Case Presentation: Age 78, severe aortic stenosis, cardiac left ventricular ejection fraction (cardiac pumping capacity) is 35%, TAVI (biological aortic valve replacement through inguen) has been performed. Patient’s complaints continued and after 1 month, valve leak is observed (paravalvular leak) and TAVI (2nd implantation) operation is renewed.
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Aortic aneurysm surgery along with aortic valve replacement was being regarded as a risky operation and practiced only in specific health facilities in the past. However, nowadays, these kind of heart surgeries can be done through 3 cm. incisions. Especially the closed-heart surgeries that are performed on young patients in which a small incision is made by the surgeon bring patient satisfaction throughout the postoperative period.
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A healthy heart contracts 70-80 times in a minute and approximately 100.000 times in a day. In this way, 300 lt. of blood is pumped to the whole body in an hour. In a normal heart, there are 4 cavities. 2 upper cavities are called right and left atriums, lower cavities on the other hand are called left and right ventricles. Heart’s duty is to transfer oxygenic blood to whole body.
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When we are not ill, we say we are “healthy”, but actually, is it true? Can we measure how healthy we are? Do we know what is inside of us, in our organs, thoughts or how we are affected by the environment and the things happening around us? How can we measure this? What do the signals coming from our body through 10 grams of a tiny chip can tell about us?
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The treatment of Atrial Septal Defect or Ventricular Septal Defect by “Closed method” in other words, the small incision has started being used routinely. It has its own advantages cosmetically and it also provides huge comfort during the post operative period for the patient. These patients are protected from osteotomy, in this way the risk of infection and bleeding are reduced.
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Ascending aortic aneurysm occurs mostly with aortic root enlargement. This appears generally, with aortic valve insufficiency or the aortic valve insufficiency may enlarge the aortic root. Whatever the reason is, replacement of aortic root enlargement with the valve is what we call Bentall Surgery.
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