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Simsek B, Ozyuksel A, Saygi M, Basaran M. Posterior pericardial window: a simple and reproducible technique in order to prevent pericardial tamponade in paediatric cardiac surgery. Cardiol Young 2024; 34:765-770. [PMID: 37822207 DOI: 10.1017/s1047951123003426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Abstract
OBJECTIVE Pericardial tamponade, which increases postoperative mortality and morbidity, is still not uncommon after paediatric cardiac surgery. We considered that posterior pericardiotomy may be a useful and safe technique in order to reduce the incidence of early and late pericardial tamponade. Herein, we present our experience with creation of posterior pericardial window following congenital cardiac surgical procedures. METHODS This retrospective study evaluated 229 patients who underwent paediatric cardiac surgical procedures between June 2021 and January 2023. A posterior pericardial window was created in all of the patients. In neonates and infants, pericardial window was performed at a size of 2x2 cm, whereas a 3x3 cm connection was established in elder children and young adults. A curved chest tube was placed and positioned at the posterolateral pericardiophrenic sinus. An additional straight anterior mediastinal chest tube was also inserted in every patient. Transthoracic echocardiographic evaluations were performed daily to assess postoperative pericardial effusion. RESULTS A total of 229 (135 male, 94 female) patients were operated. Mean age and body weight were 24.2 ± 26.7 months and 10.2 ± 6.7 kg, respectively. Eight (3.5%) of the patients were neonates where 109 (47.6%) were infants and 112 (48.9%) were in childhood. Fifty-two (22.7%) re-do operations were performed. Six (2.6%) patients underwent postoperative surgical re-exploration due to surgical site bleeding. Any early or late pericardial tamponade was not encountered in the study group. CONCLUSIONS Posterior pericardial window is an effective and safe technique in order to prevent both the early and late pericardial tamponade after congenital cardiac surgery.
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Affiliation(s)
- Baran Simsek
- Department of Cardiovascular Surgery, Kolan Hospital, Istanbul, Turkey
| | - Arda Ozyuksel
- Department of Cardiovascular Surgery, Biruni University School of Medicine, Istanbul, Turkey
| | - Murat Saygi
- Department of Pediatric Cardiology, Medicana International Hospital, Istanbul, Turkey
| | - Murat Basaran
- Department of Cardiovascular Surgery, Kolan Hospital, Istanbul, Turkey
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2
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Simsek B, Ozyuksel A, Saygi M, Bilal MS. Plication for diaphragm paralysis after paediatric cardiac surgery: a single-centre experience. Cardiol Young 2023; 33:2087-2093. [PMID: 36876638 DOI: 10.1017/s1047951123000276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
Abstract
OBJECTIVE Diaphragm paralysis is a well-known complication following surgery for CHDs, which increases morbidity, mortality, and length of hospital stay as well as costs. Herein, we present our experience with diaphragm plication following paralysis of the phrenic nerve encountered after paediatric cardiac surgery. METHODS This study retrospectively reviewed the medical records of 23 diaphragm plications in 20 patients who underwent paediatric cardiac surgery between January 2012 and January 2022. The patients were carefully selected based on aetiology and a combination of clinical manifestation and chest imaging characteristics including chest X-ray, ultrasonography, and fluoroscopy. RESULTS Twenty-three successful plications were performed in 20 patients (15 males and 5 females) out of a total of 1938 operations performed in our centre. Mean age and body weight were 18.2 ± 17.1 months and 8.3 ± 3.7 kg, respectively. The period between the cardiac surgery and diaphragmatic plication was 18.7 ± 15.1 days. The highest incidence of diaphragm paralysis was encountered in systemic to pulmonary artery shunt patients with 7 out of 152 patients (4.6%). Any mortality was not encountered during a mean follow-up period of 4.3 ± 2.6 years. CONCLUSIONS Early results of plication of the diaphragm following phrenic nerve palsy in symptomatic patients who underwent paediatric cardiac surgery are encouraging. Evaluation of the diaphragmatic function should be a routine part of post-operative echocardiography. Diaphragm paralysis may be a consequence of dissection, contusion, stretching, and thermal injury both in terms of hypothermia and hyperthermia.
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Affiliation(s)
- Baran Simsek
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
| | - Arda Ozyuksel
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
- Department of Cardiovascular Surgery, Biruni University, Istanbul, Turkey
| | - Murat Saygi
- Department of Pediatric Cardiology, Medicana International Hospital, Istanbul, Turkey
| | - Mehmet Salih Bilal
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
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3
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Simsek B, Ozyuksel A, Saygi M. A rare coexistence: Hammock mitral valve and aortopulmonary window. Cardiol Young 2023; 33:1787-1789. [PMID: 37092647 DOI: 10.1017/s1047951123000914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/25/2023]
Abstract
Congenital mitral stenosis is a broad-spectrum pathology in which blood flow to the left ventricle is obstructed both functionally and anatomically. Hammock mitral valve, also known as anomalous mitral arcade, is a rare congenital anomaly particularly in infants and children. Hammock mitral valve may not be suitable for repair regarding the advanced dysplastic mitral valve structure. Aortopulmonary window is an unusual cardiac anomaly which is defined as a communication between the main pulmonary artery and the ascending aorta. As a result of the excessive left-to-right shunt, early intervention and surgical closure deemed mandatory to avoid development of severe pulmonary hypertension and its consequences. All patients with an aortopulmonary window necessitates prompt repair immediately. In this brief report, mitral valve replacement with a mechanical valve and repair of aortopulmonary window with a Dacron patch were performed simultaneously in a 5-month-old patient with a hammock mitral valve and accompanying aortopulmonary window.
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Affiliation(s)
- Baran Simsek
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
| | - Arda Ozyuksel
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
- Department of Cardiovascular Surgery, Biruni University School of Medicine, Istanbul, Turkey
| | - Murat Saygi
- Department of Pediatric Cardiology, Medicana International Hospital, Istanbul, Turkey
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Topcu FS, Simsek B, Ozyuksel A. An unusual case of pulmonary atresia with ventricular septal defect and multiple major aortopulmonary collateral arteries: undiagnosed until adulthood. Cardiol Young 2023; 33:1445-1447. [PMID: 36621769 DOI: 10.1017/s1047951122004127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Pulmonary atresia and ventricular septal defect with major aortopulmonary collateral arteries is an extremely complex, heterogeneous, and rare anomaly. This group of patients may not be able to survive until adulthood without any interventions or treatment. Although surgical management of patients diagnosed in newborn, infant, or early childhood is clear, treatment of patients diagnosed in adulthood still remains a significant problem. The pre-operative clinical status, imaging methods, and operative findings might be helpful for planning the most appropriate management. Herein, we report a unique case of pulmonary atresia and ventricular septal defect with major aortopulmonary collateral arteries who remained asymptomatic until the age of 18 years.
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Affiliation(s)
- Feyza Sönmez Topcu
- Department of Radiology, Aydin University, Medical Park Florya Hospital, Istanbul, Turkey
| | - Baran Simsek
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
| | - Arda Ozyuksel
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
- Department of Cardiovascular Surgery, Biruni University, Istanbul, Turkey
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Simsek B, Ozyuksel A, Saygi M, Demiroluk S, Basaran M. Revisiting the central aortopulmonary shunt procedure. Turk Gogus Kalp Damar Cerrahisi Derg 2023; 31:207-214. [PMID: 37484647 PMCID: PMC10357854 DOI: 10.5606/tgkdc.dergisi.2023.24247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Accepted: 02/28/2023] [Indexed: 07/25/2023]
Abstract
Background In this study, we present our experience with the central aortopulmonary shunt technique with interposing a polytetrafluoroethylene graft between main pulmonary artery (end-to-end) and the ascending aorta (side-to-side) in a variety of cyanotic congenital heart defects. Methods Between January 2019 and June 2022, a total of 10 patients (6 males, 4 females; mean age: 4.3±2.8 months; range, 5 days to 10 months) with hypoplastic central pulmonary arteries who underwent central aortopulmonary shunt procedure were retrospectively analyzed. Demographic characteristics, preoperative, operative, and postoperative data of the patients were recorded. The Nakata indices of the patients were also noted before the procedure, as well as before the second stage of palliation or definitive repair. Results Four (40%) patients were operated as the first-step palliation for univentricular circulation. Six (60%) patients had well-developed ventricles and were palliated to be treated with total correction. The median follow-up after the procedure was 12 (range, 8 to 16) months. The mean systemic arterial saturation level at room air was 89.3±2.9% during follow-up. No mortality was observed in any patient. Conclusion A central aortopulmonary shunt procedure provides a reliable antegrade blood flow with a relatively non-challenging surgical technique that offers sufficient growth for the hypoplastic and confluent central pulmonary arteries with a very low risk of shunt thrombosis and overflow.
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Affiliation(s)
- Baran Simsek
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Türkiye
| | - Arda Ozyuksel
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Türkiye
- Department of Cardiovascular Surgery, Biruni University, Istanbul, Türkiye
| | - Murat Saygi
- Department of Pediatric Cardiology, Medicana International Hospital, Istanbul, Türkiye
| | - Sener Demiroluk
- Department of Anesthesiology and Reanimation, Medicana International Hospital, Istanbul, Türkiye
| | - Murat Basaran
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Türkiye
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Ozyuksel A, Çetin E. Patent foramen ovale is not a benign pathology in patients undergoing off-pump coronary artery bypass: A word of caution. J Thorac Cardiovasc Surg 2016; 152:640-1. [PMID: 27423847 DOI: 10.1016/j.jtcvs.2016.03.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Accepted: 03/31/2016] [Indexed: 10/21/2022]
Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Istanbul Medipol University, Istanbul, Turkey
| | - Erdem Çetin
- Department of Cardiovascular Surgery, Medikar Hospital, Karabük, Turkey
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7
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Ozyuksel A. eComment. Complex and novel versus simple and traditional approaches for sternal closure. Interact Cardiovasc Thorac Surg 2016; 22:667. [PMID: 27114395 DOI: 10.1093/icvts/ivw070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
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8
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Ozyuksel A. eComment. Creative solutions in order to treat sternal wound complications in cardiac surgery. Interact Cardiovasc Thorac Surg 2016; 22:313. [PMID: 26874004 DOI: 10.1093/icvts/ivv384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
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9
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Ozyuksel A. eComment. Evidence, experience or novelty for achieving the best outcome in surgery? Interact Cardiovasc Thorac Surg 2015. [PMID: 26203131 DOI: 10.1093/icvts/ivv168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
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10
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Yildirim O, Ozyuksel A, Avsar M, Yerebakan C, Zeybek C, Demiroluk S, Bilal MS. Mid-Term Results of Congenital Supravalvar Mitral Ring Resection. J Card Surg 2015; 30:591-4. [PMID: 25939849 DOI: 10.1111/jocs.12554] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Supravalvar mitral ring is a rare congenital anomaly leading to left ventricle inflow obstruction. We present our surgical experience and mid-term results in patients operated for supravalvar mitral ring and associated congenital heart defects. MATERIALS AND METHODS A retrospective analysis was performed in order to evaluate the cases surgically treated with the diagnosis of supravalvar mitral ring between 2001 and 2014. Ten patients were identified, seven of whom had accompanying congenital heart defects. Median age at the operation was 4.5 years. RESULTS Ventricular septal defects were encountered in half of the cases. Two of the patients had mitral annular hypoplasia, another two had the components of Shone's complex. The mean preoperative gradient across the supravalvar mitral ring decreased from 14.1 ± 4.2 mmHg to 4.6 ± 2.2 mmHg. All patients are alive and remain in a good clinical condition after a mean follow-up of five years. CONCLUSION Supravalvar mitral ring is a surgically treatable cause of left ventricular inflow obstruction. Although residual gradients may be encountered in patients with mitral annular hypoplasia, surgical resection of the ring is encouraged.
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Affiliation(s)
- Ozgur Yildirim
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
| | - Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | - Mustafa Avsar
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
| | - Can Yerebakan
- Department of Pediatric Cardiac Surgery, Children's Heart Center, Giessen, Germany
| | - Cenap Zeybek
- Department of Pediatric Cardiology, Medicana International Hospital, Istanbul, Turkey
| | - Sener Demiroluk
- Department of Anesthesiology, Medicana International Hospital, Istanbul, Turkey
| | - Mehmet Salih Bilal
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
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11
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Yildirim O, Avsar M, Ozyuksel A, Akdemir M, Zeybek C, Demiroluk S, Bilal MS. Modified Single Versus Double-Patch Technique for the Repair of Complete Atrioventricular Septal Defect. J Card Surg 2015; 30:595-600. [DOI: 10.1111/jocs.12557] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Ozgur Yildirim
- Department of Cardiovascular Surgery; Medicana International Hospital; Istanbul Turkey
| | - Mustafa Avsar
- Department of Cardiovascular Surgery; Medicana International Hospital; Istanbul Turkey
| | - Arda Ozyuksel
- Department of Cardiovascular Surgery; Medipol University; Istanbul Turkey
| | - Mehmet Akdemir
- Department of Anesthesiology; Medicana International Hospital; Istanbul Turkey
| | - Cenap Zeybek
- Department of Pediatric Cardiology; Medicana International Hospital; Istanbul Turkey
| | - Sener Demiroluk
- Department of Anesthesiology; Medicana International Hospital; Istanbul Turkey
| | - Mehmet Salih Bilal
- Department of Cardiovascular Surgery; Medicana International Hospital; Istanbul Turkey
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12
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Bilal MS, Yildirim O, Avsar M, Ozyuksel A. Repair of Unilateral Absence of Right Pulmonary Artery With Contralateral Pulmonary Artery Autograft Interposition in an Infant. Ann Thorac Surg 2015; 99:1467-9. [DOI: 10.1016/j.athoracsur.2014.12.036] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2014] [Revised: 12/03/2014] [Accepted: 12/16/2014] [Indexed: 11/29/2022]
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13
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Ozyuksel A, Ersoy C, Akdeniz C, Akcevin A, Turkoglu H, Tuzcu V. Implantation of Looped Epicardial Cardioverter Defibrillator Coil on the Surface of the Right Ventricular Outflow Tract. J Card Surg 2015; 30:376-80. [DOI: 10.1111/jocs.12525] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery; Medipol University; Istanbul Turkey
| | - Cihangir Ersoy
- Department of Cardiovascular Surgery; Medipol University; Istanbul Turkey
| | - Celal Akdeniz
- Department of Pediatric Cardiology; Medipol University; Istanbul Turkey
| | - Atif Akcevin
- Department of Cardiovascular Surgery; Medipol University; Istanbul Turkey
| | - Halil Turkoglu
- Department of Cardiovascular Surgery; Medipol University; Istanbul Turkey
| | - Volkan Tuzcu
- Department of Pediatric Cardiology; Medipol University; Istanbul Turkey
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14
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Ozyuksel A, Ersoy C, Bozkaya TA, Akcevin A. eComment. Combined surgical strategies for anomalous connection of coronary artery to pulmonary artery in adults. Interact Cardiovasc Thorac Surg 2015; 20:284-5. [PMID: 25605826 DOI: 10.1093/icvts/ivu412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | - Cihangir Ersoy
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | | | - Atif Akcevin
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
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15
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Ozyuksel A, Ersoy C, Kayan E, Akcevin A. eComment. Evidence-based selection of conduits in coronary artery bypass grafting. Interact Cardiovasc Thorac Surg 2015; 20:279-80. [PMID: 25605825 DOI: 10.1093/icvts/ivu420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | - Cihangir Ersoy
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | - Ekin Kayan
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | - Atif Akcevin
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
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16
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Cetin E, Ozyuksel A. Beating heart myocardial revascularisation of a sudden cardiac death survivor with spontaneous coronary artery dissection: pitfalls from diagnosis to surgery. BMJ Case Rep 2014; 2014:bcr-2014-207188. [PMID: 25388894 DOI: 10.1136/bcr-2014-207188] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Spontaneous coronary artery dissection is a rare clinical condition with a wide range of clinical presentations ranging from asymptomatic cases to life-threatening ventricular arrhythmias and sudden cardiac death. The exact pathophysiological mechanism has not been fully established yet. We would like to present a survivor of sudden cardiac death presenting with ventricular fibrillation due to spontaneous coronary artery dissection. The prompt evaluation, medical management, surgical myocardial revascularisation and value of off-pump coronary artery bypass surgery are discussed.
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Affiliation(s)
- Erdem Cetin
- Department of Cardiovascular Surgery, Medikar Hospital, Karabuk, Turkey
| | - Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
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17
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Ozyuksel A, Yildirim O, Avsar M, Hayirlioglu M, Demiroluk S, Kucukosmanoglu O, Bilal MS. Surgical correction of cor triatriatum sinister in the paediatric population: mid-term results in 15 cases. Eur J Cardiothorac Surg 2014; 47:e25-8. [PMID: 25312520 DOI: 10.1093/ejcts/ezu390] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | - Ozgur Yildirim
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
| | - Mustafa Avsar
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
| | - Mehmet Hayirlioglu
- Department of Anesthesiology, Medicana International Hospital, Istanbul, Turkey
| | - Sener Demiroluk
- Department of Anesthesiology, Medicana International Hospital, Istanbul, Turkey
| | - Osman Kucukosmanoglu
- Department of Pediatric Cardiology, Medicana International Hospital, Istanbul, Turkey
| | - Mehmet Salih Bilal
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
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18
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Ozyuksel A, Canturk E, Dindar A, Akcevin A. Saccular aneurysm formation of the descending aorta associated with aortic coarctation in an infant. Braz J Cardiovasc Surg 2014; 29:642-4. [PMID: 25714219 PMCID: PMC4408828 DOI: 10.5935/1678-9741.20140041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2013] [Accepted: 02/23/2014] [Indexed: 11/20/2022] Open
Abstract
Aneurysm of the descending aorta associated with CoA is an extremely rare congenital abnormality. In this report, we present a 16 months old female patient in whom cardiac catheterization had been performed which had revealed a segment of coarctation and saccular aneurysm in the descending aorta. The patient was operated and a 3x2 centimeters aneurysm which embraces the coarcted segment in descending aorta was resected. In summary, we present a case of saccular aortic aneurysm distal to aortic coarctation in an infant without any history of intervention or vascular inflammatory disease. Our case report seems to be the youngest patient in literature with this pathology.
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Affiliation(s)
- Arda Ozyuksel
- Istanbul Medipol University (Medipol UNV) and Department
of Cardiovascular Surgery, Istanbul, Turkey
| | - Emir Canturk
- Istanbul Medipol University (Medipol UNV) and Department
of Cardiovascular Surgery, Istanbul, Turkey
| | - Aygun Dindar
- Istanbul University and Department of Pediatric
Cardiology, Istanbul, Turkey
| | - Atif Akcevin
- Istanbul Medipol University (Medipol UNV) and Department
of Cardiovascular Surgery, Istanbul, Turkey
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19
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Ozyuksel A, Ersoy C, Canturk E, Akcevin A. Progressive supra-aortic stenosis in a young adult with the findings of Singleton Merten Syndrome. BMJ Case Rep 2014; 2014:bcr-2014-205985. [PMID: 25193816 DOI: 10.1136/bcr-2014-205985] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Singleton Merten Syndrome is an autosomal dominant disorder of unknown origin. Patients often present with muscular weakness, failure to thrive, abnormal dentition, glaucoma, psoriatic skin lesions, aortic calcification and musculoskeletal abnormalities. In this case, we present a young girl with a history of aortic root replacement, who had an unusual progressive supra-aortic stenosis managed with urgent surgery during the course of the syndrome. Cardiovascular involvement needs special attention, since it is the major cause of mortality along with rhythm disturbances in the course of Singleton Merten Syndrome.
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Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | - Cihangir Ersoy
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | - Emir Canturk
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | - Atif Akcevin
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
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20
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Cetin E, Ozyuksel A, Akay F. Staged off-pump coronary artery bypass grafting and radical nephrectomy in a patient with multivessel coronary artery disease and a renal tumour. BMJ Case Rep 2014; 2014:bcr-2013-202481. [PMID: 24962482 DOI: 10.1136/bcr-2013-202481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Coronary artery diseases and neoplastic disorders are the leading causes of morbidity and mortality in the elderly. Recently, controversial approaches have been raised about the treatment of cases with concomitant occurrence of coronary artery diseases and malignancies. The detrimental effects of cardiopulmonary bypass on neoplastic cells are always a challenge for such cases. We present a case of a large renal tumour associated with a recently symptomatic coronary artery disease which was successfully treated with staged off-pump coronary artery bypass grafting followed by radical nephrectomy. In such patients, off-pump revascularisation is favourable in order to decrease the risk of cancer spreading when compared to traditional on-pump cases. In our opinion, staged off-pump coronary arterial revascularisation followed by definitive surgical treatment for the malignancy is a safe and effective treatment modality in patients with coronary artery disease and oncological diseases.
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Affiliation(s)
- Erdem Cetin
- Department of Cardiovascular Surgery, Memorial Hospital, Diyarbakır, Turkey
| | - Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | - Ferruh Akay
- Department of Urology, Memorial Hospital, Diyarbakır, Turkey
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21
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Ozyuksel A, Yildirim O, Onsel I, Bilal MS. Severe mitral regurgitation due to anterior mitral leaflet perforation after surgical treatment of discrete subaortic stenosis. BMJ Case Rep 2014; 2014:bcr-2014-204463. [PMID: 24859561 DOI: 10.1136/bcr-2014-204463] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Congenital subvalvular aortic stenosis may be associated with anomalies of the mitral valve. In this case, we present a patient with severe mitral valve regurgitation due to a perforation in the anterior mitral leaflet detected 4 months after an operation for relief of subaortic stenosis. A 10-year-old male patient who was operated for subvalvular aortic stenosis in another clinic was admitted to our hospital, and transthoracic echocardiography revealed severe mitral valve regurgitation due to a defect that was demonstrated at the anterior valve leaflet. The perforated area at the mitral valve zone A1 was repaired with a PTFE patch. The patient was successfully operated for the mitral valve perforation and the postoperative course was uneventful. In our case, the perforation in the anterior mitral leaflet implies a possible implementation of inappropriate surgical technique which necessitated a second surgical intervention after the initial operation.
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Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
| | - Ozgur Yildirim
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
| | - Ibrahim Onsel
- Department of Anesthesiology, Medicana International Hospital, Istanbul, Turkey
| | - Mehmet Salih Bilal
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
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Cetin E, Ozyuksel A, Dalbasi E. Single stage substernal thyroidectomy and off-pump coronary artery bypass grafting: is it worth using cardiopulmonary bypass unless absolutely necessary? BMJ Case Rep 2014; 2014:bcr-2013-201496. [PMID: 24722708 DOI: 10.1136/bcr-2013-201496] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
It is a rare entity to observe the coexistence of thyroid gland pathologies and coronary artery disease, whose surgical treatment may be performed simultaneously. In this case, we present a case of a patient with substernal thyroidectomy concurrent with off-pump coronary artery bypass grafting. A 57-year-old female patient was admitted to the hospital with exertional dyspnoea, intermittent coughing and stable angina pectoris. The substernal goitre measuring 5×5×4 cm was accompanied by a 95% in-stent restenosis at the left anterior descending artery. Thyroidectomy and off-pump coronary artery bypass grafting procedures were performed simultaneously. The postoperative period was uneventful and the patient was discharged 5 days after the operation. This case indicates that off-pump revascularisation seems to be a better option in cases where surgical interventions for thyroid and coronary artery diseases are necessary instead of on-pump revascularisation where the adverse effects of the cardiopulmonary bypass are considered.
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Affiliation(s)
- Erdem Cetin
- Department of Cardiovascular Surgery, Memorial Hospital, Diyarbakir, Turkey
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Ozyuksel A, Gundogdu G, Bozkaya TA, Akcevin A. eComment. Prompt decision making on the site of surgical approach in patients with chest trauma-a brief communication. Interact Cardiovasc Thorac Surg 2014; 18:247. [PMID: 24443401 DOI: 10.1093/icvts/ivt533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
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24
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Bilal MS, Yildirim O, Ozyuksel A, Yerebakan C. Reverse anastomosis technique for the treatment of a rare coronary artery anomaly in D-transposition of the great arteries. Thorac Cardiovasc Surg 2014; 62:224-5. [PMID: 24420677 DOI: 10.1055/s-0033-1363477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Arterial switch operation remains the gold standard surgical therapy for D-transposition of the great vessels. Coronary anomalies may complicate the surgical strategy and lead to an increased morbidity and mortality. However, as of today, even challenging coronary anomalies should not be a contraindication for the performance of complete repair. Here, we describe a technique for the translocation of an intramural, high-origin conal branch in a 5-month-old patient with D-transposition of the great vessels and ventricular septal defect.
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Affiliation(s)
- Mehmet Salih Bilal
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
| | - Ozgur Yildirim
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
| | - Arda Ozyuksel
- Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey
| | - Can Yerebakan
- Department of Pediatric Cardiac Surgery, Children's Heart Center Giessen, Giessen, Germany
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25
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Ozyuksel A, Olmuscelik O, Kayan E, Akcevin A. eComment. Interpretation of the data together with the management of cardiac surgery patients with diabetes mellitus. Interact Cardiovasc Thorac Surg 2013; 17:1008. [PMID: 24243950 DOI: 10.1093/icvts/ivt470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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26
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Ozyuksel A, Canturk E, Akcevin A, Turkoglu H. eComment. Efforts to further enhance the safety of sternal re-opening in the paediatric age group. Interact Cardiovasc Thorac Surg 2013; 17:218; discussion 218. [PMID: 23785095 DOI: 10.1093/icvts/ivt188] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Arda Ozyuksel
- Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey
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27
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Ozyuksel A, Kocabeyoglu S, Cetin E, Polat C. PP-155: SURGICAL REVASCULARIZATION OF CHRONIC TOTAL LEFT MAIN CORONARY ARTERY OCCLUSION PRESENTING WITH STABLE ANGINA PECTORIS: CASE REPORT. Int J Cardiol 2011. [DOI: 10.1016/s0167-5273(11)70381-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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28
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Tok M, Oc M, Ucar HI, Dogan OF, Ozyuksel A, Kaya B, Farsak MB, Yorgancioglu AC. Giant Right Atrial Myxoma Mimicking Hepatic Cirrhosis: A Case Report. Heart Surg Forum 2007; 10:E107-9. [PMID: 17597031 DOI: 10.1532/hsf98.20061173] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Cardiac myxomas are rare benign tumors of the heart. The growth rate of these tumors remains unknown. Right atrial myxoma can simulate nonspecific constitutional symptoms, such as remittent or lasting fever, weight loss, and chronic anemia, and may escape timely diagnosis until the development of severe complications such as pulmonary hypertension due to embolism from fragments originating from the tumor mass or blockage of the right atrioventricular ostium or Budd-Chiari syndrome with acute abdominal pain. We present a case of a giant right atrial myxoma mimicking hepatic cirrhosis in a 52-year-old man.
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Affiliation(s)
- Mustafa Tok
- Department of Cardiovascular Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey
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Babaoglu MO, Yasar U, Yorgancioglu C, Ozyuksel A, Akbulut B, Bozkurt A. Effect of the cardiopulmonary bypass procedure during cardiac surgery on CYP2C9 activity in human. FASEB J 2007. [DOI: 10.1096/fasebj.21.6.a1185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Melih O. Babaoglu
- Department of PharmacologyHacettepe UniversityFaculty of Medicine, SihhiyeAnkaraTurkey
| | - Umit Yasar
- Department of PharmacologyHacettepe UniversityFaculty of Medicine, SihhiyeAnkaraTurkey
| | - Cem Yorgancioglu
- Department of Cardiovascular SurgeryHacettepe UniversityFaculty of MedicineAnkaraTurkey
| | - Arda Ozyuksel
- Department of Cardiovascular SurgeryHacettepe UniversityFaculty of MedicineAnkaraTurkey
| | - Birkan Akbulut
- Department of Cardiovascular SurgeryHacettepe UniversityFaculty of MedicineAnkaraTurkey
| | - Atila Bozkurt
- Department of PharmacologyHacettepe UniversityFaculty of Medicine, SihhiyeAnkaraTurkey
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