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Onan B.,Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Training Hospital | Onan I.S.,Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Training Hospital | Guner Y.,Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Training Hospital | Yeniterzi M.,Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Training Hospital
Annals of Vascular Surgery | Year: 2014

A 12-year-old boy with a family history of hereditary multiple exostosis presented with a 3-week history of progressive knee swelling. The clinical examination revealed drop foot and a loss of extension in his right knee. Evaluation with color duplex ultrasonography, computed tomography angiography, and magnetic resonance imaging revealed a popliteal artery pseudoaneurysm associated with exostosis from the distal femur. This patient was diagnosed as having peroneal neuropathy caused by popliteal artery pseudoaneurysm compressing the nerve in the right popliteal fossa. The pseudoaneurysm was repaired primarily, and the exostosis was excised during the operation. Pain and knee contracture resolved after surgery. The patient was then referred to physical therapy for the management of drop foot. © 2014 Elsevier Inc. All rights reserved.


Onan I.S.,Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Training Hospital | Erek E.,Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Training Hospital | Haydin S.,Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Training Hospital | Onan B.,Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Training Hospital | And 5 more authors.
Artificial Organs | Year: 2013

This study summarizes the clinical outcome data of a start-up congenital heart surgery program in Turkey. Between December 2009 and February 2012, 616 operations have been performed in 132 newborns (22%), 260 infants (42%), and 224 children/adolescents (36%). Risk adjustment analysis was performed using the risk adjustment in congenital heart surgery (RACHS-1) risk assessment model. There were 66 mortalities (10.7%). According to the RACHS-1 categories, there were 51 cases in level I (8.2%) with no mortality (0%), 250 in level II (40.6%) with 11 (4.4%) mortalities, 199 in level III (32.3%) with 33 (16.5%) mortalities, 53 in level IV (8.6%) with 10 (18.8%) mortalities, 14 in level V and VI (2.2%) with 11 (78.5%) mortalities, and 49 cases (7.9%) out of the RACHS-1 categories with one (2.0%) mortality. Mortality was higher in neonates compared to infants, and in infants compared to children/adolescents. Mortality was higher in palliative procedures compared to corrective procedures. The data demonstrate that a start-up program with a relatively loaded surgical volume may achieve acceptable clinical results with a good teamwork. Collaboration of anesthesiologists, perfusionists, pediatric cardiologists, intensivists, and cardiovascular surgeons is necessary to provide a better outcome in congenital heart surgery. © 2013, The Authors. Artificial Organs © 2013, International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.

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