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Öğe Primary cardiac myxomas: report of 28 cases and review the literature(ZERBINIS MEDICAL PUBL, 2011) Durgut, K.; Onoglu, R.; Gormus, N.Purpose: Although primary cardiac tumors are rare, cardiac myxoma is the most common seen intracardiac tumor This study summarizes our surgical experience with cardiac myxomas. Methods: Twenty-eight cases of cardiac myxoma that were surgically treated in our center between January 1990 and March 2010 were retrospectively reviewed. In all patients the New York Heart Association (NYHA) functional classification was used to assess the functional status, and C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels were measured before and after surgery. Results: Nineteen patients were female and 9 male. The mean age was 53.3 +/- 12.7 years (range 4-73). The most common symptom was dyspnea (86%). Two patients presented with peripheral embolism. In preoperative assessment of functional status, 24 of the patients were in NYHA Class II, 2 of them were in Class land the other 2 patients were in Class III. All patients were in NYHA class fin the early postoperative period up to long-term follow up. The mean preoperative CRP and ESR levels were 47.3 +/- 14.6 mg/l (range 30-79) and 52.8 +/- 21.4 mm/h (range 28-82), respectively. One month after surgery, CRP and ESR levels returned back to normal values. Postoperative CRP and ESR levels were 8.4 +/- 2.6 mg/l (range 1-12) and 7.9 +/- 4.8 mm/h (range 3-18), respectively. Conclusion: Myxomas should be considered in all patients with embolism. After surgical resection of cardiac myxomas, the functional status of patients improve and CRP and ESR levels become normal.Öğe Ruptured Cardiac Hydatid Cyst Masquerading as Acute Coronary Syndrome: Report of a Case(SPRINGER-VERLAG, 2001) Telli, H. H.; Durgut, K.; Temizhan, A.; Görmüş, N.The case of a 40-year-old man hospitalized for investigation of a doubtful diagnosis of acute coronary syndrome is reported herein. Two-dimensional echocardiography and angiography showed a cardiac cyst localized in the left ventricular apex in close proximity to the left anterior descending coronary artery. Surgery performed with the aid of cardiopulmonary bypass revealed that the cyst had ruptured partially into the left ventricle and filled with thrombus. This case is of particular interest because of the rarity of cardiac localization of a hydatid cyst, and the conflict between the severity of the complications that occurred and the absence of correlated symptoms.Öğe Successful surgical treatment of Nicolau's syndrome combined with intravenous iloprost(VERLAG HANS HUBER, 2009) Gormus, N.; Tanyeli, O.; Senaran, H.; Duman, A.; Gormus, Z. I. Solak; Durgut, K.A 4 year-old boy was admitted to our clinic with symptoms of pain and ecchymosis in his right leg and foot after injection of benzathine penicilline. There was a localized gangrenous area at the femoral injection site. Doppler ultrasonography showed no arterial flow in the femoral artery and clear evidence of acute thrombosis of the superficial femoral and popliteal veins. Femoral arterial and venous thrombectomy and fasciotomy were performed immediately. After surgery the boy was treated by Iloprost infusion and enoxaparine. One week later necrotic changes had regressed, fasciotomies were closed and only the distal phalanx of the third toe needed amputation. Early surgical intervention and standard management combined with Iloprost infusion may help in healing the lesions by increasing extremity perfusion and may prevent extremity loss.