Yazar "Dişli, Olcay Murat" seçeneğine göre listele
Listeleniyor 1 - 20 / 34
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Aberrant right subclavian artery and axillary artery cannulation in type a aortic dissection repair(Ann Thorac Surg, 2013) Battaloğlu, Bektaş; Seçici, Serkan; Çolak, Cengiz; Dişli, Olcay Murat; Erdil, Nevzat; Kutlu, RamazanCurrently, right axillary artery cannulation and unilateral antegrade cerebral perfusion through the same cannula are preferred choices for acute type A aortic dissection repair. However, the existence of an aberrant right subclavian artery can jeopardize cerebral perfusion through the right axillary artery cannula. In this study, we intended to explain the repair of acute type A aortic dissection using right axillary artery cannulation in a patient with aberrant right subclavian artery.Öğe Anomalous origin of the left coronary artery from the right coronary sinus(Annals of Thoracic and Cardiovascular Surgery, 2012) Çolak, Mehmet Cengiz; Erdil, Nevzat; Dişli, Olcay Murat; Kahraman, Ercan; Battaloğlu, BektaşAnomalous origin of the left coronary artery (LCA) from the right coronary artery sinus is a rare congenital coronary anomaly. We report a case of a 48-year-old symptomatic man who was admitted to our clinic with a history of hypertension, type 2 diabetes mellitus, myocardial infarction and hypercholesterolemia. Coronary angiography was performed revealing anomalous left coronary artery from the right coronary artery sinus. In addition, stenosis of RCA and well developed stenotic diagonal artery were detected with coronary angiography. We performed coronary by-pass with left internal mammarian artery to diagonal artery and vena saphena to right coronary artery (RCA). Both coronary angiography and intraoperative view should be evaluated well in patients with anomalous of the coronary arteryÖğe The arteriovenous fistulas for hemodialysis complications in short and long term in department of cardiovascular surgery clinic turgut ozal medical center(Journal of Turgut Ozal Medical Center, 2011) Çolak, Mehmet Cengiz; Dişli, Olcay Murat; Erdil, Nevzat; Cihan, H. Berat; Battaloğlu, BektaşÖğe Bacak ağrısıyla karakterize akut aort diseksiyonu(2011) Akgün, Feride Sinem; Turtay, Muhammet Gökhan; Dişli, Olcay Murat; Oğuztürk, Hakan; Doğan, MetinÖz: Amaç: Klasik olarak aort diseksiyonu ani, şiddetli, yırtıcı göğüs, sırt, bel ve karın ağrısı ile karakterizedir. Akut aort diseksiyonlarının sadece alt ekstremite iskemi semptomlarıyla ortaya çıkması nadir bir durumdur. Olgu sunumu: Altmışdokuz yaşında sağ bacakta ağrı nedeni ile acil servisimize başvuran ve akut aort diseksiyon tanısı alan erkek hasta sunuldu. Sonuç: Aort diseksiyonu tanının konması gecikir veya atlanırsa ölümcül sonuçlar ortaya çıkabilir. Bu nedenle alt ekstremite iskemisiyle başvuran hastalarda bu tanı akılda tutulmalıdır.Öğe Coronary bypass surgery in patients with pulmonary hypertension assessment of early and long term results(Ann Thorac Cardiovasc Surgery, 2015) Akça, Barış; Erdil, Nevzat; Dişli, Olcay Murat; Dönmez, Köksal; Erdil, Feray; Çolak, Mehmet Cengiz; Battaloğlu, BektaşPurpose: We aimed to evaluate the effects of preoperative pulmonary hypertension (PH) on early and long term results in patients undergoing coronary bypass surgery and the effects of coronary bypass surgery on PH. Methods: Among 2325 patients who underwent elective isolated coronary artery bypass surgery between March 2003 and March 2012, 287 patients with high preoperative pulmonary arterial pressure (PAP) ≥30 mmHg were examined. Patients’ data were obtained by retrospective examination of our clinic’s database. 69 patients who had complete parameters included in the study. Results: There was no increase in the New York Heart Association (NYHA) functional classification 84% of cases. Preoperative and postoperative values of the mean ejection fraction and mean PAP of patients was respectively 45.28 ± 9.67 (25–65), 46.03 ±12.4 (20–65) (p = 0.447), 36.67 ± 6.81 (30–60) mmHg, 37.81 ± 10.07 (20–70) mmHg (p = 0.378). The late mortality of cases was 5.79%. In our study, during 33.9 ± 17 (9–100) months follow up period, life expectancy was calculated as 94.7 months. Conclusion: Preoperative evaluation of these patients for appropriate medical treatment at peroperative and postoperative period, coronary bypass can be performed with low morbidity and mortality rates. In the late period after surgical revascularization PH showed no significant change and had no adverse effect on quality of life.Öğe Derin ven trombozlu hastalarda faktör v leiden mutasyonu taraması ve sonuçları(2013) Dişli, Olcay Murat; Akça, Barış; Dönmez, Köksal; Çolak, Cemil; Cihan, Hasan Berat; Battaloğlu, Bektaş; Erdil, NevzatÖz: Amaç: Çalışmamızda, derin ven trombozu nedeni ile başvuran hastalarda Faktör V Leiden mutasyonunun sıklığı ve bu hastalara yaklaşımımız paylaşılacaktır. Gereç ve Yöntemler: Ocak 2009 ile Ağustos 2011 tarihleri arasında derin ven trombozu ile başvuran 53 olgu, Faktör V leiden mutasyonu açısından araştırıldı. Olguların yaş aralığı 19-83 yıl olup %50,94ü erkek idi. Olguların tümü standart olarak yatırılıp, iv standart heparin alıp oral antikoagulan ilaç başlandı. Tümünde etiyolojik araştırma yapıldı. Bulgular: Elli üç olguda araştırılan Faktör V leiden mutasyonu 11 hastada heterozigot (7E, 4K) (%20,75), 2 hastada homozigot (K) (% 3,77) olarak tespit edildi. Heterozigot olarak tespit edilen tek kadın hastanın pulmoner emboli öyküsü mevcuttu. Rekürren derin ven trombozu olarak başvuran 6 hastanın birinde heterozigot (E) birinde homozigot (K) gen mutasyonu tespit edildi. Rekürren derin ven trombozlu hastaların diğeri 6. dekatta malignitesi olan ve Faktör Vi normal olan hastaydı. Olguların 6 sında immobilizasyon, gebelik, postpartum ve malignite gibi ek etiyolojik faktörler tespit edildi. Faktör V mutasyonu olan hastaların tümünde femoral ven seviyesinde tutulum mevcuttu. Sonuç: Faktör V mutasyonu olan ve tetikleyici faktör birlikteliği ile venöz trombüs gelişen, özellikle de rekürens olan olgularda ömür boyu oral antikoagulan kullanımı gereklidir. Ayrıca Faktör V leiden mutasyon taşıyıcısı bireyin asemptomatik aile bireylerinin mutasyon açısından taranması önerildiğinden, mutasyon tanımlandığında, yüksek riskli olgularda, derin ven trombozu proflaksisinin ve acil tıbbi bakımın gerektiği durumların önceden saptanabilmesi için bu olgu grubuna genetik danışmanlık verilmesi yararlı olacaktır.Öğe The effects of N acetylcysteine on pulmonary functions in patients undergoing on pump coronary artery surgery a double blind placebo controlled study(Eur rev med pharmacol sci, 2016) Erdil, Nevzat; Eroğlu, Tamer; Akça, Barış; Dişli, Olcay Murat; Yetkin, Özkan; Çolak, Mehmet Cengiz; Erdil, Feray Akgül; Battaloğlu, BektaşAbstract. – OBJECTIVE: To investigate the effects of N-acetylcysteine (NAC) on pulmonary function tests and arterial blood gases in patients undergoing on-pump coronary artery surgery. PATIENTS AND METHODS: The effect of NAC was assessed within the scope of a prospective, single center, double-blind, placebo-controlled, parallel group study. Eighty-two patients undergoing coronary artery bypass grafting were randomized into two groups to receive either placebo (group 1, n = 40) or NAC (group 2, n=42). Both the NAC group and the placebo-receiving control group also included a COPD subgroup consisting of patients with an FEV1/FVC ratio of < 0.7 and an FEV1 value of 50- 80%. Pulmonary function tests were performed preoperatively and on postoperative day 60. RESULTS: Both groups were similar with respect to age, gender, preoperative risk factors, ejection fraction (EF), mean cross-clamp time, ventilation time, intensive care unit (ICU) stay, atrial fibrillation (AF) and hospital stay (p > 0.05). Postoperative FVC and FEV1 values in group 1 and the postoperative FEV1, FEV1/FVC and FEF 25-75 values in group 2 were lower in comparison to their preoperative values. However, in both group 1 and 2, the decreases observed in these parameters were not statistically significant (p > 0.05). In the COPD subgroup of group 1, a postoperative decrease was observed in the FEV1 and FEF25-75 values, with the FEV1 decreasing by 4.55%, and the FEF25-75 decreasing by 4.2% (p < 0.05). In the COPD subgroup of group 2, no significant decrease was observed in the pulmonary function test values (p > 0.05).Öğe The effects of pulmonary hypertension on early outcomes in patients undergoing coronary artery bypass surgery(Turk J Med Sc, 2016) Akça, Barış; Dönmez, Köksal; Dişli, Olcay Murat; Erdil, Feray Akgül; Çolak, Mehmet Cengiz; Battaloğlu, Bektaş; Erdil, NevzatBackground/aim: To investigate the effects of pulmonary hypertension on early clinical variables in patients undergoing coronary artery bypass grafting surgery. Materials and methods: The preoperative echocardiographic data of patients who underwent isolated coronary artery bypass surgery were evaluated retrospectively. A total of 1244 patients were included in the study. The patients were divided into two groups: one group consisted of patients with systolic pulmonary artery pressure (SPAP) values equal to or greater than 30 mmHg (Group 1, n = 184), while the other group consisted of patients with SPAP values below 30 mmHg (Group 2, n = 1060). Results: Early mortality was similar in both groups (0% in Group 1 and 1.2% in Group 2; P > 0.05). Comparison of postoperative data indicated that Group 1 had a higher need for inotropic agent treatment, a longer average duration of ventilation, and a longer average duration of stay in the intensive care unit (P < 0.05). For the other variables, no significant differences were identified between patients with and without pulmonary hypertension (P > 0.05). Conclusion: Mild pulmonary hypertension (mean SPAP = 37.7 ± 8.4 mmHg) was not associated with a significant difference in the mortality of patients undergoing coronary artery bypass grafting. For patients undergoing this type of coronary bypass surgery, lower morbidity and mortality rates can be achieved through comprehensive preoperative examinations and effective perioperative medical procedures.Öğe Giant left atrial thrombus formation in patient with a previous coronary artery bypass grafting(J Med Life. 2013 Sep 15;6(3):316-8, 2013) Erdil, Nevzat; Dişli, Olcay Murat; Battaloğlu, BektaşFree-floating left atrial ball thrombus is a rare condition. We report a giant left atrial ball thrombus which was removed under surgery uneventfully, in a 48-year-old male patient with the presence of sinus rhythm and no valvular disease with previous off-pump coronary artery bypass surgery.Öğe he effects of pulmonary hypertension on early outcomes in patients undergoing coronary artery bypass surgery(Turkish Journal of Medical Sciences, 2016) Akça, Barış; Dönmez, Köksal; Dişli, Olcay Murat; Erdil, Feray Akgül; Çolak, Mehmet Cengiz; Aydemir, İlhan Koray; Battaloğlu, Bektaş; Erdil, NevzatÖz (İngilizce): Background/aim: To investigate the effects of pulmonary hypertension on early clinical variables in patients undergoing coronary artery bypass grafting surgery. Materials and methods: The preoperative echocardiographic data of patients who underwent isolated coronary artery bypass surgery were evaluated retrospectively. A total of 1244 patients were included in the study. The patients were divided into two groups: one group consisted of patients with systolic pulmonary artery pressure (SPAP) values equal to or greater than 30 mmHg (Group 1, n = 184), while the other group consisted of patients with SPAP values below 30 mmHg (Group 2, n = 1060). Results: Early mortality was similar in both groups (0% in Group 1 and 1.2% in Group 2; P > 0.05). Comparison of postoperative data indicated that Group 1 had a higher need for inotropic agent treatment, a longer average duration of ventilation, and a longer average duration of stay in the intensive care unit (P < 0.05). For the other variables, no significant differences were identified between patients with and without pulmonary hypertension (P > 0.05). Conclusion: Mild pulmonary hypertension (mean SPAP = 37.7 ± 8.4 mmHg) was not associated with a significant difference in the mortality of patients undergoing coronary artery bypass grafting. For patients undergoing this type of coronary bypass surgery, lower morbidity and mortality rates can be achieved through comprehensive preoperative examinations and effective perioperative medical procedures.Öğe Hemodializ amaçlı arteriyovenöz fistül sonrası gelişen rüptüre dev anevrizma(2014) Yılmaz, Mehmet; Dişli, Olcay Murat; Kahraman, Ercan; Akça, Barış; Dönmez, Köksal; Çolak, Mehmet Cengiz; Erdil, Nevzat; Battaloğlu, BektaşÖz: Arteriyovenöz fistül (AVF) operasyonları, kronik böbrek yetmezliği olan olgularda hemodiyaliz uygulanmasını kolaylaştıran ve olgunun yaşam standartlarını yükseltmek amacıyla en sık kullanılan yöntemlerdir. Fistülün kullanılmasına bağlı geç dönemde en sık rastlanan komplikasyonlardan biri anevrizma gelişimidir. Bu çalışmada hemodiyaliz amaçlı açılan AVFnin, geç dönem komplikasyonu olarak ortaya çıkan rüptüre dev bir anevrizma olgusuna uyguladığımız cerrahi tedavi yaklaşımımız ve sonrasındaki klinik düzelmeyi özetlemeyi amaçladık.Öğe Isolated coronary artery bypass surgery in patients with mild to moderate ischemic mitral regurgitation: Early results(2018) Erdil, Nevzat; Battaloğlu, Bektaş; Çolak, Cemil; Ermiş, Necip; Dişli, Olcay Murat; Çolak, Mehmet Cengiz; Akça, BarışAbstract: The optimal management of moderate ischemic mitral regurgitation (MR) remains controversial. Some surgeons advocate coronary artery bypass alone, while others suggest concomitant mitral valve annuloplasty. We aimed to evaluate the early results of isolated coronary artery bypass operation on the cases with mild-to-moderate ischemic MR. Between May 2010 and May 2011, 59 patients (64% male, mean age: 50.5 years) with a preoperative diagnosis of mild-to-moderate ischemic MR underwent a coronary bypass operation. Patients evaluated with preoperative and postoperative (in twelve-month period with an average of five months) transthoracic echocardiogram (TTE). Postoperative mortality was not observed in study group. The preoperative functional capacity of the patients as well as the variables of mild MR and moderate MR showed a statistically significant difference in a positive way when compared with the postoperative functional capacity and MR variables. Postoperative TTE evaluation revealed that only 2 cases have severe MR (3,4%) also 62,7 % of patients have mild and 33.9% of patients have moderate MR. While there was a significant difference in a positive way between the preoperative and postoperative period in terms of left atrial diameter, no significant difference was found for the variables of ejection fraction and pulmonary artery pressure. Among the patients whom undergoing coronary bypass surgery, if there is mild or moderate MR revealed with the TTE prior to the operation, performing only coronary bypass operation will be adequate, and our early results in this matter are satisfactory. But, if severe MR revealed with TTE, performance of mitral valve repair or replacement should be evaluated additional to coronary bypass operation.Öğe KONJENİTAL KALP CERRAHİSİNDE PERİFERİK VENÖZ BASINÇ SANTRAL VENÖZ BASINCA ALTERNATİF OLABİLİR Mİ?(2014) Işık, Onur; Şahutoğlu, Cengiz; Dişli Korkmaz, Zeliha; Aytaç, İsmail; Dişli, Olcay Murat; Kutsal, AliÖz: Amaç: Biz bu çalışma ile konjenital kalp cerrahisinde periferik venöz basınç (PVB) ölçümünün santral venöz basınç (SVB) ölçümüyle korrelasyonununu ve SVB’ye alternatif olup olamayacağını araştırmayı amaçladık. Yöntem: Etik kurul raporu alındıktan sonra, tam düzeltim operasyonu geçiren toplam 35 infant ve pediatrik kardiyak hastanın kalp cerrahisi yoğun bakım yatışları boyunca alınan SVB ve PVB ölçümleri prospektif olarak değerlendirildi. Çalışmamızdaki hastalar sıvı açığı, ateş, taşikardi, triküspit yetmezliği olup olmadığına göre 4 gruba, branül çapına göre, yaş gruplarına göre ayrıldı ve gruplar arası PVB ile SVB korelasyonu arandı. Hastaların yaşı, cinsiyeti, kilolaları, vücut yüzey alanı, konjenital kalp hastalığı tanıları, periferik venöz yol olarak kullanılan branül çapı, postoperatif transtorasik ekokardiyografi tetkikindeki triküspit yetmezliği derecesi, kalp hızı, ateş, sıvı dengesi, SVB ve PVB ölçümleri postoperatif yoğun bakım döneminde yapıldı. Bu ölçümler entübe1 (1.saat), entübe2 (2.saat), ekstübe1 (1.saat), ekstübe2 (2.saat) olmak üzere 4 farklı randomize zamanda yapıldı. Entübe ölçümler ekspirasyon periyodunun sonunda pozitif basınçlı ventilasyon periyodunda yapıldı. Kava pulmoner şant operasyonu yapılan hastalar, prematür hastalar, palyatif operasyon yapılan hastalar çalışma dışı bırakıldı: Bulgular: PVB ve SVB nin dört farklı zamanda korele olduğu saptandı. Hastaya yapılan ameliyat, hastaların yaş grupları ve vücut kitle indeksleri, taşikardinin olup, sıvı dengesi, ateş, ve triküspit yetmezlik derecesi SVB ile PVB korelasyonunu etkilemedi. Sonuç: Pediatrik kardiyak yoğun bakımda ameliyat öncesi dönemde ve diğer pediatri kliniklerinde volüm yükünün değerlendirilmesinde ve SVB takip edilmesi gereken olgularda daha az invazif olması nedeniyle antekübital bölgeden PVB ölçümünün tercih edilebileceği kanısındayız.Öğe Kronik venöz yetersizliğin aynı seansta büyük safen ven endovenöz radyofrekans ablasyon ve miniflebektomi ile tedavisi(Damar Cerrahi Dergisi, 2017) Akça, Barış; Erdil, Nevzat; Çolak, Mehmet Cengiz; Dişli, Olcay Murat; Yetiş, Cihan; Battaloğlu, BektaşÖz: Amaç: Bu çalışmada kronik venöz yetersizliği (KVY) tanısı ile aynı seansta yapılan büyük safen ven (GSV) radyofrekans (RF) ablasyon ve miniflebektomi sonuçlarımız sunuldu.Hastalar ve Yöntemler: Aralık 2012 - Mayıs 2017 tarihleri arasında kliniğimizde KVY tanısı konan 141 hastaya (63 erkek, 78 kadın; ort. yaş: 42.3±10.6 yıl; dağılım, 21-72 yıl) GSV RF ablasyonu ve aynı seansta miniflebektomi uygulandı. Hastaların %81.6'sı Klinik-EtyolojikAnatomik-Patofizyolojik (CEAP) sınıflamaya göre C3 idi ve %31.9'una derin ven yetersizliği eşlik ediyordu.Bulgular: Tüm hastalara ameliyathane şartlarında müdahale edildi. Hastaların %65.2'sine larengeal maske havayolu ile genel anestezi, %34.8'ine spinal anestezi uygulandı. Hastaların %48.2'sinde sağ bacak girişimi gerçekleştirildi. Miniflebektomi sonrası hiçbir hastada cerrahi sütür kullanılmadı ve kesileri steril yapışkanlı stripler ile yaklaştırıldı. Ameliyat sonrası dönemde hematom, kanama, enfeksiyon ve majör ödem gibi komplikasyonlar görülmedi. Ortalama hastanede kalış süresi 3-4 saat ve 1 gün arasında değişiyordu. Bir-üç aylık takiplerinde bir hastada GSV tromboflebit ve bir hastada popliteal derin ven trombozu görüldü ve tıbbi tedavi ile düzeldi.Sonuç: Eş zamanlı RF ablasyon ve miniflebektomi, ameliyat öncesinde iyi bir şekilde değerlendirilen uygun hastalarda kısa takip süresi ile ve yara oluşumu olmaksızın, estetik ve klinik memnuniyet açısından tercih edilebilirÖğe Management of infective endocarditis and long-term outcomes of patients who underwent surgery: The fifteen-year experience of a tertiary care center(2020) Akca, Barış; Erdil, Nevzat; Çolak, Mehmet Cengiz; Dişli, Olcay Murat; Battaloglu, BektasAbstract: Infective endocarditis (IE) is still associated with severe complications and poor prognosis. The surgery of IE has various technical difficulties due to severe infection, inflammation of heart tissue, and systemic effects, so controversies continue about the optimal timing of operation. This study presents the treatment approaches, early and late-term outcomes of IE patients, who underwent surgery.This retrospective descriptive study is conducted with 46 patients (31males) operated between 2002-2018. The demographics and preoperative, intraoperative and postoperative data of patients were analyzed from the clinical database and patient records. Emergency surgery was performed to 15 (32.26%) patients.Numbers of patients with mitral valve, aortic valve, and prosthetic valve endocarditis were 14, 25, 7 respectively. Aortic valve replacement (AVR), mitral valve replacement (MVR), MVR + AVR and mitral valve repair were performed in 24, 12, 8 and 2 patients, respectively. Additionally, peri-cardial patch repair (periannular abscess or damage (n=12), aorta-right atrial fistulae (n=3)), debulking of associated tricuspid valve vegetation (n=2), tricuspid De Vega annuloplasty (n=3), Bentall operation (n=1) and aortic root enlargement (n=5) were performed. The mean follow-up period and mortality rates were 24.86 ± 38.98 months, 13.04% respectively. The mean survival and reoperation-free time were 179.02 ± 13.78 and 203 ± 10.09 months, respectively. Patients can be managed appropriately with early diagnosis, aggressive medical and surgical treatment via a multidisciplinary approach with customized management according to guidelines in terms of individual characteristics. In cases of worsening hemodynamic status, uncontrolled infection, large and mobile vegetations surgery should be performed as soon as possibleÖğe Nebivolol in preventing atrial fibrillation following coronary surgery in patients over 60 years of age(Revısta Brasıleıra De Cırurgıa Cardıovascular, 2014) Erdil, Nevzat; Kaynak, Murat; Dönmez, Köksal; Dişli, Olcay Murat; Battaloğlu, BektaşObjective: Postoperative atrial fibrillation is a common complication after cardiac surgery, with an incidence as high as 20-50%. Increased age is associated with a significant increase in postoperative atrial fibrillation risk. This common complication is associated with higher morbidity and mortality rates. The aim of this study was to assess the efficacy of nebivolol in preventing atrial fibrillation following coronary artery bypass surgery in patients over 60 years of age. Methods: In this prospective randomized study, 200 patients who were candidates for elective coronary artery bypass surgery were divided into two groups. The first group was administered with nebivolol and the second group was administered with metoprolol. Treatment was initiated four days prior to surgery, and patients were monitored for atrial fibrillation until discharge. Forty-one patients recieved 50 mg metoprolol succinate daily, which was initiated minimum 4 days before surgery. Results: Demographic data were similar in both groups. The incidence of postoperative atrial fibrillation in both groups was similar, with no significant difference being identified [n=20 (20%); n=18 (18%), P=0.718; respectively]. There were not any mortality at both groups during study. Inotropic agent requirement at ICU was similar for both groups [n=12 (12%), n=18 (18%), P=0.32]. Conclusion: We compared the effectiveness of nebivolol and metoprolol in decreasing the incidence of postoperative atrial fibrillation, and determined that nebivolol was as effective as metoprolol in preventing postoperative atrial fibrillation at patients. Nebivolol may be the drug of choice due to its effects, especially after elective coronary artery bypass surgery.Öğe Perioperative managaement of leavoarial cardianal vein in the absence of the brachiocephalic vein(Tex Heart Ins J, 2013) Dişli, Olcay Murat; Battaloğlu, Bektaş; Erdil, Nevzat; Karakurt, Cemşit; Elkıran, ÖzlemLevoatrial cardinal vein is a rare congenital anomaly of the systemic veins. It is commonly associated with left-sided obstructive conditions such as aortic atresia, mitral atresia, and cor triatriatum. We report the case of a 14-year-old boy who was undergoing surgery for correction of a secundum atrial septal defect. Intraoperatively, we discovered that he had a levoatrial cardinal vein and no brachiocephalic vein. However, collateral vessels provided adequate flow to the right atrium, and the patient’s left-sided venous pressure was not excessive, so we ligated the levoatrial cardinal vein and directly repaired the septal defect. Postoperatively, the left venous drainage was satisfactory and the patient was asymptomatic. In addition to our patient’s case, we discuss the embryology, diagnosis, and treatment of levoatrial cardinal vein.Öğe Prevalence of venous thromboembolism in patients with chronic liver disease: A Turgut Özal Medical Center based study(2024) Başkıran, Deniz Yavuz; Dişli, Olcay Murat; Yılmaz, SezaiVenous thromboembolism (VTE) is an important complication observed in patients with chronic liver diseases. This study aims to present demographics and some clinical characteristics of patients with chronic liver disease (CLD) with an emphasis on the development of venous thromboembolism. The study was conducted with the data of patients having chronic liver disease who were admitted to Inonu University Turgut Özal Medical Center Liver Transplant Institute. 63 patients diagnosed with chronic liver diseases were included in the study. Chronic liver disease patients were confirmed according to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). Positive Doppler ultrasonography, computed tomography, or angiographic study documentation were used to confirm the presence of thrombosis. In conclusion, although patients with CLD are traditionally prone to bleeding disorders, VTE is also a serious complication in these patients. Therefore, it should be considered that anticoagulation treatment should be provided to all CLD patients with verified VTE.Öğe A Rare Congenital Anomaly: Surgery of Combined Discrete Subaortic Membrane Complicated by the Absence of the Superior VenaCava(2014) Işık, Onur; Dişli, Olcay Murat; Baş, Tolga; Kutsal, AliPersistan sol süperior vena kavanın sağ vena kava süperior yokluğuyla beraberliği viseroatriyal situs solituslu hastalarda oldukça nadir gözlenen bir konjenital anomalidir. Bu anomalinin herhangi bir klinik semptomu olmamasına karşın, cerrahi ve diger invazif prosedürler öncesi tanı konması, transvenöz pacemaker veya defibrilatör yerleştirilmesi, intraoperatif yada monitarizasyon için postoperatif pulmoner arter kateteri yerleştirilmesi, ekstrakorporeal sirkülasyon veya kardiopulmoner bypass için sistemik venöz kanülasyon, kavapulmoner anastomoz ve ortotopik kalp transplantasyonunu içeren bir çok durumda yönetim zorluklarından kaçınmak için önemlidir. Biz bu makalede süperior vena kava yokluğu, persistan sol süperior vena kava ile diskret subaortik membran birlikteliği bulunan ve başarılı cerrahi uygulanan bir hastamızı sundukÖğe Rosuvastatin ön tedavisi koroner arter baypas greftleme sonrasında mikroalbuminüriyi azaltmaz(2014) Seçici, Serkan; Battaloğlu, Bektaş; Uyar, İlhan Sami; Akpınar, Mehmet Beşir; Abacılar, Ahmet Feyzi; Dişli, Olcay Murat; Erdil, Nevzat; Taşkapan, Mehmet ÇağatayÖz: Amaç: Bu çalışmada rosuvastatinin, kardiyopulmoner baypas (KPB) eşliğinde yapılan koroner arter baypas greftleme (KABG) sonrasında mikroalbuminüriyi azaltıp azaltmadığı araştırıldı.Çalışma planı: Bu prospektif çalışmaya izole KABG yapılan toplam 40 hasta (37 erkek, 3 kadın; ort. yaş 59.0±10.1 yıl; dağılım 48-78 yıl) alındı. Hastalar kontrol grubu (n=20) ve elektif KABG'den yedi gün önce 20 mg/gün rosuvastatin kullanmış hastalardan oluşan rosuvastatin grubu (n=20) olarak ikiye ayrıldı. Tüm hastalardan mikroalbuminüri idrar sondası takıldığında, KPB'nin başlangıcından önce, KPB'nin sonlandırıldığı anda ve yoğun bakım ünitesinde altıncı ve 24. saatlerde spot idrar örneği ile ölçüldü. Serum C-reaktif protein ise anestezi indüksiyonundan önce ve yoğun bakım ünitesinde altıncı ve 24. saatte kan örneği ile ölçüldü.Bul gu lar: Hastaların demografik verileri ve ameliyat öncesi özellikleri benzerdi. Gruplar arasında KPB, kros klemp ve ameliyat süreleri, inotrop desteği, ekstübasyon süreleri ve hastaneden taburculuk süreleri arasında anlamlı fark bulunmadı. Üriner albümin/kreatinin oranları her iki grupta başlangıç ölçümüne kıyasla artmıştı ve KPB sonunda maksimum düzeye ulaştı (p<0.05). Yoğun bakımda altıncı saatte ölçülen albümin/kreatinin oranı, rosuvastatin grubunda anlamlı düzeyde yüksekti (0.69'a kıyasla 2.10, p=0.002). Serum C-reaktif protein her iki grupta da cerrahi sonrası 24. saatte artış gösterdi.So nuç: Rosuvastatin ön tedavisi, KABG sonrasında mikroalbüminüriyi ve inflamatuvar yanıtı azaltmaz.