HM3) device (Abbott, USA) for palliating pediatric patients with end−stage heart failure (ESHF). Methods We conducted a retrospective review of clinical data from pediatric patients (aged 7–18 years) who underwent HM3 implantation for ESHF at our institution between 2022 an...

Background Mitral Valve Disease in children presents unique challenges due to the wide range of associated pathologies and the complexities of pediatric cardiac anatomy. Mitral valve repair in this demographic is preferred over replacement due to the drawbacks associated with prosthetic valves in young patients, such as the need for long-term antic...

Calcium channel blockers (CCBs’) and angiotensin receptor blockers (ARBs’) are widely used in clinical practice and are easily available. Intoxication with these drugs results in life-threatening deep vasoplegic shock, making them particularly dangerous, especially for children. Here, we report two patients who ingested amlodipine and irbesartan fo...

Background: This second harvest of the Congenital Heart Surgery Database intended to compare current results with international databases. Methods: This retrospective study examined a total of 4007 congenital heart surgery procedures from 15 centers in the Congenital Heart Surgery Database between January 2018 and January 2023. International diagno...

The coexistence of subclavian steal syndrome and aberrant right subclavian artery is a very rare condition. Herein, we report a case of a 73-year-old male patient with subclavian steal syndrome who underwent carotid-subclavian bypass surgery. A single supraclavicular incision was made and carotid-subclavian bypass operation was performed using a Da...

End-stage Fontan patients with single-ventricle (SV) circulation are often bridged-to-heart transplantation via mechanical circulatory support (MCS). Donor shortage and complexity of the SV physiology demand innovative MCS. In this paper, an out-of-the-box circulation concept, in which the left and right ventricles are switched with each other is i...

Introduction:In a minority of children after cardiovascular surgery may require prolonged mechanical ventilatory support and tracheostomy. We aim to describe indications, timing and, outcomes of the tracheostomy.Methods:A retrospective review of 12 children requiring tracheostomy after cardiac surgery between January 2010-December 2019 was performe...

Mechanical circulatory support (MCS) is used as a bridge-to-heart transplantation for end-stage failing Fontan patients with single-ventricle (SV) circulation. Donor shortage and complexity of the single-ventricle circulation physiology demands novel circulatory support systems and alternative solutions. An out-of-the-box circulation concept in whi...

Background/Aim: The use of extracorporeal life support (ECLS) in children has notably increased over the last two decades, the indications for its use are expanding. According to the Extracorporeal Life Support Organization (ELSO) 2016 report, the rate of pediatric extracorporeal membrane oxygenation (ECMO) runs was 24% among all ECMO patients. A r...

Objectives: A new congenital heart surgery database (CKCV) with real-time online reporting function was recently developed in Turkey. All standard international parameters were used, but Aristotle Comprehensive Complexity score was modified. In this study, the first analysis of the CKCV Database is reported. Methods: The CKCV Database included 2...

Left ventricular assist devices have become an important therapeutic option as a mechanical circulatory support system in the treatment of end-stage heart failure. Organ transplants from brain dead donors on mechanical circulatory support are rare. In the literature, many successful solid-organ transplants have been reported using these donors. How...

Malposition of the extracorporeal membrane oxygenation (ECMO) cannulas is not frequently reported in central cannulation technique: we aimed to present an ECMO cannula malposition in follow-up in a neonate case. The patient was followed up three days on ECMO support with optimum hemodynamics. On the third day swelling occurred in the left face area...

Aim: To investigate whether there is an association between caregivers' coping and children's psychiatric symptoms and quality of life in adolescent heart transplant (HTx) recipients and HTx candidates with left ventricular assist device (LVAD). Methods: Fourteen patients were recruited for this pilot study (HTx (n=8), LVAD (n=6)). Schedule for...

Background: The aim of this study was to investigate the efficiency of tricuspid valve detachment (TVD) during the surgical treatment of perimembranous ventricular septal defects (VSDs) and to compare the early and mid-term results to patients without TVD in terms of tricuspid insufficiency. Methods: A total of 170 patients who had undergone sur...

ABSTRACT Objective: This study presents our single-institute experience regarding the patients who underwent surgical correction via inverted Y-patch repair with the diagnosis of supravalvular aortic stenosis. Method: A total of 16 patients who underwent inverted Y-patch (Doty) repair in our center between 2005 and 2019 were retrospectively analyze...

Although various modalities are currently in use to define pediatric aortic arch hypoplasia (AAH), there is little uniformity among them. We aimed to determine the inter-rater strength of agreement of the nomograms in a survey of patients less than 1 year old, who had undergone coarctation of the aorta (CoA) repair with or without AAH. This retrosp...

Objective: This study aimed to evaluate the early operative outcomes and to compare the left ventricle and mitral valve functions after initial Takeuchi repair in patients with anomalous left coronary arising from pulmonary artery (ALCAPA). Methods: Fourteen patients (5 males, 9 females; mean age 4.3 years, ranging from 25 days to 34 years) who...

Aim: Ebstein anomaly is a rare congenital cardiac disorder that causing by failure of delamination of the tricuspid valve. Various surgical methods have been developed so far as treatment options. Our initial experience and short term follow up reported herein.Materials and Methods: Ten patients underwent surgical treatment with a diagnosis of Ebst...

Aim: Heart transplantation is the gold standard of treatment for patients with medical therapy resistant end-stage heart failure. Particularly in the pediatric age group use of ventricular asist device (VAD) is mandatory, due to donor organ limitation and prolonged waiting lists. Materials and Methods: This retrospective review of fourteen patients...

The study aimed to revisit the in-hospital predictors of shunt thrombosis (ST) in the foreground of the pulmonary artery size in patients who received modified Blalock–Taussig shunt (mBTS) as the first-stage palliation. Data from 80 patients who received mBTS as their initial palliative procedure between February 2012 and January 2017 was retrospec...

The original version of the article unfortunately contained an alignment error in Table 1. The correct version of Table 1 is given below.

Background: In this study, we present our fifteen years of outcomes following surgical repair total anomalous pulmonary venous connection (TAPVC). Thereby we sought to assess possible risk factors effects both hospital and late term follow up morbidity and mortality. Methods: A retrospective study was carried out in the Department of Cardiovascular...

zet Büyük arter transpozisyon (BAT)'lu hastalarda arterial seviyede düzeltme sağlayan Jatene operasyonu 1975 yılından sonra standart prosedür haline gelmiştir. Jatene prosedürü, fizyolojik tamir sağlasa da tam bir anatomik düzeltme sağlayamamaktadır. Pulmoner kapağın yerinde bırakılarak sistemik dolaşıma dahil edilmesinden dolayı arteriyal sistem e...

Z Senning ameliyatı sonrası pulmoner venöz odacık darlığı sık görülen bir komplikasyon olmamasına rağmen, patolojinin düzeltilmesinde girişimsel yöntemlerin başarısız olması durumunda cerrahi tedavi hayati önem taşır. Olgumuz, Senning ameliyatından 6.5 yıl sonra tekrarlayan burun kanaması ve efor dispnesi ile hastanemize başvurdu. Transtorasik ekok...

Z Baraitser-Winter sendromu, sitoplazmik aktin kodlayan gen defektinin neden olduğu, oldukça nadir bir genetik bozukluktur. Pek çok hasta benzer fenotipe sahip olmasına rağmen, eşlik eden kalp anomalileri çeşitlidir. İyi tarif edilmiş doğuştan kalp hastalıklarının yanı sıra, ileriki yıllarda altta yatan aktin gen mutasyonuna bağlı olarak, bu hastal...

Success in congenital heart surgery has increased with improvement in surgical technique, anesthesia, and perioperative care. Transthoracic echocardiography (TTE) is regarded as an initial screening and diagnostic method in patients, but it may be limited by lack of an adequate acoustic window and more importantly suboptimal depiction of the extrac...

zet Büyük arter transpozisyon (BAT)'lu hastalarda arterial seviyede düzeltme sağlayan Jatene operasyonu 1975 yılından sonra standart prosedür haline gelmiştir. Jatene prosedürü, fizyolojik tamir sağlasa da tam bir anatomik düzeltme sağlayamamaktadır. Pulmoner kapağın yerinde bırakılarak sistemik dolaşıma dahil edilmesinden dolayı arteriyal sistem e...

ABSTR ACT Glenn shunt operation is performed to increase the pulmonary blood flow in congenital heart diseases in which ambulatory correction is unable to be performed. Pulmonary arterial flow is being balanced and thrombosis frequency is reduced via applying unifocalization of the vena cava superior in patients with bilateral vena cava superior un...

Introduction: The use of topical haemostatic agents has been popularised in recent years in many areas of surgery. We aimed to determine whether Ankaferd blood stopper® (ABS) can shorten the bleeding time and decrease the amount of bleeding in a rat abdominal aortic bleeding model. Patients and Methods: A total of 40 rats were randomly divided into...

Methods: This is a single center prospective study of treatment of great saphenous vein incompatence in 62 patients with vein sealing system (Biolas VariClose(®) FG Group TURKEY) All cases were implemented under local anesthesia.Tumescent anesthesia was not required. Patients were not given any non-steroidal anti-inflammatory drug postoperatively...

Objective: The aim of this study was to assess the effectiveness and safety of autologous bone marrow stem cell (ABMMNC) treatment in patients with thromboangiitis obliterans (TAO, Buerger’s disease). Materials and methods: In this prospective study, twenty-two male patients with TAO were treated with ABMMNC implantation. All patients were Class II...

Percutaneous atrial septal defect (ASD) closure has become an increasingly simplified procedure over the past decade. The device embolization is seen rarely but it can be fatal. Although percutaneous retrieval is feasible, surgical removal might be preferred when the endothelialization status of the device is unknown. We report a comlication of suc...

Synovial sarcoma (SS), a mesenchymal spindle cell tumor, displays variable epithelial differentiation, including glandular formation, and features a specific chromosomal translocation, t(X;18)(p11;q11). SS accounts for 5% to 10% of soft-tissue sarcomas. These tumors occur mostly in the joints, especially near the knee, but they also occur in other...