Search Results

☑️ Acute joint rheumatism, rheumatic fever, fibrous thickening of the aortic valve and later retraction of the valve, ☑️ In cases where the hole between the two ventricles is adjacent or close to the VSD aortic valve, ☑️ Tearing of any leaflet of the aortic valve is among the most common causes of chest trauma (traffic accident, fall, etc.). ACUTE JOINT rheumatism: acute rheumatoid arthritis (AER); It is a rheumatic disease that affects the heart, joints, nervous system and skin. Although AER can be seen at any age, it is more common between the ages of 5-15 years. Symptoms in AER appear 2-4 weeks after streptococcal throat infections. AER symptoms occur after very few streptococcal throat infections. SYMPTOMS OF ACUTE JOINT rheumatism: - Joint swelling and pain (ankles, elbows, knees, wrists) - Chest pain and respiratory distress - Tiredness - carditis - Involuntary movements of the face and hands (chorea) occur in 1% of patients. - Skin rashes (rarely) - Subcutaneous nodules (rarely) CAUSES OF ACUTE JOINT rheumatism: The exact cause of AER is unknown. Only a fraction of people with streptococcal throat infections develop AER. Again, some of these patients have joint involvement, and some have cardiac involvement. The disease is probably caused by the immune system's inability to distinguish between bacterial products and heart valves and heart muscle and joints. Causes of Aortic Stenosis Aortic stenosis can occur in 3 ways; Under the lid, at the lid level and above the lid, it is largely dependent on the lid in the adult. Stenosis due to the aortic valve is divided into two; rheumatic and non-rheumatic. While rheumatic aortic stenosis constitutes 30-40% of patients in western countries, this rate is higher in our country. Due to rheumatism, the aortic valve thickens and becomes inflamed, and over time, the valve deteriorates and the three normally mobile leaflets adhere to each other and calcification occurs, making it similar to a piece of stone. Rheumatic aortic stenosis often causes disease of the mitral heart valve, but its clinical significance may be different. Non-rheumatic aortic stenosis is in two forms; It is 'Congenital' and 'Degenerative'. Congenital aortic stenosis is more common. Bicuspid aortic stenosis is the most common. Normally, the aortic valve has 3 leaflets, while the aortic valve has 2 leaflets. 1 or 2 out of every 100 people in the community are born with a bicuspid aortic valve. These bicuspid valves may deteriorate over time or may show a completely normal course. Disruption of this valve may result in aortic stenosis, aortic regurgitation (leakage), or both (stenosis and leak). Sometimes, a picture of microbial infection in the heart valve, which we call endocarditis, may occur on this valve floor. Calcific aortic stenosis occurs with calcification of the congenital bicuspid valve. With the progression of calcification, the occurrence of significant aortic stenosis usually occurs between the ages of 50 and 60. Degenerative type aortic stenosis is also named as atheriosclerotic, idiopathic calcific and senile. It has a normal three-leaf cover. Calcification develops due to atherosclerosis (hardening of the arteries). Significant aortic stenosis develops in the 60s-70s and 80s. Cause of Aortic Insufficiency The most common cause is acute joint rheumatism. Rheumatic fever causes fibrous thickening of the aortic valve and then aortic regurgitation by retracting the valve. The second most common is infective endocarditis (on the basis of the bicuspid or normal valve). Infective endocarditis is microbial infection of the heart valve. Again, in cases where the hole between the congenital two ventricles (VSD: Ventricular Septal Defect) is adjacent or close to the aortic valve, aortic failure may occur over time. Aortic insufficiency may occur with the rupture of any leaflet of the aortic valve in chest traumas (traffic accident, fall, etc.). Apart from these, other causes of aortic insufficiency; myxamatous degeneration, rheumatoid arthritis and systemic lupus erythromatosis can cause aortic insufficiency. Aortic regurgitation occurs in Marfan Syndrome, which causes enlargement of the aorta (in arteriosclerotic or syphilitic aortic aneurysm with a similar mechanism), in annuloaortic ectasia where there is enlargement due to weak aortic valve circumference, with or without Marfan Syndrome. Again, aortic insufficiency may occur in aortic dissection, which creates a tear between the layers of the aortic vessel. Various rheumatic and systemic diseases (Rheumatoid Arthritis, Reiter's Syndrome, Psoriasis, Takayasu's Disease) can cause aortic insufficiency by involving the aortic valve.

As a team, we performed a very important operation. 5 years ago, we had an emergency operation due to the rupture of the aorta, which we call the main carotid artery, which comes out of the heart. In other words, the area where the vital veins going to the brain and the vital veins going to the arms were torn. All of a sudden, blood flow to the brain has stopped and the cerebral artery is completely occluded. This is what we call carotid artery dissection in the medical literature. We can also express it as a carotid artery rupture. The probability of a rupture, which we call dissection, in the jugular vein, in the neck vein, and in the vein that goes to the brain, is very low. It is one of the very rare cases in the world, such as 1 or 2 per thousand. Therefore, carotid artery dissection is among the rare cases. This is a very difficult surgery. It is a very rare but very challenging surgery, in which I have done only 8-10 heart surgeries in my nearly 10,000 heart surgery experience. Our team overcame this. Antalya is very lucky in this regard. Antalya is really lucky to have a center with intensive care, service, operating rooms, doctors and such experienced people.

Epilepsy is a clinical picture that includes recurrent seizures due to an underlying process. Epileptic seizures occur as a result of sudden abnormal and intense discharges of nerve cells in the brain. The clinical picture can be very diverse. It varies according to which region of the brain the nerves are discharged and whether they spread to the whole brain. In the classical type (generalized tonic-clonic type seizure), which is called epileptic seizure among the people, epileptic seizures can be seen in the form of contractions in the hands and in the form of foaming at the mouth, as well as in the form of fainting attacks in the eyes that last only a few seconds (absence type epilepsy). Seizures can be seen with or without a change in consciousness. Its incidence in the community is between 5 and 10 people per thousand. What are the types of epilepsy? There are two types of epileptic seizures: partial (partial) or generalized (common). In partial (partial) seizures, seizure activity is limited to a certain part of the brain and does not spread to other parts of the brain. In generalized epilepsy, other parts of the brain are commonly affected simultaneously. In partial seizures, there is usually a structural disorder of the underlying brain. 1-Partial (partial) seizures Partial (partial) seizures are divided into two groups as simple partial epilepsy and complex partial epilepsy. While there is no unconsciousness in simple partial seizures, there is impairment in consciousness in complex partial seizures. The symptoms seen in partial (partial) seizures are the findings of whichever part of the brain is affected and which task this part of the brain assumes. In simple partial seizures, motor, sensory, autonomic or psychic complaints occur without any unconsciousness. While consciousness is completely normal in focal motor seizures, seizures may occur in the form of contraction-trembling in an arm or leg, or involuntary turning of the head and neck to one side, or seizures in the form of contraction-rotation and speech disorder in the whole body. In sensory seizures, seizures such as numbness, tingling, pain or burning in one arm, leg or half of the face can be seen in a part of the body. In seizures with autonomic symptoms, it can be in the form of flushing, decrease or increase in blood pressure, sweating, fading, pupillary enlargement or shrinkage. In seizures with psychogenic symptoms, it can be seen as déjà vu (feeling as if you have experienced that moment before), jamais vu (feeling as if you are in a very foreign place at the moment), fear and nervousness attacks. Complex partial epilepsy (psychomotor epilepsy) It usually starts as a strange feeling in the stomach and then stays still, looking at a fixed point, smacking, licking, meaningless movements as if playing with something with hands and fingers. The patient cannot answer when the people around him at that moment ask questions, assuming that the patient is awake. These seizures usually do not exceed 1-2 minutes. 2-generalized (common) seizures: Generalized seizures can be of absence, generalized myoclonic, generalized tonic, and generalized tonic-clonic types. Absence seizures are usually seen in children, and they are in the form of sluggish attacks lasting 5-10 seconds. The child stays in this way for 5-10 seconds, staring at something. In generalized myoclonic seizures, there may be sudden jumping movements in one or both arms. In the meantime, the patient can drop or throw the items in his hand. Generalized toic-clonic seizures are the most common of the generalized seizures. It is the type known as epilepsy among the people. The patient also has fainting in the hands, arms and whole body in the form of contractions and trembling. Foaming at the mouth, biting the tongue, urinary incontinence can be seen. Sometimes seizures may start as partial (partial) and become generalized. How is the diagnosis made in epilepsy? The presence of a seizure is of great importance in the diagnosis of epilepsy. Therefore, recording the seizures of epilepsy patients is very helpful in diagnosis. Brain MRI is performed to see if there is a structural lesion of the brain that causes epilepsy. EEG examination is important in order to diagnose or support the diagnosis of epilepsy and to determine the type of epilepsy. Epileptiform activity is observed at a rate of 50% in the awake EEG of adult patients with epilepsy. In EEG taken during sleep, this rate rises to 80%. Epileptiform activity can be seen on EEG in 2-3% of patients without epilepsy. For this reason, it is very important to see epileptic seizures. PET (positron emission tomography) can be used in some centers in cases where cranial MR and EEG do not provide information because it gives information about regional blood flow in some patients. What is the treatment for epilepsy? It can be difficult to determine whether the attack is an epileptic seizure in patients who have had a seizure for the first time. Cardiac or hypoglycemia such as syncope, arrhythmia, hypotension, hepatic failure

Minimally invasive heart surgeries are surgeries that are performed with minimal intervention to the patient with a number of navigations as much as possible. In pediatric cardiovascular surgery, we perform minimally invasive cardiac surgery in children with a hole in the heart and children with certain heart diseases. Most of the procedures we do in children are with the incisions we make from the front. In children with this type of hole in the heart, open heart surgery with 3.4.5 cm incisions from the right armpit, which is smaller than the incision we call anterior stenetomy, in children with a number of valve diseases such as ASD, VSD, AVSD, aortic valve and mitral valve diseases, is applied to the child. we are interfering. This is the most minimally invasive procedure currently available. Robotic surgery can also be performed, but robotic surgery is not possible for children in terms of weight. Robotic surgery can be applied to people over 40-50 kg. This exceeds the child group. We can perform minimally invasive pediatric heart surgeries on children over 7 kg.

Recently, there is an impression that the incidence of heart disease in newborn babies has increased. @drsistem @hhakanpoyrazoglu In fact, the incidence rate of the disease has not changed statistically, due to the fact that the early diagnosis of the disease is possible even in the womb, in line with the developments in medicine. In this case, it seems as if the rate of sick babies is increasing. With the developments in medicine, heart disease can now be detected even in the womb, and the public is more aware and conscious about diseases. According to statistics, congenital heart disease, that is, congenital heart disease, is seen in the range of 5-8 per thousand live births in the world; It means structural defect in the heart or the great vessels of the heart from birth and there are many types. In stillbirths, this figure is between 3 and 5 percent. Alcohol and drug use during pregnancy and advanced age pregnancy also have an important role in the disease. We are here with our entire team for the health of our babies and children, you can ask and consult your questions about heart diseases and their treatments. We wish you healthy days.

With the developments in medicine, heart diseases are detected in the womb. Recently, there is an impression that the incidence of heart disease in newborn babies has increased. In fact, the incidence rate of the disease has not changed statistically, in line with the developments in medicine, early diagnosis of the disease is possible even in the womb, and in this case, it seems as if the rates are increasing. With the developments in medicine, heart disease can now be detected even in the womb, and the public is more aware of the disease. According to statistics, there are 5-8 percent of live births in the world with conjunctal heart disease, and this figure is between 3 and 5 percent in stillbirths. A hole in the heart of babies who do not bruise is one of the most common diseases. Environmental and genetic factors play an important role in the development of the disease. Alcohol and drug use during pregnancy and advanced age pregnancy also have an important role in the disease. Check-ups are important during pregnancy Sometimes the baby can look like a normal baby even if he has a serious heart disease. However, when cardiac ultrasound (ECHO) is performed and the heart structure is examined, sometimes a major pathological problem can be encountered. Since the baby seems to be healthy, families may have difficulty in understanding or accepting this situation. Early diagnosis A wide variety of diseases can occur in newborn babies. For this reason, it is of great importance to evaluate the baby while it is still in the mother's womb. Today, with various examinations and imaging methods, the baby is 18-24. The diagnosis can be made while in the womb. smiling results We can intervene in diseases such as developing one side of the heart but not developing the other, diseases with increased lung and blood flow, cyanotic diseases with decreased pulmonary blood flow, stenosis in the artery coming out of the heart, heart valve diseases and non-closure of the vessels that should be closed in the womb. Cardiac angiography can be performed even when the baby is only 1 day old, and we can plan the surgery by performing all the necessary interventions.

There are three alternative surgical methods to open heart surgery, how can you determine which one is more suitable for you? @drsistem @profdrhakanpoyrazoglu If open heart surgery worries you when you hear you need heart surgery, you can breathe a sigh of relief because many heart surgeries are now performed using a minimally invasive or small incision approach. Benefits of minimally invasive surgeries; less bleeding, less trauma, less infection and faster recovery. It is applied very successfully in infants and children by physicians specialized in pediatric patients. In minimally invasive surgery, small incisions are made with or without the use of robotic surgery. This approach is known to give the best results for the three types of heart surgery. 1. Heart valve operations A valve repair or a valve replacement surgery is the most common minimally invasive procedure for heart surgery. It is performed on the side of the chest, under the armpit, through a small incision on the sternum. Traditional heart surgery requires a large incision in the middle of the breastbone (sternum), but these heart valve operations reduce the incisions to 5 to 8 cm in length. Not only does this reduce pain and blood loss, it also leaves less scarring and probably means you'll be out of the hospital sooner. 2. Coronary Artery bypass grafting Coronary artery bypass grafting (CABG) This procedure is more suitable for patients who need one or two bypass grafts. This Method, through CABG, bypasses one or more occluded coronary arteries with a blood vessel graft to restore normal blood flow to the heart. These grafts are usually taken from the patient's own arteries and veins in the chest, leg or arm. 3. Aortic procedures Some surgeons perform aortic procedures, such as aneurysm repair, through small incisions. Rarely, aortic aneurysm or Type B dissection repair can be accomplished with a small inguinal incision used to insert a stent graft through the artery. If you have high blood pressure or a disease that affects your body's connective tissues, the aortic artery sometimes develops a dissection (or tear) in its arterial lining. Your blood normally flows through the aortic artery like water in a garden hose. When a tear occurs, your blood also flows through the tear, creating two passages. Type B dissection can now be performed with a minimally invasive approach using a stent. Choosing the best approach for you When finding the best surgical option, it's important to find a heart surgeon with experience in all approaches. You two can then work together as a team to decide how best to solve your problem. Make sure your surgeon will choose the minimally invasive surgery option, feel free to ask questions. To get an idea of ​​how comfortable and experienced the surgeon is, you can ask how often they perform the surgery. We wish you healthy days.

Armpit heart surgeries, @drsistem @profdrhakanpoyrazoglu It can be made through a 6-8 cm incision under the armpit. Patients can walk a few days after surgery. In classical heart surgeries, the patient's frontal bone is cut and a long incision is made in the chest. In armpit heart surgeries, it is performed through a small incision made in the right armpit, by entering between the ribs, without cutting any bone or muscle, and without opening the anterior sternum. Thus, the probability of infection in this method is also low. Especially in women, the aesthetic anxiety that can be experienced due to the surgical scar is also eliminated. To Whom Can Underarm Surgery Be Applied? It can be applied to babies, children, young or old, overweight or weak, female or male, all heart valve patients and patients who need heart hole repair. -Mitral valve repair and replacement -Aortic valve replacement -Tricuspid valve repair and replacement -ASD (Atrial Septal Defect) repair -VSD (Ventricular Septal Defect) repair - Attempts to remove intracardiac tumors ADVANTAGES -The patient recovers quickly after surgery, - The duration of intensive care and hospital stay is shortened. -The need for blood transfusion is reduced. There is less pain after the operation. The wound heals quickly. The patient can lie in any position after the surgery. Compared to patients whose sternum is opened from the front, they do not have to lie on their back for a long time. -Especially those with high weight and sleep apnea; For patients who cannot sleep on their back, not having to lie on their back for a long time provides great comfort. -The risk of opening the sternum, which is feared especially in elderly patients with osteoporosis and high weight, is absent in this technique since the bone is not cut. After the surgery, the patient can easily get out of bed and lie down without assistance. The risk of infection is low as the bone is not cut and there is no risk of opening the sternum. -The patient can cough easily, there is no risk of opening the sternum. -The patient is discharged early. - Immediately after the operation, he can return to his daily life more easily and quickly, and even get on a plane. -Shortly after the surgery, he can sit in the driver's seat and wear a seat belt. -He does not have to be protected from a blow to the chest. -Can use his arms comfortably and lift heavy, swim. - Since the operation site is in the armpit, it is not easily visible. For detailed information and questions, you can ask questions and consult @hhakanpoyrazoglu by clicking the link, you can securely share your health information and examinations through our DrChat program.

Systemic–Pulmonary Artery Shunt Shunt (Shunt) means placing an artificial vessel between the systemic artery and the pulmonary artery. Systemic-pulmonary artery shunt surgery is performed when full correction surgery cannot be performed due to the patient's age, size, anatomy or in some other cases. Complex anomaly with severe cyanosis, irritability, and hypoxic episodes Newborns and infants in critical condition due to decreased pulmonary blood flow It is performed to develop hypoplastic pulmonary arteries. We sent our patient, who had aortic pulmonary shunt operation, to his home safely. #minimalinvasivesurgery

The mitral valve is located between the left atrium and left ventricle of the heart and prevents blood from flowing backwards. Mitral valve opening is 4-6 cm2. It consists of two leaflets and 3 muscles that allow 50 filamentous tissues extending from these leaflets to attach to the left ventricle and open and close the valve. Damage caused by any reason in one of these formations causes narrowing and/or insufficiency in the valve. This is called mitral valve disease. It progresses insidiously and over the years causes heart failure, hypertension in the pulmonary vessels, and accumulation of water in the body (edema). Stenosis or insufficiency in the heart valves may progress very slowly and impair the function of the heart. While our heart is working to pump enough blood to our body, it needs more work because the blood it sends back to the top in valve insufficiency, and because there is an obstacle in front of sending blood in stenosis - stenosis. Left heart chamber diameters enlarge in aortic and mitral valve regurgitations, irreversible cardiomyopathy and pulmonary hypertension may develop in delayed cases. Patients who do not want to have their chest opened at a young age may lose the chance of surgery or increase their risk within years, sometimes even months. In these surgeries performed under the armpit or under the breast, the patient may not even be able to see the operation site. Within a month, the location of the attempt becomes vague. It is preferred especially by young people and women. In open heart surgeries where the breastbone is completely cut, sexual intercourse is prohibited until the bone boils. The patient has to protect himself from a blow to his chest, he cannot be loaded on his arms. In interventions made from the armpit, the patient returns to normal performance in a short time. He does not have to hide his chest, he can swim in the sea or the pool in the summer, and the people around him cannot easily understand that he has had surgery. Since the opening is small and there is no bone incision, the risk of infection is lower. It reduces the risk of poor union of the anterior thoracic bone, playing with breathing and coughing (sternum dehiscence) that may develop after the operation in obese patients. It also reduces the risk of reoperation for the second operations that may be required in the future. It is best to be afraid of being late, not heart surgery anymore, it should not be forgotten that every day without treatment can put the heart into failure. Having our control examinations and tests done on time and not running away when surgery is recommended can save our hearts. These surgeries should be performed by experienced surgeons who have worked on minimally invasive surgery for years and have good operation results. Advantages of armpit incision; - There is less risk of bleeding and infection. - The recovery period is short and the healing process is fast. - Aesthetically and psychologically, the patient has a healthier process. - Less labor loss. - The sternum is not cut and the patient does not have to lie on his back for 2 months.