Iliac Artery Injury During Lumbar Disc Hernia Surgery.

Background: Vascular injury complications during lumbar discectomy are rare but potentially life-threatening. Therefore, an early diagnosis and effective treatment management is required for these complications.

Case Description: A 50-year-old female patient was admitted to our outpatient clinic with severe back and right leg pain.

[The effects of implanted valve sizes on ventricular hypertrophy in aortic stenosis].

Objective: We aimed to study the effects of the valve sizes according to body surface area on aortic gradient and ventricular hypertrophy in the cases of aortic valve replacement due to isolated aortic stenosis.

Methods: Between January 2006 and April 2007, patients (12 men, 15 women; totally 27) followed up prospectively with echocardiography fourth and sixth month postoperatively. The patients were divided into two groups according to the prosthetic aortic valve diameters (19-21 mm vs 23-25 mm).

[Clinical outcome and factors affecting surgical decision for repair versus replacement in patients with mitral regurgitation].

Objective: We aimed to identify characteristics differentiating patients undergoing mitral valve replacement versus valve repair for mitral regurgitation (MR) and to investigate retrospectively mid-term clinical and functional outcomes.

Methods: From January, 2004 to January, 2009 146 patients underwent mitral valve surgery (62 male / 84 female; age: 55.9+/-13.

[Coronary-to-pulmonary artery fistulas: a report of three cases].

Congenital coronary-to-pulmonary artery fistulas are rare anomalies and they generally have an asymptomatic course. We presented three symptomatic patients (2 men, 1 woman; age range 46 to 53 years) who underwent surgical repair via the epicardial approach for coronary-to-pulmonary artery fistulas. Treatment was successful in two patients.

[Thromboelastography and its use in cardiac surgery].

Thromboelastography is an alternative method to conventional coagulation tests for the general evaluation of hemostatic system. Cardiac surgery with cardiopulmonary bypass is accomplished by complex alterations of hemostasis, including acquired dysfunction of platelets, consumption coagulopathy and increased fibrinolysis. Despite major advances in blood conservation methods and perioperative care of the patients, transfusion rates in cardiac surgery remain high.

[A case of secondary localized pericardial cyst hydatic disease and determination of cyst hydatic scoleces and hooks with various stains].

A sixty-six year-old male patient with the complaint of palpitation presented at the out-patient clinic of the thorax diseases department. The patient underwent open heart surgery (cystectomy and capitonage) for the cystic hydatidosis which was located on the front wall of the right atrium and extended to the atrioventricular cleavage. Albendazol treatment (2 x 400 mg/3 months) was given postoperatively.

[Transmyocardial laser revascularization].

An increasing number of patients are found to be unsuitable for revascularization by conventional approaches to the epicardial vessels. Transmyocardial laser revascularization (TMR) is a treatment choice for patients who have refractory angina pectoris when bypass surgery or percutaneous transluminal angioplasty is not indicated. Transmyocardial laser revascularization leads to significant improvements in angina.

[The saphenous vein graft diseases].

Graft occlusions are the main problems that may arise during long-term follow-up period after coronary artery bypass surgery. Knowledge of pathologies developed in saphenous grafts and attempts to reduce their frequency are important for reduction of the incidence of saphenous graft vein occlusions. For today the patency rate for 10 years saphenous vein grafts are about 60%.

[Peripheral vascular injuries].

Between 1994-2000, 60 peripheral vascular injuries were admitted to the Turgut Ozal Medical Center Thoracic and Cardiovascular Surgery Clinic. Forty eight (80%) of patients were male, twelve (20%) were female and their age ranged from 5 to 70 years (mean 28.9 years).