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Öğe Asymptomatic and isolated accessory mitral valve tissue in adult population: three case reports and review of the literature(Verduci Publisher, 2012) Cil, H.; Atilgan, Z. A.; Islamoglu, Y.; Yavuz, C.; Tekbas, E. O.Accessory mitral valve tissue is a rare congenital cardiac anomaly and commonly it may cause left ventricular outflow tract obstruction (LVOTO). This anomaly occurs as a part of other congenital cardiac anomalies. However, it may be seen isolated. Structures in LVOT such as tumor, vegetation, cysts may have attention for differential diagnosis. The number of cases is increasing with the routinely using of two-dimensional echocardiography. Accessory mitral valve tissue is detected first early in children with symptoms of LVOT and is very rarely diagnosed in adults. One third of cases may asymptomatic, but commonly significant left ventricular outflow tract gradient can be detected in these cases, especially adult period. Optimal treatment of this anomaly is surgery if there is a significant LVOTO. In this report, we presented the three asymptomatic adult cases with accessory mitral valve tissue, without increased gradient in LVOT. Surgical excision was recommended to the first case in another hospital with diagnosis of cardiac cyst. Two cases are presented.Öğe Complete resolution of the left ventricular pedunculated thrombus with tirofiban infusion in a patient with severe left ventricular dysfunction(Medcom Ltd, 2013) Cil, H.; Yavuz, C.; Atilgan, Z. A.; Gunduz, E.; Soydinc, S.A 28-year-old man was admitted with symptoms of heart failure. Echocardiography revealed severe left ventricular dysfunction, apical aneurysm, and a 40 x 11 mm sized mobile thrombus attached to apical septum with a narrow stalk. The patient had anterior myocardial infarction two years ago. Heparin infusion was started at 1000 IU/hour for 48 hours. There was no detected change on the size of the thrombus. Surgery recommended to the patient was refused by him because of the procedural risks. Tirofiban infusion was started. Repeat echocardiography showed significant reduction in thrombus size after 24 hours, and complete resolution of the thrombus after 48 hours. To our knowledge, this is the first case with left ventricular mobile thrombus treated successfully with tirofiban infusion. (Hong Kong j.emerg.med. 2013;20:305-308)Öğe Is the pepper spray a triggering factor in myocardial infarction? A case report(Verduci Publisher, 2012) Cil, H.; Atilgan, Z. A.; Islamoglu, Y.; Tekbas, E. O.; Dostbil, Z.Fourthy years old man was admitted to Emergency Department with complains of chest pain and dispnea after exposure the pepper gas that sprayed to environment during a social event. Physical examination and electrocardiogram was revealed acute myocardial infarction.Öğe Lower serum free tri-iodothyronine levels are associated with presence and severity of coronary artery disease in the euthyroid patients(Oxford Univ Press, 2012) Ertas, F.; Kaya, H.; Cil, H.; Akil, M. A.; Atilgan, Z. A.; Islamoglu, Y.; Oylumlu, M.[Abstract Not Available]