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Copyright of Gulhane Medical Journal is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aortic aneurysm is potentially a lethal clinical condition unless it was diagnosed and managed earlier. It is associated with increased risk for sudden death among young subjects in competitive sports. So a complete medical evaluation is recommended especially for official athletes. However certain military personnel in Army are absolutely exposed to strenuous physical conditions and strengthening exercises as well as or harder than the athletes do. We presented three patients; one with giant aortic aneurysm at level of Valsalva sinus of aorta and two with aortic aneurysm at ascending aorta. First patient underwent surgical treatment whereas other two patients were followed medically. Isometric type of exercise and training activities were probably the main triggering factor for initiation and progression of aortic aneurysm in those subjects. Echocardiography is widely available and is the choice of method in preparticipation screening of certain military forces and diagnosing of aortic aneurysm. Also routine cardiac examination of military personnel in Army at a few years' periods may allow detection of those patients. [ABSTRACT FROM AUTHOR]

The success of myocardial revascularization is closely associated with the patency rate of conduits used for coronary bypass surgery. Radiyal artery is one of the arterial grafts used, and it is proposed as an alternative arterial graft because of its good mid-term results and superiority of flow characteristics. Between January 2003 and December 2005 a total of 1155 patients underwent aorta-coronary bypass surgery and in 215 out of these patients radial artery was harvested and used as a conduit for at least one of the coronary arteries. In 7 patients (3.2%) radial artery was used in reoperations. Complete arterial revascularization was performed in a total of 119 patients (55.3%). In other 96 patients at least one venous graft was used in combination with arterial grafts. No in-hospital mortality was observed in this series. Long-term mortality was observed in 1 patient (0.4%). The patients were followed up for a mean period of 16.4±9.7 months. In the short term 10 patients underwent a control coronary angiography, and all anastomoses including radial artery were found to be patent. In the mid-term 54 patients underwent a control coronary angiography, and radial artery grafts were patent in 50 of these patients (92.5%). We think that radial artery is an important graft that can be used with the aims of complete or multiple arterial vascularization in coronary bypass surgery. [ABSTRACT FROM AUTHOR]

This report summarizes our ten-year experience with atrial myxomas. Of the 17 patients who underwent resection of left atrial myxoma between January 2000 and December 2009, 11 were females and 6 males, and their mean age was 53.47±17.4 years. There was history of a cerebral emboli in 2 patients. All myxomas were located in the left atrium. For tumor resection left atriotomy was used in 16 patients, while transseptal approach was used in one patient with foramen ovale. No early or late mortality was observed. The patients were followed regularly with annual echocardiography in the follow up period. No recurrence was noted in the follow up period. Immediate surgical treatment should be performed after the diagnosis to prevent the risk of embolization and sudden cardiac death. Periodic controls with annual echocardiographic examinations are mandatory since early or late recurrence is possible in these tumors. [ABSTRACT FROM AUTHOR]

Leiomyosarcomas located on the vena cava inferior are extremely rare tumours. Although radical surgical resection of the tumor is the most important factor on survival, greatly advanced tumors are encountered since the disease may present with delayed symptoms. This situation makes the resection with clear border difficult. Chemotheraphy, radiotheraphy or combined treatment regimens may be performed to the patients after surgery. One of the important issues in the treatment of inferior vena cava leiomyosarcomas is how to reconstruct the inferior vena cava. In this case report, the successful surgical treatment of a case who admitted with the complaints of abdominal pain and nausea and diagnosed to have inferior vena cava leiomyosarcoma is presented. [ABSTRACT FROM AUTHOR]

Copyright of Gulhane Medical Journal is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Pneumoperitoneum developing after cardiopulmonary resuscitation Pneumoperitoneum developing after cardiopulmonary resuscitation may result either from visceral organ perforation or passage of mediastinal air via the diafragmatic hiatus of esophageus and aorta or directly through pleural and diafragmatic defects. A 77-year-old female patient was transferred to intensive care unit due to respiratory failure developing after coronary bypass surgery. Massive subcutaneous emphysema developed after tracheostomy. Tracheostomy cannula, therefore, was removed, and the patient was reintubated. Later acute cardiac arrest developed, and cardiopulmonary resuscitation was performed. Free air was detected below both diaphragms on chest radiograph. Conservative treatment was performed in the patient without peritoneal irritation signs or abdominal free fluid. Subdiaphragmatic free air completely disappeared after four days. [ABSTRACT FROM AUTHOR]