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AKALIN, FİGEN

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AKALIN

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FİGEN

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Now showing 1 - 4 of 4
  • Publication
    Topsy-Turvy Heart: A Very Rare Congenital Rotational Heart Disease With Tracheobronchial Anomalies
    (2013) AKALIN, FİGEN; Erek E., Guzeltas A., Ozturk N.Y., Kiyan G., Karakoc F., Akalin F., Odemis E., Arsan S.
    The topsy-turvy heart is characterized by a global 90°clockwise rotation around the heart’s long axis. This rotation displaces all basal great arteries inferiorly and posteriorly, resulting in elongation and stretching of the brachiocephalic arteries and the bronchi. To date, reports of only four living cases have been published in the literature. We report here three new cases, with additional aortopulmonary window defects, and present their morphological details, clinical presentations, and our management. © 2013, SAGE Publications. All rights reserved.
  • Publication
    Disseminated Peripheral Mycotic Aneurysms and Septic Embolizations Related to an Infected Stent Deployed for Restenosis of Surgically Repaired Supravalvular Aortic Stenosis
    (SAGE PUBLICATIONS INC, 2016) ŞAYLAN ÇEVİK, BERNA; Ak, Koray; Akalin, Figen; Cevik, Berna Saylan; Isbir, Selim; Arsan, Sinan
    Percutaneous treatment of supravalvular aortic stenosis (SVAS) by means of balloon dilation and stent deployment has been rarely reported in the literature. In this report, we present the case of a patient with mycotic aneurysms, disseminated peripheral and cerebral septic embolizations, and infected vegetations associated with a stent that had previously been deployed to treat restenosis of surgically corrected SVAS in the infancy.
  • Publication
    Results of pericardiectomy for constrictive pericarditis Single-center experience
    (URBAN & VOGEL, 2017) AKALIN, FİGEN; Ak, K.; Demirbas, E.; Atas, H.; Birkan, Y.; Akalin, F.; Cobanoglu, A.; Arsan, S.; Isbir, S.
    We evaluated our early and late outcomes after pericardiectomy in patients with constrictive pericarditis (CP). We retrospectively reviewed 31 patients who underwent pericardiectomy for CP from 1997 to 2015. Their mean age was 49.2 +/- 18.5 years and 74.2 % of them were male. The vast majority had severe functional impairment (NYHA class III-IV) with a mean duration of symptoms of 14.2 +/- 10.1 months. Early mortality was 9.7 %: n = 3; multiorgan failure (MOF) in 1, respiratory failure in 1, and left heart failure in 1. Preoperative systolic pulmonary artery pressure over 60 mmHg (p = 0.038, odds ratio [OR] = 0.12) and postoperative low cardiac output syndrome (p = 0.005, OR = 13.5) were significant predictors of early mortality in univariate analysis. Mean follow-up time was 57.8 +/- 61.9 months (4-216 months). Late mortality was 6.8 % (2/28 patients) and the cause was MOF secondary to end-stage right heart failure. In Kaplan-Meier analyses, actuarial (including early mortality) and event-free survival rates were 83.9 and 51.1 % at 216 months, respectively. At the end of follow-up, the majority of patients (23/26, 92.9 %) were in good functional status (NYHA class I-II). There were fewer patients under diuretic therapy in the postoperative than in the preoperative period; however, the difference was not statistically significant (12/31 vs. 4/26, p = 0.76). There was no significant difference between the preoperative and follow-up tricuspid annular plane systolic excursion values (15.5 +/- 2.2 and 16.6 +/- 2.2 mm, respectively, p = 0.088). Left ventricular systolic function was preserved in all patients postoperatively. Although early mortality after pericardiectomy remains high, the procedure provides significant improvement in functional status in the long term.
  • Publication
    Autologous Right Pulmonary Artery Tissue for Repair of Left Pulmonary Artery Originating from Left Patent Ductus Arteriosus in a Patient With Tetralogy of Fallot and Absent Pulmonary Valve
    (SPRINGER, 2011) AKALIN, FİGEN; Ak, Koray; Arsan, Sinan; Akalin, Figen; Gursu, Ozgur; Isbir, Selim
    Left pulmonary artery (PA) originating from patent ductus arteriosus is an exceptionally rare variant of tetralogy of Fallot with absent pulmonary valve. We described an alternative technique for the repair of discontinuous left PA with the use of the redundant pulmonary artery tissue as material for the conduit in a 3-year-old boy.