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Gok G.,Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Hospital | Elsayed M.,University of Alabama at Birmingham | Thind M.,University of Alabama at Birmingham | Uygur B.,University of Alabama at Birmingham | And 6 more authors.
Echocardiography | Year: 2015

We describe a case of primary cardiac malignant fibrous histiocytoma where live/real time three-dimensional transesophageal echocardiography added incremental value to the two-dimensional modalities. Specifically, the three-dimensional technique allowed us to delineate the true extent and infiltration of the tumor, to identify characteristics of the tumor mass suggestive of its malignant nature, and to quantitatively assess the total tumor burden. © 2015, Wiley Periodicals, Inc. Source


Kurc E.,Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Hospital | Sanioglu S.,Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Hospital | Ozgen A.,Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Hospital | Aka S.A.,Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Hospital | Yekeler I.,Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Hospital
Vascular | Year: 2012

The aim of this study is to evaluate the validity of the Glasgow aneurysm score (GAS) and Hardman index in patients operated on because of ruptured abdominal aortic aneurysm (rAAA), and determining preoperative risk factors that affect in-hospital mortality. One hundred one patients operated on to repair a rAAA within the last 10 years were included. The GAS and Hardman index were calculated for each patient separately. The relation between in-hospital mortality and the Hardman index and GAS was analyzed by means of the receiver-operator characteristic (ROC) curve. Univariate and multivariate methods of analyses were used to determine preoperative risk factors. Average age was 69 ± 8, and in-hospital mortality rate was 51.5%. Analysis of the ROC curve showed that the Hardman index had an area under the curve (AUC) = 0.71 (95% confidence interval [CI], 0.593?0.800, P = 0.0002) for predicting inhospital mortality. The GAS had an AUC = 0.77 (95% CI, 0.680-0.851, P < 0.0001). The results of multivariate analysis revealed the presence of the following preoperative risk factors: age more than 63 years (odds ratio [OR], 4.4; 95% CI, 1.17-16.49, P = 0.028); loss of consciousness (OR, 9.33; 95% CI, 1.94-44.86, P = 0.005); creatinine higher than 1.7 mg/dL (OR, 5.52; 95% CI, 1.92-15.85, P = 0.001); and pH lower than 7.31 (OR, 3.77; 95% CI, 1.18-11.99, P = 0.024). In conclusion, the Hardman index and GAS have a significant correlation with in-hospital mortality rates. Nevertheless, a high score does not necessarily correspond with a definite mortality. This is why scoring systems could not be considered as the sole criterion for choosing patients for this study. Clinical experience was still the leading factor in deciding against or in favor of surgery. © 2012 Royal Society of Medicine Press. All rights reserved. Source

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