Hüseyin Bayram

Prosthetic valve endocarditis 7 months after transcatheter aortic valve implantation diagnosed with 3D TEE.

Transcatheter aortic valve implantation (TAVI) was introduced as an alternative treatment for patients with severe symptomatic aortic stenosis for whom surgery would be high-risk. Prosthetic aortic valve endocarditis is a serious complication of surgical AVR (SAVR) with high morbidity and mortality. According to recent cases, post-TAVI prosthetic valve endocarditis (PVE) seems to occur very rarely. We present the case of a 75-year-old woman who underwent TAVI (Edwards Saphien XT) with an uneventful postoperative stay. She was diagnosed with endocarditis using three dimensional (3D) echocardiography on the TAVI device 7 months later and she subsequently underwent surgical aortic valve replacement. Little experience of the interpretation of transoesophageal echocardiography (TEE) and the clinical course and effectiveness of treatment strategies in post-TAVI endocarditis exists. We report a case of PVE in a TAVI patient which was diagnosed with three-dimensional transoesophageal echocardiography (3DTEE).

Repair of Popliteal Artery and Vein Penetrating Injury Using Posterior Approach: Case Report

72 Vascular injuries from penetrating or blunt traumas frequently threaten the extremity and even may be life-threatening, necessitating emergent treatment. Management of these patients aim to save the extremity and the patient’s life. Standard surgical incisions may be hard to be applied in trauma patients since the wounds and traumatic regions differ in each patient. Therefore, to make surgical management easier, surgical incisions should be modified according to the localization of the injury, as we preferred to do the incision at the popliteal region in a patient with pistol shot injury. This case report is important since we must to keep in mind modifying the surgical incisions based on the localization of the injury because trauma patients are frequently challenging and difficult to manage. Repair of Popliteal Artery and Vein Penetrating Injury Using Posterior Approach: Case Report

Ruptured sinus of valsalva aneurysm and coarctation of aorta in a woman at early postpartum period.

Coarctation of aorta and sinus of Valsalva aneurysm are frequently missed congenital cardiac defects that their diagnosis might be delayed. To our knowledge, coincidence of these cardiac defects is unusual and has not been reported in the literature before. Here, we present a patient with coarctation of aorta and ruptured noncoronary sinus of Valsalva aneurysm leading to aorto-right atrial fistula in the early postpartum period and our management of this unusual case.