Aorto-bifemoral graft bypass operation is performed in the surgical treatment of aortoiliac occlu... more Aorto-bifemoral graft bypass operation is performed in the surgical treatment of aortoiliac occlusive occlusive disease. The conventional standard technique used is the median laparotomy and transperitoneal approach. In this study we evaluated the outcome of aortobifemoral bypass operation via paramedian and retroperitoneal approach. 17 patients were operated upon for aortobiiliac occlusive disease from January 2008 through December 2011. Mean age of the patients was 61.8 +/- 8.9 (47-78 years). All patients except for one were operated via left paramedian vertical 8 to 10 cm incision approximately 6 cm to the left or right of midline, extending from a few centimeters above the umbilicus to just above the symphysis pubis. The aortas were reached retroperitoneally through this incision. There was one postoperative death secondary to pulmonary complications. No intraoperative or postoperative surgical complication had occured. All patients were discharged from the hospital on antiplatelet therapy. Graft patency was evaluated by means of physical examination on discharge. Upon the patients' hospital discharge, primary graft patency was 100%. The ankle-brachial indices measured from both the right and left sides were 0.51 +/- 0.10 preoperatively and 0.99 +/- 0.14 postoperatively (p <0.001). A lot of complications can be observed due to median laparotomy such as evisceration, incisional hernia, peritonitis, bride ileus. We believe that retroperitoneal approach for aorto-bifemoral graft bypass operation in the patients with bilateral iliac arterial occlusive disease is a well tolerated minimally invasive operation when compared to the conventional median laparotomy approach.
... Kronik böbrek hastalarına; geçici ya da kalıcı kateter, internal ya da eksternal shuntlar, se... more ... Kronik böbrek hastalarına; geçici ya da kalıcı kateter, internal ya da eksternal shuntlar, sentetik (ePTFE) veya biyolojik ( safen veni, umblikal ven grefti, sığır karotid arter) greftler ya da otojenven kullanılarak yapılan arteriovenöz fistüller ile hemodializ uygulanabilir [1]. ...
Renal arter tromboembolisi erken tanı ve tedavi gerektiren ciddi bir klinik tablodur. Bu olgu sun... more Renal arter tromboembolisi erken tanı ve tedavi gerektiren ciddi bir klinik tablodur. Bu olgu sunumunda mitral kapak replasmanı sonrası, sol yan ağrısı yakınması ile acil kliniğe başvurmuş bir renal arter embolisi olgusu sunmaktayız.
... Ve-nöz kateterle drenaj uygulad›¤›m›z 12 hastada mortali-te oran› bir hasta ile %8.3 saptanm›... more ... Ve-nöz kateterle drenaj uygulad›¤›m›z 12 hastada mortali-te oran› bir hasta ile %8.3 saptanm›flt›r. Bu olgunun ba-flar›l› perikardiyal efüzyon drenaj› sa¤lanmas›na karfl›n kaybedilmesi nedeniyle, mortaliteye yol açan ... KAYNAKLAR 1. Allen KB, Faber LP, Warren WH, ...
Turkish Journal of Thoracic and Cardiovascular Surgery, Oct 18, 2011
Koroner arter bypass greftleme (KABG) ameliyatı sonrası resternotomi özellikle patent greft varlı... more Koroner arter bypass greftleme (KABG) ameliyatı sonrası resternotomi özellikle patent greft varlığında oldukça zor bir durumdur. Bu hastalarda kalp yaralanması, kanama, özellikle intenal torasik arter gibi patent bir greftin yaralanması ve resternotominin zorluğu morbidite ve mortaliteyi artıran en önemli sorunlardır. Bu yazıda daha önce KABG ameliyatı geçirmiş 61 yaşında bir erkek hastada kardiyopulmoner bypass altında atan kalpte yapılan mitral kapak replasmanı olgusu sunuldu. Sağ anterolateral torakotomi ile pompada atan kalpte normotermide krosklemp kullanılmadan yapılan mitral kapak replasmanı basit ve güvenilir bir işlemdir. Bu işlemin, özellikle patent bypass greftleri olan hastalarda tekrar ameliyatı için iyi bir seçenek olabileceği düşüncesindeyiz. Anah tar söz cük ler: Atan kalp; mitral kapak; resternotomi; torakotomi.
enoch-Schönlein purpurası (HSP), çocukluk yaş grubunda sık görülen, damar duvarında immünglobülin... more enoch-Schönlein purpurası (HSP), çocukluk yaş grubunda sık görülen, damar duvarında immünglobülin (Ig) A birikimine bağlı oluşan akut lökositoklastik vaskülit (LSV)'tir. 1,2 İlk kez Johann Schönlein tarafından 1837 yılında, sonrasında ise Eduard Henoch tarafından 1874 yılında tanımlanmıştır. 1 Klasik triadı nontrombositopenik purpura, artrit ve kolik şeklinde karın ağrısıdır. 1,3 Renal tutulum da eşlik edebilmektedir. 4,5 HSP'de purpura sıklıkla alt ekstremitede lokalizedir; bilateraldir ve basmakla solmayan, 1-3 mm büyüklükte yuvarlak şekilli, düzinelerce ya da yüzlerce olabilen ve trombositopeninin eşlik etmediği palpabl purpuralar şeklindedir. Purpuralar birbiri ile birleşmeye meyillidir. Bu birleşme kompresyon uygulanan cilt bölgelerinde (örneğin; çorap altında kalan alanlar) daha da belirgindir. 1
Bicuspid aortic valve (BAV) is the most common congenital heart malformation and seen approximate... more Bicuspid aortic valve (BAV) is the most common congenital heart malformation and seen approximately 1-2% of population. It has been shown that this pathological condition has facilitated the development of aortic valve disease, thoracic aortic dilatation (TAD) or aneurysm (TAA) in the studies. Matrix metalloproteinases (MMP) are zinc-dependent endopeptidase family which produced by leukocytes and smooth muscle cells in the aortic wall and responsible for the degradation of elastin, collagen and other proteins located in the whole aorta. To date there are several studies have been published about investigating the role of MMPs in the development of TAA. We aim to provide the effects of the MMP2 and MMP9 gene polymorphisms on development of the disease in patients with ascending aorta aneurysm and bicuspid aortic valve in this paper
To the Editor: Having read the interesting case report by Banerjee and Patra1 in the August 2016 ... more To the Editor: Having read the interesting case report by Banerjee and Patra1 in the August 2016 issue of the Journal, we wish to contribute to their discussion on coronary-cameral fistulas (CCFs). Acquired CCFs may be iatrogenic or post-traumatic. For a CCF to be classified as acquired, it must not have been present at birth, it must not have been seen on prior angiographic images, and its cause must be known. Potential causes are previous myocardial infarction; a diagnostic or interventional endovascular procedure, such as percutaneous transluminal coronary angioplasty or stenting; aortic or mitral valve surgery; coronary artery bypass grafting; congenital heart surgery for tetralogy of Fallot, ventricular septal defect (VSD), double-chambered right ventricle, or transposition of the great arteries with VSD; septal myectomy in the treatment of hypertrophic cardiomyopathy; chest trauma; permanent pacemaker implantation; and complications after endomyocardial biopsy.2,3 Although most CCFs are asymptomatic, the size of the fistula and severity of the left-right shunt might cause symptoms. Clinical findings include a continuous cardiac murmur; difficulty breathing; exertional dyspnea; high-flow heart failure caused by the left-right shunt (except when fistulas open to the left ventricle [LV]); pulmonary hypertension; cardiac arrhythmias; stroke; endocarditis; chest pain or myocardial infarction caused by coronary steal; cardiac tamponade from fistula aneurysm, dissection, or rupture; and sudden cardiac death.2-4 Because the left-right shunt fraction can be restricted by high intracavitary pressure, substantial hemodynamic changes might not be observed when CCFs open to the LV. However, ischemic chest pain or myocardial infarction might develop in these patients because of coronary steal.4
The neuroprotective effect of trimetazidine (TMZ) was tested prospectively in a rabbit spinal cor... more The neuroprotective effect of trimetazidine (TMZ) was tested prospectively in a rabbit spinal cord ischemia model. Ischemia was induced by clamping the aorta just distal to the left renal artery and proximal aortic bifurcation for 20 min. Twenty-five male New Zealand white rabbits were randomized as follows: TMZ group (n=100) receiving 3 mg/kg trimetazidine intravenously before the occlusion of the aorta; control group undergoing occlusion but receiving no pharmacologic intervention (n=10); sham-operation group (n=5) subjected to operative dissections without aortic occlusion. Physiological parameters and somatosensory evoked potentials (SEP) were monitored in animals before the ischemia, during the ischemia and in the 1st, 15th and 60th min of reperfusion. Neurologic status was assessed 24 and 48 h after the operation. The spinal cord, abdominal aorta, and its branches were processed for histopathologic examinations 48 h after the operation. At the end of the ischemic period, the average N1-P1 amplitude was reduced to 22% of the baseline in all ischemic animals. This was followed by a gradual return to 90+/-2% of the initial amplitude in the TMZ group and 81+/-2% in the control group (P<0.05) after 60 min of reperfusion. The average motor function score was significantly higher in the TMZ group than the control group (3.7+/-0.5 vs 3.1+/-0.6 at 24 and 3.5+/-0.7 vs 2.9+/-0.6 at 48 h; P<0.05). Histologic observations were clearly correlated with the neurologic findings. The results suggest that trimetazidine reduces spinal cord injury during thoracoabdominal aortic operations and may have therapeutic utility during high risk operations.
Objective: Surgical manuplations during harvesting saphenous vein graft (SVG) and application of ... more Objective: Surgical manuplations during harvesting saphenous vein graft (SVG) and application of organ bath for CABG causes intimal injury. A prospective study was performed with the postulation that in-situ harvesting technique would protect the graft from ischemic ...
The purpose of this study was to evaluate the influence of preserved integrity of pleura on posto... more The purpose of this study was to evaluate the influence of preserved integrity of pleura on postoperative bleeding and respiratory function in patients undergoing coronary artery bypass grafting (CABG). Seventy-two CABG patients who received pedunculated IMA graft without opening the pleura (group of intact pleura, group IP) between July 2002 and September 2004 were matched to 72 CABG patients who received pedunculated IMA graft with opened pleura (group of opened pleura, group OP). To match the patients with IP and unique patients with OP, logistic regression was used to develop a propensity score. The C statistic for this model was 0.79. Patients with IP were matched to unique patients with OP with an identical 5-digit propensity score. If this could not be done, we proceeded to a 4-, 3-, 2-, or 1-digit match. Patients characteristics were well matched. There were no differences in preoperative and peroperative variables between the groups. The incidence of postoperative pleural effusion and thoracentesis were significantly lower in group IP than group OP (pleural effusion in 15.2 versus 30.5%; p = 0.029, thoracentesis in 5.5 versus 18.5%; p = 0.036). Other pulmonary complications such as prolonged ventilation, reintubation, pneumothorax, atelectasis, diaphragmatic paralysis were similar in both groups. Patients with IP had significantly lower blood loss (520 versus 870 ml; p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001) and whole blood unit transfusion (26.3 versus 41.6%, p = 0.036). Also, intensive care unit and hospital stay were similar in both groups. Meticulous internal mammary artery harvesting and preservation of the pleural integrity significantly reduces postoperative bleeding and pleural effusion.
Journal of Academic Emergency Medicine Case Reports, Sep 18, 2014
Introduction: Right atrial thrombus carries a potential risk for pulmonary embolism; 3%-23% of pa... more Introduction: Right atrial thrombus carries a potential risk for pulmonary embolism; 3%-23% of patients with acute pulmonary embolism have mobile thrombus, and treatment should be started immediately once a diagnosis is made. In patients with acute pulmonary embolism, medical and surgical methods of treatment can be applied. Case Report: In this report, we had an 81-year-old patient who presented with sudden onset of shortness of breath, tachycardia, and tachypnea. Echocardiography showed thrombus in the right atrium and another one in the pulmonary trunk at the site of the bifurcation. The patient underwent surgical thrombectomy, with resolution of symptoms. Conclusion: In conclusion, acute pulmonary embolism is a lifethreatening medical emergency condition that when diagnosed early intervention is necessary.
ntracardiac myxomas are the most common benign tumors of the heart in adults. Approximately 75-80... more ntracardiac myxomas are the most common benign tumors of the heart in adults. Approximately 75-80% of myxomas originate from the left atrial septum; 10-20% are localized in the right atrium; and the rest of 6-8% are bi-atrial, or in the right or left ventricle. 1 Isolated left ventricular (LV) myxoma is extremely rare, accounting for 2.5-4% of all cases. 2 The most common treatment strategy is surgical extirpation under cardiopulmonary bypass, with an excellent prognosis. We present an extremely rare case of 2 LV myxomas originating from the mitral anterior and posterior leaflets into the LV cavity and obstructing the outflow tract (LVOT), and discuss the current literature.
Aorto-bifemoral graft bypass operation is performed in the surgical treatment of aortoiliac occlu... more Aorto-bifemoral graft bypass operation is performed in the surgical treatment of aortoiliac occlusive occlusive disease. The conventional standard technique used is the median laparotomy and transperitoneal approach. In this study we evaluated the outcome of aortobifemoral bypass operation via paramedian and retroperitoneal approach. 17 patients were operated upon for aortobiiliac occlusive disease from January 2008 through December 2011. Mean age of the patients was 61.8 +/- 8.9 (47-78 years). All patients except for one were operated via left paramedian vertical 8 to 10 cm incision approximately 6 cm to the left or right of midline, extending from a few centimeters above the umbilicus to just above the symphysis pubis. The aortas were reached retroperitoneally through this incision. There was one postoperative death secondary to pulmonary complications. No intraoperative or postoperative surgical complication had occured. All patients were discharged from the hospital on antiplatelet therapy. Graft patency was evaluated by means of physical examination on discharge. Upon the patients&#39; hospital discharge, primary graft patency was 100%. The ankle-brachial indices measured from both the right and left sides were 0.51 +/- 0.10 preoperatively and 0.99 +/- 0.14 postoperatively (p &lt;0.001). A lot of complications can be observed due to median laparotomy such as evisceration, incisional hernia, peritonitis, bride ileus. We believe that retroperitoneal approach for aorto-bifemoral graft bypass operation in the patients with bilateral iliac arterial occlusive disease is a well tolerated minimally invasive operation when compared to the conventional median laparotomy approach.
... Kronik böbrek hastalarına; geçici ya da kalıcı kateter, internal ya da eksternal shuntlar, se... more ... Kronik böbrek hastalarına; geçici ya da kalıcı kateter, internal ya da eksternal shuntlar, sentetik (ePTFE) veya biyolojik ( safen veni, umblikal ven grefti, sığır karotid arter) greftler ya da otojenven kullanılarak yapılan arteriovenöz fistüller ile hemodializ uygulanabilir [1]. ...
Renal arter tromboembolisi erken tanı ve tedavi gerektiren ciddi bir klinik tablodur. Bu olgu sun... more Renal arter tromboembolisi erken tanı ve tedavi gerektiren ciddi bir klinik tablodur. Bu olgu sunumunda mitral kapak replasmanı sonrası, sol yan ağrısı yakınması ile acil kliniğe başvurmuş bir renal arter embolisi olgusu sunmaktayız.
... Ve-nöz kateterle drenaj uygulad›¤›m›z 12 hastada mortali-te oran› bir hasta ile %8.3 saptanm›... more ... Ve-nöz kateterle drenaj uygulad›¤›m›z 12 hastada mortali-te oran› bir hasta ile %8.3 saptanm›flt›r. Bu olgunun ba-flar›l› perikardiyal efüzyon drenaj› sa¤lanmas›na karfl›n kaybedilmesi nedeniyle, mortaliteye yol açan ... KAYNAKLAR 1. Allen KB, Faber LP, Warren WH, ...
Turkish Journal of Thoracic and Cardiovascular Surgery, Oct 18, 2011
Koroner arter bypass greftleme (KABG) ameliyatı sonrası resternotomi özellikle patent greft varlı... more Koroner arter bypass greftleme (KABG) ameliyatı sonrası resternotomi özellikle patent greft varlığında oldukça zor bir durumdur. Bu hastalarda kalp yaralanması, kanama, özellikle intenal torasik arter gibi patent bir greftin yaralanması ve resternotominin zorluğu morbidite ve mortaliteyi artıran en önemli sorunlardır. Bu yazıda daha önce KABG ameliyatı geçirmiş 61 yaşında bir erkek hastada kardiyopulmoner bypass altında atan kalpte yapılan mitral kapak replasmanı olgusu sunuldu. Sağ anterolateral torakotomi ile pompada atan kalpte normotermide krosklemp kullanılmadan yapılan mitral kapak replasmanı basit ve güvenilir bir işlemdir. Bu işlemin, özellikle patent bypass greftleri olan hastalarda tekrar ameliyatı için iyi bir seçenek olabileceği düşüncesindeyiz. Anah tar söz cük ler: Atan kalp; mitral kapak; resternotomi; torakotomi.
enoch-Schönlein purpurası (HSP), çocukluk yaş grubunda sık görülen, damar duvarında immünglobülin... more enoch-Schönlein purpurası (HSP), çocukluk yaş grubunda sık görülen, damar duvarında immünglobülin (Ig) A birikimine bağlı oluşan akut lökositoklastik vaskülit (LSV)'tir. 1,2 İlk kez Johann Schönlein tarafından 1837 yılında, sonrasında ise Eduard Henoch tarafından 1874 yılında tanımlanmıştır. 1 Klasik triadı nontrombositopenik purpura, artrit ve kolik şeklinde karın ağrısıdır. 1,3 Renal tutulum da eşlik edebilmektedir. 4,5 HSP'de purpura sıklıkla alt ekstremitede lokalizedir; bilateraldir ve basmakla solmayan, 1-3 mm büyüklükte yuvarlak şekilli, düzinelerce ya da yüzlerce olabilen ve trombositopeninin eşlik etmediği palpabl purpuralar şeklindedir. Purpuralar birbiri ile birleşmeye meyillidir. Bu birleşme kompresyon uygulanan cilt bölgelerinde (örneğin; çorap altında kalan alanlar) daha da belirgindir. 1
Bicuspid aortic valve (BAV) is the most common congenital heart malformation and seen approximate... more Bicuspid aortic valve (BAV) is the most common congenital heart malformation and seen approximately 1-2% of population. It has been shown that this pathological condition has facilitated the development of aortic valve disease, thoracic aortic dilatation (TAD) or aneurysm (TAA) in the studies. Matrix metalloproteinases (MMP) are zinc-dependent endopeptidase family which produced by leukocytes and smooth muscle cells in the aortic wall and responsible for the degradation of elastin, collagen and other proteins located in the whole aorta. To date there are several studies have been published about investigating the role of MMPs in the development of TAA. We aim to provide the effects of the MMP2 and MMP9 gene polymorphisms on development of the disease in patients with ascending aorta aneurysm and bicuspid aortic valve in this paper
To the Editor: Having read the interesting case report by Banerjee and Patra1 in the August 2016 ... more To the Editor: Having read the interesting case report by Banerjee and Patra1 in the August 2016 issue of the Journal, we wish to contribute to their discussion on coronary-cameral fistulas (CCFs). Acquired CCFs may be iatrogenic or post-traumatic. For a CCF to be classified as acquired, it must not have been present at birth, it must not have been seen on prior angiographic images, and its cause must be known. Potential causes are previous myocardial infarction; a diagnostic or interventional endovascular procedure, such as percutaneous transluminal coronary angioplasty or stenting; aortic or mitral valve surgery; coronary artery bypass grafting; congenital heart surgery for tetralogy of Fallot, ventricular septal defect (VSD), double-chambered right ventricle, or transposition of the great arteries with VSD; septal myectomy in the treatment of hypertrophic cardiomyopathy; chest trauma; permanent pacemaker implantation; and complications after endomyocardial biopsy.2,3 Although most CCFs are asymptomatic, the size of the fistula and severity of the left-right shunt might cause symptoms. Clinical findings include a continuous cardiac murmur; difficulty breathing; exertional dyspnea; high-flow heart failure caused by the left-right shunt (except when fistulas open to the left ventricle [LV]); pulmonary hypertension; cardiac arrhythmias; stroke; endocarditis; chest pain or myocardial infarction caused by coronary steal; cardiac tamponade from fistula aneurysm, dissection, or rupture; and sudden cardiac death.2-4 Because the left-right shunt fraction can be restricted by high intracavitary pressure, substantial hemodynamic changes might not be observed when CCFs open to the LV. However, ischemic chest pain or myocardial infarction might develop in these patients because of coronary steal.4
The neuroprotective effect of trimetazidine (TMZ) was tested prospectively in a rabbit spinal cor... more The neuroprotective effect of trimetazidine (TMZ) was tested prospectively in a rabbit spinal cord ischemia model. Ischemia was induced by clamping the aorta just distal to the left renal artery and proximal aortic bifurcation for 20 min. Twenty-five male New Zealand white rabbits were randomized as follows: TMZ group (n=100) receiving 3 mg/kg trimetazidine intravenously before the occlusion of the aorta; control group undergoing occlusion but receiving no pharmacologic intervention (n=10); sham-operation group (n=5) subjected to operative dissections without aortic occlusion. Physiological parameters and somatosensory evoked potentials (SEP) were monitored in animals before the ischemia, during the ischemia and in the 1st, 15th and 60th min of reperfusion. Neurologic status was assessed 24 and 48 h after the operation. The spinal cord, abdominal aorta, and its branches were processed for histopathologic examinations 48 h after the operation. At the end of the ischemic period, the average N1-P1 amplitude was reduced to 22% of the baseline in all ischemic animals. This was followed by a gradual return to 90+/-2% of the initial amplitude in the TMZ group and 81+/-2% in the control group (P<0.05) after 60 min of reperfusion. The average motor function score was significantly higher in the TMZ group than the control group (3.7+/-0.5 vs 3.1+/-0.6 at 24 and 3.5+/-0.7 vs 2.9+/-0.6 at 48 h; P<0.05). Histologic observations were clearly correlated with the neurologic findings. The results suggest that trimetazidine reduces spinal cord injury during thoracoabdominal aortic operations and may have therapeutic utility during high risk operations.
Objective: Surgical manuplations during harvesting saphenous vein graft (SVG) and application of ... more Objective: Surgical manuplations during harvesting saphenous vein graft (SVG) and application of organ bath for CABG causes intimal injury. A prospective study was performed with the postulation that in-situ harvesting technique would protect the graft from ischemic ...
The purpose of this study was to evaluate the influence of preserved integrity of pleura on posto... more The purpose of this study was to evaluate the influence of preserved integrity of pleura on postoperative bleeding and respiratory function in patients undergoing coronary artery bypass grafting (CABG). Seventy-two CABG patients who received pedunculated IMA graft without opening the pleura (group of intact pleura, group IP) between July 2002 and September 2004 were matched to 72 CABG patients who received pedunculated IMA graft with opened pleura (group of opened pleura, group OP). To match the patients with IP and unique patients with OP, logistic regression was used to develop a propensity score. The C statistic for this model was 0.79. Patients with IP were matched to unique patients with OP with an identical 5-digit propensity score. If this could not be done, we proceeded to a 4-, 3-, 2-, or 1-digit match. Patients characteristics were well matched. There were no differences in preoperative and peroperative variables between the groups. The incidence of postoperative pleural effusion and thoracentesis were significantly lower in group IP than group OP (pleural effusion in 15.2 versus 30.5%; p = 0.029, thoracentesis in 5.5 versus 18.5%; p = 0.036). Other pulmonary complications such as prolonged ventilation, reintubation, pneumothorax, atelectasis, diaphragmatic paralysis were similar in both groups. Patients with IP had significantly lower blood loss (520 versus 870 ml; p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001) and whole blood unit transfusion (26.3 versus 41.6%, p = 0.036). Also, intensive care unit and hospital stay were similar in both groups. Meticulous internal mammary artery harvesting and preservation of the pleural integrity significantly reduces postoperative bleeding and pleural effusion.
Journal of Academic Emergency Medicine Case Reports, Sep 18, 2014
Introduction: Right atrial thrombus carries a potential risk for pulmonary embolism; 3%-23% of pa... more Introduction: Right atrial thrombus carries a potential risk for pulmonary embolism; 3%-23% of patients with acute pulmonary embolism have mobile thrombus, and treatment should be started immediately once a diagnosis is made. In patients with acute pulmonary embolism, medical and surgical methods of treatment can be applied. Case Report: In this report, we had an 81-year-old patient who presented with sudden onset of shortness of breath, tachycardia, and tachypnea. Echocardiography showed thrombus in the right atrium and another one in the pulmonary trunk at the site of the bifurcation. The patient underwent surgical thrombectomy, with resolution of symptoms. Conclusion: In conclusion, acute pulmonary embolism is a lifethreatening medical emergency condition that when diagnosed early intervention is necessary.
ntracardiac myxomas are the most common benign tumors of the heart in adults. Approximately 75-80... more ntracardiac myxomas are the most common benign tumors of the heart in adults. Approximately 75-80% of myxomas originate from the left atrial septum; 10-20% are localized in the right atrium; and the rest of 6-8% are bi-atrial, or in the right or left ventricle. 1 Isolated left ventricular (LV) myxoma is extremely rare, accounting for 2.5-4% of all cases. 2 The most common treatment strategy is surgical extirpation under cardiopulmonary bypass, with an excellent prognosis. We present an extremely rare case of 2 LV myxomas originating from the mitral anterior and posterior leaflets into the LV cavity and obstructing the outflow tract (LVOT), and discuss the current literature.
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Papers by Ibrahim Goksin