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    Cardiac hydatid cyst causing right ventricular outflow tract obstruction: Case report
    (2013) Acipayam, Mehmet; Uncu, Hasan; Altinay, Levent; Başdo?an, Faruk; Gençaslan, Murat; Özsöyler, Ibrahim
    We present a case of a hydatid cyst placed on the right ventricular outflow tract and applying compression on the pulmonary valve. Thirty-three years old female patient with complaints of dyspnea, palpitation and fatigue was admitted to the cardiology outpatient department. Transthoracic echocardiography revealed a septated cystic mass with the dimensions of 40X56 mm, accusing gradient on the right ventricle outflow tract, adjacent and on the same plane with the pulmonary valve, representing a hydatid cyst. Cyst resection was performed on cardiopulmonary bypass. Severe tricuspid insufficiency was observed after cyst resection. Tricuspid annuloplasty was performed using an annuloplasty ring. Because of the fatal complications of cyst rupture, in places where epidemic Echinococcus cases are seen, cardiac cysts should also be remembered, its early and correct diagnosis is of vital importance. Copyright © 2013 by Türkiye Klinikleri.
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    Is the risk of isolated coronary artery bypass graft surgery in women aged above 75 years higher compared to men?
    (Turk Gogus Kalp Damar Cerrahisi Dergisi, 2014) Uncu, Hasan; Acipayam, Mehmet; Altinay, Levent; Gençaslan, Murat; Çakir, Habib; Özsöyler, Ibrahim
    Background: This study aims to investigate the possible differences of male and female patients aged above 75 years undergoing isolated coronary artery bypass graft surgery (CABG) and to define the risk factors. Methods: Between January 2004 and January 2012, a total of 174 isolated on-pump CABG patients (121 males, 53 females; mean age 77.1 years; range 75 to 97 years) using cardiopulmonary bypass were retrospectively analyzed. The patients were divided into two groups according to their sex: Group 1 consisted of male patients, while group 2 consisted of female patients. Preoperative risk factors, intraoperative and postoperative data and early mortality rates of both groups were compared. Results: The incidence of diabetes mellitus and EuroSCORE values were higher in females, while smoking rates were higher in males (p=0.012; p<0.01; p<0.01, respectively). The number of graft per patient and mediastinal drainage volume were higher in males, whereas the length of intensive care unit stay was longer in females (p=0.039; p=0.041; p<0.01, respectively). The left internal mammary artery graft utilization, need for inotropic support, intra-aortic balloon pump support, neurological complications, the incidence of atrial fibrillation and length of hospital stay were similar in both groups. There was no significant difference in the mortality rates between the groups [group 1, 1.7% (n=2); group 2, 3.8% (n=2)]. Conclusion: Although women aged above 75 years may have a higher incidence of diabetes mellitus, EuroSCORE values and length of intensive care unit stay compared to age-matched men, CABG operations can be done with similar mortality rates.