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    Autologous pericardium may be an alternative carotid patch material in patient with undergoing simultaneous carotid endarterectomy and coronary artery bypass grafting
    (Selçuk Üniversitesi, 2022) Başar, Veysel; Kubat, Emre; Çiçekçioğlu, Ferit; Yanartaş, Mehmed; Sunar, Hasan
    Backround: Dacron, polytetrafluoroethylene, great saphenous vein, and bovine pericardium are the commonly used as patch materials. However, there is no comparative study about autologous pericardial as a patch material in carotid endarterectomy surgery. We aimed to assess the results of the use of autologous pericardial patch in patients undergoing concomitant carotid endarterectomy and coronary artery by-pass graft surgery. Materials and Methods: The study involved 30 patients who underwent concomitant carotid endarterectomy with patch angioplasty and coronary artery bypass grafting surgery from January 2016 to February 2020. Patchplasty is performed with autologous pericardium for 13 patients and dacron patch for 17 patients during carotid endarterectomy. Results: No statistical difference was found between the groups in terms of reoperation, arterial occlusion, restenosis, operation time, and neurological events. In the postoperative follow-up, it was determined that the amount of drainage from the area on which the carotid surgery was applied was less in the those in whom autologous pericardium was used compared to those in whom Dacron patch was used. (p=0.001) Conclusion: We concluded that the use of autologous pericardium as a carotid artery patch is a safe, feasible, and effective method in patients undergoing combined carotid artery and coronary bypass surgery.
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    First Sign of Native Valve Endocarditis in the COVID-19 Pandemic: Acute Arterial Septic Embolism in the Lower Extremity
    (Selçuk Üniversitesi, 2022) Kubat, Emre; Demirkıran, Tuna; Kadan, Murat; Erol, Gökhan; Bolcal, Cengiz
    The clinical manifestations of infective endocarditis are variable. Late diagnosis of the disease can lead to clinical catastrophe and even death. Although its symptomatology is broad, the initial diagnosis can sometimes be made after complications, particularly during COVID-19 pandemic days. In this report, we aimed to present that lower extremity ischemia was the first sign of infective endocarditis in a 77-year-old female patient with complaints of sudden onset of pain and coldness in the leg with history of fatigue for one week. Echocardiography revealed that a mobile appearance compatible with 16*24 mm vegetation on the aortic valve ventricular surface. In addition, embolus material was also seen in femoral artery during doppler ultrasonography examination. The patient underwent an embolectomy and embolic material of 1x1.5 cm was removed from the left common femoral artery. In conclusion, it should be noted that during the pandemic period, patients with mild infective endocarditis symptoms may be confused with covid 19 infection symptoms.