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Tunc M.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital | Sazak H.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital | Karlilar B.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital | Ulus F.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital
Iranian Red Crescent Medical Journal | Year: 2015

Introduction: Substernal goiter may rarely cause superior vena cava syndrome (SVCS) owing to venous compression, and cause acute respiratory failure due to tracheal compression. Obstructive sleep apnea syndrome (OSAS) may rarely occur when there is a narrowing of upper airway by edema and vascular congestion resulting from SVCS. Case Presentation: We presented the clinical course and treatment of acute respiratory failure (ARF) developed in a patient with SVCS and OSAS due to substernal goiter. After treatment of ARF with invasive mechanical ventilation, weaning and total thyroidectomy were successfully performed through collar incision and median sternotomy without complications. Conclusions: Our case showed that if the respiratory failure occurred due to substernal goiter and SVCS, we would need to investigate the coexistence of OSAS and SVCS. © 2015, Iranian Red Crescent Medical Journal.


Ulger S.,Gazi University | Demirci N.Y.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital | Eroglu F.N.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital | Cengiz H.H.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital | And 6 more authors.
Journal of Cancer Research and Clinical Oncology | Year: 2014

Objectives: Despite radical radiotherapy and chemotherapy (CT), the prognosis of locally advanced nonsmall cell lung cancer (NSCLC) is poor. New prognostic indicators are being looked forward to improve the survival. [18F]-fluorodeoxyglucose (FDG) uptake on PET/CT has been observed as a prognostic marker mainly in early-stage disease. Our aim was to examine the prognostic value of FDG uptake in locally advanced NSCLC. Materials and methods: Between 2009 and 2011, 103 NSCLC patients underwent disease staging using FDG PET/CT before conformal radiotherapy. Thoracic radiation was administered at a daily fraction of 2 Gy. Total dose was prescribed according to the tumor response against CT. All patients underwent CT. Survival was estimated using the Kaplan-Meier method. Results: The median age of the patients was 59 years (range 39-83). The median follow-up time was 22.63 months (range 6-48.03 months). There was a statistically significant difference in overall survival (OS) between the low (<10.7) and high (≥10.7) standardized uptake value (SUVmax) groups (p = 0.006) on univariate analysis (3-year OS was 42 % in the low (<10.7) and 23 % in the high (≥10.7) SUVmax groups). On multivariate analysis with determining tumor size, tumor SUVmax provided additional significant prognostic information on OS (HR 1.046; 95 % CI 1.009-1.085, p = 0.015). Conclusions: FDG uptake has predictive value in locally advanced NSCLC, independently of tumor size. © 2014 Springer-Verlag Berlin Heidelberg.


PubMed | Gazi University and Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital
Type: Journal Article | Journal: Iranian Red Crescent medical journal | Year: 2015

Substernal goiter may rarely cause superior vena cava syndrome (SVCS) owing to venous compression, and cause acute respiratory failure due to tracheal compression. Obstructive sleep apnea syndrome (OSAS) may rarely occur when there is a narrowing of upper airway by edema and vascular congestion resulting from SVCS.We presented the clinical course and treatment of acute respiratory failure (ARF) developed in a patient with SVCS and OSAS due to substernal goiter. After treatment of ARF with invasive mechanical ventilation, weaning and total thyroidectomy were successfully performed through collar incision and median sternotomy without complications.Our case showed that if the respiratory failure occurred due to substernal goiter and SVCS, we would need to investigate the coexistence of OSAS and SVCS.


PubMed | Afyon Kocatepe University, Gazi University and Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital
Type: Journal Article | Journal: Brazilian journal of anesthesiology (Elsevier) | Year: 2016

In this study, we aimed to clarify the importance of residency grade and other factors which influence the success of thoracic epidural catheterization in thoracotomy patients.After the ethical committee approval, data were recorded retrospectively from the charts of 415 patients. All patients had given written informed consent. The thoracic epidural catheterization attempts were divided into two groups as second-third year (Group I) and fourth year (Group II) according to residency grade. We retrospectively collected demographic data, characteristics of thoracic epidural catheterization attempts, and all difficulties and complications during thoracic epidural catheterization.Overall success rate of thoracic epidural catheterization was similar between the groups. Levels of catheter placement, number and duration of thoracic epidural catheterization attempts were not different between the groups (p>0.05). Change of needle insertion level was statistically higher in Group II (p=0.008), whereas paresthesia was significantly higher in Group I (p=0.007). Dural puncture and postdural puncture headache rates were higher in Group I. Higher body mass index and level of the insertion site were significant factors for thoracic epidural catheterization failure and postoperative complication rate and those were independence from residents experience (p<0.001, 0.005).Body mass index and level of insertion site were significant on thoracic epidural catheterization failure and postoperative complication rate. We think that residents grade is not a significant factor in terms overall success rate of thoracic epidural catheterization, but it is important for outcome of these procedures.


Yazicioglu A.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital | Altinok T.,Selcuk University | Agackiran Y.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital | Karaoglanoglu N.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital
The West Indian medical journal | Year: 2013

Hibernomas are uncommon benign tumours that arise from the remnants of fetal brown adipose tissue. They are usually asymptomatic and have a slow growth pattern. Intrathoracic and pleural locations are exceptional for localization of hibernoma. A review of the English language medical literature revealed more than 110 cases, 20 of which were intrathoracic. In the article below, we discuss a 40-year old male patient who had pleural involvement and was treated by surgical resection. Following resection, the patient has remained problem-free for nine years.


PubMed | Selcuk University and Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital
Type: Case Reports | Journal: The West Indian medical journal | Year: 2014

Hibernomas are uncommon benign tumours that arise from the remnants of fetal brown adipose tissue. They are usually asymptomatic and have a slow growth pattern. Intrathoracic and pleural locations are exceptional for localization of hibernoma. A review of the English language medical literature revealed more than 110 cases, 20 of which were intrathoracic. In the article below, we discuss a 40-year old male patient who had pleural involvement and was treated by surgical resection. Following resection, the patient has remained problem-free for nine years.


Yazicioglu A.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital | Yazici U.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital | Aydin E.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital | Karaoglanoglu N.,Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital
Thoracic and Cardiovascular Surgeon | Year: 2014

Chyloptysis and chylomediastinum are uncommon complications of various kinds of thoracic operations, malign and nonmalign diseases. In the English language medical literature, there were no cases of both chylomediastinum and chyloptysis following trauma. We discuss a case of chylomediastinum and chyloptysis after penetrating trauma. The patient sustained a bullet wound that caused chylomediastinum and chyloptysis without damaging major structures apart from the thoracic duct in the mediastinum. Following surgical intervention, the patient has remained problem-free for 5 months. © 2014 Georg Thieme Verlag KG Stuttgart New York.


PubMed | Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital
Type: Case Reports | Journal: The Thoracic and cardiovascular surgeon | Year: 2014

Chyloptysis and chylomediastinum are uncommon complications of various kinds of thoracic operations, malign and nonmalign diseases. In the English language medical literature, there were no cases of both chylomediastinum and chyloptysis following trauma. We discuss a case of chylomediastinum and chyloptysis after penetrating trauma. The patient sustained a bullet wound that caused chylomediastinum and chyloptysis without damaging major structures apart from the thoracic duct in the mediastinum. Following surgical intervention, the patient has remained problem-free for 5 months.


PubMed | Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital
Type: Case Reports | Journal: Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES | Year: 2011

Foreign body aspiration in childhood is a common and life-threatening emergency. A 14-year-old male with history of mental retardation was transferred from another center to our hospital with diagnosis of foreign body aspiration. According to the anamnesis, he had been diagnosed with epilepsy a few years ago. Approximately 10 hours before admission, while at home, his parents had urgently placed a wooden spoon in the boys mouth during a generalized tonic-clonic seizure to avoid possible airway injury. Nevertheless, he had inhaled a large piece of the wood after breaking the handle of the spoon with his teeth. Rigid bronchoscopic evaluation revealed the presence of a large piece of wood sitting vertically 2 cm beyond the glottis. Although bronchoscopic removal of the wooden piece from the trachea was difficult and prolonged, it was successful. Following this process, he presented with subcutaneous emphysema and pneumothorax in the intensive care unit (ICU). After improvement with the aid of chest tube drainage in the ICU, he was discharged from the hospital on the 3rd day of rigid bronchoscopy. Early diagnosis and urgent removal of a foreign body are very important for reducing mortality. However, complications related to the foreign body itself or the bronchoscopy may occur. In conclusion, the physical characteristics, position and location of the foreign body can influence the outcome, even in skilled hands.


PubMed | Ataturk Chest Disease and Thoracic Surgery Training and Research Hospital
Type: | Journal: Case reports in pulmonology | Year: 2012

Pulmonary endometriosis is a rarely seen disease of the lung. On computed tomography, a cavitary lesion of 15 26 in size was detected in the lung parenchyma of a 38-year-old female patient who was examined due to hemoptysis. The pathologic result of the surgically excised cavitary lesion was reported as pulmonary endometriosis.

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