1
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Havan N. Influence of anatomical factors on the efficacy of treating femoral pseudoaneurysms with ultrasound-guided compression technique: A prospective cohort study. Ir J Med Sci 2023:10.1007/s11845-023-03581-6. [PMID: 38052750 DOI: 10.1007/s11845-023-03581-6] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 11/21/2023] [Indexed: 12/07/2023]
Abstract
BACKGROUND Femoral pseudoaneursysm treatment is still controversial. AIMS The aim of this study was to evaluate the anatomic features related to femoral pseudoaneurysm (FPA) closure failure for ultrasound-guided compression (USGC). METHODS This was a single-center, prospective, cohort study. FPA patients admitted to the radiology department for USGC were included in the study. Age, sex, duration of FPA, thrombosis, ratio of thrombosis to FPA diameter, feeding artery, tortiosity, connection properties, length and width of the neck, volume, and fistula-to-common femoral artery (CFA) speed ratio were reported during color Doppler ultrasonography (CDUS) scanning. RESULTS The study was completed with 192 patients. FPA compression therapy was successful in 155 patients and failed in 37 patients. FPA without a narrow connection (p < 0.001), FPA without existing thrombosis (p < 0.001), a lower thrombosis ratio (p < 0.001), a longer duration of FPA (p = 0.035), a shorter neck length, a wider neck width (p < 0.001), and a higher fistula-to-CFA speed rate (p < 0.001) were related to FPA closure failure with USGC. ROC analysis of the fistula-to-CFA speed ratio showed that a ratio of 1.01 had 47% sensitivity and 63% specificity for USGC treatment failure (AUC, 0.72; p < 0.05). CONCLUSIONS Failure of FPA closure with USGC is closely related to anatomic features of FPA. Evaluating the anatomical features of FPA before deciding the treatment method can be beneficial for patients and clinicians.
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Affiliation(s)
- Nuri Havan
- Department of Radiology, Atasehir Florance Nightingale Hospital, Küçükbakkalköy, Işıklar Cd. No: 35/A, 34750, Ataşehir/Istanbul, Turkey.
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2
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Güner A, Atmaca S, Balaban İ, Türkmen İ, Çeneli D, Türkvatan A, Öner E, Sürgit Ö, Güler A, Uzun F, Babür Güler G, Kahraman S, Pala S, Havan N, Yıldız M, Ertürk M. Relationship between myocardial bridging and fatal ventricular arrhythmias in patients with hypertrophic cardiomyopathy: the HCM-MB study. Herz 2023; 48:399-407. [PMID: 37081129 DOI: 10.1007/s00059-023-05171-9] [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] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Revised: 01/31/2023] [Accepted: 03/01/2023] [Indexed: 04/22/2023]
Abstract
BACKGROUND Myocardial bridging (MB) and hypertrophic cardiomyopathy (HCM) are associated with the risk of fatal ventricular arrhythmias (VAs). The goal of the study was to determine the relationship between MB and fatal VAs in HCM patients with implantable cardiac defibrillators (ICD). METHODS A total of 108 HCM patients (mean age: 46.6 ± 13.6 years; male: 73) were enrolled in this retrospective study. All patients underwent transthoracic echocardiography and coronary computed tomography angiography. Fatal VAs including sustained ventricular tachycardia and ventricular fibrillation were documented in ICD records. RESULTS There were documented fatal VAs in 29 (26.8%) patients during a mean follow-up time of 71.3 ± 30.9 months. Compared with the other groups, the fatal VA group had a higher incidence of the following: presence of MB (82.8 vs. 38%, p < 0.001), deep MB (62.1 vs. 6.3%, p < 0.001), very deep MB (24.1 vs. 0%, p < 0.001), long MB (65.5 vs. 11.4%, p < 0.001), presence of > 1 MB (17.2 vs. 0%, p = 0.001), and MB of the left anterior descending artery (79.3 vs. 17.7%, p < 0.001) . Sudden cardiac death (SCD) risk score (hazard ratio: 1.194; 95% CI: 1.071-1.330; p = 0.001) and presence of MB (hazard ratio: 3.815; 95% CI: 1.41-10.284; p = 0.008) were found to be independent predictors of fatal VAs in HCM patients. CONCLUSIONS The current data suggest that the SCD risk score and presence of MB were independent risk factors for fatal VAs in patients with HCM. In addition to conventional risk factors, the coronary anatomical course can provide clinicians with valuable information when assessing the risk of fatal VAs in HCM patients.
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MESH Headings
- Humans
- Male
- Adult
- Middle Aged
- Retrospective Studies
- Myocardial Bridging/complications
- Myocardial Bridging/diagnostic imaging
- Myocardial Bridging/epidemiology
- Arrhythmias, Cardiac
- Cardiomyopathy, Hypertrophic/complications
- Cardiomyopathy, Hypertrophic/diagnostic imaging
- Tachycardia, Ventricular/diagnosis
- Tachycardia, Ventricular/epidemiology
- Tachycardia, Ventricular/etiology
- Risk Factors
- Death, Sudden, Cardiac/epidemiology
- Death, Sudden, Cardiac/etiology
- Defibrillators, Implantable/adverse effects
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Affiliation(s)
- Ahmet Güner
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey.
- Department of Cardiology, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Turgut Özal Bulvari No. 11, 34303, Kucukcekmece, Istanbul, Turkey.
| | - Sezgin Atmaca
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - İsmail Balaban
- Koşuyolu Kartal Heart Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - İrem Türkmen
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - Doğancan Çeneli
- Koşuyolu Kartal Heart Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - Aysel Türkvatan
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Radiology, University of Health Sciences, Istanbul, Turkey
| | - Ender Öner
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - Özgür Sürgit
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - Arda Güler
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - Fatih Uzun
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - Gamze Babür Güler
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - Serkan Kahraman
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - Selçuk Pala
- Koşuyolu Kartal Heart Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - Nuri Havan
- Koşuyolu Kartal Heart Training and Research Hospital, Department of Radiology, University of Health Sciences, Istanbul, Turkey
| | - Mustafa Yıldız
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
| | - Mehmet Ertürk
- Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Department of Cardiology, University of Health Sciences, Istanbul, Turkey
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3
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Sönmez MR, Aydin İC, Biçer G, Havan N, Sunar AO, Ademoğlu S, Özduman MÖ, Dinçer M, Polat E, Duman M. Perirenal fat thickness as a risk factor for postoperative complications in elective colorectal cancer surgery. Medicine (Baltimore) 2023; 102:e34072. [PMID: 37352080 PMCID: PMC10289549 DOI: 10.1097/md.0000000000034072] [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] [Received: 04/26/2023] [Revised: 05/31/2023] [Accepted: 06/01/2023] [Indexed: 06/25/2023] Open
Abstract
Visceral obesity is an important factor that increases the risk of complications after colorectal cancer surgery. As calculating visceral fat is difficult and time-consuming, more practical fat measurements that are not time-consuming have been introduced. This study aimed to investigate the effects of perirenal fat thickness on postoperative complications and prognosis in patients undergoing surgery for colorectal cancer. Perirenal fat thickness was measured from the dorsal aspect of the left kidney on preoperative computerized tomography of patients who underwent surgery for colorectal cancer. The effects of perirenal fat thickness on postoperative complications were investigated. Diagnostic test performance was examined using the Roc Curve test to determine the cutoff value for the perirenal fat thickness values according to the complication findings of the patients. The cutoff value of perirenal fat thickness was found to be above 25.1, according to the presence of complications in the patients. Those with a perirenal fat thickness greater than 25.1 mm were considered to have high perirenal fat thickness values, and those with a low perirenal fat thickness value were considered low. Multivariate analysis revealed that increased perirenal fat thickness is an independent risk factor for postoperative complications. We believe that perirenal fat thickness measurement, as an indicator of visceral fat volume, can be used to identify patients at high risk of developing complications after colorectal cancer surgery. This may change the disease management and affect the patient information process.
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Affiliation(s)
- Mehmet Reşit Sönmez
- Gastroenterological Surgery Clinic, University of Health Sciences, Ministry of Health, KartalKosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
| | - İsa Caner Aydin
- Gastroenterological Surgery Clinic, University of Health Sciences, Ministry of Health, KartalKosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
| | - Gülşah Biçer
- Department of Radiology, University of Health Sciences, Ministry of Health, KartalKosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
| | - Nuri Havan
- Department of Radiology, University of Health Sciences, Ministry of Health, KartalKosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
| | - Ahmet Orhan Sunar
- Gastroenterological Surgery Clinic, University of Health Sciences, Ministry of Health, KartalKosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
| | - Serkan Ademoğlu
- Gastroenterological Surgery Clinic, University of Health Sciences, Ministry of Health, KartalKosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
| | - Mehmet Ömer Özduman
- Gastroenterological Surgery Clinic, University of Health Sciences, Ministry of Health, KartalKosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
| | - Mürşit Dinçer
- Gastroenterological Surgery Clinic, University of Health Sciences, Ministry of Health, KartalKosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
| | - Erdal Polat
- Gastroenterological Surgery Clinic, University of Health Sciences, Ministry of Health, KartalKosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
| | - Mustafa Duman
- Gastroenterological Surgery Clinic, University of Health Sciences, Ministry of Health, KartalKosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
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4
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Dogan C, Bayram Z, Efe SC, Acar RD, Tanboga IH, Karagoz A, Havan N, Ozer T, Uslu A, Kırali MK, Kaymaz C, Ozdemir N. Prognostic value of main pulmonary artery diameter to ascending aorta diameter ratio in patients with advanced heart failure. Acta Cardiol 2021; 76:1108-1116. [PMID: 33501898 DOI: 10.1080/00015385.2021.1872186] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVES AND BACKGROUND In this study we assessed the prognostic value of main pulmonary artery diameter and its ratio to ascending aorta diameter (P/Ao ratio) in advanced heart failure patients. METHODS Patients with advanced heart failure who were candidates for heart transplantation were retrospectively evaluated. The clinical information, cardiac catheterisation results, and computed tomography images were gathered from institutional database system. The observed and predicted probabilities for survival were analysed in a nomogram. RESULTS The P/Ao ratio was found to be a strong predictor for MACE both in traditional multivariable Cox proportional hazard regression modelling (increase in P/Ao ratio per 2 SD, HR:2.72, 95% CI 1.14-6.48, p = 0.024) and ridge regression analysis (increase in P/Ao ratio per 2SD, HR:3.45, 95% CI 1.53-7.74, p = 0.003). Prediction model showed statistically significant correlation between the observed and predicted probabilities for 1-year survival. CONCLUSION In patients with advanced heart failure, computed tomography derived P/Ao ratio might be a prognostic predictor during follow up.
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Affiliation(s)
- Cem Dogan
- Department of Cardiology, University of Health Sciences, Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey
| | - Zubeyde Bayram
- Department of Cardiology, University of Health Sciences, Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey
| | - Süleyman Cagan Efe
- Department of Cardiology, University of Health Sciences, Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey
| | - Rezzan Deniz Acar
- Department of Cardiology, University of Health Sciences, Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey
| | - Ibrahim Halil Tanboga
- Department of Cardiology, Atatürk University Department of Biostatistics, Erzurum and Hisar Intercontinental Hospital, Istanbul, Turkey
| | - Ali Karagoz
- Department of Cardiology, University of Health Sciences, Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey
| | - Nuri Havan
- Department of Radiology, University of Health Sciences, Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey
| | - Tanıl Ozer
- Department of Cardiovascular Surgery, University of Health Sciences, Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey
| | - Abdulkair Uslu
- Department of Cardiology, University of Health Sciences, Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey
| | - Mehmet Kaan Kırali
- Department of Cardiovascular Surgery, University of Health Sciences, Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey
| | - Cihangir Kaymaz
- Department of Cardiology, University of Health Sciences, Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey
| | - Nihal Ozdemir
- Department of Cardiology, University of Health Sciences, Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey
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5
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Ocal L, Kup A, Celik M, Cersit S, Keskin M, Havan N, Gursoy MO, Eren H, Dogan S, Ozturk B, Uyan C, Turkmen MM. Pre-dilatation prior to carotid artery stenting in very severe carotid artery stenosis: beneficial or detrimental? Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2042] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
There are many technical variations in carotid artery stenting and there is not a clear recommendation in pre-dilatation (Pre-D) prior to stenting. In this study we investigated the role of Pre-D before carotid artery stenting in patients with very severe carotid artery stenosis (≥90%).
Methods
A total of 298 patients with a carotid stenosis equal to or more than 90% were included to our study. Patients were divided into two groups as Pre-D and No-Pre-D. In-hospital and 3-year long-term clinical outcomes were compared between the groups.
Results
During the hospitalization, major stroke was more common in Pre-D group [n=6 (5.5%) vs. n=3 (1.5%), respectively], whereas overall ipsilateral stroke rates were similar between the groups. The rates of myocardial infarction were similar between the groups. In- hospital mortality was significantly higher in the Pre-D group than non-pre-D group [n=4 (3.6%) vs. n=0 (0%), respectively]. During the 3-year follow up period, the rates of ipsilateral stroke, major stroke, transient ischemic attack, myocardial infarction, and mortality were similar between the groups.
Conclusion
According to the literature, this is the first study evaluates the role of Pre-D in very severe (>90%) carotid artery stenosis. The current study demonstrated that Pre-D might have a detrimental effect on in-hospital outcomes.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- L Ocal
- Kartal Kosuyolu Heart and Research Hospital, Cardiology, Istanbul, Turkey
| | - A Kup
- Kartal Kosuyolu Heart and Research Hospital, Cardiology, Istanbul, Turkey
| | - M Celik
- Kartal Kosuyolu Heart and Research Hospital, Cardiology, Istanbul, Turkey
| | - S Cersit
- Kartal Kosuyolu Heart and Research Hospital, Cardiology, Istanbul, Turkey
| | - M Keskin
- Health Sciences University, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey, Cardiology, Istanbul, Turkey
| | - N Havan
- Kartal Kosuyolu Heart and Research Hospital, Radiology, Istanbul, Turkey
| | - M O Gursoy
- Izmir Katip Celebi University Ataturk Training and Research Hospital, Cardiology, Izmir, Turkey
| | - H Eren
- Elbistan State Hospital, Cardiology, Kahramanmaras, Turkey
| | - S Dogan
- Health Sciences University, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey, Cardiology, Istanbul, Turkey
| | - B Ozturk
- Kahramanmaras Sutcu Imam University, Cardiology, Kahramanmaras, Turkey
| | - C Uyan
- Health Sciences University, Ümraniye Training and Research Hospital, Istanbul, Turkey, Cardiology, Istanbul, Turkey
| | - M M Turkmen
- Kartal Kosuyolu Heart and Research Hospital, Cardiology, Istanbul, Turkey
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6
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Öcal L, Küp A, Çelik M, Cerşit S, Keskin M, Havan N, Gürsoy MO, Şahin M, Eren H, Koyuncu A, Uslu A, Yılmaz F, Yazıcıoğlu MV, Türkmen MM. What should be the Optimal Carotid Stent Opening Rate Without Post-Dilation? J Stroke Cerebrovasc Dis 2020; 29:105155. [PMID: 32912494 DOI: 10.1016/j.jstrokecerebrovasdis.2020.105155] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 06/25/2020] [Accepted: 07/11/2020] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND There is not a widely accepted optimal rate of stent opening in patients underwent carotid artery stenting. In this study we evaluated the effect of carotid stent opening rate (CSOR) without performing post-dilation on in-hospital and long-term outcomes. METHODS A total of 825 patient patients underwent carotid artery stenting without post-dilation enrolled to the study. The patients divided into two groups according to their final CSOR (50% ≤ Post-stent deployment (SD) <80% and 80% ≤ Post-SD ≤ 100%). In-hospital and 3-year outcomes were compared between the groups. RESULTS During hospitalization, the rate of ipsilateral stroke, major stroke and transient ischemic attacks were similar between the groups (respectively; 6.2% vs. 4.1, P = 0.190; 1.5% vs. 1.8, P = 0.811; 1.5% vs. 1.9%, P = 0.683). The 3-year Kaplan-Meier overall survival rates for the first and second groups were 87.6% and 84.4%, respectively (log rank test P = 0.426). The 3-year Kaplan-Meier overall cumulative ipsilateral stroke rates for the first and second groups were 88.0% and 88.6%, respectively (log rank test P = 0.409) CONCLUSION: Our study demonstrated that a CSOR higher than 50% without performing a post-dilation might be an effective therapeutic approach since there was not a significant difference regarding outcomes between the patients with a 50% ≤ Post-SD <80% and 80% ≤ Post-SD ≤ 100%. The need for post-stent balloon dilation might have been eliminated due to subsequent stent self-expansion.
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Affiliation(s)
- Lütfi Öcal
- Cardiology, Health Sciences University, Kartal Koşuyolu Heart Training and Research Hospital, Istanbul, Turkey
| | - Ayhan Küp
- Cardiology, Health Sciences University, Kartal Koşuyolu Heart Training and Research Hospital, Istanbul, Turkey
| | - Mehmet Çelik
- Cardiology, Health Sciences University, Kartal Koşuyolu Heart Training and Research Hospital, Istanbul, Turkey
| | - Sinan Cerşit
- Cardiology, Health Sciences University, Kartal Koşuyolu Heart Training and Research Hospital, Istanbul, Turkey
| | - Muhammed Keskin
- Cardiology, Health Sciences University, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey.
| | - Nuri Havan
- Radiology, Health Sciences University, Kartal Koşuyolu Heart Training and Research Hospital, Istanbul, Turkey
| | - Mustafa Ozan Gürsoy
- Cardiology, Katip Çelebi University, Atatürk Training and Research Hospital, Izmir, Turkey
| | - Müslüm Şahin
- Cardiology, VM Pendik Medical Park Hospital, Istanbul, Turkey
| | - Hayati Eren
- Cardiology, Elbistan State Hospital, Kahramanmaraş, Turkey
| | - Atilla Koyuncu
- Cardiology, Health Sciences University, Bakırköy Training and Research Hospital, Istanbul, Turkey
| | - Abdulkadir Uslu
- Cardiology, Health Sciences University, Kartal Koşuyolu Heart Training and Research Hospital, Istanbul, Turkey
| | - Fatih Yılmaz
- Cardiology, Health Sciences University, Kartal Koşuyolu Heart Training and Research Hospital, Istanbul, Turkey
| | - Mehmet Vefik Yazıcıoğlu
- Cardiology, Health Sciences University, Kartal Koşuyolu Heart Training and Research Hospital, Istanbul, Turkey
| | - Mehmet Muhsin Türkmen
- Cardiology, Health Sciences University, Kartal Koşuyolu Heart Training and Research Hospital, Istanbul, Turkey
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7
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Karaduman A, Balaban İ, Kalkan S, Havan N, Kahveci G. Multimodality imaging of a large pseudoaneurysm of the mitral aortic intervalvular fibrosa. Turk Kardiyol Dern Ars 2020; 47:530. [PMID: 31483298 DOI: 10.5543/tkda.2019.16020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Ahmet Karaduman
- Depertment of Cardiology, Kosuyolu Heart and Research Hospital,Istanbul,Turkey
| | - İsmail Balaban
- Depertment of Cardiology, Kosuyolu Heart and Research Hospital,Istanbul,Turkey
| | - Semih Kalkan
- Depertment of Cardiology, Kosuyolu Heart and Research Hospital,Istanbul,Turkey
| | - Nuri Havan
- Depertment of Radiology, Kosuyolu Heart and Research Hospital,Istanbul,Turkey
| | - Gökhan Kahveci
- Depertment of Cardiology, Kosuyolu Heart and Research Hospital,Istanbul,Turkey
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8
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Balaban İ, Karaduman A, Keskin B, Kalkan S, Ceneli D, Kafkas C, Havan N, Kahveci G. Left Ventricular Systolic Dysfunction Caused by the Fistula from the Aortic Graft Pseudoaneurysm to the Left Ventricle. Korean Circ J 2020; 50:536-538. [PMID: 32096359 PMCID: PMC7234849 DOI: 10.4070/kcj.2019.0278] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2019] [Revised: 11/17/2019] [Accepted: 12/27/2019] [Indexed: 11/11/2022] Open
Affiliation(s)
- İsmail Balaban
- Kartal Kosuyolu Research and Education Hospital, İstanbul, Turkey.
| | - Ahmet Karaduman
- Kartal Kosuyolu Research and Education Hospital, İstanbul, Turkey
| | - Berhan Keskin
- Kartal Kosuyolu Research and Education Hospital, İstanbul, Turkey
| | - Semih Kalkan
- Kartal Kosuyolu Research and Education Hospital, İstanbul, Turkey
| | - Dogancan Ceneli
- Kartal Kosuyolu Research and Education Hospital, İstanbul, Turkey
| | - Cagrı Kafkas
- Kartal Kosuyolu Research and Education Hospital, İstanbul, Turkey
| | - Nuri Havan
- Kartal Kosuyolu Research and Education Hospital, İstanbul, Turkey
| | - Gökhan Kahveci
- Kartal Kosuyolu Research and Education Hospital, İstanbul, Turkey
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9
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Kalkan S, Karaduman A, Havan N, Keten F, Alizade E. Well-developed curly collateral arteries from the right internal iliac artery to the right ankle diagnosed with multimodality imaging. Turk Kardiyol Dern Ars 2019; 47:631. [PMID: 31582684 DOI: 10.5543/tkda.2019.98105] [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: 11/04/2022] Open
Affiliation(s)
- Semih Kalkan
- Department of Cardiology, Koşuyolu Kartal Training and Research Hospital, Istanbul, Turkey
| | - Ahmet Karaduman
- Department of Cardiology, Koşuyolu Kartal Training and Research Hospital, Istanbul, Turkey
| | - Nuri Havan
- Department of Radiology, Istanbul Kartal Koşuyolu High Speciality Training and Research Hospital, Istanbul, Turkey
| | - Ferhat Keten
- Department of Cardiology, Koşuyolu Kartal Training and Research Hospital, Istanbul, Turkey
| | - Elnur Alizade
- Department of Cardiology, Koşuyolu Kartal Training and Research Hospital, Istanbul, Turkey
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10
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Karaduman A, Balaban İ, Keskin B, Çiçek MB, Keten MF, Aytürk M, Havan N, Karagöz A, Kahveci G. Mitral-aortic intervalvular fibrosa pseudoaneurysm causing compression of superior vena cava and right atrium. Echocardiography 2019; 36:1431-1433. [PMID: 31260129 DOI: 10.1111/echo.14422] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2019] [Revised: 05/30/2019] [Accepted: 06/02/2019] [Indexed: 11/27/2022] Open
Abstract
The mitral-aortic intervalvular fibrosa (MAIVF) is a fibrous, avascular region between the anterior leaflet of the mitral valve and noncoronary cusp of the aortic valve. This makes MAIVF vulnerable to injury and infection; thus pseudoaneurysm may develop. The pseudoaneurysm can cause compression to coronary arteries which causes angina or pulmonary artery resulting in pulmonary hypertension. We presented the pseudoaneurysm of MAIVF causing compression of superior vena cava and right atrium which was visualized by two- and three-dimensional transesophageal echocardiography and cardiac computed tomography.
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Affiliation(s)
- Ahmet Karaduman
- Department of Cardiology, Kartal Koşuyolu High Speciality Training and Research Hospital, Istanbul, Turkey
| | - İsmail Balaban
- Department of Cardiology, Kartal Koşuyolu High Speciality Training and Research Hospital, Istanbul, Turkey
| | - Berhan Keskin
- Department of Cardiology, Kartal Koşuyolu High Speciality Training and Research Hospital, Istanbul, Turkey
| | - Mahmut Buğrahan Çiçek
- Department of Cardiology, Kartal Koşuyolu High Speciality Training and Research Hospital, Istanbul, Turkey
| | - Musatafa Ferhat Keten
- Department of Cardiology, Kartal Koşuyolu High Speciality Training and Research Hospital, Istanbul, Turkey
| | - Mehmet Aytürk
- Department of Cardiology, Kartal Koşuyolu High Speciality Training and Research Hospital, Istanbul, Turkey
| | - Nuri Havan
- Department of Radiology, Kartal Koşuyolu High Speciality Training and Research Hospital, Istanbul, Turkey
| | - Ali Karagöz
- Department of Cardiology, Kartal Koşuyolu High Speciality Training and Research Hospital, Istanbul, Turkey
| | - Gökhan Kahveci
- Department of Cardiology, Kartal Koşuyolu High Speciality Training and Research Hospital, Istanbul, Turkey
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11
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Naser A, Güner A, Akbal ÖY, Hakgör A, Havan N. Case Image: Successful endovascular treatment of a giant left subclavian artery pseudoaneurysm causing severe dyspnea. Turk Kardiyol Dern Ars 2018; 46:513. [PMID: 30204148 DOI: 10.5543/tkda.2017.47022] [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: 11/04/2022] Open
Affiliation(s)
| | - Ahmet Güner
- Department of Cardiology, Kartal Koşuyolu Training and Research Hospital, İstanbul, Turkey.
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Güner A, Tuncer MA, Gündüz S, Havan N, Özkan M. Case Image: Hybrid aortic repair for a massive aneurysm. Turk Kardiyol Dern Ars 2018; 46:163. [PMID: 29512620 DOI: 10.5543/tkda.2017.40032] [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: 11/04/2022] Open
Affiliation(s)
- Ahmet Güner
- Department of Cardiology, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul, Turkey.
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13
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Guner A, Havan N, Gunduz S, Akgun T, Guvendi B, Kahveci G. Evaluation of the congenital supravalvular aortic stenosis by different imaging modalities. Echocardiography 2017; 34:1376-1378. [PMID: 28681443 DOI: 10.1111/echo.13627] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
A 36-year-old female was admitted to hospital exhibiting chest pain, dyspnea, and a heart murmur on the right upper sternal border, radiating to both carotid arteries. The blood pressure of the patient's right arm exceeded the pressure in the left by 25 mm Hg (Coanda effect). In spite of laboratory results that did not fall outside the expected range, the left ventricle was revealed to be hypertrophic following electrocardiography. Transthoracic echocardiography revealed a severe supravalvular aortic stenosis (SVAS) with a peak Doppler velocity of 6.04 cm/s and an estimated mean pressure gradient of 89 mm Hg, with moderate aortic and mitral regurgitation. Contrast-enhanced computed tomography (CCT) indicated a partial hourglass-shaped narrowing of the ascending aorta. Lesions associated with supravalvular stenosis of the pulmonary artery, patent ductus arteriosus, and aortic coarctation were ruled out by the CCT. Congenital SVAS is a rare heart condition, and three anatomically distinct forms have been described. The most common type is the "hourglass," which produces a marked thickening and disorganization of the aortic tissue, producing a constricting annular ridge at the superior margin of the sinuses of Valsalva.
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Affiliation(s)
- Ahmet Guner
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
| | - Nuri Havan
- Department of Radiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
| | - Sabahattin Gunduz
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
| | - Taylan Akgun
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
| | - Busra Guvendi
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
| | - Gokhan Kahveci
- Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, Istanbul, Turkey
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14
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Gecmen C, Gecmen GG, Kahyaoglu M, Aksut M, Havan N, Guner A, Cakmak EO, Sarikaya S, Kalkan S, Rabus M. Cephalic vein thrombosis. Echocardiography 2017; 34:1234-1235. [PMID: 28669134 DOI: 10.1111/echo.13618] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
An 83-year-old male patient presented to the outpatient clinic with complaint of swelling at right antecubital area. Ultrasonographic examination of the right upper extremity revealed a mass lesion within the right cephalic vein, which was consistent with thrombus. A computed tomography (CT) venography showed contrast enhancement in cephalic vein at distal arm and an aneurysmatic thrombus area displaying regular borders with a size of 28*30 mm; there was no contrast enhancement at more proximal levels at the cephalic vein.
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Affiliation(s)
- Cetin Gecmen
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Gonca G Gecmen
- Dr. Lutfi Kirdar Education and Research Hospital, Istanbul, Turkey
| | - Muzaffer Kahyaoglu
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Mehmet Aksut
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Nuri Havan
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Ahmet Guner
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Ender O Cakmak
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Sukran Sarikaya
- Dr. Lutfi Kirdar Education and Research Hospital, Istanbul, Turkey
| | - Semih Kalkan
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Murat Rabus
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
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15
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Guner A, Celik M, Kahyaoglu M, Candan O, Havan N, Ak A, Karaman O, Hakgor A, Onal C, Gecmen C. Multiple aneurysmatic involvement of sinus of Valsalva. Echocardiography 2017; 34:627-628. [PMID: 28266724 DOI: 10.1111/echo.13478] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Accepted: 01/17/2017] [Indexed: 11/30/2022] Open
Abstract
Forty-five-year-old male patient presented with chest pain and dyspnea lasting for three weeks. Transthoracic echocardiography demonstrated a huge right sinus of Valsalva aneurysm. Contrast-enhanced cardiac computed tomography was performed and revealed three large unruptured sinus of Valsalva aneurysms.
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Affiliation(s)
- Ahmet Guner
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Mehmet Celik
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Muzaffer Kahyaoglu
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Ozkan Candan
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Nuri Havan
- Department of Radiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Adnan Ak
- Department of Cardiac Surgery, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Ozge Karaman
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Aykun Hakgor
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Cagatay Onal
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
| | - Cetin Gecmen
- Department of Cardiology, Kartal Kosuyolu Heart and Research Hospital, Istanbul, Turkey
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16
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Ozaras N, Havan N, Poyraz E, Rezvanı A, Aydın T. Functional limitations due to foot involvement in spondyloarthritis. J Phys Ther Sci 2016; 28:2005-8. [PMID: 27512252 PMCID: PMC4968494 DOI: 10.1589/jpts.28.2005] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Accepted: 04/07/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Spondyloarthritis is a major inflammatory disease followed-up in the
rheumatology clinics, foot involvement in spodyloarthritis is common. The functional
states of patients with spondyloarthritis are usually evaluated globally. The aim of this
study was to assess the foot involvement-related functional limitations in patients with
spondyloarthritis. [Subjects and Methods] Patients with ankylosing spondylitis and
psoriatic arthritis with foot pain more than 4 weeks who underwent anteroposterior and
lateral feet radiography were enrolled into the study. A “clinical findings score” was
calculated by assigning 1 point for every finding of swelling, redness, and tenderness.
C-reactive protein and erythrocyte sedimentation rate were used as serum markers for
disease activity. Foot radiograms were evaluated using the spondyloarthropathy tarsal
radiographic index and the foot-related functional state of patients was determined by the
Turkish version of the Foot and Ankle Outcome Score. [Results] There were no relationships
between Foot and Ankle Outcome Score subscales and clinical findings score, serum markers,
or radiologic score. Pain and symptoms subscale scores were result positively correlated
with activity of daily living, sport and recreation, and quality of life subscale scores.
[Conclusion] Pain and symptoms are the main determinants of foot-related functional
limitations in spondyloarthritis.
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Affiliation(s)
- Nihal Ozaras
- Department of Physical Medicine and Rehabilitation, Bezmialem Vakif University, Turkey
| | - Nuri Havan
- Department of Radiology, Afsin State Hospital, Turkey
| | - Emine Poyraz
- Department of Physical Medicine and Rehabilitation, Bezmialem Vakif University, Turkey
| | - Aylin Rezvanı
- Department of Physical Medicine and Rehabilitation, Bezmialem Vakif University, Turkey
| | - Teoman Aydın
- Department of Physical Medicine and Rehabilitation, Bezmialem Vakif University, Turkey
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Ogul H, Ozgokce M, Yalcin A, Taskin GA, Havan N, Kantarci M. Photoclinic. Co-existence of Abernethy malformation and Klippel-Trenaunay-Weber syndrome. Arch Iran Med 2015; 17:591-2. [PMID: 25065286 DOI: 014178/aim.0014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Hayri Ogul
- Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey.
| | - Mesut Ozgokce
- Van Regional Training and Research Hospital Department of Radiology, Van, Turkey
| | - Ahmet Yalcin
- Erzurum Regional Training and Research Hospital Department of Radiology, Erzurum, Turkey
| | | | - Nuri Havan
- Afsin Public Hospital, Radiology Clinic, Kahramanmaras, Turkey
| | - Mecit Kantarci
- Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey
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19
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Hasiloglu ZI, Metin DY, Ozbayrak M, Havan N. Locally invasive primary splenic angiosarcoma. Eurasian J Med 2015; 42:160-3. [PMID: 25610150 DOI: 10.5152/eajm.2010.44] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2010] [Accepted: 09/29/2010] [Indexed: 11/22/2022] Open
Abstract
Primary angiosarcoma of the spleen is a very rare vascular neoplasm, but it represents the most common non-hematolymphoid malignant tumor of the spleen. In this report, we present the case of a 48-year-old man with primary splenic angiosarcoma with local invasion to the left diaphragm and the radiological imaging findings for this cancer.
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Affiliation(s)
| | - Duygu Yegul Metin
- Department of Radiology, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
| | - Mustafa Ozbayrak
- Department of Radiology, Cerrahpasa School of Medicine, Istanbul, Turkey
| | - Nuri Havan
- Department of Radiology, Vakif Gureba Training and Research Hospital, Istanbul, Turkey
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20
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Ogul H, Havan N, Ozgokce M, Karaca L, Kantarci M. Massive cervical pneumorrhachis secondary orbital fracture. Spine J 2014; 14:2269-70. [PMID: 24768748 DOI: 10.1016/j.spinee.2014.04.019] [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: 04/04/2014] [Accepted: 04/15/2014] [Indexed: 02/03/2023]
Affiliation(s)
- Hayri Ogul
- Department of Radiology, Medical Faculty, Ataturk University, 25240 Erzurum, Turkey
| | - Nuri Havan
- Afsin Public Hospital, Radiology Clinic, Kahramanmaras, Turkey
| | - Mesut Ozgokce
- Department of Radiology, Van Regional Training and Research Hospital, Van, Turkey
| | - Leyla Karaca
- Department of Radiology, Medical Faculty, Ataturk University, 25240 Erzurum, Turkey
| | - Mecit Kantarci
- Department of Radiology, Medical Faculty, Ataturk University, 25240 Erzurum, Turkey
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Abstract
Primary pancreatic leiomyosarcomas are rare malignant neoplasms with an aggressive course and a large size. A 56-year-old woman presented with an 8-year history of abdominal pain. Multislice computed tomography revealed a large heterogeneous mass with necrotic, calcified and macroscopic fatty areas. The tumor was excised. Histopathological evaluation revealed leiomyosarcoma of the pancreas. If a patient has a large size mass with a cystic-necrotic component, pancreatic leiomyosarcoma should be considered in the differential diagnosis list after excluding other common differential diagnoses.
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Affiliation(s)
- Ercan Kocakoc
- Department of Radiology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
- Corresponding author: Ercan Kocakoc, Department of Radiology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey. Tel: +90-2124531700, Fax: +90-2126217580, E-mail:
| | - Nuri Havan
- Department of Radiology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
| | - Mehmet Bilgin
- Department of Radiology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
| | - Musa Atay
- Department of Radiology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
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22
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Köroglu S, Sen B, Havan N, Suner A, Aksu E, Aydın N. PP-054 AN UNUSUAL CAUSE OF CHEST PAIN. Int J Cardiol 2013. [DOI: 10.1016/s0167-5273(13)70258-4] [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: 11/28/2022]
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23
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Hasiloglu ZI, Havan N, Rezvani A, Sariyildiz MA, Erdemli HE, Karacan I. Lung parenchymal changes in patients with ankylosing spondylitis. World J Radiol 2012; 4:215-9. [PMID: 22761981 PMCID: PMC3386533 DOI: 10.4329/wjr.v4.i5.215] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2012] [Revised: 04/01/2012] [Accepted: 04/08/2012] [Indexed: 02/06/2023] Open
Abstract
AIM: To assess lung parenchymal changes in ankylosing spondylitis (AS) using high resolution computed tomography (HRCT).
METHODS: We included 78 AS patients whose average age was 33.87 (18-56) years with a ratio of 53 males to 25 females who were followed up for 3.88 (1-22) years on average. Pneumonia and tuberculosis were excluded. In a detailed examination of lung HRCT findings, we investigated the presence of parenchymal micronodules, parenchymal bands, subpleural bands, interlobular and intralobular septal thickening, irregularity of interfaces, ground-glass opacity, consolidation, mosaic pattern, bronchial wall thickening, bronchial dilatation, tracheal dilatation, pleural thickening, emphysema, thoracic cage asymmetry, honeycomb appearance, structural distortion, apical fibrosis and other additional findings.
RESULTS: In detailed HRCT evaluations, lung parenchymal changes were found in 46 (59%) of all patients. We found parenchymal bands in 21 (27%) cases, interlobular septal thickening in 9 (12%), emphysema in 9 (12%), apical fibrosis in 8 (10%), ground-glass opacities in 7 (9%), parenchymal micronodules in 5 (6%), irregularity in interfaces in 3 (4%), bronchial dilatation in 3 (4%), mosaic pattern in 2 (3%), pleural thickening in 2 (3%), consolidation in 1 (1%), bronchial wall thickening in 1 (1%) and a subpleural band in 1 (1%) case. Furthermore, we detected subsegmental atelectasis in 2 patients and a cavitary lesion in 1 patient.
CONCLUSION: Our study had the highest number of AS cases of all previous studies in evaluating lung parenchymal changes. The rate of lung parenchymal changes was slightly lower than that reported in recent literature.
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