Ersin Kadirogullari's research while affiliated with Mehmet Akif Ersoy Training and Research Hospital and other places
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Publications (73)
Aim: Our study aims to share the reintervention results of patients who were operated with the diagnosis of Type A aortic dissection and to examine the factors that cause reintervention. Material and Methods: In our single-center retrospective study, 244 patients who underwent surgery due to Type A aortic dissection between November 2010 and June 2...
Background: This study aims to report the incidence of acute kidney injury following surgical reconstruction after a failed endovascular aneurysm repair (EVAR) in patients with abdominal aortic aneurysms.
Methods: This retrospective study included 44 patients (39 males, 5 females; mean age: 70±11.3 years; range, 35 to 84 years) who underwent emerge...
Background: Robotic-assisted coronary surgery is gaining attraction as an alternative to traditional open-heart procedures, offering potential benefits such as decreased mortality rates, shorter hospital stays, and reduced complications. This study aimed to investigate the outcomes of robotic-assisted coronary surgery, focusing particularly on the...
Background: This study aimed to compare the outcomes of minimally invasive mitral valve surgery and conventional surgery in terms of mortality and postoperative complications.
Methods: A retrospective analysis was conducted on consecutive minimally invasive and conventional mitral valve surgeries performed between January 2019 and December 2022. Pa...
Introduction
The aim of this study is to compare the postoperative outcomes and early mortality of peripheral and central cannulation techniques in cardiac reoperations using propensity score matching analysis.
Methods
In this retrospective cohort, patients who underwent cardiac reoperations with median resternotomy were analyzed in terms of prope...
Introduction
This study aimed to investigate the factors affecting false lumen patency in the descending thoracic aorta among patients who underwent surgery for acute type 1 aortic dissection.
Methods
A total of 112 patients with acute type 1 aortic dissection, with the flap below the diaphragm level, underwent surgery between January 2010 and Sep...
Objective
Pannus overgrowth is a chronic inflammatory process that can cause valve dysfunction and threaten the durability of prosthetic valves. Bileaflet mechanical mitral valve can be implanted in either an anatomical (parallel to the anatomical axis) or nonanatomical (perpendicular or oblique to the anatomical axis) orientation. The effect of th...
Background:
Improving health related quality of life is an important goal of aortic valve replacement. Inadequate effective orifice area of prosthesis according to the patient's body surface area may be associated with poor outcomes. In this study, we aimed to analyze impact of indexed effective orifice area (iEOA) on patients' quality of life aft...
Background:
This study aims to investigate the risk factors and surgical outcomes of conversion to median sternotomy in minimally invasive direct coronary artery bypass grafting.
Methods:
Between January 2017 and July 2022, a total of 274 patients (246 males, 28 females; mean age: 57.0±9.6 years; range, 33 to 81 years) who underwent conventional...
Background Today, repair techniques almost completely take place of the mitral valve replacement, especially in patients with degenerative disease. Majority of the surgeons hesitate to prefer repair in patients with bileaflet prolapse. In this study we aimed to investigate postoperative results of our patients with mitral valve insufficiency due to...
Aim: Technological developments on endovascular stents have increased the percutaneous repair of abdominal aortic aneurysm(AAAs). Open repair of abdominal aneurysm remains as the first option for treatment of aneurysm with compromising necks that need suprarenal aortic clamping(SAC). Open surgical repair with suprarenal aortic clamping may be assoc...
Aim: The gold standard repair of thoracoabdominal aortic aneurysm (TAAA) is still open surgery. However, few cardiovascular centers are experienced in TAAA repair. The aim of this study was to examine the methods and four-year outcomes of the open TAAA repair program initiated by a single surgical team. Material and Methods: In this retrospective c...
PurposeStanford type A aortic dissection (TAAD) is the most common and fatal type of dissection. An easier-to-use risk stratification may help eliminate bias in patients at high risk of dissection. The age, serum creatinine, and ejection fraction (ACEF) score is a simple risk model developed to predict the mortality risk of elective coronary artery...
Aortitis is the inflammation of the aortic wall. In our case, in which we planned elective coronary bypass surgery, a firm and dilated ascending aorta with a pearlescent color was encountered intraoperatively. Histopathological examination revealed extensive lymphoplasmacytic infiltration and storiform fibrosis. Aortitis may be a component of a mul...
Aortitis, in its simplest definition, is an inflammation of the aorta. It can be divided into two groups as infectious and non-infectious. Noninfectious aortitis can be an involvement of multisystemic and autoimmune diseases as well as being diagnosed incidentally. In our case, in which we planned elective coronary bypass surgery, we encountered an...
Introduction:
Custodiol (histidine-tryptophan-ketoglutarate) and repetitive blood cardioplegia are the solutions for myocardial protection and cardiac arrest. In this study, we aimed to compare immunohistochemical analysis, clinical outcomes, and cardiac enzyme values of Custodiol and blood cardioplegia groups.
Methods:
This was a randomized pro...
Objectives: Redo mitral valve replacement (redo-MVR) represents a clinical challenge due to a higher rates of peri-operative morbidity and mortality.
Patients and Methods: This retrospective study enrolled a total of 103 patients who underwent isolated redo-MVR due to prosthetic valve dysfunction. Patients who had an isolated bypass, low echocardio...
The giant left atrium is described as an atrium with a diameter of 6.5 cm or larger and which can rarely cause dysphagia by compressing on the esophagus. Left atrial enlargement is usually seen due to mitral valve disease. The most common indication of left atrial volume reduction plasty during mitral valve surgery is the compression symptoms. We p...
Background
Surgical indications for moderate to severe tricuspid regurgitation (TR) during atrial septal defect (ASD) closure are still unclear. Additional tricuspid valve annuloplasty (TVP) can be beneficial to avoid postoperative persistent TR. Therefore, we compared the results of surgical ASD closure with or without additional TVP in patients w...
Background:
In this study, we present our single-center experience in robotically-assisted endoscopic surgery versus conventional median sternotomy approach in patients undergoing cardiac myxoma excision.
Methods:
Between January 2011 and September 2019, a total of 46 patients (24 males, 22 females; mean age 54.1±12.5 years; range, 25 to 79 year...
In this case report, we present a patient scheduled for operation due to critical leg ischemia in whom a bilateral great saphenous vein (GSV) had already been used during previous cardiac and peripheral vascular surgeries. The patient underwent femorofemoral crossover bypass from left to right with a small saphenous vein and right femoropopliteal b...
Background:
This study aimed to examine the effect of pulsatile flow pattern on tissue perfusion, particularly cerebral tissue perfusion, at pre-determined intervals during CPB, as well as its effects on postoperative morbidity and mortality.
Methods:
This retrospective study included 134 adult patients, who underwent cardiac surgery with cardio...
Objectives
This study assessed the feasibility and outcomes of performing robotic cardiac surgery without lung isolation using single‐lumen (SL) endotracheal tube intubation.
Methods
Between 2013 and 2017, 132 patients underwent robotically‐assisted atrial septal defect closure. A retrospective analysis was performed of 23 patients (11 males, mean...
Background:
Transcatheter closure is the preferred method for atrial septal defect (ASD) closure. Robotic surgery has become the least invasive technique for ASD closure. Therefore, we sought to evaluate the outcomes in patients who underwent ASD closure with transcatheter or robotic surgery techniques.
Methods:
A total of 462 patients underwent...
This study reports our initial experience with robotic-assisted partial anomalous pulmonary venous connection (PAPVC) repair. From May 2013 through September 2018, 20 patients (12 male and 8 female) underwent robotic-assisted repair of a right-sided (n = 19) or a left-sided (n = 1) PAPVC. The mean age was 24.6 ± 9.4 years (range 14–44) and the mean...
Aim
In this study, we aimed to investigate the superiority of right pericardial window (RPW) versus posterior pericardial drain placing for the parameters of pericardial effusion and the postoperative complications at the patients who has undergone cardiac surgery.
Materials and methods
Between July and September 2018, 120 adult patients (mean age...
Objectives:
Type A aortic dissection (TAD), which consists of an intimal tear in the aorta, necessitates emergency surgery. Various risk factors related to aortic dissection have been defined in the literature. According to our hypothesis, a narrower angle of ascending aortic curvature (AAAC) may be an additional risk factor in relation to aortic...
Introduction:
This study aimed to evaluate the feasibility and efficacy of robotically assisted, minimally invasive mitral valve surgery combined with left atrial reduction for mitral valve surgery and elimination of atrial fibrillation (AF).
Methods:
Eleven patients with severe mitral regurgitation, AF, and left atrial enlargement who underwent...
Background:
The aim of our study was to compare the outcome of patients who underwent mitral valve anterior leaflet repair with and without chordal replacement for degenerative mitral valve insufficiency.
Methods:
This study was conducted at our center between May 2006 and May 2013. The study included 125 patients with degenerative mitral valve...
Bulging subaortic septum in hypertrophic cardiomyopathy is a potential risk factor for systolic anterior motion after mitral valve repair. Systolic anterior motion may cause postoperative mitral regurgitation and left ventricular outflow tract obstruction despite conservative management. During “minimally invasive endoscopic” and “robotic” mitral r...
Left-sided partial anomalous pulmonary venous connection to the coronary sinus is a rare congenital cardiac defect. Surgical repair is indicated to prevent cardiopulmonary morbidities that may occur in later age. Although the conventional median sternotomy or thoracotomy incisions are used during surgical repair, robotic surgery can be a feasible a...
A 30-year-old male patient, who underwent Bentall De-Bono procedure due to type A aortic dissection six months ago presented to our clinic with acute lower extremity pain at rest. The warfarin dose was set to be between 2 and 3 of the international normalized ratio and the patient was discharged uneventfully after Bentall De-Bono operation. Compute...
Background:
Our goal is to evaluate postoperative outcomes of continuous versus interrupted suturing techniques in ventricular septal defect (VSD) closure surgery.
Methods:
The study included 286 patients with isolated VSD who underwent VSD closure surgery between June 2010 and April 2017. VSD closure was performed by using the interrupted sutur...
Background
Robotic surgery for intracardiac pathologies in children is relatively uncommon. This study presents our initial experience with robotic‐assisted cardiac surgery in children. We also present the feasibility and safety of robotic surgery in children.
Methods
From May 2013 through June 2018, 30 children underwent totally endoscopic roboti...
Introduction
Various surgical procedures for minimally invasive cardiac surgery have been described in recent decades as alternatives to median sternotomy. Cardiopulmonary bypass via femoral arterial and venous cannulation is the foundation of these procedures. In this study, we evaluated the mid-term outcomes of femoral cannulation performed with...
Amaç: Bu çalışmada koroner bypass cerrahisi (CABG) sırasında safen ven grefti hazırlanırken tek ya da iki bacaktan safen ven grefti çıkartmanın bacak ağrısı, sellülit ve ödem açılarından aralarında fark olup olmadığı araştırıldı.Gereç ve Yöntemler: CABG yapılacak ardışık 80 hasta çalışmaya alındı. Kırkar hastadan oluşan iki grup oluşturuldu. Gurup-...
Totally endoscopic robotic surgery is a safe approach to atrial septal defect closure in adults. Robotic approach can be an alternative to traditional incisions in the management of concomitant tricuspid valve regurgitation with ruptured chordae tendineae. Herein, we describe a woman who presented with atrial septal defect and tricuspid insufficien...
Totally endoscopic robotic surgery is a safe approach to atrial septal defect closure in adults. Robotic approach can be an alternative to traditional incisions in the management of concomitant tricuspid valve regurgitation with ruptured chordae tendineae. Herein, we describe a woman who presented with atrial septal defect and tricuspid insufficien...
Background:
The left internal thoracic artery (LITA) is the most commonly used arterial bypass conduit in coronary artery bypass graft (CABG) patients and inadequate LITA flow can result in an increase in morbidity and mortality. In this study, we evaluated the effect of excision of the distal spasmodic segment of the LITA on the free flow in CABG...
Myxomas are the most common cardiac primary tumors; however, left ventricular myxomas are extremely rare. We describe a young female patient with a giant left ventricular myxoma causing partial obstruction of the left ventricular outflow tract, who underwent successful surgical resection. Real-time three-dimensional echocardiography yielded increme...
Complications after percutaneous atrial septal defect closure such as residual shunting or device-related events are generally treated using conventional sternotomy or thoracotomy incisions. In these cases, minimally invasive approaches including mini-sternotomy, mini-thoracotomy or endoscopic techniques can also be used in the management of compli...
Pectus excavatum is the most common deformity of the chest wall, in which the sternum and ribs show an abnormal growth. This pathology may complicate the operative exposure and manipulation during LITA harvesting through the median sternotomy incision in coronary artery bypass surgery. A 60-year-old female patient with three-vessel coronary disease...
The objective is to demonstrate safety and early clinical results of surgical transapical closure of paravalvular leaks (PVLs) following mitral valve replacement in significant regurgitation. Between March 2014 and February 2015, 12 patients (mean age 52.1 ± 6.0 years, 66.6% male) with severe symptomatic mitral PVLs (n = 13) underwent surgical tran...
Aortoenteric fistula is an uncommon but life-threatening cause of gastrointestinal blood loss. We report a case of a 70-year-old man who presented to the emergency department with an episode of melena and infection in the left inguinal region. Diagnosis of secondary aortoenteric fistula was made between the left limb of the aortobifemoral graft and...
Colonoscopy revealed ulcerative mucosal areas and aortic graft covered by thrombus.
Aim This pilot study aimed to evaluate the effectiveness of posterior left atrial wall plication (T-plasty) in patients with persistent atrial fibrillation (AF) (> 7 days) undergoing mitral valve surgery. Materials and Methods A total of 60 patients who were scheduled for mitral valve replacement were randomly allocated into two groups: one would r...
Objective: Prosthetic vascular graft (PVG) infections are related with high mortality and morbidity. In this study we aimed to evaluate the efficiency of treatment methods for the management of PVG infections. Material and Methods: From March 2009-August 2013, 13 patients with PVG infection were managed. Mean age was 59.45±8.2 and male female rate...
Endovascular aneurysm repair is being used more often and replacing open surgical repair as the treatment option for aortic aneurysm. Early results are better than those of open surgical repair, but the need for a second intervention is greater. Excision of a previously placed stent-graft by different surgical methods is very difficult and has high...
Left ventricular pseudo-aneurysms develop when cardiac rupture is contained by pericardial adhesions or scar tissue due to myocardial infarction, surgery, trauma or infection. Left ventricular pseudo-aneurysms are uncommon, difficult to diagnose and prone to cardiac rupture. Urgent surgical repair is recommended. Here we report on a case of a large...
Introduction: We hypothesized that the red cell distribution width (RDW) would predict the outcome of surgical revascularization of patients with coronary artery disease.Materials and Methods: Ninety four patients with severe coronary artery disease who underwent coronary artery bypass grafting were included in this study. A total of 94 patients we...
We describe the treatment of an extremely rare case of interrupted aortic arch, annuloaortic ectasia, and aortic regurgitation in a 34-year-old man who presented with dyspnea and palpitation. We performed a single-stage operation involving aortic root reconstruction and valve repair with concomitant extra-anatomic bypass from the ascending to the d...
Background: The present study aimed to investigate the effects of the use of dexketoprofen trometamol and diclofenac sodium in combination with tramadol analgesia on postoperative pain control, sedation, and use of tramadol, as well as their possible side effects that may occur due to nonsteroidal anti-inflammatory drug (NSAID) use in patients havi...
Fetuin-A is an acute-phase glycoprotein that inhibits ectopic calcification. The study aim was to assess serum fetuin-A levels in patients with rheumatic mitral valve disease (RMVD), and to evaluate the association of fetuin-A with the extent of mitral valve calcification, determined either echocardiographically or by the measurement of calcium and...
Citations
... One hundred forty (66.7%) patients underwent off-pump procedures, with 20 (9.5%) patients necessitating conversion to sternotomy for various reasons. Our previous study analyzed predictors and causes for conversion to ster- notomy in robotic and minimally invasive coronary bypass patients [10]. The mean overall operation time was 290.77 ± 50.16 min, with a statistically significant difference between obese and nonobese patients (303.27 ± 51.11 and 285.17 ± 50.06, respectively; p = 0.03). ...
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... The need for hemodynamic support in the postoperative period suggests that myocardial damage after cardiac surgery persists with the multi-dose cardioplegias. Few studies have compared Cardioplegia Custodiol or del Nido with conventional blood (6,22,(30)(31)(32)(33)(34)(35)(36)(37), all showing the superiority of single-dose ones, often without histological analysis. ...
... 15 Therefore, a "critical mass" or "critical area" of LA myocardium is needed for the appearance of AF. It is thus logical that a strategic part of surgery to eliminate AF must include reduction in size of LA. 16 Different procedures are in practice for LA volume reduction surgery. This includes simple plication techniques (circumferential plication, T plasty). ...
... At present, surgical resection of tumor mass is the best treatment, and there is no effective drug treatment to curb the growth of tumor (11). The current surgical methods used to treat atrial myxoma fall into the following four categories: (1) resection of atrial myxoma by median thoracotomy (12); (2) small incision resection of atrial myxoma (13); (3) thoracoscopic-assisted resection of atrial myxoma (14); and (4) complete endoscopic resection of atrial myxoma (including total thoracoscopic cardiac surgery and robotic cardiac surgery) (15,16). With rapid developments in the understanding of myxoma at the genetic and molecular level, new targeted drugs may be developed (17,18); however, some controversy remains. ...
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... 8 Other etiologies, such as TV diseases related to right heart volume or pressure overload from intracardiac shunts, right ventricular outflow tract obstruction (RVOTO), iatrogenic TV injury, and isolated congenital TV disease have been described but remain relatively understudied. [8][9][10][11][12][13][14][15] Comprehensive studies on TV surgery remain rare and thus little data exist describing the surgical indications, outcomes, and prognostic factors for patients without Ebstein, single-ventricle (SV), or ccTGA lesions. We describe these elements for patients with non-Ebstein TV lesions in the setting of biventricular physiology and a right-sided TV. ...
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... Pulsatile blood flow mimics normal physiologic blood flow, but there is controversy as to whether any significant benefit exists. Evidence suggests it enhances microcirculatory blood flow and tissue perfusion, but no demonstration of superiority to non-pulsatile blood flow on outcomes has been made [18,22]. Evidence also suggests that non-pulsatile blood flow increases carotid artery wall stress, and can lead to shedding of the endothelial glycocalyxa process also involved in systemic inflammation and perfusion-reperfusion injury [23]. ...
... Установка катетеров в просвет артерий (лучевая, плечевая, бедренная) с целью мониторирования инвазивного артериального давления должна быть прерогативой «больших» сосудистых и кардиохирургических вмешательств. Учитывая инвазивность метода, увеличивается риск развития неблагоприятных последствий, поэтому рутинное использование при других РАОВ считается неоправданным [28]. ...
... To manage IDA, inexpensive, effective, and reliable oral iron supplements are used. [3] In the literature, doses higher than 60-120 mg of elemental iron per day are not recommended because they are unlikely to offer significant benefit in terms of iron repletion and can cause unintended side effects. [4] It has been reported that providing iron supplements daily as divided doses increases serum hepcidin and reduces iron absorption, and daily oral iron supplements are more effective as a single dose. ...
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... Kadirogullari et al., in their retrospective analysis of a single-center experience, compared the outcomes of 217 patients who underwent robotic endoscopic ASD closure with those of 245 transcatheter ASD closure cases [84]. Both methods had good clinical outcomes with no mortality. ...
... Postoperative pericardial effusion has been associated with anticoagulant use and post pericardiotomy syndrome. 14,15 Large effusion may surround the heart, but the most frequently it is localized posterior to the heart. 15 Posterior Pericardiotomy is considered an important operative strategy that can remarkably diminish the incidence of postoperative pericardial effusion and tamponade. ...
