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A 43 year-old woman complained of palpitation and shortness of breath admitted to our hospital. Transthoracic echocardiography revealed severe mitral stenosis and moderate mitral regurgitation. In routine blood tests hemoglobin and lactate dehydrogenase levels were 7.6 g/dL, 520 IU/L respectively. Coombs test was negative. After studying the other intrinsic or extrinsic causes of hemolytic anemia patients anemia was diagnosed as intravascular hemolytic anemia due to tight mitral stenosis. Therefore, mitral valve replacement planned and performed. Hemolysis was resolved after the mitral valve replacement. In conclusion, we report a case of hemolyt ic anemia due to mitral stenosis resolved by mechanical mitral valve replacement. [Med-Science 2016; 5(2.000): 738-41]

With the development of microsurgical techniques and successfull multidisciplinary approach; many injuries that require amputation can be treated success fully by extremity preventing surgery. We present a case that admitted to our clinic with open fracture and although had amputation endication, treated with extremity reconstruction surgery.between the total average points of the pre-test and the re-test of the scale was not found statistically significant (p=0.30). As a result of the Turkish version of the scale of the values obtained from the PU is defined to be a reliable and valid scale. Key Words: Amputation, extremity reconstruction, prevention Ozet Mikrocerrahi tekniklerin gelismesi ve basarili multidisipliner yaklasim sayesinde amputasyon ile sonuclanabilecek pek cok yaralanma ekstermite koruyucu cerrahi ile tedavi edilmektedir. Klinigimize acik kirik ile basvuran; amputasyon endikasyonuna ragmen ekstremite rekonstruksiyon cerrahisi yapilarak takip edilen hastanin klinik seyrini sunduk. Anahtar Kelimeler: Amputasyon; ekstremite rekonstruksiyonu, onleme

Spontaneous rupture of the aorta without previous history of trauma, hypertension or apparent aortic pathology is rare. Delayed or nonoperative repair of this condition is usually lethal. We report spontaneous rupture of the ascending thoracic aorta in young man. A 20-year-old male who had complained of sudden onset of severe chest pain and dispnea was admitted to our hospital. Initially, acute type A closing aortic dissection was suspected but computed tomography (CT) showed no intimal flap, false lumen or aortic aneurysm. [Med-Science 2015; 4(1.000): 1809-17]