Mehmet BALKANAY, İbrahim KARA, Gökhan İPEK, Denyan MANSUROĞLU, Suat Nail ÖMEROĞLU, Kaan KIRALİ, Ömer IŞIK, Mete ALP, Cevat YAKUT, Ercan EREN, Mustafa GÜLER

Ortotopik kalp naklinde bikaval ve biatriyal tekniklerin erken dönem sonuçları

Amaç: Bu çalışmada bikaval ve biatriyal teknik kullanılarak ortotopik kalp nakli yapılan hastaların erken ameliyat sonrası sonuçları incelendi. Çalışma planı: Kliniğimizde Eylül 1989 ile Aralık 2008 tarihleri arasında ortotopik kalp nakli yapılan 61 hasta çalışmaya dahil edildi. Hastalar kullanılan cerrahi tekniğe göre iki gruba ayrıldı. Hastaların 28’ine (ort. yaş 31.8±12.5 yıl; dağılım, 16-58 yıl) standart biatriyal anastomoz tekniği, 33’üne (ort. yaş 29.8±9.9 yıl; dağılım, 17-48 yıl) bikaval anastomoz tekniği kullanılarak nakil yapıldı. Her iki grup arasında ameliyat öncesi hasta özellikleri ve demografik veriler açısından anlamlı fark yoktu. Bununla birlikte, akciğer (p

Early-term results of bicaval and biatrial techniques in orthotopic heart transplantation

Background: This study aims to evaluate early postoperative results of orthotopic heart transplantation using bicaval and biatrial technique. Methods: Between September 1989 and December 2008, 61 patients who underwent orthotopic heart transplantation in our clinic were included. Patients were divided into two groups according to the surgical technique used. Standard biatrial anostomosis technique was performed on 28 patients (mean age 31.8±12.5 years; range 16 to 58 years), while bicaval anostomosis technique was performed on 33 patients (mean age 29.8±9.9 years; range 17 to 48 years). There was no significant difference between two groups with respect to the preoperative patient characteristics and demographic data. However, the incidence of pulmonary dysfunction (p

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