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Objective: This study was aimed to evaluate surgical and percutaneous closure ojsecundum atrial septal defect (ASD) in terms of cost-effectiveness. Material and Method: Consecutive 100 pediatric patients who admitted to our hospital between 2010 and 2013 were included in the cost analysis: 50 who undement surgical repair and 50 who underwent percutaneous closure with the Amplatzer septal occluder Hospital generated cost data of this patients were collated at discharge. Results: Percutaneous ASD closure was successfully performed in 48 patients (96%) and failed in two patients (4%). Surgical closure (directly in eight patients and by pericardial patch in 42 patients) was perfonned successfully in all patients. Median hospital stay was not significantly longer for surgical group (1.8 to 4.2, p<0.001) days. The median cost was significantly higher for percutaneous group (10,698 TL to 5,572 TL, p<0.001). Conclusion: Despite percutaneous closure of secundum ASD which started to replace surgical treatment of ASD in last decades is safe and effective method, comparing other countries in terms of cost was determined twice more expensive based on surgical closure. [ABSTRACT FROM AUTHOR]

Background: In this study, the effect of postoperative oral anticoagulation on the false lumen patency of the distal aorta in patients with acute type A aortic dissection was investigated., Methods: Forty-one patients (32 male, 9 female; mean age 56.8±13.6 years; range, 30 to 84 years) who were diagnosed with acute type A aortic dissection and underwent surgical treatment in our clinic, and whose entire data of both control computed tomographic assessments and all postoperative follow-up visits could be accessed were enrolled. The patients were divided into two groups according to the type of surgical intervention that was performed. Computed tomography imaging of the patients were scanned and false lumen patency rates were evaluated. Besides oral anticoagulation, preoperative, intraoperative, and postoperative risk factors that may have affected false lumen patency secondary to acute type A aortic dissection were evaluated and statistically analyzed., Results: Twenty-one patients (51.2%) had concomitant hypertension. Thirty five (85.4%) of the patients had the main symptom of angina. Sixteen patients (39%) in Group 1 underwent ascending aortic replacement combined with aortic valve replacement (Bentall procedure); while 25 patients (61%) in Group 2 underwent isolated ascending aortic replacement. Mean follow-up was 43.9±26.3 (range: 5-120) months. No statistically significant difference was found between the study subgroups in any of the operation parameters except for cardiopulmonary bypass time (p=0.035) and cross-clamp time (p=0.002). Evaluation of the control contrast-enhanced tomographic imaging of the patients showed false lumen patency in the thorax in 34 patients (82.9%) and in the abdominal region in 33 patients (80.5%). When analyzing subgroups according to the type of surgical procedure, or indirectly anticoagulant use, no statistically significant difference was found in false lumen patency prevalence between the thoracic and abdominal groups (p=0.534 and p=0.922)., Conclusion: No potential effect of postoperative anticoagulation on false lumen patency was found in cases with acute type A aortic dissection., Competing Interests: Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article., (Copyright © 2018, Turkish Society of Cardiovascular Surgery.)