Sürdürülebilir Kalkınma Amaçları

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• Derleme MakaleAçık Erişim2016Scopus SJRQ3/r/munzur/4543
  Pregnancy-Related Cardiovascular Complications: Case Presentation and Review of Literature

  Altinsoy, Hasan Baki; Alatas, Ozkan; Colak, Salih; Atalay, Hakan; Dogan, Omer Faruk

  Background: Cardiovascular complications that can cause severe catastrophic outcomes for both the mother and the fetus are rarely seen during pregnancy. Time to diagnosis is often delayed by a low degree of suspicion and atypical presentation. We report surgical strategies in three pregnant women with cardiovascular complications. Methods: A retrospective search from 2009 to 2016 identified three pregnant women who underwent urgent cardiac surgery. We used extracorporeal circulation (ECC) without cesarean section with careful follow-up of the fetuses during the perioperative and postoperative period. We used levosimendan as a potent inodilator in all patients to increase feto-placental blood flow and fetal heart rhythm. Results: Median time to diagnosis was 23.8 h (range 11.7-120 h) and median time from diagnosis to arrival in the operating theater was 9.8 h (range 7.4-19.8 h). One patient with prosthetic heart valve thrombosis underwent concomitant cesarean section prior to cardiac surgery. In a young pregnant woman who had spontaneous dissection of the left anterior descending artery, on-pump beating heart coronary artery bypass grafting was performed without cross clamping. Two and three months after surgery, cesarean sections were performed without any complication in two pregnant women. Conclusion: Because unusual cardiovascular complications are the main cause of maternal and/or fetus death during pregnancy, prompt and exact diagnosis is very important. Life-saving surgical strategy with the help of appropriate teams are necessary to optimize outcome for both mother and baby.

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• MakaleAçık Erişim2016Scopus SJRQ3/r/munzur/4487
  Levosimendan Use Increases Cardiac Performance after Coronary Artery Bypass Grafting in End-Stage Renal Disease Patients

  Atalay, Hakan; Temizturk, Zeki; Altinsoy, Hasan Baki; Azboy, Davut; Colak, Salih; Atalay, Atakan; Dogan, Omer Faruk

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  AtıfOpenAlex12

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