Abdullah Tunçez

Negative pressure pulmonary edema following septoplasty surgery triggering acute subendocardial myocardial in farction

Negative pressure pulmonary edema (NPPE) is defined as fluid transudation into the pulmonary interstitium which occurs as a result of elevated negative intrathoracic pressure caused by the upper respiratory tract obstruction and strong inspiratory effort. NPPE is usually seen during emergence from general anesthesia in the early post-operative period especially after upper respiratory tract surgery. We present a case of a 37-year-old male patient who underwent septoplasty operation and developed NPPE which could not diagnosed and progressed to acute subendocardial myocardial infarction.

Letter by Tunçez et al Regarding Article, “Identifying Patients at Risk for Prehospital Sudden Cardiac Arrest at the Early Phase of Myocardial Infarction: The e-MUST Study (Evaluation en Médecine d’Urgence des Stratégies Thérapeutiques des infarctus du myocarde)”

We read with great interest the article by Karam et al.1 The authors reported the results of the e-MUST study (Evaluation en Medecine d’Urgence des Strategies Therapeutiques des infarctus du myocarde), and they identified 5 predictors for the occurrence of out-of-hospital sudden cardiac arrest at the early phase of ST-segment–elevation myocardial infarction: younger age, absence of diabetes mellitus, absence of obesity, shortness of breath, …

Ultrasound vs Angiography for Drug-Eluting Stent Implantation

EnglishIn a large multicenter, randomized clinical trial based on a 3% absolute improvement in major adverse cardiac events (cardiac death, target lesion–related myocardial infarction, and ischemia-driven target lesion revascularization), the authors concluded that intravascular ultrasound (IVUS)-guided everolimus-eluting stent implantation was superior to angiography-guided placement.1 Two important methodological differences between the groups raise questions about the conclusions. EnglishSuboptimal stent deployment is a major problem with percutaneous coronary intervention (PCI) and is associated with an increased risk of major adverse cardiac events such as death, stent thrombosis, and target vessel revascularization.1 Intravascular ultrasonography has been effective in optimizing stent deployment,2 but leads to more balloon dilations after stent implantation.

Letter by Tunçez et al Regarding Article, "The Forgotten Valve: Isolated Severe Tricuspid Valve Stenosis".

We read with great interest the article by Al-Hijji et al.1 The authors reported the case of a 67-year-old white man who had undergone cardiac resynchronization therapy with defibrillator (CRT-D) placement 9 months before. He presented with fatigue and dyspnea on exertion for 6 months. Isolated severe tricuspid valve stenosis was detected, and the patient underwent redo thoracotomy for tricuspid valve …

Ülseratif Kolitli Bir Hastada Perikardiyal Effüzyon: Nadir Bir Olgu Sunumu

Inflamatuar barsak hastaliklarinda barsak disi belirtiler iyi tanimlanmasina ragmen kardiyak tutulum nadiren bildirilmistir. 63 yasinda erkek hasta nefes darligi ve kuru oksuruk sikayeti ile kardiyoloji poliklinigine basvurdu. Ekokardiyografide minimal perikardiyal effuzyon vardi. Gunde iki kez 600 mg Ibuprofen recete edildi. Hasta carpinti, gogus agrisi ve nefes darliginda artma olmasi uzerine dort gun sonra hastaneye basvurdu. Kardiyoloji servisine yatirildi. Tibbi hikayesinde ulseratif kolit tanisi oldugu ve alti aydir tedavi almadigi belirlendi. Tekrar yapilan ekokardiyografide effuzyonun arttigi ve sag atriyuma basi oldugu tespit edildi. Oral prednizolon ve mesalamin ile tedavi edildi. Alti gun icinde gogus belirtilerine ilaveten barsak belirtileri duzeldi ve hastaneye basvurduktan alti gun sonra iyi durumda taburcu edildi. Bu surede perikardiyal effuzyon tamamen gerilemisti. Nedeni tespit edilemeyen perikardiyal effuzyon vakalarinda ayirici tanida ulseratif kolit mutlaka dusunulmelidir. Anahtar kelimeler: Perikardiyal Effuzyon; Ulseratif Kolit; Kortikosteroid Tedavisi.Extraintestinal manifestations are well described in inflammatory bowel disease. A 63 year-old male was admitted to our clinic with the complaint of dyspnea and dry cough. Echocardiography revealed minimal pericardial effusion. He was prescribed ibuprofen 600 mg twice on a daily basis. Four days later, he was admitted to the hospital due to palpitations, chest pain and increased dyspnea. From the medical history results, it was clear that the patient had ulcerative colitis and did not have medical treatment for the last sixth months. He was treated with oral prednisolone and mesalamine. Within six days, his bowel symptoms as well as his cardiac symptoms improved for the better, and the patient was discharged in good condition on day six after his admission to hospital. Pericardial effusion was completely resolved. Ulcerative colitis, which may not be detected as an underlying cause, should be considered in pericardial effusion cases as differential diagnosis.

Letter by Tunçez et al Regarding Article, “MacCallum Plaque Causes Acute Myocardial Infarction in a Young Man”

We read with great interest the article by Lu et al.1 The authors reported a case of a young patient who presented with myocardial infarction caused by MacCallum plaques over the aortic root. We have some comments about this report. Transthoracic and transesophageal echocardiography are the cornerstone tools for detecting and evaluating the existence and severity of heart valve disease, thoracic aortic …