Publications by authors named "Sagbas E"

Stress is one of the biggest problems in modern society. It may not be possible for people to perceive if they are under high stress or not. It is important to detect stress early and unobtrusively.

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Objective: Cardiac resynchronisation therapy has been shown to be an effective treatment to improve functional status and prolong survival of patients in advanced chronic heart failure. This study assessed the surgical outcomes of left anterior mini-thoracotomy for the implantation of left ventricular epicardial pacing leads in cardiac resynchronisation therapy.

Methods: Our study consisted of 30 consecutive patients who underwent cardiac resynchronisation therapy with a left thoracotomy between November 2010 and April 2012 in our clinic.

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Background: Minimally invasive bypass grafting surgery has entered the clincal routine in several centers around the world, with an increasing popularity in the last decade. In our study, we aimed to make a comparison between minimally invasive coronary artery bypass grafting surgery and conventional bypass grafting surgery in isolated proximal left anterior descending artery (LAD) lesions.

Methods: Between January 2004 and December 2011, patients with proximal LAD lesions, who were treated with robotically assisted minimally invasive coronary artery bypass surgery and conventional bypass surgery, were included in the study.

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Objective: The susceptibility of tissue to ischemia-reperfusion (I/R) injury is a major obstacle to tissue regeneration and cellular survival. In this study, we investigated the possible renoprotective effect of dabigatran in an experimental renal I/R model.

Method: A total of 25 rats were randomly divided into 5 equal groups.

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Background: Robotic telemanipulation systems have emerged as facilitating tools that enhance minimally invasive cardiac surgery.The purpose of this study was to evaluate graft patency by a combination of invasive and non-invasive coronary angiography methods in robotic-assisted coronary artery surgery(CABG) for optimal quality control.

Methods: Between April 2004 and February 2012, patients who had robotic-assisted CABG were called to have cardiac catheterization or multislice computed tomographic angiography to evaluate graft patency.

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Background: Median sternotomy provides excellent access to all mediastinal structures in patients undergoing conventional cardiovascular surgery. Although this incision technique is associated with relatively lower complication rates, certain complications such as the sternal dehiscence may pose serious health consequences. In this regard, considerable effort has been paid to develop techniques aiming to improve sternal healing and to enhance postoperative recovery after conventional cardiac surgery.

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11β-hydroxysteroid dehydrogenase type 1 (11β-HSD-1) activity and mRNA levels are increased in visceral and subcutaneous adipose tissues of metabolic syndrome subjects. We analyzed 11β-HSD-1 expression in human epicardial adipose (EA) and ascending aorta (AA) tissues of metabolic syndrome patients and examined their contribution to the development of coronary atherosclerosis. The 11β-HSD-1 expression was evaluated by qRT-PCR in EA and AA tissues of 20 metabolic syndrome patients with coronary artery disease (metabolic syndrome group) and 10 non-metabolic syndrome patients without coronary artery disease (controls).

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Article Synopsis
  • The study assessed cardiovascular surgery outcomes in 82 patients with non-dialysis-dependent chronic renal failure (CRF), focusing on different surgical types (valvular surgery, CABG, and combined surgery).
  • It found that CABG patients had shorter procedure times, less blood usage, and shorter recovery periods, but early and late mortality rates varied across groups, with combined surgery showing higher late mortality.
  • Key factors influencing mortality included patient age, prior cerebrovascular events, and certain preoperative lab values, indicating that patient characteristics were more crucial than surgery type for determining survival outcomes.
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The management of adults with aortic coarctation and a coexisting cardiac disorder is still a surgical challenge. Single-staged procedures have lower postoperative morbidity and mortality rates than do 2-staged procedures. We present our experience with arch-to-descending aorta bypass grafting in combination with intracardiac or ascending aortic aneurysm repair.

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Article Synopsis
  • The study examines the impact of different methods (clipping vs. ligation) for closing side-branches during saphenous vein harvesting on vein structure and potential injury.
  • Clipping the side-branches resulted in less vascular injury and preserved the integrity of the vein, while ligation caused significant damage, including loss of endothelial integrity and disorganization of connective tissue.
  • These findings suggest that using clipping may enhance the longevity of the saphenous vein grafts in coronary artery bypass grafting procedures.
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Objective: Chronic atrial fibrillation (AF) is a frequent arrhythmia in patients undergoing open-heart surgery. In this study, we compared the results of irrigated monopolar and bipolar radiofrequency (RF) ablation in the surgical treatment of AF.

Methods: Sixty-three patients with chronic AF, who underwent open cardiac surgery and concomitant irrigated RF ablation between October 2004 and January 2006, were retrospectively studied in two groups.

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Background: Degenerative ascending aortic aneurysms frequently present with aortic valve pathology. If only the noncoronary sinus of Valsalva is dilated, replacement of the noncoronary sinus by tailoring the supracoronary graft with or without aortic valve replacement (AVR) can be a simple operation strategy. We sought to describe our experiences in this kind of operation, and compare them with a relatively homogeneous group of patients who underwent the classical Bentall operation.

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Article Synopsis
  • The optimal method for protecting the heart and delivering cardioplegia during robotic heart surgery is still being developed, with current common methods having significant flaws.
  • Using an endovascular clamp on the aorta for cardioplegia delivery can lead to serious complications, raising the need for alternative approaches.
  • This text introduces a new technique involving a transthoracic aortic clamp and antegrade cardioplegia cannula that avoids thoracotomy, aiming to provide better myocardial protection and reduce complications associated with traditional methods in robotic surgeries.
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Background: The aim of this study was to assess the feasibility of robotically enhanced myocardial revascularization and to present the clinical outcome of 196 patients.

Methods: All internal thoracic arteries were harvested with the aid of a robotic surgical system. While off-pump revascularization techniques were mostly used, peripheral cardiopulmonary bypass was needed in some cases with multivessel disease.

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A 75-year-old man was admitted to our hospital with a complaint of progressive dyspnea with effort. The patient had a permanent pacemaker that was implanted 16 years ago. Transesophageal echocardiography revealed a large, mobile mass in the right atrium attaching to the insertion site of the atrial lead at the tricuspid valve level.

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Percutaneous vertebroplasty is a useful and safe therapeutic intervention to stabilize vertebral fractures. Rarely, cement leakage into the paravertebral venous system may result in embolization of its particles into the right cardiac chambers and pulmonary artery. We experienced a case of a 64-year-old woman who was diagnosed through echocardiography as having cardiac tamponade.

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Background: Metabolic syndrome is a cluster of different clinical manifestations that are risk factors for atherothrombotic cardiovascular disorders. Fatty-acid-binding protein 4 (FABP4/aP2), which is highly expressed in adipocytes, specifically exerts intracellular lipid trafficking. A high level of fatty-acid-binding protein 4 expression present in obese subjects has also been found in mice and humans, especially in macrophages at atherosclerotic lesions.

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Transesophageal echocardiography (TEE) has become a unique imaging technique that provides improved visualization of aorta because of its proximity to the esophagus. It is a reliable method for the diagnosis of thoracic aorta diseases and detection of protruding atheromas or thrombi as sources of systemic emboli. We report a case in which TEE revealed a floating aortic thrombus located in the ascending aorta in a patient with chronic renal failure.

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Article Synopsis
  • The study assessed how well multislice computed tomography (CT) detects complications in bypass grafts after surgery, using coronary angiography as a reference.
  • It involved 25 patients, analyzed 65 grafts, and found high accuracy rates: 89% sensitivity and 100% specificity for detecting stenosis.
  • The overall patency rate observed with multislice CT was 85%, indicating it is an effective tool for monitoring bypass graft health in outpatient settings.
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Several minimally invasive approaches, avoiding median sternotomy, have been described within the last few years for cardiac surgery. Femoral arterial and venous cannulation for extracorporeal perfusion are required for many of these operations. The aim of this report is to assess the long-term outcomes of femoral cannulations in patients who underwent minimally invasive procedures.

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We report a case of lipomatous hypertrophy of the interatrial septum in a patient who presented with shortness of breath. Transesophageal echocardiography revealed a right atrial mass that caused a marked narrowing of the cavoatrial junction. The patient underwent successful resection of the mass with reconstruction of the interatrial septum.

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