Hakan Göçer

Transfusion-related acute lung injury following coronary artery bypass graft surgery

Blood transfusion is sometimes a necessary procedure during or following coronary artery bypass graft (CABG) surgery. However, transfusion-related acute lung injury (TRALI)/possible TRALI is a rare and fatal complication and characterized by acute hypoxemia and non-cardiogenic pulmonary edema that occurs within 6 hours following a transfusion. Anti-leukocyte antibodies or, possibly, other bioactive substances cause inflammation and capillary endothelial destruction in susceptible recipients’ lungs. Prompt diagnosis and mechanical ventilatory support are important. A successful treatment of two male patients following CABG surgery, compatible with TRALI/possible TRALI, is presented here.

Emergent operation of an extensive pulmonary damage after thoracal gunshot assault

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Symptomatic Failure in Endovenous Thermal Ablation Caused by the Existence of Type-B Saphenopopliteal Junction: Original Image

rent treatment modalities of the incompetent superficial veins of the lower extremity. The indications of these procedures are identical to those of the sclerotherapy and open surgery.1 Axial veins, namely the great saphenous vein (GSV), small saphenous vein (SSV), and the accessory saphenous veins (ASVs) are the primary targets of this therapy. However, anatomic variations in the venous system are numerous, and they all require different strategies according to their diversity for the proper treatment. As the knowledge about the venous system is steadily increasing with the use of ultrasonography, clinical vascular anatomy is now in a period of detailed reconsideration.2 In this paper, an uncommon anatomic variation of the Saphenopopliteal Junction (SPJ) (Type-B) with the cranial continuation of the insufficient SSV and its endovenous treatment that complemented the previous ablation of the GSV was reported.