Effect of low dose electrocautery usage during radial artery harvesting on the neurological outcome of the forearm: A neuroelectrophysiological study

Kandemir Ö. | Buyukates M. | Emre U. | Aktunc E. | Turan S.A. | Ceylan E. | Kurt T.

Makale | 2008 | Thoracic and Cardiovascular Surgeon56 ( 1 ) , pp.24 - 27

Background: The present study aimed to investigate whether electrocautery caused any thermal injury to the forearm nerves or not. Methods: We compared the neurological outcome of two different radial artery harvesting techniques through neuroelectrophysiological studies. Preoperative values and postoperative conduction changes after one month were compared in two groups of patients. Each of the groups consisted of 20 patients. Radial arteries were harvested using scissors in Group 1 and with a low dose diathermy technique in Group 2. Results: The mean amplitude of sensory action potentials of radial nerves was significantly reduced . . .postoperatively at the end of the first month in both groups (p = 0.01, p = 0.001). But there were no significant differences between groups with respect to the sensory action potentials of ulnar and median nerves postoperatively. There were no significant differences between groups with respect to radial, ulnar and median nerve motor conduction recordings. Conclusion: Low dose electrocautery does not cause excessive nerve injury compared with the scissors technique in radial artery harvesting. Electrocautery may be used safely for RA harvesting in the forearm. © Georg Thieme Verlag KG Stuttgart Daha fazlası Daha az

A rare case of epicardial cyst

Buyukates M. | Kandemir O. | Aktunc E. | Tokmakoglu H.

Makale | 2008 | Thoracic and Cardiovascular Surgeon56 ( 3 ) , pp.167 - 168

Objective: We report a recent case of epicardial cyst with constrictive pericarditis. Case report: A male patient aged 20 years presented with the complaint of swelling in both legs for one year. Magnetic resonance imaging of the heart revealed a cystic mass inside the pericardium adjacent to the right ventricle. The patient was operated on by cardiovascular surgeons, with the diagnosis of constrictive pericarditis, and a pericardiectomy was carried out. Discussion: Cardiac cysts originating from the epicardium in the pericardial cavity are extremely rare, with only a few cases reported up to now. We report here on an epicardial cys . . .t occurring coincidentally with constrictive pericarditis for the first time in the literature. © Georg Thieme Verlag KG Stuttgart Daha fazlası Daha az

Pulmonary artery aneurysm and coronary artery disease in a patient with previous cardiac surgery

Kandemir Ö. | Yildiz Ü. | Tezcaner T. | Zorlutuna, Yaman

Makale | 2008 | Thoracic and Cardiovascular Surgeon56 ( 3 ) , pp.168 - 170

Pulmonary artery aneurysms (PAA) are uncommon and the management of these conditions is not clear. Main PAA with high pulmonary pressure and right ventricular overload should be surgically managed because of the risk of rupture and dissection. However, isolated PAA, in the absence of left-to-right shunt or pulmonary hypertension, probably have a benign course and conservative treatment and close follow-up may be appropriate. The case of a 62-year-old patient with pulmonary artery aneurysm and coronary artery disease who had previous cardiac surgery is presented here. © Georg Thieme Verlag KG Stuttgart.

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