Necmettin Korucuk

Red cell distribution width and neutrophil-to-lymphocyte ratio predict left ventricular dysfunction in acute anterior ST-segment elevation myocardial infarction

Objectives Red cell distribution width (RDW) and neutrophil-to-lymphocyte ratio (NLR) are the two markers used to determine risk of mortality and adverse cardiovascular outcomes in patients with acute myocardial infarction. The relationship between RDW, NLR, and left ventricular (LV) systolic functions has not been reported. In this report, we aimed to investigate the relationship between RDW, NLR, and LV systolic function in anterior ST-segment elevation myocardial infarction (STEMI) patients who underwent primary percutaneous coronary intervention (PCI). Methods RDW and NLR were measured on admission in 106 STEMI patients treated with primary PCI. Patients were divided into two groups according to left ventricular ejection fraction (LVEF), as Group I (systolic dysfunction, LVEF <50%) and Group II (preserved global left ventricle systolic function, LVEF ⩾50%). The first group included 47 patients and the second group included 59 patients. Results Mean RDW and NLR were significantly higher in Group I compared to Group II [13.7 ± 0.9% vs. 13.4 ± 0.7%, p = 0.03 and 5.86 (range, 0.66–40.50) vs. 2.75 (range, 0.51–39.39), p = 0.013, respectively]. Conclusion Increased RDW and NLR on admission, in anterior STEMI patients treated with primary PCI are associated with LV systolic dysfunction.

Renal artery occlusion in the late postoperative period managed with renal artery stenting after endovascular abdominal aortic aneurysm repair and renal function salvage

Endovascular aneurysm repair (EVAR) of abdominal aorta is a valuable treatment option in selected patients with abdominal aortic aneurysm. Renal artery occlusion is a serious complication after EVAR and may progress to permanent renal injury requiring hemodialysis. In this report, case of unexpected renal artery occlusion after EVAR treated with renal artery stenting in the late postoperative period is described.

Rupture of sinus of valsalva aneurysm into left atrium in a patient who is a candidate for hepatic transplantation

Sinus of valsalva aneurysm (SVA) is a rare cardiac disease. The most common complication of SVA is rupture into the right atrium or right ventricle. Rupture into the left chambers is very rare. Patients with ruptured SVA are likely to die of heart failure or endocarditis. We present a 29-year-old man who was hospitalized for hepatic transplantation with rupture of SVA. Transthoracic echocardiography and transesophageal echocardiography showed rupture of a noncoronary SVA into the left atrium. Mitral valve infective endocarditis developed and surgery was planned for the patient, but the patient died due to multiple organ dysfunction syndrome.

Akut inferior miyokard infarktüsü ile prezente olan tip A aortik diseksiyon

Aort diseksiyonu, aortun media ve intima tabakasinin birbirinden ayrildigi, hizli tani ve tedavi gerektiren, olumcul seyreden bir kardiyovaskuler acildir. Acil serviste gogus agrisi nedeniyle cekilen elektrokardiyografilerde akut miyokard infarktusu bulgulari saptanabilir. Hizli tani ve akut miyokard infarktusunden ayirici tanisi icin transtorasik ekokardiyografi ve multidedektorlu bilgisayarli tomografinin onemi buyuktur. Biz bu yazimizda acil servise gogus agrisi sikayeti ile basvuran, elektrokardiyografide akut inferior miyokard infarktusu bulgulari olan ancak transtorasik ekokardiyografi ile aort diseksiyonundan suphelendigimiz, multidedektorlu bilgisayarli tomografi ile de tanisini kesinlestirdigimiz 83 yasinda bir kadin hastayi sunduk.