Methods: Seventy five patients (48 males, 27 females; mean age 21.05±11.98 years; range 2 month t... more Methods: Seventy five patients (48 males, 27 females; mean age 21.05±11.98 years; range 2 month to 54 years) were operated for aortic coarctation between 1985 and 2004. Seven patients (9%) were in the infantile period, whereas 6 patients (8%) were older than 40 years. The ...
Koşuyolu Kalp ve Araştırma Hastanesi'nde, 1985 yılından günümüze kadar toplam 8 hastaya, sup... more Koşuyolu Kalp ve Araştırma Hastanesi'nde, 1985 yılından günümüze kadar toplam 8 hastaya, supravalvuler aort stenozu teşhisi ile cerrahi girişim uygulandı. Hastaların 5'i (%62.5) erkek, 3'ü (%37.5) kadın ve yaş ortalaması 14.5 ± 7 (7-29) yıl idi. Hastalardan iki ...
A patient, suffering from angina pectoris, claudicatio intermittens and postprandial abdominal pa... more A patient, suffering from angina pectoris, claudicatio intermittens and postprandial abdominal pain underwent coronary and peripheral arteriographic examination; coronary arterial disease and aortoiliac occlusive disease was diagnosed. Color Doppler ultrasonography revealed superior mesenteric artery stenosis. CABG with MIDCAB (minimal invasive direct coronary artery bypass) technique was performed together with aortabifemoral graft interposition and graft bypass to superior mesenteric artery and considerable success was obtained.
Herein, we present a retrospective analysis of our experience with acquired pseudoaneurysms of th... more Herein, we present a retrospective analysis of our experience with acquired pseudoaneurysms of the left ventricle over a 20-year period.From February 1985 through September 2004, 14 patients underwent operation for left ventricular pseudoaneurysm in our clinic. All pseudoaneurysms (12 chronic, 2 acute) were caused by myocardial infarction. The mean interval between myocardial infarction and diagnosis of pseudoaneurysm was 7 months (range, 1-11 mo). The pseudoaneurysm was located in the inferior or posterolateral wall in 11 of 14 patients (78.6%). In all patients, the pseudoaneurysm was resected and the ventricular wall defect was closed with direct suture (6 patients) or a patch (8 patients). Most patients had 3-vessel coronary artery disease. Coronary artery bypass grafting was performed in all patients. Five patients died (postoperative mortality rate, 35.7%) after repair of a pseudoaneurysm (post-infarction, 2 patients; chronic, 3 patients). Two patients died during follow-up (median, 42 mo), due to cancer in 1 patient and sudden death in the other. Although repair of left ventricular pseudoaneurysm is still a surgical challenge, it can be performed with acceptable results in most patients. Surgical repair is warranted particularly in cases of large or expanding pseudoaneurysms because of the propensity for fatal rupture.
Methods: Seventy five patients (48 males, 27 females; mean age 21.05±11.98 years; range 2 month t... more Methods: Seventy five patients (48 males, 27 females; mean age 21.05±11.98 years; range 2 month to 54 years) were operated for aortic coarctation between 1985 and 2004. Seven patients (9%) were in the infantile period, whereas 6 patients (8%) were older than 40 years. The ...
Koşuyolu Kalp ve Araştırma Hastanesi'nde, 1985 yılından günümüze kadar toplam 8 hastaya, sup... more Koşuyolu Kalp ve Araştırma Hastanesi'nde, 1985 yılından günümüze kadar toplam 8 hastaya, supravalvuler aort stenozu teşhisi ile cerrahi girişim uygulandı. Hastaların 5'i (%62.5) erkek, 3'ü (%37.5) kadın ve yaş ortalaması 14.5 ± 7 (7-29) yıl idi. Hastalardan iki ...
A patient, suffering from angina pectoris, claudicatio intermittens and postprandial abdominal pa... more A patient, suffering from angina pectoris, claudicatio intermittens and postprandial abdominal pain underwent coronary and peripheral arteriographic examination; coronary arterial disease and aortoiliac occlusive disease was diagnosed. Color Doppler ultrasonography revealed superior mesenteric artery stenosis. CABG with MIDCAB (minimal invasive direct coronary artery bypass) technique was performed together with aortabifemoral graft interposition and graft bypass to superior mesenteric artery and considerable success was obtained.
Herein, we present a retrospective analysis of our experience with acquired pseudoaneurysms of th... more Herein, we present a retrospective analysis of our experience with acquired pseudoaneurysms of the left ventricle over a 20-year period.From February 1985 through September 2004, 14 patients underwent operation for left ventricular pseudoaneurysm in our clinic. All pseudoaneurysms (12 chronic, 2 acute) were caused by myocardial infarction. The mean interval between myocardial infarction and diagnosis of pseudoaneurysm was 7 months (range, 1-11 mo). The pseudoaneurysm was located in the inferior or posterolateral wall in 11 of 14 patients (78.6%). In all patients, the pseudoaneurysm was resected and the ventricular wall defect was closed with direct suture (6 patients) or a patch (8 patients). Most patients had 3-vessel coronary artery disease. Coronary artery bypass grafting was performed in all patients. Five patients died (postoperative mortality rate, 35.7%) after repair of a pseudoaneurysm (post-infarction, 2 patients; chronic, 3 patients). Two patients died during follow-up (median, 42 mo), due to cancer in 1 patient and sudden death in the other. Although repair of left ventricular pseudoaneurysm is still a surgical challenge, it can be performed with acceptable results in most patients. Surgical repair is warranted particularly in cases of large or expanding pseudoaneurysms because of the propensity for fatal rupture.
Uploads
Papers by Mehmet Balkanay