Browsing by Author "Kunt, Alper Sami"

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Adipose Tissue Derived Stem Cell Therapy for Diabetic Foot
(Excerpta Medica inc-elsevier Science inc, 2014) Odabasi, Dolunay; Gur, Ali Kemal; Kunt, Aysegul; Kunt, Alper Sami
Impact of Elevated Serum Estradiol/Free Testosterone Ratio on Male Varicose Veins in a Prospective Study
(Springer Wien, 2015) Ozcan, Sedat; Odabasi, Dolunay; Kurt, Tolga; Gur, Ali Kemal; Kunt, Aysegul; Balaharoglu, Yavuz; Kunt, Alper Sami
Although some studies indicate an association between increased levels of estradiol and varicose veins in women, the role of sex hormones on varicose veins have a question mark in men. We investigated estradiol-2/free testosterone (E2/fT) ratio relationship on varicosity in 100 male patients dividing them into two groups. Group A (n = 46) had varicose veins with endocrinological problems, especially infertility, whereas group B (n = 54) also had varicose veins but no endocrinological problems. Venous blood samples were drawn from both groups in the morning to detect the levels of serum estradiol (E2), androstenedione, dehydroepiandrostenedione sulphate and free testosterone (fT). Patient history, physical examination, colour duplex ultrasound of both limbs and classification of CEAP were performed in both groups. Serum E2/fT ratio was calculated in correspondence with CEAP classification. CEAP classification is the varicosity classification, and it is concerned about the clinical class (C), etiology (E), anatomical distribution (A) and underlying pathophysiology (P). E2/fT ratio was significantly higher in group A (4.18 +/- A 0.54) compared with group B (2.98 +/- A 0.36). Moreover, there is a high correlation between serum E2/fT ratio and CEAP clinical classification in group A (4) compared with group B (2). Serum E2/fT ratio is associated with varicose veins in male patients.
Isolated Tricuspid Valve Repair for Libman-Sacks Endocarditis
(Wiley-blackwell, 2014) Gur, Ali Kemal; Odabasi, Dolunay; Kunt, Ayse Gul; Kunt, Alper Sami
Cardiac involvement is a well-known complication of systemic lupus erythematosus (SLE), which can involve most cardiac components, including pericardium, conduction system, myocardium, heart valves, and coronary arteries. Libman-Sacks (verrucous) endocarditis is the characteristic cardiac valvular manifestation. Although isolated tricuspid valve involvement is quite rare, we report a patient with SLE who had tricuspid stenosis caused by Libman-Sacks endocarditis. The patient underwent successful commisurotomy and Kay annuloplasty on the tricuspid valve under cardiopulmonary bypass.
Transkateter Mitral Balon Valvuloplasti Esnasında Gelişen Sağ Süperior Pulmoner Ven Rüptürünün Cerrahi Tedavisi
(2015) Gür, Ali Kemal; Kunt, Ayşegül; Kunt, Alper Sami; Odabaşı, Dolunay; Yüzkat, Nurettin
Akut romatizmal ateş sonrası romatizmal kalp hastalıkları özellikle gelişmekte olan ülkelerde halen önemli bir sağlık sorunudur. Mitral kapak romatizmal kalp hastalığı olgularının büyük kısmında etkilenmektedir. En sık görülen lezyon ise mitral stenozdur. Günümüzde mitral stenozun tedavisinde perkütan yöntemle valvuloplasti (Perkütan Transvenöz Mitral Kommissurotomi = PTMC) tekniği, bu hasta grubunda önemli bir tedavi seçeneğidir. Bu teknik daha az invaziv olması nedeniyle bu tür hastalarda öncelikli yapılması gereken işlemdir. Bu yazıda ileri mitral darlığı olan 32 yaşındaki kadın hastada perkütan valvuloplasti sırasında sol atriyum yaralanması gelişen ve acil cerrahi girişimde bulunulan bir olgu sunulması amaçlandı