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Introduction: There is limited data on totally anomalous pulmonary venous connection (TAPVC) repair results in our country. The aim of this study is to evaluate the early postoperative results of a large series of TAPVC patients operated in our clinic. Patients and Methods: The data of the patients who underwent TAPVC repair in our clinic between May 2005 and May 2021 were retrospectively reviewed using hospital records. Results: A total of 150 TAPVC patients aged between 0 days and 39 years (median 3 months, IQR: 18 days-9 months), 92 males (61%) and 58 females (39%) underwent surgical intervention. The median length of hospi- tal stay was 12 (IQR: 7-16) days. Overall mortality was 14% (21 patients). Seventeen out of 32 patients with additional cardiac anomalies (53%) and 4 out of 118 patients with isolated TAPVC (3%) died. The presence of additional cardiac anomalies was associated with mortality (p< 0.00001). Mortality rate in univentricular patients was 59% (10 patients). This rate was higher in comparison to the mortality rate of biventricular patients (8%; p< 0.00001). Three patients were reoperated due to postoperative pulmonary venous stenosis. Conclusion: The TAPVC outcomes in isolated and biventricular patients were favorable with a low mortality and postoperative pulmonary venous stenosis in this cohort. Patients with a single ventricle physiology and/or heterotaxia had a significantly increased risk of mortality, which might be due to the intrinsic challenges of the univentricular physiology regarding the balance between the pulmonary and systemic circulations. Tendency for increased mortality in the cases with preoperative pulmonary venous obstruction is a potential target for improvement.

BACKGROUND The aim of this study is to describe the short-term and mid-term outcomes of the preterm infants who underwent patent ductus arteriosus (PDA) ligation in by anterior mini-thoracotomy. METHODS Data of 103 preterm infants who underwent PDA ligation by anterior mini-thoracotomy between 2009 and 2019 were retrospectively reviewed. PDA was clipped through an anterior mini-thoracotomy at the 2nd intercostal space. Outcomes were defined according to complications, morbidity and mortality rates within the postoperative 30 days and one year. RESULTS The median weight of the patients during the operation was 900 (IQR800–1125 g) grams and the lowest body weight was 460 grams. The median age at the operation was 21 (IQR14,5–29 days) days. In three patients (3%) there was intraoperative bleeding from the PDA that required transition to median sternotomy. In one patient (1%) residual PDA was seen and this patient was reoperated on the 4th postoperative day. One patient (1%) underwent surgical revision for chylothorax and chylomediastinum causing late cardiac tamponade on the 26th postoperative day. Twelve patients (12%) died in the first 30 days postoperatively. Six patients (6%) died between the thirtieth day and a year. CONCLUSIONS After a decade and over a hundred patients with PDA ligation through anterior mini-thoracotomy in preterm infants is still the main procedure of choice in this patient group in our clinic. Our outcomes demonstrate the safety of this approach and we believe that it can be reproducible.

Results:­ The median age at the onset of symptoms was 3.5 months (birth to 4 years). Gastrointestinal symptoms were present in all and respiratory symptoms were present in 45.5% of patients, with difficulty in feeding and recurrent respiratory tract infections being the most common symptoms, respectively. All patients underwent corrective surgery successfully. No early or late death occurred. No reoperations were required during follow-ups. Symptoms involving gastrointestinal tract disappeared in all patients (100%) in mean 6.4±4.3 months, whereas respiratory symptoms disappeared in four patients (80%) in 11.4±7.2 months. Conclusion:­Today, results of surgical treatment of DAA are satisfying. Following surgery, while gastrointestinal symptoms disappeared in all patients regardless of age, complete relief of respiratory symptoms requires early intervention.

WOS: 000362120900006, OBJECTIVE: Kidney damage after cardiac surgery can cause acute renal failure, increase the morbidity and mortality, and prolong the hospital stay. Various methods have therefore been used to prevent renal failure. One of the most frequently used drugs for this purpose is low-dose dopamine (2-4 mcg/kg/min) but it has various disadvantages in addition to advantages. One disadvantage is the increased urinary excretion of electrolytes. We studied the use low-dose dopamine on renal function in patients who had undergone coronary artery bypass surgery. MATERIAL and METHODS : We included 40 patients who were planned to undergo open heart surgery, had developed kidney damage for any reason before the surgery, and had normal ejection fraction (EF) in the study. The data were recorded before and 1, 24, and 48 hours after the operation. RESULTS : When we compared the postoperative 24th hour data, urinary K and Cl were higher in the control group than the dopamine group (p

Amac: Calismamizda acik kalp cerrahisi geciren hastalarin preoperatif ozelliklerinin, yandas hastaliklarinin, ekstubasyon surelerinin mortalite ile morbiditeye etkisini ve EuroSCORE ile iliskisini degerlendirmeyi amaclandik.Gerec ve Yontem: Dr. Siyami Ersek Gogus Kalp ve Damar Cerrahisi Hastanesi’nde hastane bilimsel kurul onayi alindiktan sonra, 2012-2013 yillari arasinda kalp cerrahisi gecirecek 17-82 yaslarinda 668 hasta prospektif olarak takip edildi. Hasta ozellikleri, yandas hastaliklar, ameliyat tipi, kros klemp ve pompa sureleri, inotrop ilac ve intraaortik balon kullanimi, koroner anastomoz sayilari, ekstube edilme, yogun bakimda ve hastanede kalis sureleri ve EuroSCORE degerleri kaydedildi ve karsilastirildi.Bulgular: Gerceklesen mortalite (% 3.1) ile EuroSCORE mortalite oranlari (1.73±1.26) arasinda istatistiksel olarak anlamli farklilik goruldu (p

Amac: Calismamizda kalp cerrahisi uygulanan hastalarda deksmedetomidin, midazolam / fentanil ve midazolam/deksketoprofen trometamolun postoperatif agri, sedasyon, ekstubasyon suresi ve hemodinami uzerine etkilerinin karsilastirilarak erken postoperatif donemde en etkin analjezi ve sedasyon yonteminin belirlenmesi hedeflenmistir. Gerec ve Yontem: Calismamiza kalp cerrahisi uygulanmis toplam 75 hasta alindi. Grup I: Deksketoprofen trometamol +Midazolam (n: 25), Grup II: Fentanil+ Midazolam (n: 25) ve Grup III: Deksmedetomidin (n: 25) olarak ayrildi. Grup I’e midazolam 0.03 mg/kg/sa ve deksketoprofen trometamol 25-50 mg, Grup II’ye midazolam 0.03 mg/kg/sa ve fentanil 2 mcgr/kg/sa, Grup III’e deksmedetomidin HCL 0,3-0,5 mcg/kg/sa infuzyonu verildi. Hastalarin kalp atim hizi (KAH), ortalama arteriyel kan basinci (OAB), arteriyel kan gazi degerleri kaydedildi. Postoperatif agri degerlendirilmesi gorsel (Visuel Analog Skalasi-VAS), postoperatif sedasyon degerlendirilmesi Ramsay Sedasyon Skalasi (RSS) ile yapildi. Hastalarin ekstubasyon ve postoperatif yogun bakimda ve hastanede kalis sureleri kaydedildi. Bulgular: Gruplarin ekstubasyon sureleri, yogun bakimda kalis ve hastanede yatis sureleri arasinda anlamli farklilik gorulmedi. VAS degerlendirilmesinde ekstubasyondan 30 dk. sonra (T4) ve 4 saat sonra (T5) anlamli farklilik bulunmadi. Postoperatif yogun bakima gelis doneminde (T0) degerlendirilen RSS skorlari anlamli farklilik gosterdi (p