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Aim:In this study, the factors affecting the development of recoarctation in patients who had been operated for aortic coarctation (AC) were investigated. It was aimed to contribute to the reduction of recoarctation rates in the light of the results obtained.Materials and Methods:In this retrospective study, 217 patients out of 358 patients, who underwent surgical correction for the diagnosis of AC at Hacettepe University Faculty of Medicine, Department of Cardiovascular Surgery between 1977 and 2010, who were followed up regularly, and whose data could be reached, were included. Age, body weight and results of surgical correction techniques used during surgical correction were compared in cases having recoarctation. Data obtained were evaluated statistically. Descriptive statistics for categorical variables were stated as numbers (n) and percentages (%). The results were presented in mean±standard deviation and/or percentage (frequency). The alpha significance value was accepted as

Videothoracoscopic (VATS) lobectomy, a minimally invasive technique, has been performed for approximately 20 years [1]. The advantages include improved patient satisfaction due to less surgical trauma, less postoperative pain, faster recovery, and less invasiveness compared to open surgical techniques [2]. Endoscopic vascular and parenchymal staplers are widely used for video-assisted thoracic surgery (VATS) and are mostly considered a safe technique [3]. In our case report, a patient, who underwent uniportal VATS lobectomy for lung adenocarcinoma and who was reoperated on due to the development of massive right internal mammary artery bleeding due to the intraoperative use of stapling, is presented.

Arteriovenous fistulas (AVFs) are potentially harmful but curable complications of diagnostic and interventional cardiac catheterizations. In this report, we present a case of iatrogenic AVF both from superficial and deep femoral arteries to common femoral vein leading to progressively developing severe right-sided heart failure in a patient who had two normally functioning mechanical valves at mitral and tricuspid positions. A 58-year-old woman who had a history of mitral and tricuspid valve replacement operations was admitted to our clinic with exertional dyspnea, palpitation, abdominal tenderness, and right-sided inguinal pain. Coronary angiography was performed via right femoral arterial access ten months ago. Doppler ultrasonography and computerized tomography revealed right superficial femoral artery to common femoral vein fistulisation. The patient was operated, and a double connection between the femoral artery and vein was encountered and treated successfully. Soon after the surgical procedure, clinical signs of right-sided heart failure ceased dramatically. The postoperative course was uneventful. Access site complications following interventional procedures represent significant problems. Sudden and progressive clinical deterioration in a patient especially with a history of diagnostic or therapeutic cardiovascular intervention may evocate the possibility of peripheral access site AVF formation.