Browsing by Author "Kutay, V"

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Absence of Right Superior Vena Cava and Aortic Annular Hypoplasia in a Patient With Turner's Syndrome
(Wiley, 2005) Kutay, V; Yakut, C
Cardiovascular abnormalities are frequently encountered in patients with Turner's syndrome. These include coarctation of the aorta, bicuspid aortic valve, aortic root dilatation, atrial and ventricular septal defects, but absence of the right superior vena cava (SVC) in visceroatrial situs solitus is extremely rare. We report absence of the right SVC and congenital aortic annular hypoplasia with bicuspid aortic valve stenosis in a patient with Turner's syndrome. Aortic root extension with prosthetic valve replacement was performed and absent right SVC, which was detected incidentally during operation, is confirmed by postoperative venous angiogram.
Aortic Root Replacement - for Reoperation of Dissecting Aneurysm of the Interventricular Septum
(Texas Heart inst, 2005) Kutay, V; Yakut, C
Dissection of the interventricular septum due to an aneurysm of the left sinus of Valsalva is a very rare cardiac condition. We report a case in which we used a modified Bentall procedure for aortic root replacement in reoperating on a sinus of Valsalva aneurysm that had dissected into the interventricular septum.
Chronic Pseudoaneurysm of the Aortic Arch: a Case Report
(Blackwell Publishing, 2005) Kutay, V; Harman, M; Ekim, H; Yakut, C
Pseudoaneurysm of the thoracic aorta is a rare condition and usually occurs following blunt trauma. It is almost fatal in the absence of prompt surgical treatment. We describe the case of a 56-year-old male suffering from intermittent nonmassive hemoptysis, mild dysphagia, and atypic chest pain for 1 month who has no history of trauma. A saccular aneurysm at the aortic arch between left common carotid artery and left subclavian artery was diagnosed by magnetic resonance imaging. Intraoperatively, compression of surrounding structures including trachea and esophagus by the aneurysmal sac (6 x 8 cm in diameter) was seen. Pseudoaneurysm adherent to the upper lobe of the left lung was resected and entire aortic arch replacement with a prosthetic graft was performed. Postoperative course was uneventful and neither specific changes on histologic examination nor any evidence of infection could be detected.
Infected Myocardial Hydatid Cyst Imitating Left Ventricular Aneurysm
(Elsevier Sci Ltd, 2003) Kutay, V; Ekim, H; Yakut, C
We report a case of infected intracardiac hydatid cyst in a patient who had complaints of chest pain, exertional dyspnea, palpitation, evening fever and fatigue. Echocardiography demonstrated a left ventricular apical cystic mass-in 7 cm diameter. Magnetic resonance imaging and hemagglutination test confirmed the diagnosis. Single capsulated cyst full of pus was surgically removed by using cardio-pulmonary bypass. Histopathological examination revealed an infected hydatid cyst. Postoperative recovery was uneventful and the patient remains free of symptoms after one year of follow-up. (C) 2003 The International Society for Cardiovascular Surgery. Published by Elsevier Science Ltd. All rights reserved.
Intracardiac Extension of Intravenous Leiomyoma
(Texas Heart inst, 2005) Kutay, V; Tuncer, M; Harman, M; Ekim, H; Yakut, C
Intravenous leiomyoma with intracaval and intracardiac extension is a rare benign neoplasm affecting women. We report a case in which an intravenous leiomyoma originated from the right iliac vein and extended through the inferior vena cava into the right atrium. The correct diagnosis was made intraoperatively after resection of the intracardiac extension of the tumor, which was 28 cm in length. At the 2nd stage of the operation, a right common iliac venotomy enabled the removal of all residual tumor from the inferior vena cava.
Management of Primary Venous Aneurysms
(Saudi Med J, 2004) Ekim, H; Kutay, V; Tuncer, M; Gultekin, U
Objective: Venous aneurysms are a relatively rare abnormality. Unlike arterial aneurysms, venous aneurysms are a much less frequent abnormality. The purpose of our study was to review our experience in the management of venous aneurysms. Methods: Nine patients with venous aneurysms, who had undergone operation in the Department of Cardiovascular Surgery, Yuzuncu Yil University Medical School, Van, Turkey, during the period September 1997 through to May 2003, were included in this study. There were 5 female and 4 male patients, ranging in age from 16-47-years with a mean age of 31 +/- 7 years. They were diagnosed by color flow duplex imaging. Eight patients had saccular aneurysm; the remaining one patient with basilar vein aneurysm, had fusiform aneurysm. Results: Aneurysms were located the lower extremities in 4 cases, the upper extremity in 4, and external jugular vein in one. Aneurysms size ranged from 2, 3 to 5, 5 cm (mean 3, 6 cm). There were no symptoms in 2 patients (cephalic vein aneurysm in one patient, short saphenous vein aneurysm in one). These patients were operated on for cosmetic purposes. Six patients complained of pain associated with a subcutaneous swelling. The remaining one patient with popliteal vein aneurysm complained of extremity pain, associated with deep venous thrombosis. All patients underwent surgery under local anesthesia. In 7 patients, aneurysms were resected and venous continuity with a graft was found unnecessary. End to end anastomosis was performed in 2 patients (popliteal vein aneurysm in one and axillary vein aneurysm in one). During follow up period, there were no recurrences. Conclusion: Venous aneurysms may cause thrombophlebitis, thrombus formation, pulmonary embolism and theoretical complication of spontaneous rupture. Varicose veins, hemangiomas, lymphocele, hernias, hygromas, arteriovenous fistulas and similar subcutaneous swellings located subcutaneous venous spaces should be considered in the differential diagnosis. Consequently, we suggest that surgical treatment be performed to prevent subsequent complications in all cases.
Mitral Annular Tumors: Report of Two Cases in Childhood
(Wiley, 2006) Kutay, V; Yakut, C; Ekim, H
Primary tumors of the mitral valve are extremely rare especially in the pediatric age group; only a few cases have been reported previously. The clinical appearance of the tumor may mimic other pathological findings of heart structures or remain asymptomatic. We describe two different benign primary cardiac tumors, which were hemangioma and myxoma originating from the anterior annulus of the mitral valve and presenting with an unusual clinical course in two children. Both tumors were resected successfully with mitral valve conservation and there was no recurrence at 6-month and 1-year follow-ups.
Rupture of the Abdominal Aorta in a 13-Year Girl Secondary To Behcet Disease: a Case Report
(Mosby, inc, 2004) Kutay, V; Yakut, C; Ekim, H
Behcet disease is a multisystemic vasculitis of unknown origin. The vascular complications as a result of the disease are rare in the pediatric age group. We report a 13-year-old patient with vasculo-Behcet disease with a ruptured abdominal aortic aneurysm without a formerly known history of Beh et disease. Urgent aortoiliac bypass with a polytetrafluoroethylene graft was performed with success, and the patient has also received corticosteroid and immunosuppressive drug therapy.
Surgical Repair of Postoperative Left Sinus of Valsalva Aneurysm Dissecting Into the Interventricular Septum
(Elsevier Science inc, 2005) Kutay, V; Ekim, H; Yakut, C
We describe the dissection of the interventricular septum by unruptured aneurysm of the left sinus of Valsalva in a patient who had undergone aortic valve replacement for rheumatic aortic valve insufficiency 5 years previously. The patient had worn a permanent pacemaker for 1 year to manage complete atrioventricular block. Sufficient information was provided by echocardiography and aortography to confirm the diagnosis. Operative correction consisted of obliteration of the aneurysm sac and closure of the outward orifice with a Dacron patch from the side of the aortic sinus.