Yazar "Buket, Suat" seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • [ X ]
    Öğe
    Early Results of Combined and Staged Coronary Bypass and Carotid Endarterectomy in Advanced Age Patients in Single Centre
    (Bentham Science Publ Ltd, 2009) Iyem, Hikmet; Buket, Suat
    Aim: In present study, we aimed to compare the staged and combined surgery in patients with severe carotid stenosis and coronary atherosclerosis and detect the factors affecting mortality and morbidity. Material and method: Between 2004 and 2008, 120 patients with predominant ischemic heart disease were enrolled to study. Patients were divided into three groups on basis surgery procedure. Group 1 (n=40) includeed patients had coronary artery disease without carotid disease underwent coronary artery by-pass graft (CABG) operation. Group 2 (n=40): included patients underwent combined surgery procedure including CABG and carotid endarterectomy (CEA). Patients underwent staged CABG and CEA were enrolled to Group 3 (n=40). All patients were in advanced aged and were had the same risk factors atributable atherosclerosis Results: Mean age of the patients in all groups were 68 +/- 6, 69 +/- 3, 71 +/- 2 respectively, and 83% were male. Eight patients died in all groups at follow-up(seven in group 2 and 3, and one in group 1) and the difference between both groups was statistically significant (p<0.001). The follow-up period in the intensive care unit, and hospitalization period were not statistically different between CABG group and combined CEA plus CABG group. Conclusion: We think that the results of staged or combined CABG plus CEA surgery are satisfactory in patients with severe carotid disease and advanced coronary artery disease. However, the mortality and morbidity in both procedures are higher than those of alone.
  • [ X ]
    Öğe
    Hybrid and staged repair in the treatment of a case with extensive aortic aneurysm
    (Ekin Tibbi Yayincilik Ltd Sti-Ekin Medical Publ, 2009) Iyem, Hikmet; Cirban, Yilmaz; Memis, Ahmet; Buket, Suat
    In this article we present a successful management of a case with extensive aortic aneurysm which was treated by a combination of open surgery and endovascular stent grafting Cardiopulmonary bypass was established via right femoral and right atrial cannulation. Patient was cooled down till 18 degrees and following the cardiac arrest, Bentall procedure was performed by using a composite graft. A 26 mm Talent endovascular stent was placed into the descending aorta through arcus aorta under direct vision. Later on, distal anastomosis was performed for the total hemiarcus replacement. The distal part of the composit graft and the proximal part of the hemiarcus graft was anastomosed during rewarming. After one week, a second endovascular stent graft was placed into the descending aorta under general anesthesia in peripheric angiography laboratory and the treatment was completed.
  • [ X ]
    Öğe
    Ruptured Aneursym of Left Paracolic Branch of Superior Mesenteric Artery: Report of an Uncommon Case
    (Ortadogu Ad Pres & Publ Co, 2010) Iyem, Hikmet; Buket, Suat
    A 56-years-old male patient admitted to our emergency room with hypovolemic shock. He had the history of abdominal pain, nausea, vomitting and bloody defecation for eight hours. Multislice computed tomography (MSCT) was performed. MSCT revealed a ruptured aneurysm of 60 x 56 mm of left superior paracolic branch of superior mesenteric artery (SMA). The abdominal cavity was opened by median abdominal incision above and under the level of umbilicus. A giant ruptured aneurysm of left paracolic branch of SMA was seen. The ruptured aneurysmatic sac was resected and remained tissue were sutured primarily. Patient was extubated on the 18(th) hour of postoperative period. He was discaharged uneventfully on the 10(th) day of hospitalization. We aimed to emphasise the importance of early radiological recognition of ruptured aneursym of left paracolic branch of SMA and its early surgical treatment.