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Objective: This study was conducted to observe the effects of pre-operative sleep and distress intolerance levels on post-operative of cardiovascular surgery patients. Method: This is a descriptive study. The study population consisted of 120 patients who met the inclusion criteria and accepted to participate in this research. The data were collected by using tools such as the the demographic data form which was developed by the researchers, Pittsburgh Sleep Quality Index(PSQI), Insomnia severity Index(ISI) and distress ınterolerance index(DII), and applied through face to face interviews with the patients. The multivariate analysis of variance were used in the analysis of the data. Results: This study was 120 patients, comprising 82(68.3%) males and 38(31.7%) females. According to PSQI, 77.5% of patients have a poor sleep quality. Those with good sleep quality were found to have a lower total score (37.630)>=5 poor sleep quality than the total score (31.731) of the DII. According to the PSQI, as the sleep quality decreases, the intensive care unit (ICU) stay time is increasing (23.8%, p = 0.009). Conclusion: Compared to normal population, cardiovascular surgical patients have higher levels of poor sleep quality and distressing intolerance. We found a positive correlation between impaired sleep quality and distressed intolerance levels.

Objective. Acute mesenteric ischemia (AMI) is a rare but serious complication after cardiac surgery. The aim of this retrospective study was to evaluate the incidence, outcome, and perioperative risk factors of AMI in the patients undergoing elective cardiac surgery. Methods. From January 2005 to May 2013, all patients who underwent cardiac surgery were screened for participation, and patients with registered gastrointestinal complications were retrospectively reviewed. Univariate analyses were performed. Results. The study included 6013 patients, of which 52 (0.86%) patients suffered from AMI, 35 (67%) of whom died. The control group (150 patients) was randomly chosen from among cases undergoing cardiopulmonary bypass (CPB). Preoperative parameters including age (), renal insufficiency (), peripheral vascular disease (), preoperative inotropic support (), poor left ventricular ejection fraction (), cardiogenic shock (), and preoperative intra-aortic balloon pump (IABP) support () revealed significantly higher levels in the AMI group. Among intra- and postoperative parameters, CPB time (), dialysis (), inotropic support (), prolonged ventilator time (), and IABP support () appeared significantly higher in the AMI group than the control group. Conclusions. Prompt diagnosis and early treatment should be initiated as early as possible in any patient suspected of AMI, leading to dramatic reduction in the mortality rate.

The majority of the axillary artery aneurysm cases arise as pseudoaneurysms secondary to blunt or iatrogenic trauma. Isolated traumatic true axillary artery aneurysm is a relatively unusual disorder and generally occurs with repetitive blunt trauma. A 22-year-old female patient with distal axillary artery true aneurysm due to simple blunt axillothoracic trauma is presented. The aneurysm was excised with subpectoral-axillary approach and saphenous vein graft interposition was applied. Long-term follow-up with the patient was uneventful.

Giant ascending aortic aneurysm formation following aortic valve replacement is rare. A 28-year-old man who underwent aortic valve replacement with a prosthetic valve for aortic regurgitation secondary to congenital bicuspid aortic valve about 10 years ago was diagnosed with a giant ascending aortic aneurysm about 16 cm in diameter in follow-up. The aneurysm was resected leaving the functional old mechanical prosthesis in place and implanted a 34-mm Hemashield woven graft, associated with the left and right coronary artery button implantation. Histological findings of the aortic aneurysm wall showed cystic medial necrosis. The postoperative course was uneventful and postoperative examination demonstrated good surgical results.