386 results match your criteria: "Istanbul Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital[Affiliation]"

This case report presents the management of tachycardiomyopathy (TCM) in a patient with Friedreich ataxia, a hereditary disorder characterized by progressive neurodegeneration and associated cardiac complications. The patient exhibited severe tachycardia-induced cardiac dysfunction, complicating the clinical picture due to the overlapping neurological symptoms of Friedreich ataxia. Utilizing a 3D mapping system, catheter ablation was performed to accurately identify and target the arrhythmogenic foci contributing to the patient's TCM.

View Article and Find Full Text PDF

Turkey is the country which has serious nursing shortage. However, still there are many nurses unemployed and looking for an appropriate job. Therefore, this descriptive study aimed to examine unemployment reasons among nurses in Turkey.

View Article and Find Full Text PDF

Background: This study aimed to present our experience with transcatheter pulmonary debanding, focusing on patient outcomes.

Methods: The retrospective study was conducted with 32 patients (17 males, 15 females; mean age: 3.6±2 years; range, 0.

View Article and Find Full Text PDF

Introduction: The Ozaki procedure is an open-heart surgery technique used in aortic valve surgery. We investigated the effect of the Ozaki procedure on postoperative hematological and biochemical parameters as in other open-heart surgery applications.

Methods: A total of 42 patients between December 2020 and December 2022 who underwent the Ozaki procedure were analyzed retrospectively.

View Article and Find Full Text PDF

Objective: Postoperative junctional ectopic tachycardia (JET) is usually a self-limiting condition; however, when combined with atrioventricular dissociation and postoperative ventricular dysfunction, it may increase morbidity and mortality. This study aimed to determine the overall incidence of JET following congenital heart surgery, to identify patient and procedure-related risk factors, and to evaluate the clinical impact of JET on outcomes.

Methods: The records of 2,814 patients who underwent cardiac surgery over a five-year period were reviewed retrospectively to identify those with JET.

View Article and Find Full Text PDF
Article Synopsis
  • * Out of 44 patients, the procedure was successful in 43 cases (97.7%), with minimal complications, although one patient required surgery due to device embolization and significant tissue damage.
  • * Over a follow-up period of 43 months, AR worsened in only 1 patient, while it improved in several others, showing that transcatheter closure is a safe and effective treatment method for these conditions.
View Article and Find Full Text PDF

Background:  The aim of this study is to compare the insertion sites of drainage tubes placed in the left thorax after elective coronary artery bypass grafting (CABG) surgeries.

Materials And Methods:  Patients were divided into two groups based on the site of tube insertion into the left hemithorax: those with a tube inserted from the subxiphoid region and those with a tube inserted from the left intercostal region. Comparative analyses between these two groups and factor analyses contributing to the outcome were performed.

View Article and Find Full Text PDF

Cardiomyopathy, which is shortly defined as a disease of the myocardium, has a broad definition that includes many different diagnoses. Recent advances in cardiac imaging techniques, including basic and advanced echocardiography, computed tomography, nuclear medicine, and cardiac magnetic resonance, allow for a more accurate evaluation of volumes and thickness of cardiac chambers, systolic and diastolic function of the ventricules, and tissue structure. Multimodality imaging often provides the first clinical suspicion for specific etiologies, especially when the medical and family history is unclear, by identification of red flags of underlying systemic diseases.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the effects of different graft choices (single ITA vs BITA) on early postoperative myocardial function in CABG surgery using advanced imaging methods like 3D ejection fraction and ventricular strain.
  • It included 35 isolated CABG patients, measuring their heart performance before and one week after surgery, revealing a decrease in ejection fraction and strain values post-surgery.
  • Results showed no significant difference in myocardial function changes between the two graft types, suggesting both methods have similar effects on early heart recovery after surgery.
View Article and Find Full Text PDF

Background: The risk factors for reoperation and mortality after partial and intermediate atrioventricular canal defect repair are unclear. This study assessed the mid-term outcomes and risk factors for reoperation and mortality after partial and intermediate atrioventricular canal defect surgery.

Methods: Ninety-seven patients who underwent primary repair of intermediate (n = 45) or partial (n = 52) atrioventricular canal defect between 2005 and 2019 were included in this single-centre study.

View Article and Find Full Text PDF
Article Synopsis
  • This study investigates how often pregnant women experience heart-related issues and are diagnosed with heart diseases during different stages of their pregnancy.
  • The research included 658 pregnant women, primarily in their third trimester, with common complaints such as palpitations and chest pain.
  • Findings highlighted that hypertension and mitral regurgitation were the most prevalent diagnoses, and emphasized the importance of regular heart assessments throughout pregnancy to manage any cardiovascular risks.
View Article and Find Full Text PDF

The early and medium-term results of the Ross procedure in pediatric patients.

Rev Port Cardiol

September 2024

Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.

Article Synopsis
  • The Ross method is the main surgical treatment for pediatric aortic valve diseases, with positive long-term outcomes documented in this study involving 20 patients between 2015 and 2019.
  • Most patients had aortic valve stenosis, and while there were some complications, such as one early death and a few cases of aortic regurgitation, the overall reoperation rates were low.
  • The study concludes that Ross and Ross-Konno surgeries are effective for treating aortic diseases in children, showing low mortality and good long-term results.
View Article and Find Full Text PDF

Purpose: Fetal heart diseases significantly contribute to neonatal mortality. Improved prenatal diagnostics enable defect detection before delivery, emphasizing the need for a personalized approach to address anomalies and predict outcomes. Categorizing diseases into risk classes aids obstetricians in counseling and delivery decisions.

View Article and Find Full Text PDF

Background: TTE is the main modality used to assess RV function, but conventional TTE parameters have limited diagnostic value because they may fail to detect early abnormalities in RV systolic function. Due to its ability to detect subclinical impairment of cardiac function, 2D STE has been widely used to investigate RV function. In this study, we aimed to investigate whether there are sequelae of RV function in recovered COVID-19 patients with pulmonary involvement.

View Article and Find Full Text PDF

Objective: This study aims to assess the efficacy and safety of tricuspid valve (TV) transcatheter edge-to-edge repair (TEER) procedures using the MitraClip or TriClip device in high-risk patients with severe secondary tricuspid regurgitation (TR) and provide Turkish-specific data on procedural outcomes and clinical follow-up.

Methods: This study enrolled 42 high-risk patients with severe secondary TR who underwent transcatheter edge-to-edge repair using either the MitraClip or TriClip device. Patient selection criteria included severe TR, high surgical risk (EuroScore ≥ 8 and Tricuspid Regurgitation Impact Severity Score (TRI-SCORE) ≥ 6), symptomatic despite medical therapy, and anatomical suitability for TriClip.

View Article and Find Full Text PDF

Introduction: This study aimed to investigate the relationship between acquired antithrombin deficiency in patients undergoing postcardiotomy extracorporeal membrane oxygenation (PC-ECMO) and thromboembolic or haemorrhagic events such as bleeding, peripheral arterial thromboembolism, and ischemic cerebrovascular events.

Methods: The study was designed as a single-center, prospective study and conducted at our hospital between November 2019 and June 2021. 50 patients who underwent ECMO due to postcardiotomy cardiogenic shock were included in the study.

View Article and Find Full Text PDF

Atherosclerotic stenosis of the carotid artery contributes significantly to ischemic strokes. This study investigates the correlation between the C-reactive protein (CRP) to albumin ratio (CAR) and in-stent restenosis (ISR) in patients ( = 529) undergoing carotid artery stenting. Patients were categorized based on ISR occurrence.

View Article and Find Full Text PDF

Background: Haloperidol and dexmedetomidine are used to treat delirium in the intensive care unit (ICU). The effects of these drugs on the corrected QT (QTc) interval have not been compared before. It was aimed to compare the effects of haloperidol and dexmedetomidine treatment on QTc intervals in patients who developed delirium during ICU follow-up.

View Article and Find Full Text PDF

Background: Atrial fibrillation (AF) is the most common complication after Coronary Artery Bypass Surgery (CABG). Despite advanced treatment methods, primary prevention is crucial. Many factors have been investigated as markers for AF, but further research is required.

View Article and Find Full Text PDF

Background: This study aimed to investigate the safety and efficacy of transverse aortic arch stenting and evaluate the course of hypertension and the act of arch stenting on systemic hypertension.

Methods: The transverse aortic arch stenting procedures between January 2007 and May 2023 were retrospectively analyzed. Detailed procedure information, technical aspects, pressure measurements, angiographic data, balloons and stents used, complications, and immediate results were examined.

View Article and Find Full Text PDF

Introduction: This study aims to compare the addition of SGLT2 inhibitors or doubling the diuretic dose in patients receiving treatment with beta-blockers, angiotensin-converting enzyme inhibitors (ACEi), or angiotensin receptor blockers (ARB), as well as mineralocorticoid receptor antagonists (MRA), for heart failure with reduced ejection fraction (HFrEF) who present to the emergency department with decompensated heart failure.

Methods: This study is a single-center and prospective analysis. A total of 980 decompensated heart failure (HFrEF) patients receiving optimal medical therapy (OMT) according to the 2021 European heart failure guidelines were randomized in a 2:1 ratio into the furosemide and empagliflozin treatment arms.

View Article and Find Full Text PDF

Objectives: Morphometric information of the structures within the borders of the aortic root is a guide for surgical interventions. It is essential to determine the effects of aortic calcification and atheroma plaque findings on the structures of this region. This study aims to establish the normal values of aortic root structures and to investigate the impact of pathologic findings in order to guide diagnosis and treatment in the clinic.

View Article and Find Full Text PDF