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    A case of coronary artery fistula with mitral stenosis
    (KLUWER ACADEMIC PUBL, 2003) Gunduz, H; Akdemir, R; Binak, E; Ayarcan, Y; Kurtoglu, N; Uyan, C
    Coronary artery fistulae, being a rare form of congenital anomalies of the coronary arteries, are usually discovered by chance during coronary arteriography. However, these fistulae can cause an important coronary morbidity and mortality leading to angina, syncope, congestive heart failure, myocardial infarction and sudden death. The coincidence of mitral stenosis and congenital artery fistula is rare in the literature. In our case report, a patient with a coronary artery fistula originating from the circumflex, draining to the main pulmonary artery, discovered at cardiac catheterization and coronary angiography done with a prediagnosis of mitral stenosis is presented in the light of the literature.
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    Delayed rupture of a postinfarction left ventricular true aneurysm
    (ELSEVIER SCIENCE INC, 2004) Arsan, S; Akgun, S; Turkmen, M; Kurtoglu, N; Yildirim, T
    Delayed rupture of a true left ventricular aneurysm is a rare clinical condition. We report a case of a 60-year-old woman who underwent emergency surgical repair of a ruptured true aneurysm of the left ventricular inferior wall 3 months after the myocardial infarction. The repair consisted of endoaneurysmorraphy patch technique. The patient made a satisfactory recovery. (C) 2004 by The Society of Thoracic Surgeons.
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    Evaluation of left-ventricular function with modified TEI index in patients with essential hypertension
    (W B SAUNDERS CO LTD, 2003) Sezai, Y; Kurtoglu, N; Keser, N; Erikci, H; Erdem, A; Akturk, S; Sahin, M; Dindar, I
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    A mediastinal false aneurysm with aortocutaneous fistula
    (FORUM MULTIMEDIA PUBLISHING, LLC, 2004) Arsan, S; Yildirim, T; Akgun, S; Kurtoglu, N
    In this report, we present a case of the development of a false aneurysm of the ascending aorta with an aortocutaneous fistula in a 57-year-old patient 10 months following aortic valve replacement and concomitant coronary bypass surgery.
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    Reduction aortoplasty and external wrapping for moderately sized tubular ascending aortic aneurysm with concomitant operations
    (ELSEVIER SCIENCE INC, 2004) Arsan, S; Akgun, S; Kurtoglu, N; Yidirim, T; Tekinsoy, B
    Background. Replacement of the ascending aorta with a prosthetic graft is the preferred surgical procedure for an ascending aortic aneurysm. The choice of external wrapping of the aorta is a simple, fast, and effective method for moderately sized ascending aortic aneurysms with concomitant operations. In this study, we present the midterm results of 62 patients undergoing reduction aortoplasty with external wrapping and different cardiac procedures. Methods. The study group consisted of 48 male and 14 female patients with a mean age of 59.3 +/- 6.0 years. Measurement of the ascending aorta diameters was obtained at three points: before surgery, during the early postoperative period, and during the follow-up. The mean preoperative aortic diameter was 52.7 +/- 0.5 mm. In all patients, the ascending aortic aneurysm was repaired by reduction aortoplasty with external wrapping. Results. Mean follow-up time was 39.6 +/- 18.0 months. There was only one mortality (1.6%) as a result of septic multiple-organ failure and no major surgical complications in the 30-day postoperative period. Reduction aortoplasty of the ascending aorta with external wrapping resulted in a significant reduction of the ascending aorta in all patients (p = 0.000). There was an increase in the mean aortic diameter during the follow-up period (p = 0.000). Although this increase was statistically significant, all measurements of the follow-up period were still within normal range. Conclusions. External wrapping of the aorta offers excellent results with very low mortality and morbidity, and it can be regarded as a safe and effective method for the treatment of ascending aortic aneurysm in selected patients. However, the patients should be carefully monitored for redilatation after the procedure. (C) 2004 by The Society of Thoracic Surgeons.