Ascending aortic aneurysm occurs mostly with aortic root enlargement. This appears generally, with aortic valve insufficiency or the aortic valve insufficiency may enlarge the aortic root. Whatever the reason is, replacement of aortic root enlargement with the valve is what we call Bentall Surgery.
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We perform Aortic Valve Replacement with 3 different methods: Open-Heart Surgery (Sternotomy), Closed-Heart Surgery (under armpit) Micro Surgery Method (3-4cm) and TAVI Method.
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Aorta is the biggest vein in human body. It transfers arterial blood from the heart to all organs which makes it “main blood line”. Considering height and weight of the person, it carries 3 to 6-7 lt. of blood in a minute. There is a certain pressure (80 - 140 mmHg) while transferring the blood depending on heart’s beat rate and structure. We call it tension. Aorta may enlarge silently in the body due to various reasons. It should be diagnosed early.
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A 55 years old patient admitted to our hospital with a size of 25x20 left atrium, a severe mitral valve disease. The symptoms of the disease were pulmonary edema, asthma, low cardiac output, arrhythmia, extreme fatigue and abnormal weight loss. In order to contract the left atrium, a cardiac autotransplantation surgery, the procedure of explantation and reimplantation of the heart was performed on the patient.
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The treatment of Atrial Septal Defect or Ventricular Septal Defect by “Closed method” in other words, the small incision has started being used routinely. It has its own advantages cosmetically and it also provides huge comfort during the post operative period for the patient. These patients are protected from osteotomy, in this way the risk of infection and bleeding are reduced.
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Aortic aneurysm surgery along with aortic valve replacement was being regarded as a risky operation and practiced only in specific health facilities in the past. However, nowadays, these kind of heart surgeries can be done through 3 cm. incisions. Especially the closed-heart surgeries that are performed on young patients in which a small incision is made by the surgeon bring patient satisfaction throughout the postoperative period.
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Awake Coronary Artery Bypass Surgery was established for single vessel disease of the heart. Dr. Tayfun Aybek is one of pioneers of this technique. He used high epidural anesthesia for the pain management and beating heart coronary bypass via small incision for this method.
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Fluoroscopy with Videography Showing Deployment of the Valve: The valve is deployed during rapid right ventricular pacing. The crimped valve and support frame are expanded with underlying balloon inflation. Also seen are the transesophageal echocardiography probe and the temporary right ventricular pacing lead. Animation of the Complete Transfemoral Transcatheter Aortic-Valve Implantation (TAVI) Procedure.
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It is possible to perform a heart surgery so as to solve obstructions of coronary artery which we call "LAD" (left anterior descending coronary artery), through a small incision while the heart is still beating. We, Cardiac Surgeons, call this kind of procedure "Minimally Invasive Bypass Surgery".
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In the final analysis of this important international study, most outcomes were better with CABG than with PCI in patients with at least moderately severe left main or three-vessel disease.
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Patients with severe aortic stenosis who are too frail to endure traditional valve replacement surgery may benefit from a promising new treatment offered Dr. Aybek’s team at the TOBB ETÜ Heart and Vascular Center/Ankara.
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