Browsing by Author "Ozbek, Baburhan"

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Comparison of Blood Cardioplegia and Del Nido Cardioplegia Use in Isolated Vsd Patients
(Discovery Publication, 2018) Ozbek, Baburhan; Gur, Ali Kemal; Aykac, Mehmet Coskun; Eker, Esra
Objective: Ventricular septal defect (VSD) is the most common pathology among congenital heart diseases. Surgical closure, transcatheter closure or medical follow-up are among the treatment strategies. Surgical closure of VSD can now be safely performed with low morbidity and mortality. In this study, we aimed to compare the efficacy of blood cardioplegia and del Nido cardioplegia during VSD operation. Material and Method: In our Pediatric Cardiovascular Surgery Clinic, we retrospectively evaluated 186 patients, between 6 weeks and 18 years of age, who underwent operation due to isolated VSD between September 2013 and December 2017. Patients were divided into two groups as Group 1 (n = 108 using blood cardioplegia) and Group 2 (n = 78 using del Nido cardioplegia). Pre-operative data, peri-operative data and postoperative data of patients were retrospectively recorded and reviewed in detail. Findings: 153 patients (82.2%) were under 5 years old, 24 (12.9%) were between 5 and 10 years old, and 9 (4.8%) were between 10 and 20 years of age. 112 (60.2%) of the patients were male and 74 (39.8%) were female. The mean age of the patients was 3.8 +/- 2.08 in Group 1 and 4.2 +/- 2.13 in Group 2. There was no statistically significant difference in preoperative demographic data between Group 1 and Group 2 patients (p> 0.05). The duration of cardiopulmonary bypass (CPB), duration of intubation, intensive care unit stay and discharge time were found to be statistically significant when compared with Group 1 (p < 0.05). Result: Congenital heart disease cases can have a long operation time. In the light of our findings, we recommend the use of del Nido cardioplegia, which is administered a single-time and reduces inotropic need and duration of operation as well as significantly reduce extubation and discharge times, instead of blood cardioplegia which is given every twenty minutes. It can be said that del Nido cardioplegia can be safely used in the cases of congenital heart surgery, although it is difficult to give a definitive judgment due to the inadequacy of our case count.
Should Plication or Graft Be Used in Pulmonary Artery Aneurysm Operations
(Discovery Publication, 2018) Ozbek, Baburhan; Gur, Ali Kemal; Aykac, Mehmet Coskun; Yargi, Mahmut
Objective: Pulmonary artery aneurysms (PAA) are rare diseases generally diagnosed coincidentally. Although most of the PAA patients are asymptomatic, they can be symptomatic due to complications such as rupture, pulmonary valve leakage, thromboemboli, dissection and pressure on coronary arteries and pulmonary valve. Our aim in this study was to compare plication and graft usage techniques in PAA operations. Material and Method: A total of 11 patients who had elective PAA operation between January 1, 2010 and December 31, 2018 in our clinic and had registered demographical information were retrospectively examined. Patients included in the study were separated into two groups as those who had plication in PAA (Group 1) and those who had tube graft change in PAA (Group 2). There were six patients in Group 1 (2 F, 4 M) and five patients (2 F, 3 M) in Group 2. Preoperative and postoperative data of the patients in both groups were registered and examined in detail. Findings: Among the 11 patients who had surgical repair due to PAA, seven were male and four were female. Although the ages of the patients changed between 38 and 65, the average age was 53.4 years. There was no significant difference in diabetes mellitus, hypertension, coronary artery disease among the groups. Chronic obstructive pulmonary disease (COPD) was observed more in Group 1. Operations were made under cardiopulmonary bypass. Aortic cross clamp duration (ACC) was 96 +/- 18 minutes in Group 1 and 105 +/- 22 minutes in Group 2 (p>0.05). Average intensive care unit hospitalization duration of the patients was 2.5 +/- 1.5days in Group 1 and 3.4 +/- 1.5 days in Group 2 (p<0.05) but no statistically significant difference was found among the average hospitalization durations of the patients (p>0,05). Result: Although observed frequently, PAA can cause mortality especially due to causes such as rupture and dissection. Surgical intervention is required in patients with PAA over 5,5 cm. Although different views are available in literature, in our study, we detected tube graft usage to be more effective in surgical treatment. As there is a change of aneurysm reformation in postoperative followups of the patients who had plication especially, we suggest graft usage in PAA surgical treatment.