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    Endovascular management of acute complicated type B aortic dissection [Akut komplike tip B aortik diseksiyonlarin endovasküler tedavisi]
    (2011) Numan F.; Gülşen F.; Arbatli H.; Yilmaz O.; Solak S.
    Aortic dissection represents the most common aortic pathology requiring emergency treatment, and is still associated with a high mortality. In uncomplicated acute type B dissections, medical therapy results in an in-hospital survival rate of 90%, while complicated acute type B dissection is still a challenging clinical entity. Advances in endovascular technology have provided new treatment options. Endovascular treatment offers an exciting potential in the management of complicated type B dissection through sealing of the intimal tear area. Endovascular approach offers a less invasive mode of therapy for this high-risk group of patients by eliminating the necessity for thoracotomy, single-lung ventilation, and aortic crossclamping. This article aims to review the basics and results of endovascular treatment in the literature in patients with acute complicated type B aortic dissection.
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    Murmur after myocardial infarction: Is always a post myocardial infarction ventricular Septal defect: Case report
    (2013) Yilmaz O.; Ardal H.; Arbatli H.; Soybir N.; Sönmez B.
    ABS TRACT Symptoms of acute left heart failure dominate in both ventricular septal defects occurring after transmural myocardial infarctions (post MI VSD) and rupture of a sinus Valsalva aneurysm (SVA), which may pose a difficulty in differential diagnosis. Ruptured SVA mandate prompt and urgent surgical correction. Also patients with post myocardial infarction VSD should undergo emergent surgery. The success of the surgery in both situations depends on the prompt medical stabilization of the patient and the prevention of cardiogenic shock. Implantation of an intraaortic balloon pump would have been life-saving in case of a post-MI VSD, but would have increased the aorto-right atrial shunt and aggravate the left heart failure in a ruptured SVA, thus may have even led to the loss of the patient. Simultaneous coronary artery disease and ruptured SVA is extraordinarily rare. We present here, a case of ruptured SVA with concomitant coronary artery disease, who had an MI two weeks before. Copyright © 2013 by Türkiye Klinik leri.
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    New horizons in the endovascular treatment of aortic aneurysms [Aort anevrizmalarinin endovasküler tedavisinde yeni ufuklar]
    (2011) Numan F.; Gülşen F.; Arbatli H.; Cantaşdemir M.; Solak S.
    During last two decades, endovascular techniques have become a popular method in the treatment of aortic aneurysms. One of important factors in endovascular aneurysm repair is the technological and technical improvements in the devices used. Problems that are associated with the stent-grafts, such as the conversion of the patient to open repair and/or the endoleaks that can even result in rupture of the aneurysm, still remains as an issue that should be considered. This article attempts to reveal these problems and innovative ideas which may contribute to the solution of these problems.