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Evaluation of the internal thoracic artery blood flow before and after Nuss operation: is it reversible?

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dc.contributor.authorBEKİROĞLU, GÜLNAZ NURAL
dc.contributor.authorsKuru-Bektasoglu, Pinar; Ermerak, Nezih Onur; Cimsit, Canan; Cetinkaya, Cagatay; Ozbakir, Hincal; Bekiroglu, Nural; Lacin, Tunc; Yuksel, Mustafa
dc.date.accessioned2022-03-14T08:28:48Z
dc.date.available2022-03-14T08:28:48Z
dc.date.issued2017-01-15
dc.description.abstractObjective: Obstruction of the internal thoracic arteries (ITAs) by the Nuss bars in minimally invasive repair of pectus excavatum (MIRPE) has been documented in the literature. In this study, we aim to investigate the patency of ITAs before and after repair of the pectus excavatum with the Nuss procedure, by using color Doppler ultrasonography (US). Materials and Methods: Nineteen patients who underwent Nuss procedure were included in this study prospectively. Color Doppler US examinations were performed for comparing ITA patency after insertion of the Nuss bars and after their removal. Patients were evaluated according to gender, age, symmetry of deformity, Haller index, and the number of Nuss bars inserted. Results: Nineteen patients operated with MIRPE (17 male and 2 females with a mean age 21.78 +/- 6.35) were enrolled in the study. Eight patients (42.1%) with normal ITA blood flow preoperatively had normal blood flow after removal of the bar. In preoperative examination, 6 patients had bilateral (n=2) or unilateral (n=4) obstruction of the ITA and 5 patients had bilateral (n=2) or unilateral (n=3) abnormally disturbed flow. After the bar removal only 2 (10%) of the affected patients (57.9 %) still had obstruction whereas patent blood flow of the ITAs has been noted in 9 patients. Conclusion: We have shown that after the Nuss bar removal, only 10% of the ITAs are compromised.
dc.identifier.doi10.5472/marumj.299383
dc.identifier.issn1309-9469
dc.identifier.urihttps://hdl.handle.net/11424/241856
dc.identifier.wosWOS:000430070100005
dc.language.isoeng
dc.publisherMARMARA UNIV, FAC MEDICINE
dc.relation.ispartofMARMARA MEDICAL JOURNAL
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectPectus excavatum
dc.subjectChest wall deformities
dc.subjectInternal thoracic arteries
dc.subjectMinimally invasive repair of pectus excavatum
dc.subjectDoppler ultrasonography
dc.subjectMINIMALLY INVASIVE REPAIR
dc.subjectPECTUS EXCAVATUM
dc.subjectMAMMARY ARTERIES
dc.subjectCOMPLICATIONS
dc.subjectBAR
dc.subjectEXPERIENCE
dc.subjectSURGERY
dc.subjectREMOVAL
dc.subjectRISK
dc.titleEvaluation of the internal thoracic artery blood flow before and after Nuss operation: is it reversible?
dc.typearticle
dspace.entity.typePublication
local.avesis.id31a75898-ff2a-4f51-87fb-c5e490ef39b7
local.import.packageSS16
local.indexed.atWOS
local.indexed.atTRDIZIN
local.journal.numberofpages6
oaire.citation.endPage29
oaire.citation.issue1
oaire.citation.startPage24
oaire.citation.titleMARMARA MEDICAL JOURNAL
oaire.citation.volume30
relation.isAuthorOfPublication9d562d76-b085-41e7-87b1-114fae3720d0
relation.isAuthorOfPublication.latestForDiscovery9d562d76-b085-41e7-87b1-114fae3720d0

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