S. Yaşar

PP-072 PERSISTENT LEFT SUPERIOR VENA CAVA WITH AGENESIS OF RIGHT SUPERIOR VENA CAVA: DIAGNOSIS OF RARE CONGENITAL CONCOMITANCE WITH TRANSESOPHAGEAL ECHOCARDIOGRAPHY

PP-070 LEFT COMMON PULMONARY VENOUS OSTIUM MIMICKING LEFT ATRIAL APPENDAGE ANEURYSM: ECHOCARDIOGRAPHIC MISDIAGNOSIS U.C. Yuksel, E. Yalcinkaya, E. Yildirim, T. Celik, U. Bozlar, M. Celik, Y. Gokoglan, B. Bugan, S. Firtina, A. Iyisoy, H.K. Kabul. Department of Cardiology, Gulhane Military Medical Academy, Ankara, Turkey; Department of Radiology, Gulhane Military Medical Academy, Ankara, Turkey; Department of Cardiology, Malatya Army Hospital, Malatya, Turkey; Department of Cardiology, Erzincan Army Hospital, Erzincan, Turkey Objective: The two most common pulmonary venous (PV) anomalies are the presence of aright middle PV and common left trunk. Herein, we report a patient with left common pulmonary venous ostium misdiagnosed as left atrial appendage aneurysm on echocardiography. Methods: A 67-year-old female with a medical history of hypertension admitted to our outpatient department for palpitation and dyspnea on exercise. She was advised to undergo routine echocardiography, which showed dilated left ventricle, decreased left ventricular ejection fraction (25%), moderate mitral regurgitation and left atrial appendage aneurysm. She was referred to cardiac computed tomographic angiography (CTA) for delineating anatomy. Results: CTA revealed an unusual pulmonary venous anomaly consisting of a left-sided common and unusually large ostium of left pulmonary veins draining to left atrium and normal coronaries. Conclusion: Cardiac anatomic variants has become increasingly important as the number of radiofrequency ablations has increased. The definite differentiation of pulmonary common ostium from an atrial appendage aneurysm could be made with transesophageal echocardiography, computed tomography and magnetic resonance imaging.

PP-196 THROMBOLYSIS IN A PATIENT WITH LARGE THROMBUS BURDEN AND GOOD TIMI FLOW DURING ACUTE MYOCARDIAL INFARCTION

Aim: It has been known that inflammatory mechanisms play an important role in coronary artery disease. We have aimed in this study to investigate the relationship between the N/L ratio and the coronary flow velocity after performance of primary PCI in patients presenting with STEMI. Methods: In this study 210 patients who had undergone primary PCI were included. The coronary flow velocities were evaluated using the recorded PCI procedures and the TIMI flow grade and cTFC of the patients. A value of >40 for the final cTFC was evaluated as an index of insufficient coronary blood flow. The white blood cell subtypes and counts were determined in the blood samples obtained during consultation at the clinics.