Browsing by Subject "multidetector computed tomography"

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    Strenuous exercise induced syncope due to coronary artery anomaly
    (Iranian Cardiovascular Research Journal, 2014) Yavuz V.; Cetin N.; Tuncer E.; Dalgic O.; Taskin U.; Bilge A.R.; Tikiz H.
    Coronary artery anomalies are among the neglected topics in cardiology. Anomalous origin of the left main coronary artery from the right sinus of valsalva is a rare coronary anomaly observed in 0.15% of patients. During exercise, the distended aorta and pulmonary artery with increased blood flow may squeeze the Left Main Coronary Artery (LMCA) between them. Even though arrhythmias are common causes of syncope, one should also think about aberrant coronary artery in the patients with syncope of unexplained origin. Patients experiencing exercise induced syncope accompanied by symptoms of coronary ischemia (typically: chest pain, ischemic findings on ECG, and raised cardiac markers) should be referred to diagnostic coronary angiography.
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    Surgical treatment of a post-traumatic femoral arteriovenous fistula; [Posttravmatik dev femoral arteriovenöz fistülün redo operasyonu]
    (Anatolian Journal of Clinical Investigation, 2014) Yildirim F.; Tetik Ö.; Besir Y.; Kestelli M.; Sürer S.; Gürbüz A.
    One of the leading causes of arteriovenous fistulae (AVF) is trauma on the vascular course and its vicinity. Untreated traumatic AVF may cause aneurysmal dilation of the involved artery and vein. Herein, we present the case of a patient in whom a progressive dilatation of both left femoral and iliac arteries and veins developed consequent to a post-traumatic femoral AVF 35 year after injury. The patient was surgically treated and a vertical incision was performed on common femoral artery identifying the fistula tract within it and it was closed using 5-0 polypropylene suture and the patient had an uneventful, complete recovery. © 2014, Anatol J Clin Investig. All rights reserved.
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    Pediatric pulmonology year in review 2015: Part 3
    (John Wiley and Sons Inc., 2016) Birnkrant D.J.; Yilmaz O.; Nicolai T.; Black J.B.; Mhanna M.J.; Noah T.L.
    Our journal covers a broad range of research and scholarly topics related to children's respiratory disorders. For updated perspectives on the rapidly expanding knowledge in our field, we will summarize the past year's publications in our major topic areas, as well as selected publications in these areas from the core clinical journal literature outside our own pages. The current review (Part 3) covers articles on asthma, diagnostic testing/endoscopy, respiratory complications of neuromuscular disorders, and rare lung diseases. Pediatr Pulmonol. 2016;51:747–753. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.
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    Multislice computed tomographic measurements of optic nerve sheath diameter in brain injury patients; [Beyin hasarı olan hastalarda çok kesitli bilgisayarlı tomografide optik sinir kılıfı ölçümleri]
    (Turkish Association of Trauma and Emergency Surgery, 2018) Özsaraç M.; Düzgün F.; Gölcük Y.; Pabuşcu Y.; Bilge A.; İrik M.; Yılmaz H.
    BACKGROUND: Currently, the measurement of optic nerve sheath diameter (ONSD) has been offered as a possible indicator of intracranial pressure (ICP). Increased ICP is observed during intracranial injury. The objective of this study was to evaluate the relationship between increased ONSD and positive intracranial findings from multislice computed tomography (CT) of the brain. METHODS: In total, CT scans of 161 patients were retrospectively reviewed. The image that showed the largest ONSD was magnified five times. RESULTS: The CT scan revealed intracranial lesions in 54 patients and no intracranial lesions in 107 patients. A significant relationship was observed between positive CT findings and increased ONSD: 5.60±0.75 mm vs. 5.35±0.75 mm (p=0.038). The area under the receiver operating characteristic curve was 0.600 (95% confidence interval, 0.508–0.692; p<0.039). A cut-off value of ≥5.0 mm had a sensitivity and specificity of 80% and 36%, respectively. CONCLUSION: This study demonstrated a significant yet poor relationship between intracranial injury and increased ONSD from the multislice CT scan. Severe structural changes in the brain and trauma that causes bleeding have only limited effects on the extension of the optic nerve. © 2018 Turkish Association of Trauma and Emergency Surgery.