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Öğe Acute Arterial Embolus(WESTMINSTER PUBL INC, 1991) Solak, Hasan; Yeniterzi, Mehmet; Yüksek, Tahir; Özpınar, Cevat; Ceran, SamiBetween December, 1983, and December, 1988, 100 patients (54 men, 46 women) with acute arterial embolus, ranging in age from twenty-three to eighty-three years, were treated in our clinics. The main symptom of the patients was pain (94%), followed by coldness (72%), pallor (64%), sensory defect (42%), motor disorder (37%), muscular rigidity (10%), and tissue necrosis (7%). We have determined the etiology to be atrial fibrillation in 53 cases, 36 of which arose from mitral stenosis: acute myocardial infarction (MI) in 14 cases; thromboembolus based on arteriosclerosis obliterans (ASO) in 27 cases; and tumor embolus in 2 cases; 4 cases could not be explained etiologically. The most common site of embolism was the femoral artery (33%). Arterial exploration was done under local anesthesia in the 76 patients who did not have distal localization of the embolus. Embolectomy was performed in 49 of these cases and embolectomy plus localized tromboendarterectomy in 27. Owing to developing necrosis, amputation was necessary in 6 cases-4 above the knee and 2 above the elbow. Motor and sensory defect persisted to various degrees in 27 cases. The death rate was 4%.Öğe Benign Mature Cystic Teratoma of the Anterior Mediastinum Leading to Heart Failure: Report of a Case(Springer-Verlag, 2003) Özergin, Ufuk; Görmüş, Niyazi; Arıbaş, Olgun Kadir; Durgut, Kadir; Yüksek, TahirA 12-year-old male child was referred to our clinic for the surgical treatment of an anterior mediastinal mass, suspected to be a thymic cyst, which was considered to potentially lead to cardiac failure. The mass was resected completely with a median sternotomy. The postoperative course was uneventful. A pathological examination revealed a mature cystic teratoma of anterior mediastinum which is a very rare cystic tumor at this location. The incidence, diagnostic procedures, complications, and treatment of mediastinal teratomas are discussed along with a review of the literature.Öğe Bilateral Aneurysms of the Pulmonary Artery with Pectus Excavatum - A Case Report(WESTMINSTER PUBL INC, 1993) Özpınar, Cevat; Ceran, Sami; Yeniterzi, Mehmet; Yüksek, Tahir; Özergin, Ufuk; Solak, HasanAn eleven-year-old boy was operated on for a left-sided pulmonary artery aneurysm. The same patient had also been operated three years earlier because of a right sided aneurysm.Öğe Comparison of Autologous Basilic Vein Transpositions Between Forearm and Upper Arm Regions(Springer-Verlag, 2003) Görmüş, Niyazi; Özergin, Ufuk; Durgut, Kadir; Yüksek, Tahir; Solak, HasanArteriovenous fistulas are crucial for hemodialysis performances in patients with end-stage renal disease. In this report, we compare the results of basilic vein transposition in the forearm and upper arm regions. Autologous basilic vein transpositions were used in 20 patients with end-stage renal failure between May 2000 and January 2002. In 10 cases the basilic vein transposition was in the upper arm region for construction of a brachiobasilic fistula (group 1); in the remaining 10 cases it was in the forearm region for creation of a radiobasilic fistula (group 2). The mean age of the patients in group 1 was 53.6 years, and in group 2 it was 47.3. At the end of the follow-up period (mean, 10 months) patency rates in group 1 were 80% and in group 2, 90%. In group 2, early-term thrombosis, which could be treated easily with second intervention and anticoagulation treatment (low-molecular-weight heparin), was the most common complication (10%). For patients who have unsuitable cephalic vein and require long-term hemodialysis, transposition of the basilic vein in the forearm region (under the elbow) can be a good secondary choice for access, as can a brachiobasilic fistula in the upper arm region.Öğe Hydatid Cyst on Right Ventricular Posterior Wall(Asia Publishing Exchange Pte Ltd, 2000) Durgut, Kadir; Özergin, Ufuk; Özdemir, Kurtuluş; Görmüş, Niyazi; Yüksek, Tahir; Solak, HasanA 14-year-old boy was investigated for unexplained tachycardia and multiple pulmonary emboli demonstrated by computed tomography. A right ventricular hydatid cyst was diagnosed by echocardiography and successfully excised under cardiopulmonary bypass.Öğe Infected Myocardial Hydatid Cyst Imitating Pericardial Cyst(Asia Publishing Exchange Pte Ltd, 2001) Özergin, Ufuk; Durgut, Kadir; Görmüş, Niyazi; Sunam, Güven Sadi; Yüksek, TahirPericardial hydatid cyst was diagnosed by 2-dimensional echocardiography and magnetic resonance imaging in a 25-year-old female. At operation, an infected myocardial hydatid cyst was found on the lateral wall of the left ventricle.Öğe Lower Extremity Deep Vein Thrombosis and its Treatment(Springer-Verlag, 1992) Solak, Hasan; Yeniterzi, Mehmet; Yüksek, Tahir; Özpınar, Cevat; Ceran, Sami; Ünal, A. ErkanStudies on venous thrombosis depend on Virchow's triad related to venous thrombosis. This triad includes stasis, coagulation defect, and vein wall lesion. Venous thrombectomy was applied first by LeRiche in 1927. In subsequent years, Fogarty, De Weese, and Edwards defined the basic rules of venous thrombectomy and medical treatment more thoroughly.Öğe Methods of Treatment of Childhood Empyema in a Turkish University Hospital(AMER COLL CHEST PHYSICIANS, 1987) Solak, Hasan; Yüksek, Tahir; Solak, NecdetIn the last ten years, 120 patients were admitted to our clinic with empyema. Empyema and effusion have been investigated for pathogenesis. Microbiologic studies of pleural aspiration fluid showed that Staphylococcus aureus was the most common pathogen, found in 44 patients(36.7 percent). Other pathogens found were streptococci in 23 (19.2 percent) and Pneumococcus in 18 (15percent) in sequence. No production occurred in cultures of 19 (15.8 percent) patients. In 16 (13.3 percent), Pseudomonas and Enterobacteria such as E coU, Klebsiella and Proteus occurred. Surgical intervention has been carried out depending on clinical conditions. In the 24 (20percent) patients, pleural aspiration and lavage, decortication in 23 (19.2 percent), pulmonary resection (segmentectomy, lobectomy) in seven (5.8 percent), and only drainage and thoracic lavage in 66 (52.5 percent) have been carried out. Three patients (2.5 percent) died due to respiratory failure and septic shock, and the others have been discharged with healingÖğe Myocardial Cystic Hydatids Causing Cardiac-Tamponade - Report of Cases(WESTMINSTER PUBL INC, 1991) Solak, Hasan; Yüksek, Tahir; Yeniterzi, Mehmet; Akkoç, Özkan; Anıl, Nazif; Ceran, SamiFour patients with cystic hydatids located in pericardium and myocardium were admitted. Cardiac tamponade was determined in 1 of these cases. Surgical treatment was instituted for all cases. Transpericardial cardiac palpation was emphasized in cases where thoracotomy was necessary due to the lung cystic hydatids.Öğe New Technique for Reinforced Sternal Closure(Asia Publishing Exchange Pte Ltd, 2000) Özergin, Ufuk; Durgut, Kadir; Özpınar, Cevat; Görmüş, Niyazi; Sunam, Güven Sadi; Yüksek, Tahir; Solak, HasanA simplified method of reinforced sternal closure is described. Figure-of-8-shaped sutures of no. 5 stainless steel wire are inserted with 2 Sterna-Bands between them. The advantages of this technique are simplicity, effectiveness, and speed.Öğe Peripheral Arterial Injuries: A Study of Four Hundred and Seventeen Cases(2001) Özergin, Ufuk; Görmüş, Niyazi; Durgut, Kadir; Yüksek, Tahir; Solak, HasanIn this article 417 patients are examined retrospectively. They are reviewed according to their ages, sex, types of injuries, clinical findings, surgical approaches and complications. Most of them were young males (78%) between 11-30 years of age (65%) and 74% were injured by sharp weapons and gunshots. Femoral artery injuries were seen in 29% of all patients. Amputation was performed in 6.4% of cases, but in the popliteal artery group the amputation ratio was 14%. Thirteen patients died from hypovolemic shock or acute renal failure (3.12%).Öğe Surgery in Hydatid Cyst of the Lung - A Report of 460 Cases(SCANDINAVIAN UNIVERSITY PRESS, 1988) Solak, Hasan; Özgen, Gökalp; Yüksek, Tahir; Eren, Nesimi; Solak, Necdet; Kırca, Naci Kemal; Akkoç, Özkan; Göktoğan, Tayfun; Özpınar, CevatA series of 460 surgically treated cases of hydatid cyst of the lung is presented. Radiologic preoperative diagnosis was made in 90% of the patients. Cystotomy with subsequent capitonnage was performed in 395 cases, wedge resection in 27, lobectomy in 15 and segmental resection in 23 cases. After careful hemostasis, two drains were placed in the thorax and the thoracic cavity was closed. There were three postoperative deaths (0.6%) and two recurrences of cyst (0.4%) during follow-up investigation for periods up to 10 years.Öğe Tekrarlayan brakiyal arter embolizasyonuna yol açan subklavyan arter anevrizması(2008) Durgut, Kadir; Dereli, Yüksel; Orhan, Atilla; Işık, Mehmet; Görmüş, Niyazi; Yüksek, TahirÜst ekstremite periferik arter anevrizmaları alt ekstremiteye oranla daha az görülür. En sık etkilenen arterler subklavyan, aksiller ve brakiyal arter; daha nadiren de radiyal ve ulnar arterlerdir. Subklavyan arter anevrizmaları en sık poststenotik dilatasyon ve ateroskleroza bağlıdır. İlerlemiş vakalarda anevrizma kesesi içinde tromboz ve uzak embolizasyon gelişebilir. Bu çalışmada rekürren distal embolizasyon kaynağı olan bir subklavyan arter anevrizması vakasını nadir görüldüğü için yayınlamayı uygun bulduk. (Damar Cer Der 2008; 17(l):39-42).
