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Öğe The association between intima media thickness, central obesity and diastolic blood pressure in obese and owerweight children: A cross-sectional school-based study(Elsevier Ireland Ltd, 2013) Elkiran, Ozlem; Yilmaz, Erdal; Koc, Mustafa; Kamanli, Ayhan; Ustundag, Bilal; Ilhan, NecipObjective: To examine relationship between carotid intima-media thickness (IMT) and central obesity, cardiovasculary risk factors, and chronic inflammation markers in overweight and obese schoolchildren in Eastern Turkey. Methods: A cross-sectional school-based survey on 2765 schoolchildren was performed. We collected the clinical data (age, sex, percentage of body fat, and measured systolic blood pressure [BP] and diastolic BP, triglycerides, high-and low-density lipoprotein cholesterol, glucose, insulin, homocysteine and high-sensitivity C-reactive protein) in 67 obese and 24 overweight children. The control group was composed of nonobese children of similar age and sex. Results: Mean systolic and diastolic BP values in the cases of overweight and obese groups were higher than those in the control group cases (p = 0.001). Obese and overweight children demonstrated a significantly thicker intima media as compared with the control group (p = 0.001). Carotid IMT was significantly correlated to the body mass index (r = 0.396, p = 0.001), fat mass percentage (r = 0.257, p = 0.036), waist circumference (r = 0.390, p = 0.001), diastolic BP (r = 0.266, p = 0.030), glucose (r = 0.250, p = 0.042), and high-sensitivity C-reactive protein levels (r = 0.269, p = 0.001) in the obese group. In multiple linear regression analysis, carotid IMT correlated significantly to waist circumference (p = 0.045), and diastolic BP (p = 0.031) in obese group. Conclusions: Obesity is related to cardiovascular risk factors leading to early atherosclerosis in schoolchildren. There is a relationship between atherosclerosis, and central obesity, diastolic BP, and chronic inflammation. Waist circumference measurement is more sensitive than other anthropometric measurements in predicting obesity and associated complications. (c) 2011 Elsevier Ireland Ltd. All rights reserved.Öğe Association of cardiac changes with serum adiponectin and resistin levels in obese and overweight children(Lippincott Williams & Wilkins, 2013) Akinci, Aysehan; Karakurt, Cemsit; Gurbuz, Sibel; Elkiran, Ozlem; Nalbantoglu, Ozlem; Kocak, Gulendam; Guldur, TayfunObjectives To investigate serum adiponectin and resistin levels in childhood obesity and their relationship with cardiac changes and insulin resistance. Methods Seventy-one obese and 24 overweight children and 40 healthy children and adolescents were selected for the study. Height and weight measurements, BMI values and BMI SD score values were obtained for each individual. After blood pressure measurement, left ventricular wall thickness, left ventricular mass, stroke volume, cardiac output, systolic and diastolic functions of the left ventricle were measured using an M-mode, two dimensional color-coded echocardiography device. Blood samples of the individuals were obtained for fasting blood sugar, total blood cholesterol, triglyceride, low-density lipoprotein (LDL) cholesterol, very low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, insulin, C-peptide, adiponectin and resistin values. Results Cholesterol and LDL values, homeostasis model assessment of insulin resistance, fasting insulin and fasting C-peptide values of the obese and overweight groups were higher (P<0.01). Adiponectin level (P<0.001) and resistin level (P<0.05) of the obese and overweight groups were lower than those of the control group (P<0.05). Echocardiographic evaluation showed diastolic dysfunction in addition to increased left ventricular wall thickness and left ventricle mass values in the obese and overweight children. We also detected a significant positive correlation among left ventricular mass, interventricular septum systolic diameter and resistin in obese children. Among the factors, resistin level was determined as an independent predictor of left ventricular mass in obese children. Conclusion In this study, even in asymptomatic obese and overweight children, cardiac structural and functional changes, such as increased left ventricular mass and diastolic dysfunction, were demonstrated. Although decreased adiponectin level was not related to cardiac changes, it was shown that decreased serum resistin levels in the obese cases lead to left ventricle hypertrophy.Öğe A case of cardiac cyst hydatid with multiple system involvement(2021) Dogan, Gulec Mert; Dogan, Sait Murat; Tasolar, Sevgi; Okut, Gokalp; Sigirci, Ahmet; Elkiran, Ozlem; Karakurt, CemsitThe larval form of the Echinococcus granulosus causes cystic echinococcosis. The liver and the lungs are the most commonly affected organs. Echinococcosis can also be present in other organs although it is rare. We reported a case with sacral bone, cardiac, lung and liver involvement. Clinical and radiological findings of this unique case were discussed. At the Thoracic Computed On the thoracic computed tomography (CT) scan of a 16-year-old female patient was seen multiple parenchymal and subpleural nodular lesions and a cystic mass in the right ventricular cavity. Echocardiographic examination of the patient also observed on CT. Most cases of cardiac cystic echinococcosis were occurred on adult patients, while only 20 cases were in children. For the 20 reported cases in children, there were 9 cases of cardiac echinococcosis involving left ventricle. Because of the possible complications in the presence of cardiac hydatid cyst, treatment should be surgery.Öğe A case of cardiac cyst hydatid with multiple systeminvolvement(2021) Dogan, Gulec Mert; Dogan, Sait Murat; Taşolar, Sevgi; Okut, Gokalp; Sığırcı, Ahmet; Elkiran, Ozlem; Karakurt, CemsitThe larval form of the Echinococcus granulosus causes cystic echinococcosis. The liver and the lungs are the most commonlyaffected organs. Echinococcosis can also be present in other organs although it is rare. We reported a case with sacral bone, cardiac,lung and liver involvement. Clinical and radiological findings of this unique case were discussed. At the Thoracic Computed On thethoracic computed tomography (CT) scan of a 16-year-old female patient was seen multiple parenchymal and subpleural nodularlesions and a cystic mass in the right ventricular cavity. Echocardiographic examination of the patient also observed on CT. Mostcases of cardiac cystic echinococcosis were occurred on adult patients, while only 20 cases were in children. For the 20 reportedcases in children, there were 9 cases of cardiac echinococcosis involving left ventricle. Because of the possible complications in thepresence of cardiac hydatid cyst, treatment should be surgery.Öğe Congenital Heart Disease and COVID-19: A Single-Center Experience(Briefland, 2022) Oncul, Mehmet; Karakurt, Cemsit; Elkiran, Ozlem; Gozukara, Harika GozdeBackground: Coronavirus disease 2019 (COVID-19) has been infecting children since December 2019 and has caused a severe epidemic and millions of deaths worldwide. COVID-19 has severe clinical effects and is more complicated to manage in patients with underlying diseases, such as congenital heart disease (CHD), past surgical operations, arrhythmia, and end-organ damage. Objectives: This study aimed to evaluate the clinical course, follow-up, and treatment process of patients with CHD and COVID-19 in Inonu University Faculty of Medicine, Department of Pediatrics, Turkey during March 2020-February 2021. Methods: This retrospective study was performed on patients with CHD and COVID-19 in the Department of Pediatrics at Inonu University Faculty of Medicine during March 2020-February 2021, selected by making full count sampling. Admission complaints, clinical findings, biochemical parameters, echocardiography results, hospitalization times, treatments, and clinical follow-up findings were retrieved from patients' files. Results: 11 patients with underlying CHD and COVID-19 were evaluated retrospectively during the study. Ten patients were hospitalized and treated due to COVID-19. Treatment of seven of these patients continued in the intensive care unit (ICU), and five were followed up under a mechanical ventilator. Two patients died during follow-up in the ICU. Conclusions: The clinical course of COVID-19 is severe, and the mortality rate is high in patients with serious diseases, such as underlying CHD. Therefore, COVID-19 in patients with CHD requires more serious and careful follow-up.Öğe Effect of Piracetam and Iron Treatment on Heart Rate Variability in Patients With Breath-Holding Spell(Elsevier Science Inc, 2024) Oncul, Mehmet; Elkiran, Ozlem; Karakurt, Cemsit; Gungor, Serdal; Maras, Serdar Akin; Bag, Harika Gozde GozukaraBackground: Breath-holding spells are a benign condition primarily seen in 3% to 5% of healthy children aged between six months and five years. Although no specific treatment is recommended due to its benign nature, iron and piracetam are used in severe or recurrent cases. We planned to compare the heart rate variability (HRV) before and after treatment with 24 -hour Holter monitoring in patients receiving iron and piracetam treatment and investigate the treatment's effectiveness. Methods: Twenty-five patients who applied to the outpatient clinic between 2013 and 2015 due to breath-holding spells were included in the study. The patients who received piracetam and iron therapy and underwent 24 -hour rhythm Holter monitoring were evaluated retrospectively. Results: Fourteen (56%) of these patients were evaluated as having cyanotic-type and 11 (44%) patients were assessed as having pale -type breath-holding spells. A significant difference was found only between hourly peak heart rate and total power in the group receiving iron treatment. Significant differences were also found among the minimum heart rate, mean heart rate, the standard deviation of RR intervals, the mean square root of the sum of the squares of their difference between adjacent RR intervals, spectpow, and low frequency before and after the treatment in the patients who started piracetam treatment ( P < 0.05). Conclusions: Our study is critical as it is the first to investigate the effects of treatment options on various HRV in patients with breath-holding spells. There were statistically significant changes in HRV parameters in patients receiving piracetam, and the number of attacks decreased significantly. Piracetam treatment contributes positively to the breath-holding spell with regard to efficacy and HRV, therefore it can be used to treat breath-holding spells. (c) 2024 Elsevier Inc. All rights reserved.Öğe Electroanatomic mapping-guided catheter ablation of atrial tachycardia in children with limited/zero fluoroscopy(Wiley, 2019) Elkiran, Ozlem; Akdeniz, Celal; Karacan, Mehmet; Tuzcu, VolkanIntroduction Atrial tachycardia (AT) is an uncommon cause of supraventricular tachycardia in children and it is often resistant to medical therapy. Catheter ablation can be curative in children with AT. However, experience of ablation of pediatric AT is still very limited. The aim of this study, which is the largest series from a single center, was to assess the efficacy and safety of ablation of AT using an electroanatomical-mapping system. Methods It was a retrospective review of 39 children with AT who underwent catheter ablation procedure using the EnSite Velocity system (St. Jude Medical, St. Paul, MN, USA) between July 2012 and April 2017. Results The mean patient age was 13.32 +/- 6.82 years. The location of AT was right sided in 25 and left sided in 13, and both sides in one patient. The mean procedure time was 184.23 +/- 60.19 min. Fluoroscopy was not used in 25 of 39 patients. The mean fluoroscopy time in the remaining patients was 5.53 +/- 5.22 min. Radiofrequency (RF) ablation was used in 22, cryoablation was used in 10, and both RF and cryoablation were used in seven. Acute success was achieved in 34 patients (87.2%). During a mean follow-up of 51.35 +/- 12.62 months, AT recurred in five patients. These patients underwent second ablation procedures and four of them were successful. Final success was achieved in 33 out of 39 patients (84.6%). There were no complications except for one patient who had an uneventful pericardial needle injury during transseptal puncture without effusion. Conclusions Catheter ablation of AT in children can be performed safely and effectively with a limited fluoroscopy using electroanatomical mapping systems.Öğe Evaluation by N-terminal Prohormone of Brain Natriuretic Peptide Concentrations and Ross Scoring of the Efficacy of Digoxin in the Treatment of Heart Failure Secondary to Congenital Heart Disease With Left-to-Right Shunts(Springer, 2013) Elkiran, Ozlem; Sandikkaya, Ayse; Kocak, Gulendam; Karakurt, Cemsit; Taskapan, Cagatay; Yologlu, SaimThis study aimed to evaluate the effectiveness of digoxin in children with heart failure secondary to left-to-right shunt lesions and normal left ventricular systolic function. The study registered 37 such patients (ages 10 days to 24 months, groups 1 and 2) and used 20 healthy children as a control group (group 3). Left ventricular systolic function, as assessed by conventional echocardiography, was normal in all the subjects. Congestive heart failure was diagnosed by clinical evaluation and modified Ross scoring. Plasma N-terminal prohormone of brain natriuretic peptide (NT-proBNP) concentrations and complete blood counts were assessed in all the children. Group 1 was treated with digoxin, enalapril, and furosemide and group 2 with enalapril and furosemide. Approximately 1 month after starting treatment, the patients were reevaluated by physical and echocardiographic examinations, modified Ross scoring, plasma NT-proBNP concentrations, and complete blood counts. The pre- and posttreatment Ross scores of group 1 (p = 0.377) and group 2 (p = 0.616) did not differ significantly. The NT-proBNP values in both groups decreased after treatment (p = 0.0001). The pre- and posttreatment NT-proBNP values did not differ significantly in group 1 (p = 0.094)) and group 2 (p = 0.372). The pretreatment NT-proBNP values in groups 1 and 2 (p = 0.0001) were significantly higher than in the control group (p = 0.003). A smaller difference was observed between posttreatment NT-proBNP values in group 1 and the control group (p = 0.045). We found no significant difference between the posttreatment NT-proBNP values of group 2 and those of the control group (p = 0.271). The study showed that both treatments currently used to treat heart failure secondary to congenital heart disease with left-to-right shunts and preserved left ventricular systolic function are effective and do not differ significantly. Thus, digoxin does not provide any extra benefit in the treatment of such patients.Öğe An evaluation of risk factors, clinical features, and follow-up findings of patients with infective endocarditis(2021) Oncul, Mehmet; Karakurt, Cemsit; Elkiran, OzlemAim: Infective endocarditis (IE) is a serious infection of the endocardial layer of the heart and the endothelial layer of the aorta, which usually is caused by bacteria or fungal microorganisms, requiring early diagnosis and treatment. Congenital heart diseases (CHD) and acquired valvular diseases are risk factors for IE. Advances in life-saving medical interventions such as intensive care, immunosuppressive treatments and the more frequent use of implanted prosthetic materials have increased the risk of IE. The aim of this retrospective study is to evaluate the underlying risk factors, clinical and laboratory findings, microbiological profiles, treatments, and follow-up of patients diagnosed with IE in our clinic. Material and Methods: In this retrospective study, risk factors, clinical features, laboratory findings, microbiological characteristics, echocardiographic features and medical treatment results and complications of 7 patients who admitted to Inonu University Faculty of Medicine Pediatric Cardiology Department a diagnosed with IE, between 2013-2019 were evaluated. Results: Seven patients who were diagnosed with IE were detected from the hospital data system. When the predisposing causes were examined, we found that 3 patients had mitral insufficiency due to rheumatic heart disease, and 3 patients had CHD. None of our patients had a history of intervention before infective endocarditis. Bacteria grew in blood cultures of all patients. The most grown microorganisms were Staphylococci. Surgical treatment, valve repair or replacement therapy, was applied to three patients. A patient, who had aortic coarctation and mycotic aneurysm developing based on infective endarteritis, died on the 5th day due to aneurysm rupture while waiting for surgery under antibiotic pressure. Conclusion: Despite advancing treatment modalities, the mortality rate is about 25%, which is still too high. The most common bacterial infections that cause IE are Streptococci and Staphylococcal infections. Since mortality and morbidity rates are too high in IE, in case of suspicion, necessary laboratory tests and blood cultures should be taken, and treatment should be started immediately.Öğe Hematological Abnormalities in Patients With Acute Viral Hepatitis A and B(Aves Yayincilik, Ibrahim Kara, 2008) Akarsu, Saadet; Erensoy, Ahmet; Elkiran, Ozlem; Kurt, Abdullah; Kurt, A. Nese Citak; Aygun, A. DenizmenAim: Acute viral hepatitis A (HA) and B (HB) are currently widespread health problems in developing countries, where poor hygienic conditions are prevalent. Extrahepatic abnormalities which involve many organs and systems can accompany these infections. Therefore we wanted to determine the rate of hematological complications in our cases diagnosed as HA and HB. Material and Methods: Referral test results of a total of 322 cases hospitalized and monitored with diagnoses of HA (Group 1: 219 cases) and HB (Group 2: 103 cases) were analysed retrospectively. Diagnosis of HA was established by Anti-HAV IgM antibody positivity and diagnosis of HB by elevated liver function tests, HbsAg and HBeAg positivity. Results: Mean leukocyte (8.405 +/- 2.682/mm(3)), neutrophil (3.985 +/- 1.880/mm(3)), hemoglobin levels (12.7 +/- 1.4 g/dl) and platelet counts (339.149 +/- 123.578/mm(3)) were determined. The total rate of hematologcal abnormalities was 59.32 % ( HA 58 %, HB 61.6 %), while the rates of leukopenia (0.93 %), leukocytosis (20.81 %), neutropenia (6.21 %), anemia (15.52 %), thrombocytopenis (4.35 %) and thrombocytosis (11.49 %) were also assessed. No cases of pancytopenia was detected. Conclusion: Hematological abnormalities were seen in nearly half of the cases with HA and HB, which constitute important public health problems in our country. The rates of hematological abnormalities were similar in HA and HB.Öğe Huge Left Atrial Pseudoaneurysm in a 5-Month-Old Baby Presented with Supraventricular Tachycardia(Taiwan Soc Cardiology, 2016) Karakurt, Cemsit; Turkoz, Riza; Saritas, Bulent; Celik, Serkan; Elkiran, OzlemCardiac pseudoaneurysm is an extremely rare condition in children. It can be congenital or acquired and has been primarily described in the left side of the heart. The congenital form of pseudoaneurysm is thought to be related to muscular dysplasia of the muscular layer of the heart. The acquired form is related to myocardial infarction, infective endocarditis or chest trauma. In this report we described a 5-month-old baby with left atrial pseudoaneurysm who was referred to our hospital due to tachycardia and hemodynamic instability. After diagnosis of left atrial pseudoaneurysm, aneurysmectomy was performed and the left atrial wall was successfully repaired by surgery three days after admission. In conclusion, due to life threatening complications such as dissection, arrhythmias, compression of aneurysm and tromboembolic complications, pseudoaneurysm should be treated by surgery.Öğe Human milk banking and milk kinship: Perspectives of mothers in a Muslim country(Oxford Univ Press, 2015) Karadag, Ahmet; Ozdemir, Ramazan; Ak, Muharrem; Ozer, Ali; Dogan, Derya Gumus; Elkiran, OzlemAim: The present study aims to determine the knowledge, attitudes and views of mothers regarding infant feeding, breast milk, wet-nursing, milk kinship and human milk banks. Methods: This descriptive cross-sectional study was composed of 1042 mothers who delivered at two different hospitals in Turkey. Results: Almost half of the participating mothers, 49.9%, agreed with the establishment of alternative HMBs in Turkey. Only 7.7% of the mothers in this study expressed views in favour of the establishment of Western-style HMBs. Approximately half of the mothers (42.4%) indicated that they were against the establishment of any kind of HMBs in Turkey. Only 9.2% of the mothers in this study stated that they would volunteer to donate their breast milk to the Western-style HMBs, and only 6.9% of the mothers approved obtaining milk from this type of HMB. Finally, 44.2% of the mothers stated that they would donate their breast milk to the alternative HMBs, and 31.9% of the mothers approved obtaining milk from this type of HMB. Conclusion: This is the first study conducted among mothers in a Muslim community about issues such as infant feeding, breast milk, wet-nursing, milk kinship and HMBs. The majority of the mothers in this study are against the establishment of Western-style HMBs, whereas they have a more positive response to an alternative HMB when their religious concerns are relieved.Öğe Kawasaki disease: evaluation of 15 cases(2017) Ince, Damla; Elkiran, Ozlem; Karakurt, Cemşit; Tabel, YılmazObjective: Kawasaki disease is characterized with acute systemic self–limited vasculitis, commonly affects middle and small size arteries, occurs predominantly in children under 5 years old age. Most common causes of morbidity and mortality in Kawasaki disease are coronary artery complications. Aim of this retrospective study is to evaluate clinical and laboratory results of 15 Kawasaki patients who were followed-up in 2011-2016 years. Materials and Methods: In this study the clinical and laboratory data of 15 Kawasaki disease patients, who were followed-up in January 2011- May 2016, were evaluated retrospectively. Diagnosis of Kawasaki disease was done according to the American Heart Association criteria. Results: Fever was most common clinical symptom and was seen in all patients. We observed coronary artery aneurysm only in one patient. During follow-up clinical and laboratory findings were improved and we did not determine any other complications. Conclusion: Kawasaki disease is characterized with acute systemic self – limited vasculitis, commonly affects middle and small size arteries, occurs predominantly in children under 5 years old age. Although coronary artery aneurysms was seen in 25% of untreated Kawasaki patients, the frequency of coronary artery aneurysm was decreased to 5% by using IVIG treatment. Despite the IVIG treatment, coronary aneurysms may be seen in different ratios in the gorups of Kawasaki patients due to genetic predisposition. Although we don’t have any information about the incidence of Kawasaki disease in our country, coronary artery aneurysms were seen lower in our patients than in other publications from our country.Öğe Myocarditis in childhood report of 67 patients(2022) Kilinc, Fatma; Karakurt, Cemsit; Elkiran, Ozlem; Ince, DamlaAim: The aim of this study is to evaluate the clinical findings, sociodemographic characteristics and follow -up of the myocarditis cases and to investigate factors affecting the mortality. Materials and Methods: Patients who diagnosed myocarditis from January 2009 to December 2017 were included in this study. Sex, date of admission, age at the time of admission, presence of previous infection, physical examination findings, serum cardiac biomarkers, whole blood count, C reactive protein and viral serology results, electrocardiographic findings, telecardiography and echocardiographical findings and the medical records about complications and mortality during follow-up were analysed. Statistical analyzes performed with IBM SPSS 22.0. Pearson chi-square and continuity corrected chi-square tests were used. Numerical data were summarized with median, minimum and maximum values. Univariate Kaplan - Meier and Cox regression analyzes were used in comparisons. The significance level was accepted as 0.05 in all tests. Results: From January 2007 to December 2017, 67 patients with myocarditis were retrospectively analyzed. 31 (46.2%) patients were recovered. 21 patients (31.3%) developed dilate cardiomyopathy. Six patients were died in acute phase. 7 of 21 patients with dilate cardiomyopathy were died at follow-up period. Nine patients were referred to a cardiovascular surgery center for VAD, ECMO or cardiac transplantation. Among them seven patients were died under ECMO. 2 patients were implanted VAD. Conclusion: Myocarditis is an inflammatory disease of the myocardium. Diagnosis of myocarditis may be difficult to subtle clinical findings. The clinical picture may be varying from a mild subclinical period to congestive heart failure. The prognosis varies from recovery to complicated chronic disease and death. In our study, increased cardiothoracic index and pulmonary congestion findings in telecardography, increased serum myoglobin level and decreased echocardiographic shortening fraction were factors associated with increased mortality. The using the cardiac support devices in patients with myocarditis may decrease mortality.Öğe Pericardial cyst: A very rare anomaly in children(2019) Ince, Damla; Elkiran, Ozlem; Karakurt, Cemşit; Gormeli, Ayse Cemile; Cetiner, NiluferÖğe Pericardial cyst: A very rare anomaly in children(2019) Ince, Damla; Elkiran, Ozlem; Karakurt, Cemsit; Gormeli, Ayse Cemile; Cetiner, NiluferÖğe Perioperative Management of a Levoatrial Cardinal Vein in the Absence of the Brachiocephalic Vein(Texas Heart Inst, 2013) Disli, Olcay Murat; Battaloglu, Bektas; Erdil, Nevzat; Karakurt, Cemsit; Elkiran, OzlemLevoatrial 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. (Tex Heart Inst J 2013;40(2):201-3)Öğe Possible association between fluconazole administration and acute hyperkalemia in a critically ill cyanotic infant(Termedia Publishing House Ltd, 2015) Elkiran, Ozlem; Karakurt, Cemsit; Kocak, Gulendam; Tabel, Yilmaz; Gungor, Serdal[Abstract Not Available]Öğe Prenatal Diagnosis of a Patient With Tetralogy of Fallot and an Absent Pulmonary Valve(Springer, 2011) Karakurt, Cemsit; Kocak, Gulendam; Elkiran, Ozlem[Abstract Not Available]Öğe A Rare Variant of Type I Truncus Arteriosus: Truncus Arteriosus with Anterior Origin of a Main Pulmonary Artery(Wiley-Blackwell, 2015) Celik, Serkan F.; Karakurt, Cemsit; Elkiran, Ozlem; Ozturk, Mehmet; Gormeli, Ayse C.Mini-Abstract Truncus arteriosus with anterior origin of a main pulmonary artery is a very rare condition. In this report we present a newborn who has a truncus arteriosus with anterior origin of a main pulmonary artery.
