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A retrospectively analysis of patients who had long hospital stay after cardiovascular surgery

Çelik S. | Gürkan S. | Köner A.E. | Atilgan Y. | Şen E.

Article | 2010 | Turkiye Klinikleri Cardiovascular Sciences22 ( 2 ) , pp.233 - 238

Objective: Patients have been discharged from the hospital within four to eight days after cardiovascular surgery in recent years. The aim of this study was to determine demographic and clinical features of patients who had long hospital stay after cardiovascular surgery. Material and Methods: The study was conducted as a retrospective cohort study in a private hospital in Turkey. The sampling group was composed of 53 of total 473 patients admitted to the hospital between January and December 2006. Patients were hospitalized for nine days and more, and those over 18 years of age were included into the study. The records of this stud . . .y group were retrospectively investigated to data of patients including demographic characteristics, history, laboratory values, patient diagnosis and surgery interventions. Data were evaluated using regression and chi-square tests. Results: Mean age rate of the patients was 59.3, 64.2% of them were male, and 90.6% had prior elective operations. Of the patients, 67.9% were obese (BMI > 30kg/m2), 62.3% had coronary artery disease, 56.6% had coronary artery bypass graft surgery, 62.3% had hypertension, and 28.3% had chronic obstructive pulmonary disease. The mean length of hospitalization was 13.53 ± 10.16 days. The mean stay in the intensive care unit was 2.87 ± 2.95 days. The most complications developing postoperatively in patients were atrial fibrillation (47.2%), ventricular insufficiency (32.1%), renal insufficiency (18.9%), ventricular arrhythmia (17%), pneumothorax (9.4%), cardiac tamponade (7.5%) and respiratory problems (5.7%) Conclusion: The results of this study provide detailed information regarding demographic and clinical features of patients who had long hospital stay after cardiovascular surgery. Copyright © 2010 by Türkiye Klinikleri Daha fazlası Daha az

A complex wall pseudoaneurysm caused by a tear on the e-PTFE arteriovenous fistula graft

Altinay L.

Article | 2018 | Turkiye Klinikleri Cardiovascular Sciences30 ( 1 ) , pp.34 - 37

Expanded polytetrafluoroethylene grafts are implanted when autogenous arteriovenous fistulas fail. But they have disadvantages such as pseudoaneurysm formation. Here we represent a case of arteriovenous fistula graft pseudoaneurysm caused by a tear on the graft wall. The graft wall had a complex structure consisted of both synthetic graft material and fibrous tissue. The pseudoaneurysm was excised and the tear on the graft was repaired. Copyright © 2018 by Türkiye Klinikleri.

A rare complication during oxcarbazepine use,complete atrioventricular block: Case report

Karabag T. | Aydin M. | Dogan S.M.

Article | 2013 | Turkiye Klinikleri Cardiovascular Sciences25 ( 1 ) , pp.26 - 28

Oxcarbazepine, 10 keto analogue of carbamezepine, is an antiepileptic drug used pri manly for the treatment of focal and generalized tonic clonic seizures in adults and children. Ox carbazepine has been observed to have a positive effect also on psychiatric diseases and trigeminal neuralgia. Oxcarbazepine like most of antiepileptic drugs, inhibits voltage dependent fast sodium channels. During oxcarbazepine treatment, side effects such as hyponatremia, headache, vertigo, somnolence, nausea, double vision, vomiting and ataxia can be seen. However, to date, no specific and!or severe cardiac complications of oxcarbazepine have been rep . . .orted. In this paper, we present a case of complete atrioventricular block that was considered to be caused by oxcarbazepine and that improved after cessation of the drug in a 67 year old female patient with no underlying cardiac etiology. Copyright © 2013 by Türkiye Klinik leri Daha fazlası Daha az

Proportional serum lipid parameters in coronary slow flow phenomenon

Kalayci B. | Kalayci S. | Köktürk F.

Article | 2019 | Turkiye Klinikleri Cardiovascular Sciences31 ( 1 ) , pp.21 - 28

Objective: The association between serum lipid parameters and coronary slow-flow (CSF) phenomenon has been searched previously. The aim of our study was to determine the association between proportional serum lipid parameters and CSF. Material and Methods: We enrolled 93 stable patients randomly who had undergone coronary angiography and had near-normal coronary arteries with normal and slow coronary flow. Demographic, clinical and laboratory data were recorded retrospectively. Coronary flow velocity was evaluated by TIMI frame count (TFC). CFS phenomenon was defined as a TFC greater than 27 frames. Corrected TFC was calculated for . . .the left anterior descending coronary artery. Results: Fifty four patients were in CSF group and 39 patients were in control group. The mean age of the patients in CSF group was significantly higher than control group (55.4±9.5 vs. 50.5±9.8 years, p= 0.019). Triglyceride (TG) levels was found higher in CSF group than control group (187.3±103.4 mg/dl, 125.3±63.8 mg/dl, Daha fazlası Daha az

Right ventricular thrombus formation and pulmonary embolism as a complication of behçet disease: Case report

Yavuz N. | Karabad T. | Çabuk M. | Sayin M.R. | Aktop Z. | Gursoy Y.C.

Article | 2015 | Turkiye Klinikleri Cardiovascular Sciences27 ( 1 ) , pp.32 - 35

Behçet disease is a chronic, inflammatory, multisystemic vasculitis mainly characterized by orogenital ulcers. It is mainly observed in Turkey, other Mediterranean areas, and Japan. Viral, bacterial, genetic, immunologic, and environmental factors have been implicated in the pathogenesis of the disease. Although disease is multisystemic, cardiac involvement is rare and often associated with poor prognosis. Hypercoagulopathy is one of the important manifestation of the Behçet disease. Thromboembolic events such as myocardial infarction, stroke and pulmonary embolism risk is higher in patients with Behçet compared to normal population . . .. Right ventricular thrombus is a quite rare. In this paper we present a 26-year-old male patient who presented with pulmonary embolism and was subsequently diagnosed with a right ventricular thrombus and completely recovered after treatment. We also discussed diagnostic and therapeutic options. © 2015 by Turkiye Klinikleri Daha fazlası Daha az

Paracardiac giant cystic desmoid tumour: Case report

Akpinar I. | IşLEYEN A. | Durukan M. | Güray Ü. | Acu R. | TÜFEKçIOgLU O. | GÖLBAşI Z.

Article | 2013 | Turkiye Klinikleri Cardiovascular Sciences25 ( 3 ) , pp.162 - 165

Desmoid tumours, also called aggressive fibromatosis, are an extremely rare type of tumour arising from musculoaponeurotic tissues. Their etiology is still unknown. They are usually benign, but local invasion and relapsing are frequent. Here we report the case of a 45-year-old male patient with widespread invasion of a desmoid tumour involving superior-posterior mediastinum, retroperitoneum and right lumbocostal region. The tumour was inoperable because of important vascular and cardiac invasions. Despite the intra-abdominal location of most desmoid tumours, involvement of the superior mediastinum and their differential diagnosis am . . .ong the retroperitoneal-mediastinal masses should be definitely kept in mind. Transthoracic ecocardiography should be considered as a first method for the assessment of mediastinal invasion. Copyright © 2013 by Türkiye Klinikleri Daha fazlası Daha az

Unilateral pulmonary edema seen in patient with massive pleural effusion and heart disease: Case report

Boran M. | Boran E. | Yildirim N.

Article | 2012 | Turkiye Klinikleri Cardiovascular Sciences24 ( 3 ) , pp.291 - 294

Unilateral pulmonary edema is a rare disorder which can be misdiagnosed with other causes of unilaterally pulmonary infiltrates on chest X-ray. Unilateral pulmonary edema may have cardiac origin and non cardiac origin such as mitral valve disease and reexpansion pulmonary edema respectively, while cardiogenic and noncardiogenic pulmonary edema may be difficult to distinguish because of their resembling clinical manifestations. Reexpansion pulmonary edema is an unusual and a potentially significant cardiopulmonary complication occurring after reinflation of the collapsed lung due to pneumothorax, hidrothorax or atelectazy. Unilateral . . . pulmonary edema with mitral valve disease mostly affects the right lung, but cases in the left lung were also reported. We present an interesting case of reexpansion pulmonary edema seen in a 43 year old woman with massive effusion, mitral valve disease and cardiopulmonary bypass history. Copyright © 2012 by Türkiye Klinikleri Daha fazlası Daha az

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