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Copyright of Kosuyolu Heart Journal is the property of KARE Publishing 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.)

Copyright of Türk Radyoloji Seminerleri 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.)

Acute aortic syndrome; includes aortic dissection, intramural hematoma, symptomatic penetrating aortic ulcer. However, these three pathologies form a broad terminology group, including thoracic aortic aneurysm and traumatic aortic rupture, depending on their progression. Aortic dissection is the most common type. Type A aortic dissection requires emergency surgery, while Type B requires endovascular therapy. Intramural hematoma was defined as aortic wall hematoma without intimal flap. The ruptured aorta may progress to aortic dissection, aneurysm or pseudoaneurysm, or it may show complete resolution. It can be divided into proximal (type A) and distal (type B) Acute Aortic Syndrome according to the aortic segment involved surgically and prognostically. Surgical treatment can be recommended in most cases of type A intramural hematomas. In intramural hematomas localized in the descending aorta, there was generally no difference in survival with surgical and medical treatment. Penetrating aortic ulcer; It describes ulceration of an atherosclerotic lesion that progresses to the media layer by perforating the internal elastic lamina. These patients may not progress clinically. Traumatic aortic rupture or transection are also aortic lesions that require early intervention. Treatment methods, surgical or endovascular interventions can be adjusted according to the clinical conditions of the patients. [ABSTRACT FROM AUTHOR]

Copyright of Osmangazi Journal of Medicine / Osmangazi Tip Dergisi is the property of Eskisehir Osmangazi University 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.)

Objective: Kawasaki disease is a vasculitis associated with acute fever in children. Conjunctivitis, rash, erythema of the lips and oral mucosa, edema of the extremities, redness, peeling and cervical lymphadenopathy are seen along with fever. Vasculitis frequently affects the coronary arteries. Coronary artery involvement is the most important predictor of prognosis. In this study, we aimed to evaluate the clinical, laboratory and echocardiographic findings and prognosis of patients diagnosed with Kawasaki disease. Materials and Methods: The clinical, laboratory characteristics, treatment and follow-up results of 66 patients aged between 6 months and 91 months admitted to our hospital between 2004-2019 and diagnosed as Kawasaki disease were evaluated retrospectively. Results: 38% of the patients were female and 62% were male. The I/F ratio was 1.64. The mean age at diagnosis was 32±21 months. 38.5% of these patients were at the age of 1 year or less, and 52.3% were between 1 and 5 years of age. 27 patients (40.9%) were diagnosed as incomplete Kawasaki, and 39 patients (59.1%) were complete Kawasaki. Incomplete cases were more frequent under the age of 1 year (p=0.002). The most common clinical finding after fever was lip and oral mucosal changes (84.8%). 72.7% of the patients had anemia. There was a statistically significant difference between thrombocyte and leukocyte values at admission and control (p<0.001). The age at diagnosis, Hb, sodium, albumin was lower in patients with coronary involvement than in patients without coronary involvement; ESR, CRP, leukocyte at admission, thrombocyte in second week, HDL, LDL, VLDL, total cholesterol, ALT, AST, proBNP levels before and after IVIG were found to be high. In 54.6% of the patients, there was dilatation of the coronary arteries, and aneurysm in one patient. On admission, 79% of 43 cases with coronary abnormality had normalized, 7 had dilatation of the coronary artery, and 2 had coronary artery aneurysm. All patients were given IVIG and acetyl salicylic acid. Eight patients received a second dose of IVIG. Steroid was administered to 2 patients who were resistant to IVIG treatment. Primary additional therapies were applied to 3 cases with infarction of coronary arteries, and giant and middle aneurysm. No deaths were observed. Conclusion: Early diagnosis and treatment of Kawasaki disease can prevent serious and lifelong complications. Since Kawasaki disease has not a prognostic finding and a marker, the discovery of new markers is an important research area. [ABSTRACT FROM AUTHOR]

Copyright of Pamukkale Medical Journal is the property of Pamukkale Journal of Medicine 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.)

Copyright of Journal of Tepecik Education & Research Hospital / İzmir Tepecik Eğitim ve Araştırma Hastanesi Dergisi is the property of Logos Medical Publishing 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.)

Copyright of Bosphorus Medical Journal / Boğaziçi Tıp Dergisi is the property of KARE Publishing 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.)

Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi 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.)

Objectives: To study changes in dynamic thiol/disulfide homeostasis (TDH) in patients with acute aortic dissection (AAD). Materials and Methods: In our study, the medical records of patients who applied to Ankara Atatürk Training and Research Hospital between January 2015- January 2018 and were found to have AAD on computed tomography of the thorax were retrospectively reviewed. There were two groups in the study, one AAD group, and the other healthy volunteers' group. First, thiol and disulfide levels were determined with the spectrophotometric method defined by Erel and Neşelioğlu, natural thiol (NT), total thiol (TT), and disulfide (D) levels, and their ratios were calculated (index 1: D / NT, index 2: D / TT, index 3: NT / TT). We compared these two groups in terms of Oxidative stress parameters. Results: A total of 40 patients with AAD and 38 age-matched healthy volunteers were included in this study. There was no significant difference between the two groups in terms of gender and age (p=0.923, p=0.401, respectively). The AAD group had significantly lower natural thiol and total thiol (p<0.001), but disulfide levels were similar (p=0.360). Oxidative stress parameters were not statistically significant in terms of mortality. Conclusion: We found significantly lower thiol/disulfide homeostasis in patients with AAD, particularly native thiol and total thiol. We think that oxidative stress theory may play a role in the pathophysiology of AAD and oxidative stress parameters may guide the diagnosis. [ABSTRACT FROM AUTHOR]

Objective: Repeat angiography is usually performed in spontaneous SAH patients who have negative initial angiography. In this study we aimed to evaluate the yield of repeat angiography in spontaneous SAH with different clinics and bleeding paterns. Methods: A retrospective analysis was performed on spontaneous SAH patients who admitted to our neurosurgery clinic. The patients were divided into two groups as perimesencephalic and nonperimesencephalic SAH according to their bleeding patern on cerebral CT. Demographic and clinic data, routine follow-up cerebral angiography within 2 weeks, complications due to repeated cerebral angiography and the presence of new detected vascular pathology were all recorded. Results: 208 patients with spontaneous SAH with mean age 60.00±15.82 (20-83) years were included. The Fisher score was found lower in perimesencephalic SAH patients. Mortality was also seen more frequently in nonperimesencephalic SAH. In repeat angiography vascular pathology related with SAH was found in only nonperimesencephalic SAH patients without any statistically significancy (0 vs 4, p:0.078). The incidence of complications due to repeat angiography was similiar in both groups. Conclusion: In conclusion clinicians should consider to evaluate the spontaneous SAH with subsequent neuroimaging tests once more to rule out cerebral vascular pathologies. Our data suggested that perimesencephalic SAH has a better Fisher score and less mortality when compared with nonperimesencephalic SAH. Our perimesencephalic SAH patients have no vascular pathology even after repeat angiography. Therefore high quality MR angiography or CTangiography can be easily performed rather than cerebral angiography which is an invasive imaging method. Cerebral angiography should be considered only in suspected cases with perimesencephalic SAH. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Ankara University Faculty of Medicine / Ankara Üniversitesi Tip Fakültesi Mecmuasi 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.)

Copyright of Journal of Surgery & Medicine (JOSAM) is the property of Journal of Surgery & Medicine 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.)

The aberrant right subclavian artery (ARSA) is a rare congenital variant of the aortic arch. When there is present of this aberrant anatomy, the brachiocephalic trunk is usually absent and the right subclavian artery arises as the fourth large arteries from the arch of the aorta. When the ARSA arises from a diverticulum of the distal aortic arch or descending aorta, it is termed as Kommerell aneurysm . Herein, we present a 51 years old man presented with neck pain due to cervical spondylosis. Pre-operative chest x-ray revealed a widened mediastinum. Further computed tomography (CT) of the thorax revealed Kommerell aneurysm of 2.5cm in diameter which does not resulted in any symptoms. We discussed the clinical implications and management of this rare entity in the report. [ABSTRACT FROM AUTHOR]

Galen veni anevrizmal malformasyonu (GVAM) çok nadir görülen konjenital bir malformasyondur. Özellikle prenatal tanısı ultrasonografi ve renkli dopler ultrasonografi ile konabilmektedir. Bizim vakamızda prenatal tanısı konan galen ven anevrizmalı bir fetüs idi. Özellikle galen ven anevrizmasının prenatal tanısının konması doğumdan sonra erken müdahale açısından avantaj sağlamaktadır. Doğumdan sonra klinik durumları çok iyi görünse de bu vakalarda çok kısa zamanda hiperdinamik kardiyomyopati, pulmoner hipertansiyon ve multipl organ yetmezliği ile hızlıca ölümler görülebilir. Bizim vakamızda ise prenatal tanı konmasına rağmen postnatal dönemde çok kısa zamanda komplikasyonlar gelişerek müdahale yapılamamış ve hasta kaybedilmiştir.

Despite improvements in medical and surgical treatment, aneurysmatic subarachnoid hemorrhage (SAH) remains one of the main causes of early mortality. Cardiac and pulmonary complications are the main causes of mortality. One of the most severe cardiac complications is neurogenic stress cardiomyopathy. Left ventricular dysfunction which is seen in neurogenic stress cardiomyopathy, although it is usually reversible within a few days, can cause severe hypotension, pulmonary edema and cardiogenic shock. Traditional treatment of heart failure after SAH is based on the use of noradrenaline, dobutamine and high volume of fluids. However, it is difficult to treat reduced cardiac output in SAH. Because, myocardial cells are already under stress due to increased adrenergic stimulation. The use of exogenous catecholamines may cause additional neurocardiogenic damage in myocardial cells, excessive calcium burden, decreased cerebral blood flow, and delayed cerebral ischemia. By reducing the use of exogenous catecholamines with levosimendan, the vicious circle of cardiotoxicity induced by catecholamines can be broken. Levosimendan is a nonadrenergic inotropic calcium sensitizer that allows rapid recovery of cardiac output and optimizes cerebral perfusion without increasing myocardial oxygen consumption. If we consider that reduction in left ventricular systolic function plays a role in the pathogenesis of delayed cerebral ischemia, the risk of developing neurological complications may be reduced by administration of levosimendan in these patients. Moreover, new evidence from experimental studies also indicates that levosimendan may have neuroprotective effects in the SAH. In this review, the use of levosimendan in the treatment of hemodynamic disorders which develops in the course of SAH has been discussed in company with current literature. [ABSTRACT FROM AUTHOR]

Objective: To investigate the intraarterial papaverine treatment efficacy of aneurysmal subarachnoidal hemorrhage related vasospasm. Material and Methods: We evaluated 149 aneurysmal subarachnoidal hemorrhage patients medical records retrospectively, who were performed endovascular coilization or surgically clipping operation. In these patients, 22 patients were developed vasospasm, and treated with intraarterial papaverine. We investigated the radiologic parameters of arterial dilatation during the VS and after papaverine injection on anjiography. Also the aneurysmal SAH predictive factors of patients were investigated. Results: There were 10 male and 12 female patients, the main age was 52.41±10.98. There were 10 anterior communicating artery aneurysms, 10 middle cerebral artery aneurysms, 1 posterior communicating artery aneurysm and 1 internal carotid artery aneurysm in patients. We performed endovascular treatment to 19 patients and surgery to 3 patients. We showed the vasospasm in all patients angiographically. There are 15 left hemispheric infarcts and 7 right hemispheric infarcts. The mean anterior cerebral artery A1 segment diameter was 1.31±0.49 mm during VS and increased to 1.85±0.51 mm after intraarterial papaverine treatment, there was significant difference between pretreatment and post treatment A1 segment diameters (p<0.0001). Beside the mean middle cerebral artery M1 segment diameter was 2.01±0.54 mm during VS, and increased to 2.73±0.42 mm after treatment. In addition there was significant difference between pretreatment and post treatment M1 segment diameters (p<0.0001). Conclusion: In our study, we investigate the effect of intraarterial papaverine treatment after aneurysmal SAH related VS and we showed significant increase in arterial diameters after treatment. [ABSTRACT FROM AUTHOR]

IRVAN is a rare disease with retinal arterial aneurysms, vasculitis and neuroretinitis (syndrome). Beside there is no a definite treatment regime for this disease, which results in advanced vision loss, this disease is treated according to clinical findings. Until now the most effective treatment is seen as retinal laser photocoagulation. In this article, we present a case of IRVAN followed up for 8 years after retinal laser photocoagulation. [ABSTRACT FROM AUTHOR]

Aim: Mean platelet volume (MPV) is an indicator of platelet activation and is associated with inflammation and thrombus cascade. In this study, we aimed to compare platelet count and MPV levels in patients with infrarenal abdominal aortic aneurysm (IAAA) with and without thrombosis in the aneurysm. Methods: In this cross sectional study, we included 76 consecutive patients who were diagnosed with IAAA. The patients were divided into two groups according to the presence or absence of thrombus in the aneurysm and, clinical and laboratory values were compared. Results: Twenty-seven (35.5%) patients with IAAA had thrombus and 49 (64.5%) did not have thrombus. There was no statistically significant difference in demographic characteristics, symptoms, additional diseases and laboratory findings between the groups. There was also no significant difference in MPV values between patients with and without thrombus in aneurysm (9.30±1.0 vs. 9.84±1.4; p=0.09). Conclusion: There was no difference in platelet count and MPV values between patients with and without thrombus in aneurysm. It may be more appropriate to evaluate a larger number of markers together to identify the prothrombotic state in thrombotic and nonthrombotic IAAA patients. [ABSTRACT FROM AUTHOR]

Mycotic aneurysms, one of the most important complications of bacteremic Salmonella infection, are endovascular infections with a frequency of 25-35% in patients older than 50 years. Bacterial agents such as Mycobacterium tuberculosis, Treponema pallidum, Salmonella species, Staphylococcus species, and Streptococcus pneumonia can be counted among the infectious causes. We report a 74-year-old immunocompetent male patient who had a mycotic aneurysm of the iliac artery due to Salmonella typhi. Mycotic aneurysm caused by S. typhi is rare in the literature; it should be kept in mind that S. typhi can be a cause of infection in vascular tissue. [ABSTRACT FROM AUTHOR]

Pelvik böbrek nadir görülen bir konjenital anomalidir. Pelvik yerleşimli ektopik böbrek konjenital renal ektopinin en sık görülen şeklidir. Ektopik pelvik böbreğin otopsi serilerinde görülme oranının 1/2100-3000 oranında olduğu bildirilmektedir. Ektopik böbrek genellikle klinik belirti vermez ve tanı rastlantısal olarak konulur. Anevrizmalar en sık infrarenal abdominal aorta da görülür. İliak arter anevrizmaları daha az sıklıkla görülürler ve genellikle abdominal aort anevrizması ile birliktedirler. Renal anomaliler retroperi- toneal cerrahi prosedürleri komplike hale getirebilir. Abdominal aort cerrahisi uygulanacak hastalarda ameliyat esnasında gelişebile- cek komplikasyonların önlenebilmesi için renal anomalilerin tanımlanması önemlidir. Bu makalede, izole sağ iliak arter anevrizması görünümü veren ektopik pelvik böbrek olgusu sunuldu

Copyright of Archives of the Turkish Society of Cardiology / Türk Kardiyoloji Derneği Arşivi is the property of KARE Publishing 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.)

Aim: The aim of this study was to expose three-dimensional anatomy and projection of brain arteries used by injection-corrosion cast's technique. Although corrosion method previously was used to expose coronary and testicular arteries, this is the first study that was applied to human brain arteries in details. Methods: Internal carotid arteries and basilar artery of fresh human brain cannulised and irrigated with warm water, after that filled with colored polyester mixture. For corrosion process, brains were kept in diluted sulphuric acid and then carefully cleaned with water. By this way tree-dimensional anatomy of brain arteries were exposed. Results: Injection-corrosion cast's technique resulted in deeper penetration of colored solutions into small cerebral vessels and provided good three-dimensional vision. Conclusion: Vascular structures are usually discovered by cadaveric dissection method. By cadaveric dissection method, could obtain information about the origin of vascular structure but it is not possible for the anatomic position and projection. With the method of injectioncorrosion, vascular structure could be exposed as tree-dimensional projection, even in the smallest branch look like it is in cranium position. From our point of view this technique will provide significant contribution to neurosurgery training and subsequent studies. [ABSTRACT FROM AUTHOR]

Nadir görülen mideye fistülize olmuş dev splenik arter anevrizmasına bağlı masif üst gastrointestinal sistem kanaması ile başvuran bir olguyu sunmayı istedik. Splenik arter anevrizması olan kadın hasta hastanemize karın ağrısı ve üst gastrointestinal sistem kanaması ile getirildi. Hastada hemorojik şok mevcuttu. Yapılan tüm resusitasyon çabalarına rağmen hasta hayatını kaybetti. Splenik arter anevrizmaları nadir görülmekle birlikte, kadınlarda erkeklere göre 4 kat daha fazla görülen ve iç organ anevrizmaları içerisinde en sık karşılaşılan anevrizmalardır. Splenik arterin tromboze ve dev anevrizmaları ise oldukça ender görülüp, nadiren 3 cm'ye ulaşırlar. Genellikle asemptomatik olsalar da, hayatı tehdit edebilecek yırtılmaları nedeniyle klinik olarak oldukça önemlidirler. Bu hastaların tedavisindeki başarıda, erken tanı, cerrahi ya da diğer girişimsel yöntemler önemlidir.

Ruptured splenic artery aneurysm (SAA), rare in the emergency department (ED), is a cause of hypotension and abdominal pain. Physicians should consider the possibility of this condition especially in patients with abdominal pain and hypotension. In this paper, we report the case of a patient with ruptured SAA presenting to the ED as an intraabdominal catastrophe and review the key features of this entity. [ABSTRACT FROM AUTHOR]

Right atrial aneurysm is a rare abnormality of the heart. This defect is seen in all age groups and is usually diagnosed incidentally. The aneurysm can be asymptomatic or present with symptoms related to supraventricular arrhythmias or thromboembolic phenomenon. We present the case report of a 74-year-old male with right atrial aneurysm which was incidentally detected during echocardiographic evaluation. [ABSTRACT FROM AUTHOR]

Atrial septal aneurysm is a rare deformity of interatrial septum extending to changeable directions during cardiac cycle. A 9 year old Cavalier King Charles Spaniel referred to Small Animal Hospital with a history of acute onset of respiratoric distress and abdominal distension. Routin blood work, electrocardiography and thorax radiography were performed. Echocardiography revealed mitral valve disease and severe left atrial dilatation with an atrial septal aneurysm as a bulging of interatrial septum into the right atrium and nearly prolapsing into the tricuspid orifice. Color flow Doppler revealed a left-to-right shunt flow atrial septal defect. The dog died suddenly 2 weeks later. The owner declined postmortem examination. To the best of authors' knowledge, this was the first report of atrial septal aneurysm with concomitant atrial septal defect in a dog. The purpose of this case report is to point out atrial septal aneurysm as the possible complication of mitral valve disease in a Cavalier King Charles Spaniel. [ABSTRACT FROM AUTHOR]

Polyarteritis nodosa, a systemic necrotizing vasculitis of small and medium-sized arteries, can rarely present with isolated hepatic involvement and secondary, though at times fatal, spontaneously ruptured hepatic artery aneurysms. In this manuscript, systematic evaluation of a polyarteritis nodosa patient admitted to the emergency department due to severe abdominal pain and rapid deterioration of general condition is depicted. Patient's -34-years-old, male-emergency abdominal computed tomography with contrast demonstrated hemorrhagic intrahepatic aneurysms and thus, selective coeliac catheter angiography was performed emergently. Massive active bleeding was verified and in order to stabilize the patient, aneurysms were embolized with urgent endovascular intervention, thereby achieving hemostasis to provide precious time for definitive medical treatment. Under similar circumstances, endovascular transcatheter interventions, when compared to surgical methods, are feasible and minimally invasive options for the diagnosis and evaluation of polyarteritis nodosa patients, treatment o f complications and buying time for systemic medical treatment. [ABSTRACT FROM AUTHOR]

Aneurysms of saphenous vein grafts are infrequent complications of coronary bypass surgery. Although these aneurysms are usually asymptomatic, they may lead to sudden death by rupture or compression of cardiac chambers and vascular structures. A sixty-three year old male patient, who had undergone coronary bypass surgery eighteen years ago, was admitted with chest pain. The patient also had a history of renal transplantation. Coronary angiography revealed an aneurysm of the saphenous vein graft to the right coronary artery and occlusion of native right coronary artery. Computed tomography demonstrated a giant (130x100x100 mm) saphenous vein graft psudoaneurysm compressing the right atrium and ventricule. The aneurysm was approached through a median sternotomy and resected without the use of cardiopulmonary bypass (CPB). Saphenous vein graft aneurysms can potentially reach large dimensions. In such cases, surgery is the choice of treatment. Surgical resection can be performed without CPB when coronary revascularizaton is not needed. [ABSTRACT FROM AUTHOR]

Aortic dissection (AD) is an uncommon life-threatening emergency. Its development is usually subtle and easily missed. On the other hand, an aneurysm nearly always requires immediate surgical intervention. Both interventions are technically different and pose their own challenges. We experienced a distinct case of AD of the ascending aorta in a 65-year-old lady, who presented with a sudden onset of severe chest pain and shortness of breath. Thoracic aortic aneurysm was suspected as computed tomography revealed a saccular aneurysm of the proximal ascending aorta with no involvement of the valve and aortic branches. Surgery was decided after considering the risk of rupture and mortality. However, a diagnosis of localized aortic dissection was discovered and repaired accordingly. We discuss the pitfalls of diagnostic modalities and the techniques of surgical repair. [ABSTRACT FROM AUTHOR]

Epigastrik ağrının sebepleri arasında superior mezenterik arter anevrizması nadir olarak bildirilmiştir. Ellidokuz yaşında kadın hasta 2 haftadır olan epigastrik ağrısı nedeniyle kliniğimize başvurdu. Hastanın hikayesinde 3 yıl once DeBakey tip I aortic diseksiyonu nedeniyle benthall prosedürü uygulandığı öğrenildi. Bizde hastamıza cerrahi operasyona gerek kalmadan başarıyla endovasküler stent uyguladık. Özellikle yüksek riskli hastalarda superior mezenterik arter anevrizmasının tedavisinde endovasküler tedavi seçeneği öncelikli olarak düşünülmelidir.

Amaç: Renal arter lezyonları sık görülen ve tedavi gerektiren lezyonlardır. Bu yazıda renal arterin anevrizma, psödoanevrizma, arteriyovenöz malformasyon ve arterivenöz fistül lezyonlarının endovasküler tedavi yöntemlerindeki başarıyı değerlendirmeyi amaçladık. Gereç ve Yöntem: Ağustos 2009 ve Nisan 2012 tarihleri arasında renal arter lezyonu nedeni ile hastanemizde tedavi edilen hastalar geriye dönük olarak tarandı. Toplam 13 hastada (yedi kadın, altı erkek), yedi renal arter anevrizması, altı renal arter psödoanevriması, bir arteriyovenöz malformasyon ve bir arteriyovenöz fistül işlem öncesi yapılan bilgisayarlı tomografi ile tespit edildi. Bulgular: Bütün hastalarda başarılı bir şekilde endovasküler tedavi yapıldı. Arteriyovenöz malformasyon olan hastada N-butyl 2-cyanoacrylate embolizasyon, arteriyovenöz fistül olan hastada Guglielmi Detachable Coil (GDC) embolizasyon, psödoanevrizma hastalarından biri GDC koil ile diğerleri N-butyl 2-cyanoacrylate ve bütün anevrizma hastaları GDC embolizasyon ile tedavi edildi. Bir anevrizma hastasında stent eşliğinde koil emboilasyon yapıldı. İşlem sırasında komplikasyon gelişmedi. İşlem sonrası takip amaçlı yapılan bilgisayarlı tomografide beş hastada klinik bulgu vermeyen parsiyel enfarkt gelişti. Sonuç: Renal arter lezyonlarının endovasküler tedavisi cerrahiye gore minör komplikasyonları olan güvenilir ve başarılı bir tedavi yöntemidir. Bu sebeple renal arter lezyonlarında endvasküler tedavi birinci seçenek olarak düşünülmedilir. Background: Renal artery lesions frequently occur and may require intervention. The aim of the present study was to describe technical considerations of endovascular treatment of aneurysms, pseudoaneurysms, arteriovenous malformation, and arteriovenous fistula of the renal artery. Methods: From August 2009 to April 2012, the cases of 13 patients (7 women and 6 men) with 15 renal artery lesions were retrospectively analyzed. All patients underwent endovascular treatment. Preprocedure computed tomography (CT) and postembolization control angiography were performed. Seven true renal artery aneurysms, 6 renal artery pseudoaneurysms, 1 arteriovenous malformation, and 1 arteriovenous fistula were defined using CT and angiography. Results: Successful endovascular treatment was performed in all patients. N-butyl 2-cyanoacrylate embolization was performed in the case of the arteriovenous malformation, Guglielmi detachable coil (GDC) embolization was performed in the case of the arteriovenous fistula, and all pseudoaneurysm patients were treated with N-butyl 2-cyanoacrylate embolization, with the exception of 1, who was treated with GDC embolization. GDC embolization was likewise performed in all aneurysm patients. In 1 aneurysm patient, stent-assisted coil embolization was performed. No complications or periprocedural mortality occurred. On follow-up imaging, partial infarct was detected in 5 patients with no clinical evidence of organ insufficiency. Conclusion: Endovascular treatment of renal artery lesions is a safe and highly successful procedure with minor complications, compared to surgery. Thus, endovascular approach should be considered the first choice of treatment in cases of renal artery lesions. [ABSTRACT FROM AUTHOR]

Renal artery aneurysms (RAAs) are uncommon. RAA is generally an incidental finding; however, in certain instances, it may be a devastating pathology. This is particularly true in case of pregnant females where the incidence of rupture is high if untreated, with high mortality rates for both the mother and the fetus. Early intervention in this particular high-risk group is advocated. [ABSTRACT FROM AUTHOR]

Objective: In this study, we evaluated the clinical, laboratory and echocardiographic features of the children with Kawasaki disease (KD) who were admitted and treated in our hospital. Material and Methods: We retrospectively evaluated the medical records of 44 children diagnosed with KD in our clinic between May 1, 2008 and December 31, 2014. According to the diagnostic criteria of KD, the patients were classified as complete and incomplete. We evaluated the clinical, laboratory and echocardiographic findings at the time of diagnosis. Results: A total of 44 children (29 boys and 15 girls) with KD were included in this study. The mean age of children was 47.65±22.56 (18-96) months. Thirty eight patients (86.4%) were diagnosed with complete and 6 (13.6%) were diagnosed with incomplete KD. The mean duration of fever before diagnosis was 7.12±2.2 (5-14) days. All of the patients had fever and changes in oral cavity. The incidence of cervical lymphadenopathy, conjunctivitis, changes in the extremities and skin rash were 93.2%, 65.9%, 54.5% and 18.2%, respectively. During the first evaluation, 28 (63.6%) patients had normal echocardiographic findings. Six (13.6%) patients had coronary artery aneurysm, 5 (11.4%) had minimally coronary artery ectasia and 5 (11.4%) had pericardial effusion. All of the patients were treated with intravenous immunoglobulin and acetyl salicylate. Only two unresponsive patients received steroids in addition to this treatment. The clinical and laboratory findings of the patients without coronary artery aneurysm returned to normal in eight weeks. The patients were followed up for a mean of 11.65±11.17 (2-58) months. Complete regression of coronary artery aneurysm was observed in three of six patients, but three had persistent minimal coronary artery ectasia. Conclusion: Our study demonstrated that considerable number of patients with KD have coronary artery lesions and early administration of intravenous immunoglobulin may prevent the development of the complications. The children under five years with prolonged fever should be kept in mind in terms of early diagnosis of KD and coronary artery lesions related mortality and morbidity. [ABSTRACT FROM AUTHOR]

Objective: Recent advances in computerized image processing made the early diagnosis and elective invasive treatment of vascular pathologies possible. However, studies state that the complication rates of elective procedures are higher than that of untreated cases. And, making the decision between protection from life threatening complications and unnecessary interventions is a controversial issue. Therefore, recent studies put emphasis on multidisciplinary motivation; consequently, "computational fluid dynamics" took place in medical simulations. With the aim of setting up theoretical and practical infrastructure, in this study, distributions of hemodynamic forces were discussed in vascular models. Methods: Three-dimensional distribution of hemodynamic forces in aneurismal and stenotic models were computed by using two different patient specific simulations which were constructed on two different vessel models of "parametric" and "realistic" approaches. Results: The results were consistent with almost all common practical knowledge. Continuity and Bernoulli's laws imply that a fluid moving through a wide vessel must move more quickly when the vessel narrows and the pressure decreases gradually. The relation between vessel geometry and velocity vectors in maintained laminar flow conditions was demonstrated. The impacts of radial forces and vessel wall structure on spatial distribution of the displacement in vessel geometry were also shown. Additionally, spatial distribution of the axial force of "wall shear stress" which was recently suggested to be a highly reliable measure was evaluated. Conclusion: Patient specific simulations that are believed to be the core of the future project of "clinical diagnostic expert systems" will be an important tool in prescribing patient specific treatment and in the assessment of complication risks. [ABSTRACT FROM AUTHOR]

Galen vein aneurysm is a extremely rare congenital malformation. Prenatal diagnosis is possible with ultrasonography. In our case prenatal diagnosis was made. Although cardiovascular system appears normal during prenatal life, postnatal diagnosis is grim with progressive hyperdynamic cardiomyopathy, pulmonary hypertension and multiple organ failure. Even with prenatal diagnosis and early intervention infant succumbed to heart failure short after birth in our case. [ABSTRACT FROM AUTHOR]

Copyright of Archives of the Turkish Society of Cardiology / Türk Kardiyoloji Derneği Arşivi is the property of KARE Publishing 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.)

Popliteal artery aneurysms (PAAs) are rare though these aneurysms are the most frequently encountered peripheral arterial aneurysms. In this article, we present the treatment of a patient who simultaneously had bilateral popliteal artery and ascending aortic aneurysm but was admitted to the emergency room due to the blue toe syndrome. A 72-old-year female was admitted to the hospital with left lower extremity pain and cyanosis in her toe. Bilateral popliteal artery and ascending aortic aneurysm were observed on computed tomography. Aneurysmectomy and femoropopliteal bypass was performed primarily to the left popliteal artery owing to ischemia. Two months later, we performed valve and ascending aorta replacement followed by right popliteal aneurysmectomy and femoropopliteal bypass 16 months later. In conclusion, since other arterial aneurysms can be simultaneously observed with popliteal artery aneurysm, it is very important to scan whole main arterial system when PAA is evaluated. [ABSTRACT FROM AUTHOR]

Introduction: Twenty percent of all strokes are hemorrhagic and 50% of hemorrhagic strokes are because of subarachnoid hemorrhage (SAH). Cardiac abnormalities and electrocardiographic (ECG) changes are commonly seen after SAH. Here, we present a patient with a sudden loss of consciousness, respiratory arrest, and diffuse ST segment changes in ECG. Case Report: A 52-year-old wife, who had only hypertension in her medical history, learnt that her husband had a blunt trauma to the head and a decompressive craniectomy was performed. While he was sent to an intensive care unit, his wife collapsed just outside the emergency department (ED). The female patient had a respiratory arrest and then entered ventricular fibrillation. After Cardiopulmonary resuscitation (CPR) and 200 J defibrillation, the monitor showed an atrial fibrillation rhythm and the pulse returned. The ECG showed elevations in ST segments and a percutaneous coronary intervention was planned. Meanwhile, emergency physicians suspected an intracranial pathology and a computed tomography (CT) scan revealed a diffuse SAH. Conclusion: The clinical findings and the patient history are very important to avoid malpractice. If the physicians do not give sufficient attention to these areas, the patients can easily be mistreated. [ABSTRACT FROM AUTHOR]

Ectopic kidney is a rare congenital anomaly. The pelvic kidney represents the most common form of congenital renal ectopia. 1/2100-3000 rate of ectopic pelvic kidney has been observed in autopsy series. Ectopic kidney is usually asymptomatic and discovered incidentally. Aneurysms most commonly occur in the infrarenal abdominal aorta. Iliac artery aneurysms are seen less frequently and are usually associated with abdominal aortic aneurysm. Renal anomalies may complicate retroperitoneal surgery procedures. Inpatients undergoing abdominal aortic surgery to prevent complications that may develop during surgery for renal anomalies is important to identify. In this article, ectopic pelvic kidney is presented which gives the appearance of isolated iliac artery aneurysm. [ABSTRACT FROM AUTHOR]

Objectives: The aim of our study was to determine whether stent assisted coiling may promote progressive occlusion of an incompletely occluded aneurysm. Methods: From March 2009 to December 2012, 177 patients with ruptured wide-necked aneurysms (58 patients in the stent group and 109 in the nonstent group) treated by endovascular coiling were retrospectively enrolled. All patients included in this study had follow up angiographic results. Enterprise stents were used for coiling in the stent group. Simple coiling and balloon-assisted coiling technique were used for coiling in the nonstent group. No significant difference in Patient demographics and aneurysmal characteristics (patient age, aneurysm diameter, neck size, and dome-to-neck ratio) were observed between the 2 study groups. Angiographic follow-up results for stented and nonstented aneurysms were compared. Results: With a mean follow-up time of 8 month, progressive occlusion rates was significantly higher in the stent group (16/29, 55.2%) than in the nonstent group (10/34, 29.4%)(P=0.03). Recurrence rate was not significantly different between two groups (13.8% (8/58) in the stent group compared with 17.4% (19/109) in the nonstent group) (P=0.54). Conclusion: We conclude that Enterprise stent-assisted coiling significantly promotes progressive occlusion of incompletely occluded aneurysms at initial treatment compared with nonstent-assisted coiling. [ABSTRACT FROM AUTHOR]

Background and purpose: Increasingly numerous studies have indicated that nimodipine can be recommended as an effective and safe agent for the treatment of symptomatic vasospasm after aneurysmal subarachnoid hemorrhage (aSAH). However, data regarding its delivery route in the treatment of aSAH are inconsistent. The aim of this study was to assess and compare the effects of different administration routes on the functional improvement of patients with aSAH. Methods: We retrospectively reviewed 27 patients with aSAH. Of these 27 patients, 2 had intraventricular bleeding and 10 had cerebral hematoma. All patients were divided into 3 groups as follows: the topically applied nimodipine group, the systemically applied nimodipine group and the control group. Patients were treated with nimodipine and the neurological status at discharge and at 3 months were recorded. Transcranial doppler sonography (TCD) was used to monitor cerebral vasospasm following surgical clipping. Liver function and intracranial infection were assessed among three groups. Results: The blood flow velocity was significantly increased at days 1, 5 to days 7, 10 and day 14 after surgery in the topically applied nimodipine group. 2 out of 10 (20%) patients had intracranial infection in the topically applied nimodipine group. There were no intracranial infections in the systemically applied nimodipine group and the control group. Conclusion: Different administration routes may affect the functional improvement in patients with aSAH. The combined use of systemically and topically applied nimodipine may be effective for treatment of cerebral vasospasm following surgical clipping of aneurysms. [ABSTRACT FROM AUTHOR]

Copyright of Archives of the Turkish Society of Cardiology / Türk Kardiyoloji Derneği Arşivi is the property of KARE Publishing 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.)

We are presenting a case of right internal mammary artery steal syndrome in a patient with Behcet disease. At the surgical treatment of a subclavian artery aneurysm, leaving the origins of both vertebral artery and right internal mammary artery within the aneurysm sac has led this situation. To the best of our knowledge, a similar case has never been described. Non-invasive cross sectional radiological imaging techniques were very successful in demonstrating the anatomical details and provided valuable informations in understanding postsurgical anatomy. [ABSTRACT FROM AUTHOR]