EDITORIAL | |
1. | On SSS, Bratislava-III, doctors who make history, publisher’s new advancements, books and once more painful loss Bilgin Timuralp PMID: 18676297 Page 242 Abstract |Full Text PDF |
ORIGINAL INVESTIGATION | |
2. | The protective effect of melatonin on nicotine-induced myocardial injury in newborn rats whose mothers received nicotine Ali Baykan, Nazmi Narin, Figen Narin, Hülya Akgün, Selda Yavaşcan, Recep Saraymen PMID: 18676298 Pages 243 - 248 Objective: Nicotine, one of the most dangerous substances in tobacco, can pass the placenta and affect the fetal hemodynamics. The aim of this study was to evaluate the protective effects of melatonin on hearts of nicotine exposed newborn rats whose mothers received nicotine. Methods: This is an experimental, randomized, controlled study. Study groups were composed of five groups of rats; high-dose nicotine (HDN), HDN+melatonin (HDNM), low-dose nicotine (LDN), LDN+melatonin (LDNM), control. Myocardial and plasma malondialdehyde (MDA), nitric oxide(NO), glutathione peroxidase (GSHPx) and superoxide dismutase (SOD) were analyzed and myocardial tissue was examined histopathologically. Comparisons of groups were done with Kruskal-Wallis one way analysis test. All pairwise multiple comparisons and the comparisons between control and other groups were done with Dunn’s nonparametric multiple comparison test. Results: Plasma and tissue MDA levels among groups were different (p=0.001 for plasma MDA and p=0.001 for tissue MDA). Plasma MDA levels of HDN, HDNM, LDN, and tissue MDA levels of HDN and LDN were significantly higher than in control group (p<0.05 for plasma MDA and for tissue MDA). Plasma and tissue NO levels among groups were also different (p=0.011 for plasma NO and p=0.001 for tissue NO). Plasma NO of LDN group was higher than of LDNM group, and plasma NO of LDNM group was lower than in control group (p<0.05). Tissue NO levels of HDN and LDN groups were higher than of control group (p<0.05). There was no difference between plasma GSHPx levels among groups (p=0.221) but statistically significant different was detected between tissue GSHPx levels among groups (p=0.001). Tissue GSHPx level was found lower in HDN group than in control group (p<0.05). Tissue GSHPx level of LDNM group was higher than of LDN group, and tissue GSHPx level of HDNM group was higher than of HDN group (p<0.05). A difference was found between plasma and tissue SOD among groups (p=0.005 for plasma SOD and p=0.001 for tissue SOD). Plasma SOD of LDN group was significantly lower than of HDNM and LDNM groups (p<0.05). Tissue SOD analyzes revealed lower levels in HDN and LDN groups than in control group (p<0.05). Severe cardiomyopathy was determined in HDN and LDN groups (p<0.05). Conclusion: Nicotine exposure depletes myocardial antioxidant enzymes and increases free radicals and lipid peroxidation products. Melatonin particularly prevents the nicotine-induced cardiac injury as an antioxidant |
3. | Predicting coronary artery disease using different artificial neural network models M. Cengiz Çolak, Cemil Çolak, Hasan Kocatürk, Şeref Sağıroğlu, İrfan Barutçu PMID: 18676299 Pages 249 - 254 Objective: Eight different learning algorithms used for creating artificial neural network (ANN) models and the different ANN models in the prediction of coronary artery disease (CAD) are introduced. Methods: This work was carried out as a retrospective case-control study. Overall, 124 consecutive patients who had been diagnosed with CAD by coronary angiography (at least 1 coronary stenosis > 50% in major epicardial arteries) were enrolled in the work. Angiographically, the 113 people (group 2) with normal coronary arteries were taken as control subjects. Multi-layered perceptrons ANN architecture were applied. The ANN models trained with different learning algorithms were performed in 237 records, divided into training (n=171) and testing (n=66) data sets. The performance of prediction was evaluated by sensitivity, specificity and accuracy values based on standard definitions. Results: The results have demonstrated that ANN models trained with eight different learning algorithms are promising because of high (greater than 71%) sensitivity, specificity and accuracy values in the prediction of CAD. Accuracy, sensitivity and specificity values varied between 83.63% - 100%, 86.46% - 100% and 74.67% - 100% for training, respectively. For testing, the values were more than 71% for sensitivity, 76% for specificity and 81% for accuracy. Conclusions: It may be proposed that the use of different learning algorithms other than backpropagation and larger sample sizes can improve the performance of prediction. The proposed ANN models trained with these learning algorithms could be used a promising approach for predicting CAD without the need for invasive diagnostic methods and could help in the prognostic clinical decision. |
4. | The determination of the factors impacting on in-hospital mortality in patients with acute heart failure in a tertiary referral center Mehdi Zoghi, Hamza Duygu, Hasan Güngör, Sanem Nalbantgil, Gülsüm Meral Yılmaz, Kamil Tülüce, Filiz Özerkan, Azem Akıllı, Mustafa Akın PMID: 18676300 Pages 255 - 259 Objective: Despite impressive advances in therapeutics in the last years, acute heart failure (AHF) remains a major cause of cardiovascular morbidity and mortality. Patients hospitalized because of heart failure (HF), irrespective of left ventricular systolic function, represent a high-risk population with limited short-term prognosis. A substantial component of HF-related mortality occurs during a hospital stay. In this study, we aimed to determine the factors impacting on in-hospital mortality in patients with AHF. Methods: During a 15-month period (December 2005-March 2007), 85 consecutive patients with (mean age: 64±8 years, male: 54%) an episode of AHF were included in this study. The effect of demographic, clinical, electrocardiographic, and echocardiographic characteristics, laboratory findings on in-hospital mortality were evaluated retrospectively. Results: Of 85 patients 24.7% of patients had new-onset HF. Coronary artery disease (61%) was the most common underlying disease. The 44.7% of patients had hypertension, 37.6% had diabetes mellitus, 21% had chronic renal failure and 16.4% had chronic obstructive pulmonary disease. Left ventricular ejection fraction was 35±7%. In-hospital mortality rate was found as 11.7% (10 patients).The major cause of mortality was the progression of HF to cardiogenic shock in 60% of deaths. In comparison with surviving patients in terms of the clinical, demographic, electrocardiographic, and laboratory characteristics and left and right ventricular functions, patients died during hospitalization had higher blood urea nitrogen (45±20 mg/dl vs. 36±12 mg/dl, p=0.04), higher creatinine level (2.2±0.8 mg/dl vs. 1.1±0.5 mg/dl, p=0.001), and wider QRS duration (130±13 ms vs. 116±18 ms, p=0.04) whereas they had lower plasma sodium level (128±5 mmol/l vs. 135±9 mmol/l, p=0.02) and systolic blood pressure (p=0.01). Logistic regression analysis revealed that plasma creatinine level (OR 1.5, 95% CI 1.2 to 2.1, p=0.01), blood urea nitrogen (OR 2.1, 95% CI 1.8 to 3.1, p=0.001), plasma sodium level (OR 1.3, 95% CI 1.1 to 1.7, p=0.02), and systolic blood pressure (OR 2.2, 95% CI 1.9 to 2.8, p=0.01) were the independent predictors of in-hospital mortality. Conclusion: In-hospital mortality increases in patients who had lower systolic blood pressure, lower plasma sodium level, and renal dysfunction on admission. |
5. | Drug-induced Torsades de Pointes in patients aged 80 years or more Yael Paran, Noa Mashav, Oren Henis, Michael Swartzon, Yaron Arbel, Dan Justo PMID: 18676301 Pages 260 - 265 Objective: We studied all English-written peer-reviewed reports on drug-induced Torsades de Pointes (TdP) in patients aged 80 years or more in order to characterize the clinical circumstances leading to this serious complication. Methods: Our literature search yielded 24 reports on 25 patients aged 80-95 years with drug-induced TdP. We systematically reviewed each report and recorded the non-modifiable risk factors for drug-induced TdP (i.e., female sex and structural heart disease) as well as preventable clinical circumstances, which might have been associated with drug-induced TdP. Results: The most prevalent risk factors for drug-induced TdP were non-modifiable risk factors: 22 (88%) patients were female patients and 19 (76%) patients had structural heart disease. Overall, 16 (64%) patients were female patients with structural heart disease. The literature did not report any elderly male patients without structural heart disease. Among the preventable clinical circumstances, which might have been associated with drug-induced TdP, the most prevalent were: administrating QT prolonging agents despite long QT interval (n=11; 44%) and co-administration of two or more QT prolonging agents (n=9; 36%). The most prevalent QT prolonging agents found to trigger TdP were macrolides and quinolones (n=9; 36%). All but three patients had at least one or more preventable clinical circumstances, which might have been associated with drug-induced TdP. Conclusion: Physicians should be more aware of the risk for drug-induced TdP in patients aged 80 years or more while administrating QT prolonging agents despite long QT interval and co- administrating two or more QT prolonging agents, specifically in elderly female patients with structural heart disease. |
6. | QT dispersion during hypobaric hypoxia Cengiz Öztürk, Ahmet Şen, Cengiz Han Açıkel, Tevfik Fikret İlgenli, Yalçın Önem, Ahmet Öztürk, Ahmet Akın PMID: 18676302 Pages 266 - 270 Objective: Hypoxia is one of the major concerns in aviation. Clinical hypoxia has been shown to increase QT dispersion (QTd). We aimed to examine QTd during hypobaric chamber training to observe the effect of hypobaric hypoxia on QT dispersion. Methods: A total of 38 healthy male aviators volunteered to take part in this longitudinal study. Subjects' electrocardiograms were recorded by 12-lead digital Holter device before, during, and after hypobaric exposure at simulated altitude of 30,000ft. Data from 23 of the subjects, aged 27.91±6.02 years (range 22–39) was used. QT intervals were measured manually. QT dispersion and heart rate adjusted QTd (QTcd) were calculated for each subject. Statistical significance of changes in parameters was analyzed using the Friedman test. Comparison of pre-post exposure clusters was made using Dunn’s test. Results: QT dispersion values were as following: prehypoxic 64.09±8.39 ms, hypoxic 50.35±11.06 ms and posthypoxic 59.83±9.06 ms (Median: 64, 50, 60; Mean rank: 2.65, 1.28, 2.07) (p=0.0001 for prehypoxic–hypoxic, p=0.046-prehypoxic-posthypoxic, and p=0.002 for posthypoxic-hypoxic). Heart rate values were as following: prehypoxic 74.09±6.43 beats/min, hypoxic 127.1±17.39 beats/min, and posthypoxic 95.17±11.35 beats/min (Median: 75, 122, 92; Mean rank: 1, 3, 2) (p=0.0001 for prehypoxic–hypoxic, prehypoxic–posthypoxic, and posthypoxic–hypoxic). The change in QTd and HR during hypobaric chamber exposure was statistically significant but, the change in QTcd was not (p<0.001, p<0.001, p>0.1, respectively). Conclusion: From the findings of present study, it is not possible to directly comment on the validity of QTd in revealing arrhythmogenic predisposition of healthy subjects exposed to hypobaric hypoxia. The relationship between QT dispersion and hypobaric hypoxic exposure is not clear, particularly when QTd is corrected for the increased heart rate. QT dispersion measurement has not been proven a reliable and practical method to show arrhythmia predisposition during a hypobaric hypoxic exposure in healthy individuals. |
7. | Assessment of aortic stiffness and ventricular functions in familial Mediterranean fever İsmail Sarı, Özlem Arıcan, Gerçek Can, Bahri Akdeniz, Servet Akar, Merih Birlik, Mehmet Tunca, Nurullah Akkoç, Sema Güneri, Fatoş Önen PMID: 18676303 Pages 271 - 278 Objective: To investigate systolic and diastolic ventricular functions, aortic elastic properties and the presence of pericardial effusion in familial Mediterranean fever (FMF) patients. Methods: A case-controlled, cross-sectional study was performed on 44 FMF patients and 27 controls. Subjects with hypertension, diabetes mellitus and hyperlipidemia were excluded. Left and right ventricular functions were measured using echocardiography including two-dimensional, M-mode, and conventional Doppler as well as pulsed wave tissue Doppler imaging (TDI). Aortic elasticity was analyzed using M-mode tracing guided by the two-dimensional echocardiography. Statistical analysis was performed using Mann Whitney U, Spearman rho correlation and Fisher's exact tests. Results: Age, sex, body mass index, smoking status and lipids were comparable in patients and controls (p>0.05). None of the subjects had pericarditis and/or pericardial effusion. Aortic wall properties were similar between groups (p>0.05). The TDI parameters of mitral lateral annulus revealed significantly lower Em/Am ratios in patients compared to controls [1.77 (0.6-3.4) vs. 1.79 (0.9-4.8), p=0.02]. Mitral flow propagation velocity was significantly lower in patients than healthy subjects [63 (39-100) vs. 74 (40-94) cm/s, p=0.008]. Tricuspid annular plane systolic excursion (TAPSE) was significantly reduced in FMF group than in controls [2 (1.3-2.5) vs. 2.5 (1.7-3.2) cm; p<0.001]. Eight of the patients and one control had impaired TAPSE (<2 cm; p=0.025). There was no difference regarding right ventricular diastolic dysfunction (RVDD) as assessed by using standard Doppler echocardiography (p>0.05). However, pronounced RVDD was observed in FMF patients documented by TDI (Em/Am<1; 19 patients vs. 0 controls, p<0.001). Conclusion: Subclinical myocardial involvement is present in a cohort of relatively young FMF patients who were also free of classical cardiovascular risk factors. Pericardium and aorta seem to be spared during attack free periods of FMF. |
8. | Seven years of experience in patients with pulmonary arterial hypertension in Ege University Hospital: diagnostic approach of a single center Meral Kayıkçıoğlu, Hakan Kültürsay PMID: 18676304 Pages 279 - 285 Objective: Pulmonary arterial hypertension (PAH) is a term used to define a variety of progressive conditions that have in common, increased pulmonary vascular resistance leading to right heart failure and death. There has been considerable decrease in mortality and morbidity with the advances in PAH treatment over the past decade. However, since there is no epidemiologic study in Turkey, the prevalence of PAH and its importance is not known yet. This study aimed to evaluate the diagnostic clinical experience of Ege University Medical School Cardiology Department with PAH patients. Methods: We evaluated the diagnostic approach to patients referred to our department with the diagnosis of PAH since 2000 by retrospective analysis method. Results: The diagnosis of pulmonary hypertension was definite in 70 patients (mean age 47±16 years, 61% women). Etiology from most prevalent to least was as following: congenital heart diseases (27%), chronic thromboembolic pulmonary hypertension (24%), connective tissue diseases-scleroderma (14%), idiopathic PAH (8%), diastolic dysfunction (3%), pulmonary disease (3%), pulmonary veno-occlusive disease (2%), hepatopulmonary hypertension (1%), and HIV-infection associated PAH (1%). At diagnosis, 68% of patients were in NYHA functional class-III or IV. Six-minute walk test was 263±127m. Mean pulmonary artery pressure was 65±20 mmHg. The prognostic marker pro-BNP (brain natriuretic peptid) level was 3208±4145 pg/ml. Conclusion: Our practice shows that PAH is diagnosed late in the course of the disease in Turkey. This can be overcome with structured management in designated centers with multidisciplinary team-working in a shared care approach. There is also an urgent need for an epidemiological registry in order to determine the burden of PAH in Turkey and increase the awareness of doctors. |
9. | Surgical experiences in acute spontaneous dissection of the infrarenal abdominal aorta Yusuf Kalko, Ülkü Kafa, Murat Başaran, Taylan Köşker, Özerdem Özçalıkan, Erdal Yücel, Ünal Aydın, Tahsin Yaşar PMID: 18676305 Pages 286 - 290 Objective: Spontaneous dissection of the abdominal aorta should be considered as a vascular surgical emergency. We report here our experience with this rare pathology. Methods: At our hospital, we operated on 200 patients for abdominal aortic aneurysm over a 4-year period, and aortic dissection was the underlying pathology in eight of them. Diagnosis was based on history, imaging study findings and visualization at surgery. Results: The mean size of the aorta at the time of diagnosis was 5.5 ± 0.4 cm. Aortic dissection was complicated by acute ischemia of lower limb and paraplegia in 1 patient and four patients were admitted to hospital with severe abdominal and back pain. Two patients with contained rupture were admitted with hemodynamic collapse and shock. One of the patients who presented with abdominal pain experienced also sudden onset paraplegia. The diagnosis of dissecting abdominal aortic aneurysm was established incidentally in the remaining 2 patients. All patients were treated using open techniques with paramedian transperitoneal incision. We performed aorto-bifemoral bypass operation procedure in all patients; there was no post-operative mortality in our series. One patient had to be reoperated because of bleeding during early postoperative period. One patient required transient dialysis at early postoperative period because of transient rise of serum creatinine level. Conclusion: The surgical treatment of spontaneous abdominal aortic dissection is usually associated with low morbidity and mortality rates. However, the clinical form of presentation of acute abdominal aortic dissection is usually nonspecific, and diagnosis requires a high index of suspicion. |
10. | The role of multislice tomography to prevent postoperative strokes related with atherosclerotic plaques in the ascending aorta after coronary artery bypass Oral Hastaoğlu, Onur Sokullu, Soner Sanioğlu, Sinan Şahin, M. Sinan Kut, Hayati Deniz, Umut Ayoğlu, Hamdi Toköz, Fuat Bilgen PMID: 18676306 Pages 291 - 296 Objective: Atheromatous plaques in the ascending aorta are major risk factors for strokes caused by macroembolization after coronary artery surgery. Detection of plaque formations and changes in the surgical strategy are very important. This study was planned to compare value direct palpation and multislice computerized tomography to establish aortic plaques and to establish clinical predictors of aortic calcification. Methods: Fifty-four patients who underwent coronary bypass surgery were included in this prospective and diagnostic study. Proximal portion of each patient’s aorta was evaluated with multislice computerized tomography and was compared with direct palpation. The efficacy of intraoperative palpation to predict calcifications was studied with ROC analysis and the predictors of aortic plaque formation were analyzed using logistic regression analysis. Results: Atheromatous plaques were detected with palpation in four patients (7.4%), and with multislice tomography in six patients (11.1%). The aortic instrumentation was changed in two patients (3.7%) and strategy was changed in one patient (1.8%).According to the ROC analysis, when multislice computerized tomography was taken as the reference, intraoperative direct palpation was 67% sensitive and 100% specific to predict aortic plaques. Logistic regression analysis of the risk factors showed that the older age was the only significant risk factor (OR – 1.3, 95% CI -1.114-1.568, p=0.001) for plaque formation in the aorta. Neither stroke nor other neurological disorders have been observed during the study. Conclusions: It can be stated that multislice computerized tomography is more effective to show aortic plaques, but it is not sufficient. Multislice tomography may give additional information about the ascending aorta and the opportunity to visualize the aortic arch. It can be preferred in patients with aortic aneurysm or dissection. |
REVIEW | |
11. | Biotechnology and stem cell research: a glance into the future Günseli Çubukcuoğlu Deniz, Serkan Durdu, Ahmet Rüçhan Akar, Ümit Özyurda PMID: 18676307 Pages 297 - 302 The present review addresses the issues related to innovative contributions in biotechnology and their potential role in stem cell research at present and in the future. We can expect that future developments and applications in biotechnological sciences and industry will effect the direction of emerging cellular therapies. The use of these advances may offer a unique opportunity to investigate the mechanisms related to the journey from embryonic cells or bone-marrow derived stem/progenitor cells to cardiomyocytes or endothelial cells and the molecular regulators of cell differentiation. |
SCIENTIFIC LETTER | |
12. | Suggestions for definition and classification of double right coronary artery, which is frequently seen in Turkey despite its rarity in the literature Mutlu Vural PMID: 18676308 Pages 303 - 304 Abstract |Full Text PDF |
13. | Amebic pericarditis: a summary of Thai cases Viroj Wiwanitkit PMID: 18676309 Page 305 Abstract |Full Text PDF |
CASE REPORT | |
14. | Thrombus fragmentation using iliac balloon angioplasty in a patient with massive pulmonary embolism Mehmet Kanadaşı, Abdurrahman Tasal, Mesut Demir, Abdi Bozkurt, Hakan Poyrazoğlu, Esmeray Acartürk PMID: 18676310 Pages 306 - 308 Abstract |Full Text PDF |
15. | Isolated left pulmonary artery agenesis Cantürk Taşçı, Cengiz Öztürk, Nuri Karadurmuş, İbrahim Ertuğrul, Şenol Bal, Arzu Balkan, Metin Özkan, Hayati Bilgiç, Kudret Ekiz PMID: 18676311 Pages 308 - 310 Abstract |Full Text PDF |
16. | Fibroelastoma of the posterior mitral leaflet Kaan İnan, Alper Uçak, Onur Selçuk Göksel, Veysel Temizkan, Murat Uğur, Eralp Ulusoy, Melih Hulusi Us, Ahmet Turan Yılmaz PMID: 18676312 Pages 310 - 312 Abstract |Full Text PDF |
17. | Perventricular closure of muscular ventricular septal defect in an infant Alpay Çeliker, Süheyla Özkutlu, İlkay Erdoğan, Tevfik Karagöz, Ö Faruk Doğan, Metin Demircin PMID: 18676313 Pages 312 - 313 Abstract |Full Text PDF |
18. | Bilateral common peroneal nerve palsy following cardiac surgery Berrin Durmaz, Funda Atamaz, Arzu On PMID: 18676314 Pages 313 - 314 Abstract |Full Text PDF |
LETTER TO THE EDITOR | |
19. | May positive U waves in V1-V3 leads predict left main coronary artery occlusion? Ersan Tatlı, Tarık Yıldırım, Meryem Aktoz, Mutlu Büyüklü PMID: 18676316 Page 315 Abstract |Full Text PDF |
20. | A rare pathogen causing endocarditis: Streptococcus constellatus Zeynep Şenses, Mehmet Yokuşoğlu, Bilgehan Savaş Öz, Aylin Üsküdar Güçlü, Hakan Erdem, Oben Baysan, Mehmet Baysallar PMID: 18676315 Pages 315 - 316 Abstract |Full Text PDF |
21. | A rare cause of dilated cardiomyopathy; Alström syndrome Cihan Ünlü, İhsan Üstün, Fahrettin Akay, Umuttan Doğan PMID: 18676317 Pages 316 - 317 Abstract |Full Text PDF |
22. | The use of renal stents in percutaneous treatment of very large coronary arteries Özcan Özeke, Deniz Kumbasar, Erdoğan İlkay PMID: 18676318 Pages 317 - 318 Abstract |Full Text PDF |
MISCELLANEOUS | |
23. | Continuous international network building to promote scientific publication: Scientific Summer School, Pezinok, Slovakia, May 25 – 30, 2008 Ljuba Bacharova, Jana Kirchnerova PMID: 18676319 Pages 319 - 321 Abstract |Full Text PDF |
24. | In Memoriam of Prof.Dr. Sabih Oktay (1912-2008) Güneş Akgün Page 322 Abstract |Full Text PDF |
E-PAGE ORIGINAL IMAGES | |
25. | Warfarin induced benign acral cutaneous lesions in two cardiac patients with decreased protein C and S activity Mutlu Vural, Servet Usta, Rabia Kaya PMID: 18676288 Page E1 Abstract |Full Text PDF |
26. | Right coronary artery originating from distal circumflex artery in a patient with single coronary artery Turgut Karabağ, Abdullah İçli, Halil Kahraman PMID: 18676287 Pages E22 - E23 Abstract |Full Text PDF |
27. | Successful reimplantation of prematurely displaced stent to the target lesion without balloon inflation during percutaneous intervention to the right coronary artery Ibrahim Halil Kurt PMID: 18676289 Pages E23 - E24 Abstract |Full Text PDF |
28. | Myocardial blushing during coronary angiography due to high pressure applied by an inexperienced operator Mustafa Özkan, Cemal Sağ, Mehmet Yokuşoğlu, Mehmet Uzun PMID: 18676290 Pages E24 - E25 Abstract |Full Text PDF |
29. | Right ventricular lipoma İlkay Erdoğan, Dursun Alehan, Tuncay Hazırolan, Mithat Haliloğlu PMID: 18676291 Pages E25 - E26 Abstract |Full Text PDF |
30. | Giant metastatic left atrial tumor leading to pulmonary edema Ibrahim Halil Kurt, Alladdin Pekedis PMID: 18676293 Page E26 Abstract |Full Text PDF |
31. | Ball thrombus in ligated left atrial appendage Şakir Arslan, Fuat Gündoğdu, Serdar Sevimli, Bilgehan Erkut PMID: 18676292 Pages E26 - E27 Abstract |Full Text PDF |
32. | A prominent Chiari network prolapsing into right ventricle Lütfü Bekar, Orhan Önalan, Fatih Altunkaş, Hasan Atmaca, İlksen Atasoy, Köksal Ceyhan PMID: 18676295 Page E27 Abstract |Full Text PDF |
33. | Management of an enlarging pericardial cyst Adem Güler, Mehmet Ali Şahin, Nezihi Küçükarslan, Orhan Yücel, Hakan Bingöl, Harun Tatar PMID: 18676294 Pages E27 - E28 Abstract |Full Text PDF |
34. | Giant aneurysm of the ductus arteriosus Gayaz Akçurin, Halil Ertuğ, Fırat Kardelen, Saim Yılmaz, Utku Şenol, Coşkun İkizler PMID: 18676296 Pages E28 - E29 Abstract |Full Text PDF |
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