Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 2010
A 59-year-old male patient admitted to our hospital with a pulsatile right gluteal mass with hist... more A 59-year-old male patient admitted to our hospital with a pulsatile right gluteal mass with history of formation after blunt trauma. Persistent sciatic artery and its traumatic aneurysm was diagnosed after medical examination followed by peripheric digital substraction angiography. Surgery was performed under general anesthesia, and the patient was discharged from the hospital on postoperative day 7 without any problems. The sciatic artery, a continuation of the internal iliac artery into the popliteal-tibial vessels, represents the major blood supply to the lower limb in early embryologic development. Its persistence is very rare, and the aneurysmatic dilatation is the most common pathology diagnosed. Here, we present a rare case of persistent sciatic artery presenting with a traumatic aneurysm treated by iliopopliteal bypass surgery and ligation of the internal iliac artery proximal to the aneurysm.
Sequential Test Selection and Uncertainty Arslan et al.; Turkey • NPY Polymorphism and Ischemic s... more Sequential Test Selection and Uncertainty Arslan et al.; Turkey • NPY Polymorphism and Ischemic stroke Fu et al.; China • Orbital Complications of Sinusitis Radovani et al.; Albania • Diagnosis of Incisional Endometriosis Solak et al.; Turkey • Temperament and Character Profile in Acne Öztürk et al.; Turkey • Analysis of Finger Tapping Performance Barut et al.; Turkey • Vocal fold hyperplastic lesions evaluated by VLS Gürbüz et al.; Turkey • Hodgkin's Lymphoma and Its Clinical Features Kılıçkap et al.; Turkey • Spinal Dexmedetomidine Esmaoğlu et al.; Turkey • Experience with Aortopulmonary Window Cases Demir et al.; Turkey • MTHFR in VTE Hotoleanu et al.; Romania • Tuberculosis Treatment Outcomes in Turkey Babalık et al.; Turkey • The Evaluation of Saliva in Behçet's Disease Erdem et al.; Turkey • Enhanced Adhesion and OspC Synthesis
Background: The purpose of the study is to highlight the prenatal diagnosis and the postnatal man... more Background: The purpose of the study is to highlight the prenatal diagnosis and the postnatal management of transposition of the great arteries, which is characterized by anomalous origin of aorta and pulmonary artery from the heart, and is one of the most fre- quently encountered form of conotruncal anomalies. Case: Fetal echocardiography on the 32nd gestational week had revealed situs
O Ob bjje ec ct tiiv ve e:: Diabetic patients have a higher risk to acquire coronary artery disea... more O Ob bjje ec ct tiiv ve e:: Diabetic patients have a higher risk to acquire coronary artery disease at younger ages and vein grafts used in these patients ha- ve a tendency to develop stenosis earlier. No significant differences have been reported between the patency of internal thoracic artery (ITA) grafts in diabetic and non-diabetic patients. However, bilateral ITA
4 Kardiyoloji E. Profesörü Özet Situs inversus totalis az rastlanan bir durum olmas›na ramen, bu ... more 4 Kardiyoloji E. Profesörü Özet Situs inversus totalis az rastlanan bir durum olmas›na ramen, bu ters organ yerleflimine sahip kiflilerde koroner arteryel rahats›zl›klar›n görülme oran› genel nüfusla ayn›d›r. ‹skemik kalp hastal›¤› nedeniyle koroner cerrahi uygulanacak bu hastalarda kalbin pozisyonu greft ter- cihine etki etse de, küçük teknik deiflikliklerle yüz güldürücü sonuçlar al›nabilmektedir. Sunaca¤›m›z olgu, 55 yafl›nda dekstrokardi ve situs inversuslu
Objective: This study assesses surgical procedures, operative outcome, and early and intermediate... more Objective: This study assesses surgical procedures, operative outcome, and early and intermediate-term results of infective valve endocarditis in children with congenital heart disease. Methods: Seven consecutive children (five females, two males; mean age, 10.8 years) who underwent surgery for infective valve endocarditis between 2006 and 2010 were included in the study. The aortic and mitral valves were affected in two and tricuspid in five patients. Indications for operation included cardiac failure due to atrioventricular septal rupture, severe tricuspid valve insufficiency, and septic embolization in one, moderate valvular dysfunction with vegetations in three (two tricuspid, one mitral), and severe valvular dysfunction with vegetations in the other three patients (two tricuspid, one mitral). The pathological microorganism was identified in five patients. Tricuspid valve repair was performed with ventricular septal defect (VSD) closure in five patients. Two patients required mitral valve repair including one with additional aortic valve replacement. Results: There were no operative deaths. Actuarial freedom from recurrent infection at one and three years was 100%. Early echocardiographic follow-up showed four patients to have mild atrioventricular valve regurgitation (three tricuspid and one mitral) and three had no valvular regurgitation. No leakage from the VSD closure or any valvular stenosis was detected postoperatively. Conclusions: Mitral and tricuspid valve repairs can be performed with low morbidity/mortality rates and satisfactory intermediate-term results in children with infective valve endocarditis.
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 2010
Tetraplegia is a rare complication after coronary artery bypass surgery. The authors present a ca... more Tetraplegia is a rare complication after coronary artery bypass surgery. The authors present a case of tetraplegia after uncomplicated coronary artery bypass surgery because of cervical disc herniation. No distinct abnormality was found in the preoperative neurologic examination although the postoperative cervical magnetic resonance imaging revealed a huge hernia at C5-C6 level presenting with tetraplegia. Surgical decompression was performed on the second postoperative day of bypass surgery, and neurologic deficits gradually improved.
Concomitant idiopathic hypertrophic subaortic stenosis and disseminated myocardial bridging is an... more Concomitant idiopathic hypertrophic subaortic stenosis and disseminated myocardial bridging is an uncommon clinical entity with poor prognosis. We describe a symptomatic 19-year-old girl who had myocardial debridging and transaortic and transmitral extended septal myectomy in the same surgical session. An early and simultaneous surgical approach may prevent sudden cardiac death in these high-risk patients.
Here we report triple coronary bypass procedure in a 12-year-old girl with familial homozygous hy... more Here we report triple coronary bypass procedure in a 12-year-old girl with familial homozygous hypercholesterolemia and extensive coronary atherosclerosis. She had successful cardiopulmonary resuscitation at home by her father 4 months before the operation. Total cholesterol level was 1300 mg/dL initially without antilipidemic treatment. Extensive three vessel disease with right coronary proximal stenosis and left coronary ostial stenoses was determined by angiography. Left internal thoracic artery, left radial artery, and saphenous vein grafts were used for coronary revascularization. Saphenous vein graft to right posterior descending artery, radial artery graft to obtuse marginal artery, and LITA to left anterior descending artery anastomoses were performed consecutively. Ten months after the operation, she is in good condition under intensive antilipidemic therapy and weekly lipid apheresis.
A baby case of haematogenous rib osteomyelitis that was caused by Leuconostoc lactis was presente... more A baby case of haematogenous rib osteomyelitis that was caused by Leuconostoc lactis was presented. The patient had high fever and an abscess formation on the right scapula. Diagnosis was made with the results of blood, bone and abscess cultures, pathological findings of the involved rib and direct bone graphies. The patient was treated succesfully with cefotaxime for 6 weeks.
Journal of the American College of Cardiology, 2013
Background: Combined surgical aortic valve replacement (SAVR) and coronary artery bypass grafting... more Background: Combined surgical aortic valve replacement (SAVR) and coronary artery bypass grafting (CABG) in patients with aortic stenosis (AS) and concomitant coronary artery disease (CAD) is associated with increased operative risks. There is little knowledge on the outcome associated with performing percutaneous coronary intervention (PCI) in combination with transcatheter aortic valve implantation (TAVI).
Objectives: We present a surgical technique for closure of a patent ductus arteriosus (PDA) in pr... more Objectives: We present a surgical technique for closure of a patent ductus arteriosus (PDA) in preterm neonates. Left anterior mini-thoracotomy is a surgical procedure that consists of an anterior minithoracotomy ($1.5 cm) below the clavicle, clipping the PDA, and closing the thorax without a tube thoracotomy. Methods: Using this method between 2009 and 2012, we performed PDA closure in 32 pre-term neonates. Logistic regression analysis of potential risk factors for mortality was determined. Results: The mean weight of the patients at the operation was 822.81 W 24.59. The mean age at the operation was 28.97 W 2.20 days. No surgery-related mortalities occurred. Four short-term mortalities occurred after the operation (12.5%) before the patients could be discharged. Three were due to sepsis, and one was due to necrotizing enterocolitis. According to the linear regression analysis, no other variables were found to be statistically significant for predicting mortality. A negative linear correlation was found between the weight of the patients at the operation and extubation time (p = 0.39; r = S0.39). Conclusion: The surgical outcome of anterior mini-thoracotomy for PDA closure in neonates is compatible with good results. This technique may be advantageous for extremely low birth weight infants and results in less traction on the lungs.
Background: This study evaluated the outcomes of patients undergoing surgical repair of isolated ... more Background: This study evaluated the outcomes of patients undergoing surgical repair of isolated ventricular septal defect (VSD) in the first year of life with particular attention to age and severity of pulmonary hypertension (PH). Methods: Between July 1, 2002 and May 31, 2012, 282 patients aged less than one year underwent isolated VSD closure at a median age of five months (range, 21 days to 1 year) and a median weight of 5.3 kg (range, 2.9 to 12.5 kg). Patients were divided into three groups according to the age at surgery (0-3, 3-6, and 6-12 months), and groups were compared in regard to severity of PH associated with morbidity and mortality. Results: Four (1.4%) early and four (1.4%) late deaths occurred postoperatively. All mortalities were patients with severe PH, aged between 3 and 12 months. Although hemodynamic studies revealed a higher incidence of persistent postoperative PH in patients above three months of age, there was no statistically significant difference in morbidity associated with prolonged mechanical ventilation, and long intensive care unit and hospital stays between age-related groups. Conclusion: In this study, the incidence of mortality was higher in patients over three months of age undergoing repair of isolated VSD; the data suggest that the mortality may be decreased in patients with severe PH who were operated on earlier in life. We conclude that in infants with severe PH, early surgical repair (less than three months) of isolated VSDs is strongly advised to achieve more favorable results.
Translocation of the coronary arteries remains a technical challenge in anatomic correction of tr... more Translocation of the coronary arteries remains a technical challenge in anatomic correction of transposition of great arteries. Myocardial ischemia related to the difficulties with coronary relocation is an important factor in perioperative and postoperative morbidity and mortality, particularly in the patients with complex coronary artery anatomy. Intramural coronary artery is a rare anatomic variety which may complicate the arterial switch operation in 2% to 4.6% of the reported cases. Even in the hands of experts, the mortality rate may be in twofold in this subset of patients compared with simple transposition of great artery procedures. In this report, 2 successful translocation techniques for intramural coronary arteries in the setting of arterial switch operation are described.
Özet Amaç: Bu olgu sunumunda, konjenital kalp hastal›klar›n›n siyanotik bir formu olan ve saatriu... more Özet Amaç: Bu olgu sunumunda, konjenital kalp hastal›klar›n›n siyanotik bir formu olan ve saatrium, ventrikül aras›nda dorudan bir balant› olmamas› sonucu ortaya ç›kan triküspid atrezisinin prenatal tan›s› ve postnatal deerlendirilmesi tart›fl›lm›flt›r. Olgu: Yirmibefl yafl›nda, G2 P1, 28.gebelik haftas›nda olan ve fetüsta anormal dört kadran görüntüsüne ek olarak ventrikülo septal defekt (VSD) flüphesi ile sevk edilen hastan›n yap›lan fetal ekokardiografisinde; situs solitus, saatrium ile saventrikül aras›nda balant›y› salayan triküspid kapa¤›n›n yokluu (tek perfore mitral kapak varl›¤›) ve konkordant ventrikülo-arterial ile- tinin olduu gözlendi. Rudimenter saventrikül ve normal morfolojide olan sol ventrikül aras›nda büyük bir VSD mevcuttu. Aile genetik dan›flma sonras› kordosenteze karar verdi. Karyotip 46, XY olarak tespit edildi. Karyotip tayinini takiben, aile postnatal operasyonlar› ve olas› komplikasyonlar› düflünerek terminasyona karar verdi. Fetüse yap›lan postmortem muay...
Although pericardial cysts are generally benign structures and detected incidentally, they may be... more Although pericardial cysts are generally benign structures and detected incidentally, they may be associated with life-threatening complications. We present the case of a 24 year-old man with a giant hemorrhagic pericardial cyst diagnosed after evaluation for recurrent syncope which caused compression of the right ventricle. Spontaneous hemorrhage into a pericardial cyst is an extremely rare event, and to our knowledge this is the first case in which a pericardial cyst has been shown to cause recurrent syncope. (Cardiol J 2010; 17, X: xx-xx)
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 2010
A 59-year-old male patient admitted to our hospital with a pulsatile right gluteal mass with hist... more A 59-year-old male patient admitted to our hospital with a pulsatile right gluteal mass with history of formation after blunt trauma. Persistent sciatic artery and its traumatic aneurysm was diagnosed after medical examination followed by peripheric digital substraction angiography. Surgery was performed under general anesthesia, and the patient was discharged from the hospital on postoperative day 7 without any problems. The sciatic artery, a continuation of the internal iliac artery into the popliteal-tibial vessels, represents the major blood supply to the lower limb in early embryologic development. Its persistence is very rare, and the aneurysmatic dilatation is the most common pathology diagnosed. Here, we present a rare case of persistent sciatic artery presenting with a traumatic aneurysm treated by iliopopliteal bypass surgery and ligation of the internal iliac artery proximal to the aneurysm.
Sequential Test Selection and Uncertainty Arslan et al.; Turkey • NPY Polymorphism and Ischemic s... more Sequential Test Selection and Uncertainty Arslan et al.; Turkey • NPY Polymorphism and Ischemic stroke Fu et al.; China • Orbital Complications of Sinusitis Radovani et al.; Albania • Diagnosis of Incisional Endometriosis Solak et al.; Turkey • Temperament and Character Profile in Acne Öztürk et al.; Turkey • Analysis of Finger Tapping Performance Barut et al.; Turkey • Vocal fold hyperplastic lesions evaluated by VLS Gürbüz et al.; Turkey • Hodgkin's Lymphoma and Its Clinical Features Kılıçkap et al.; Turkey • Spinal Dexmedetomidine Esmaoğlu et al.; Turkey • Experience with Aortopulmonary Window Cases Demir et al.; Turkey • MTHFR in VTE Hotoleanu et al.; Romania • Tuberculosis Treatment Outcomes in Turkey Babalık et al.; Turkey • The Evaluation of Saliva in Behçet's Disease Erdem et al.; Turkey • Enhanced Adhesion and OspC Synthesis
Background: The purpose of the study is to highlight the prenatal diagnosis and the postnatal man... more Background: The purpose of the study is to highlight the prenatal diagnosis and the postnatal management of transposition of the great arteries, which is characterized by anomalous origin of aorta and pulmonary artery from the heart, and is one of the most fre- quently encountered form of conotruncal anomalies. Case: Fetal echocardiography on the 32nd gestational week had revealed situs
O Ob bjje ec ct tiiv ve e:: Diabetic patients have a higher risk to acquire coronary artery disea... more O Ob bjje ec ct tiiv ve e:: Diabetic patients have a higher risk to acquire coronary artery disease at younger ages and vein grafts used in these patients ha- ve a tendency to develop stenosis earlier. No significant differences have been reported between the patency of internal thoracic artery (ITA) grafts in diabetic and non-diabetic patients. However, bilateral ITA
4 Kardiyoloji E. Profesörü Özet Situs inversus totalis az rastlanan bir durum olmas›na ramen, bu ... more 4 Kardiyoloji E. Profesörü Özet Situs inversus totalis az rastlanan bir durum olmas›na ramen, bu ters organ yerleflimine sahip kiflilerde koroner arteryel rahats›zl›klar›n görülme oran› genel nüfusla ayn›d›r. ‹skemik kalp hastal›¤› nedeniyle koroner cerrahi uygulanacak bu hastalarda kalbin pozisyonu greft ter- cihine etki etse de, küçük teknik deiflikliklerle yüz güldürücü sonuçlar al›nabilmektedir. Sunaca¤›m›z olgu, 55 yafl›nda dekstrokardi ve situs inversuslu
Objective: This study assesses surgical procedures, operative outcome, and early and intermediate... more Objective: This study assesses surgical procedures, operative outcome, and early and intermediate-term results of infective valve endocarditis in children with congenital heart disease. Methods: Seven consecutive children (five females, two males; mean age, 10.8 years) who underwent surgery for infective valve endocarditis between 2006 and 2010 were included in the study. The aortic and mitral valves were affected in two and tricuspid in five patients. Indications for operation included cardiac failure due to atrioventricular septal rupture, severe tricuspid valve insufficiency, and septic embolization in one, moderate valvular dysfunction with vegetations in three (two tricuspid, one mitral), and severe valvular dysfunction with vegetations in the other three patients (two tricuspid, one mitral). The pathological microorganism was identified in five patients. Tricuspid valve repair was performed with ventricular septal defect (VSD) closure in five patients. Two patients required mitral valve repair including one with additional aortic valve replacement. Results: There were no operative deaths. Actuarial freedom from recurrent infection at one and three years was 100%. Early echocardiographic follow-up showed four patients to have mild atrioventricular valve regurgitation (three tricuspid and one mitral) and three had no valvular regurgitation. No leakage from the VSD closure or any valvular stenosis was detected postoperatively. Conclusions: Mitral and tricuspid valve repairs can be performed with low morbidity/mortality rates and satisfactory intermediate-term results in children with infective valve endocarditis.
Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 2010
Tetraplegia is a rare complication after coronary artery bypass surgery. The authors present a ca... more Tetraplegia is a rare complication after coronary artery bypass surgery. The authors present a case of tetraplegia after uncomplicated coronary artery bypass surgery because of cervical disc herniation. No distinct abnormality was found in the preoperative neurologic examination although the postoperative cervical magnetic resonance imaging revealed a huge hernia at C5-C6 level presenting with tetraplegia. Surgical decompression was performed on the second postoperative day of bypass surgery, and neurologic deficits gradually improved.
Concomitant idiopathic hypertrophic subaortic stenosis and disseminated myocardial bridging is an... more Concomitant idiopathic hypertrophic subaortic stenosis and disseminated myocardial bridging is an uncommon clinical entity with poor prognosis. We describe a symptomatic 19-year-old girl who had myocardial debridging and transaortic and transmitral extended septal myectomy in the same surgical session. An early and simultaneous surgical approach may prevent sudden cardiac death in these high-risk patients.
Here we report triple coronary bypass procedure in a 12-year-old girl with familial homozygous hy... more Here we report triple coronary bypass procedure in a 12-year-old girl with familial homozygous hypercholesterolemia and extensive coronary atherosclerosis. She had successful cardiopulmonary resuscitation at home by her father 4 months before the operation. Total cholesterol level was 1300 mg/dL initially without antilipidemic treatment. Extensive three vessel disease with right coronary proximal stenosis and left coronary ostial stenoses was determined by angiography. Left internal thoracic artery, left radial artery, and saphenous vein grafts were used for coronary revascularization. Saphenous vein graft to right posterior descending artery, radial artery graft to obtuse marginal artery, and LITA to left anterior descending artery anastomoses were performed consecutively. Ten months after the operation, she is in good condition under intensive antilipidemic therapy and weekly lipid apheresis.
A baby case of haematogenous rib osteomyelitis that was caused by Leuconostoc lactis was presente... more A baby case of haematogenous rib osteomyelitis that was caused by Leuconostoc lactis was presented. The patient had high fever and an abscess formation on the right scapula. Diagnosis was made with the results of blood, bone and abscess cultures, pathological findings of the involved rib and direct bone graphies. The patient was treated succesfully with cefotaxime for 6 weeks.
Journal of the American College of Cardiology, 2013
Background: Combined surgical aortic valve replacement (SAVR) and coronary artery bypass grafting... more Background: Combined surgical aortic valve replacement (SAVR) and coronary artery bypass grafting (CABG) in patients with aortic stenosis (AS) and concomitant coronary artery disease (CAD) is associated with increased operative risks. There is little knowledge on the outcome associated with performing percutaneous coronary intervention (PCI) in combination with transcatheter aortic valve implantation (TAVI).
Objectives: We present a surgical technique for closure of a patent ductus arteriosus (PDA) in pr... more Objectives: We present a surgical technique for closure of a patent ductus arteriosus (PDA) in preterm neonates. Left anterior mini-thoracotomy is a surgical procedure that consists of an anterior minithoracotomy ($1.5 cm) below the clavicle, clipping the PDA, and closing the thorax without a tube thoracotomy. Methods: Using this method between 2009 and 2012, we performed PDA closure in 32 pre-term neonates. Logistic regression analysis of potential risk factors for mortality was determined. Results: The mean weight of the patients at the operation was 822.81 W 24.59. The mean age at the operation was 28.97 W 2.20 days. No surgery-related mortalities occurred. Four short-term mortalities occurred after the operation (12.5%) before the patients could be discharged. Three were due to sepsis, and one was due to necrotizing enterocolitis. According to the linear regression analysis, no other variables were found to be statistically significant for predicting mortality. A negative linear correlation was found between the weight of the patients at the operation and extubation time (p = 0.39; r = S0.39). Conclusion: The surgical outcome of anterior mini-thoracotomy for PDA closure in neonates is compatible with good results. This technique may be advantageous for extremely low birth weight infants and results in less traction on the lungs.
Background: This study evaluated the outcomes of patients undergoing surgical repair of isolated ... more Background: This study evaluated the outcomes of patients undergoing surgical repair of isolated ventricular septal defect (VSD) in the first year of life with particular attention to age and severity of pulmonary hypertension (PH). Methods: Between July 1, 2002 and May 31, 2012, 282 patients aged less than one year underwent isolated VSD closure at a median age of five months (range, 21 days to 1 year) and a median weight of 5.3 kg (range, 2.9 to 12.5 kg). Patients were divided into three groups according to the age at surgery (0-3, 3-6, and 6-12 months), and groups were compared in regard to severity of PH associated with morbidity and mortality. Results: Four (1.4%) early and four (1.4%) late deaths occurred postoperatively. All mortalities were patients with severe PH, aged between 3 and 12 months. Although hemodynamic studies revealed a higher incidence of persistent postoperative PH in patients above three months of age, there was no statistically significant difference in morbidity associated with prolonged mechanical ventilation, and long intensive care unit and hospital stays between age-related groups. Conclusion: In this study, the incidence of mortality was higher in patients over three months of age undergoing repair of isolated VSD; the data suggest that the mortality may be decreased in patients with severe PH who were operated on earlier in life. We conclude that in infants with severe PH, early surgical repair (less than three months) of isolated VSDs is strongly advised to achieve more favorable results.
Translocation of the coronary arteries remains a technical challenge in anatomic correction of tr... more Translocation of the coronary arteries remains a technical challenge in anatomic correction of transposition of great arteries. Myocardial ischemia related to the difficulties with coronary relocation is an important factor in perioperative and postoperative morbidity and mortality, particularly in the patients with complex coronary artery anatomy. Intramural coronary artery is a rare anatomic variety which may complicate the arterial switch operation in 2% to 4.6% of the reported cases. Even in the hands of experts, the mortality rate may be in twofold in this subset of patients compared with simple transposition of great artery procedures. In this report, 2 successful translocation techniques for intramural coronary arteries in the setting of arterial switch operation are described.
Özet Amaç: Bu olgu sunumunda, konjenital kalp hastal›klar›n›n siyanotik bir formu olan ve saatriu... more Özet Amaç: Bu olgu sunumunda, konjenital kalp hastal›klar›n›n siyanotik bir formu olan ve saatrium, ventrikül aras›nda dorudan bir balant› olmamas› sonucu ortaya ç›kan triküspid atrezisinin prenatal tan›s› ve postnatal deerlendirilmesi tart›fl›lm›flt›r. Olgu: Yirmibefl yafl›nda, G2 P1, 28.gebelik haftas›nda olan ve fetüsta anormal dört kadran görüntüsüne ek olarak ventrikülo septal defekt (VSD) flüphesi ile sevk edilen hastan›n yap›lan fetal ekokardiografisinde; situs solitus, saatrium ile saventrikül aras›nda balant›y› salayan triküspid kapa¤›n›n yokluu (tek perfore mitral kapak varl›¤›) ve konkordant ventrikülo-arterial ile- tinin olduu gözlendi. Rudimenter saventrikül ve normal morfolojide olan sol ventrikül aras›nda büyük bir VSD mevcuttu. Aile genetik dan›flma sonras› kordosenteze karar verdi. Karyotip 46, XY olarak tespit edildi. Karyotip tayinini takiben, aile postnatal operasyonlar› ve olas› komplikasyonlar› düflünerek terminasyona karar verdi. Fetüse yap›lan postmortem muay...
Although pericardial cysts are generally benign structures and detected incidentally, they may be... more Although pericardial cysts are generally benign structures and detected incidentally, they may be associated with life-threatening complications. We present the case of a 24 year-old man with a giant hemorrhagic pericardial cyst diagnosed after evaluation for recurrent syncope which caused compression of the right ventricle. Spontaneous hemorrhage into a pericardial cyst is an extremely rare event, and to our knowledge this is the first case in which a pericardial cyst has been shown to cause recurrent syncope. (Cardiol J 2010; 17, X: xx-xx)
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