EDITORIAL | |
1. | Where is the Anatolian Journal of Cardiology heading? What it has been experiencing? Bilgin Timuralp PMID: 23958484 doi: 10.5152/akd.2013.177 Pages 423 - 424 Abstract |Full Text PDF |
ORIGINAL INVESTIGATION | |
2. | Comparison of standard Euroscore, logistic Euroscore and Euroscore II in prediction of early mortality following coronary artery bypass grafting Ahmet Akgül, Mete Gürsoy, Vedat Bakuy, Ebru Bal Polat, İbrahim Gürkan Kömürcü, Ali Aycan Kavala, Saygın Türkyılmaz, İlker Murat Çağlar, Yasemin Tekdöş, Mehmet Atay, Şenel Altun, Cabir Gulmaliyev, Seymur Memmedov PMID: 23665983 doi: 10.5152/akd.2013.136 Pages 425 - 431 EuroSCORE which had been published in 1999, was revised as a Logistic EuroSCORE in 2003. Further it was reconsidered and published as EuroSCORE II in 2011. In this study we compared Standard, Logistic EuroSCORE and EuroSCORE II in prediction of early mortality following coronary artery bypass grafting. Methods: We retrospectively analyzed 406 patients who underwent coronary artery bypass grafting operation between 2011-1012. Standard, Logistic and new version were compared with ROC analysis. Results: In general population, mean standard EuroSCORE was 3.25±1.05, mean logistic EuroSCORE was found 2.48±0.58, mean EuroSCORE II was found 1.30 ± 0.09 and overall mortality was 10 (10/406 2.46%). Area under curve (AUC) was found 0.992 95% CI: 0.978-0.998 for standard EuroSCORE, 0.992 95% CI: 0.977-0.998 for logistic EuroSCORE and 0.990 95% CI: 0.975-0.997 for EuroSCORE II. In high risk patients (patients with standard EuroSCORE ≥ 6) AUC was found 0.870 95% CI 0.707-0.961 for standard EuroSCORE, 0.857 95% CI 0.691-0.954 for logistic EuroSCORE, and 0.961 95% CI: 0.829-0.998 for EuroSCORE II. Conclusion: Standard, Logistic EuroSCORE and EuroSCORE II are similarly successful in mortality prediction. EuroSCORE II may be better in high-risk patients which needs confirmation in large prospective studies. |
3. | The effect of incremental endurance exercise training on left ventricular mechanics: a prospective observational deformation imaging study Enbiya Aksakal, Mustafa Kurt, Mehmet Ertuğrul Öztürk, İbrahim Halil Tanboğa, Ahmet Kaya, Tuncer Nacar, Serdar Sevimli, Yekta Gürlertop PMID: 23665984 doi: 10.5152/akd.2013.137 Pages 432 - 438 Objective: Exercise training has been known to cause structural and functional alterations in the heart called athletes heart. We aimed to investigate the effects of incremental endurance exercise training (IEET) on the left ventricular (LV) mechanics in healthy subjects. Methods: This prospective observational study included 34 healthy young men who participated in competitive sports. The participants were subjected to a six-month IEET program. The LV mechanics measured using two-dimensional speckle tracking echocardiography was recorded while the participants were in an inactive state before and at the end of the six months. To compare continuous variables before and after IEET, Wilcoxon or paired-t test were used. Results: Baseline and post training echocardiographic measurements showed that there was no significant change in LV ejection fraction (%) (p=0.64) and there were an increase in end-systolic and end-diastolic diameters, posterior and septal wall thickness, relative wall thickness and LV mass index (p<0.05, for all). LV mechanical parameters such as global strain (S) (19.8±1.33% vs. 20.4±1.26%, p=0.001), apical four -chamber S (19.4±1.96% vs. 20.1±1.86%, p=0.01), apical two- chamber S (19.9±1.75% vs. 20.7±1.75%, p=0.003), apical (23.0±3.1% vs. 23.6±3.2%, p=0.03), and basal circumferential S (21.1±2.2 % vs. 21.6±2.5%, p=0.03), and apical rotation (degree) (7.9±0.95 vs. 8.4±0.74, p=0.001) values were significantly increased by IEET. Conclusion: We demonstrated that IEET has led to exercise related cardiac structural and functional changes such as LV dilatation and LV hypertrophy, accompanied by a significant increase in LV systolic S and LV twist measurements. |
4. | The effects of cardiac resynchronization treatment on autonomic functions aside from functional status in heart failure Uğur Arslan, Mustafa Mücahit Balcı, İbrahim Kocaoğlu, Tolga Çimen, Süleyman Kalaycı, Ahmet Temizhan PMID: 23665985 doi: 10.5152/akd.2013.138 Pages 439 - 445 Objective: Cardiac resynchronization therapy (CRT) improves heart rate variability (HRV) and heart rate turbulence (HRT) parameters. Herein, our aim was to compare these parameters with intracardiac- cardioverter defibrillator (ICD) patients with similar functional status to detect possible additional benefits of CRT on autonomic functions. Methods: Patients who had systolic HF (NYHA class II and III) with an ejection fraction <35% were enrolled in this observational, cross-sectional study. These patients were implanted either an ICD or a CRT device. A 24-hour Holter recording was obtained to assess HRV and HRT parameters in 2 groups. Unpaired t-test and Chi-square test were used for comparisons between 2 groups. Logistic regression analysis was performed to determine the variables affecting functional status. Results: Of 105 patients included in the study; 55 had CRT and 50 had ICD device. The baseline characteristics of the patients were similar in both groups. SDNN, SDANN, SDNN index, and LFnu were similar in both groups; however, RMSSD, pNN50, HFnu, LF/HF ratio, turbulence slope and albeit to a non-significant value turbulence onset were better in CRT group. When the HRV and HRT parameters were compared according to functional status, patients in functional class II had significantly better HRV and HRT parameters when compared to the ones in class III (p<0.05 for all). Regression analysis showed that only SDNN was associated with functional class [OR: 0.89 (95% CI: 0.80-0.98), p=0.03]. After the covariance analysis to eliminate the effects of functional status on HRV and HRT parameters; the parameters mostly related with the parasympathetic system activity, namely RMSSD, pNN50, HFnu, LF/HF ratio, turbulence onset and turbulence slope were still better in CRT group. Conclusion: The most striking finding in our study is that HRV and HRT values related with parasympathetic activation are better in CRT patients when compared to ICD patients with similar functional status. Therefore, upgrading to CRT may have additional benefits on autonomic functions, which needs further investigation. |
5. | Effect of lifestyle modifications on diastolic functions and aortic stiffness in prehypertensive subjects: a prospective cohort study Şeref Alpsoy, Mustafa Oran, Birol Topcu, Aydın Akyüz, Dursun Çayan Akkoyun, Hasan Değirmenci PMID: 23665986 doi: 10.5152/akd.2013.139 Pages 446 - 451 Objective: Prehypertension is one of the primary causes of major cardiovascular events independent from other cardiovascular risk factors. The aim of the study was to evaluate the effect of therapeutic lifestyle modifications (LSMs) on cardiac diastolic function and aortic stiffness in prehypertensive subjects. Methods: This study designed as a prospective cohort study. Sixty-one prehypertensive adults were included in this study. The goals of LMS were weight loss of at least 5 kg in subjects with a BMI ≥25 kg/m2 and moderate-intensity physical activity at least 180 minutes per week. We evaluated left ventricular (LV) diastolic function and aortic stiffness parameters at baseline and after 6 months by conventional and tissue Doppler imaging (TDI) echocardiography. Statistical analyses were performed using Wilcoxon-signed rank test and the paired sample t test. Results: Transmitral early velocity (E), the ratio of E to transmitral late velocity (E/A), TDI diastolic early septal velocity (septal E), TDI systolic septal velocity (septal S), TDI early lateral velocity (lateral E), the ratio of septal E to TDI late septal (septal A) velocity (septal E/A) and the ratio of lateral E to late lateral (lateral A) velocity (lateral E/A) were found to be significantly increased after the LSMs (p<0.05 for all). The beta stiffness index was decreased (12.07 vs. 6.33; p < 0.001) and the aortic compliance (0.02 cm/mmHg vs. 0.05 cm/mmHg; p<0.001) and the aortic strain (3.28% vs. 7.02%; p<0.001) were increased significantly after the LSMs. Conclusion: LSMs improve conventional and TDI echocardiographic parameters and aortic stiffness measurements in subjects with prehypertension. |
6. | Relationship between aortic valve sclerosis and different vascular damage markers: an observational study Levent Korkmaz, Mustafa Tarık Ağaç, Ayça Ata Korkmaz, Hakan Erkan, Zeydin Acar, Şükrü Çelik PMID: 23728223 doi: 10.5152/akd.2013.143 Pages 452 - 456 Objective: Although aortic valve sclerosis (AVS) and atherosclerosis may share same atherosclerotic process, there is still a controversy whether AVS may be related to atherosclerotic and nonatherosclerotic processes. The purpose of present study was to investigate this relation. Methods: In this cross-sectional and observational study, we enrolled 60 patients diagnosed with AVS and risk factor matched 76 subjects without AVS. Applanation tonometry was applied to assess the augmentation index and aortic pulse-wave velocity (PWV). Control and AVS group were examined by B-mode ultrasound to measure the intima-media thickness (IMT). Continuous variables were compared using unpaired t-test and Mann-Whitney U test. Logistic regression analysis was performed in order to find independent predictors of AVS. Results: PWV and augmentation index did not differ between control and AVS groups (11.2±3.6 vs 12±3.2, p=0.18 and 26±7.6 vs 27±9.8, p=0.2 respectively). But IMT was significantly higher in AVS group than in control one (0.76 mm±0.17 vs 0.6 mm±0.16; p<0.001). There was a significant positive bivariate correlation between the presence of AVS, IMT (r=0.43, p<0.001), male gender(r=0.31, p<0.001), augmentation index (r=0.17, p: 0,04), and age (r=0.36, p<0.001). Logistic regression analysis demonstrated that only IMT (OR: 1.46, 95% CI: 1.1-1.9, p=0.009) and age (OR: 1.1, 95% CI: 1.01-1.16, p=0.013) were independent predictors of AVS. Conclusion: Increased IMT but not PWV in subjects with AVS compared to control group may suggest that, AVS is probably a multifactorial disease, related to the both atherosclerotic and nonatherosclerotic processes. |
7. | Elevated mean pulmonary artery pressure in patients with mild-to-moderate mitral stenosis: a useful predictor of worsening renal functions? Cafer Zorkun, Güllü Amioğlu, Gökhan Bektaşoğlu, Ali Zorlu, İsmail Ekinözü, Okan Onur Turgut PMID: 23728224 doi: 10.5152/akd.2013.144 Pages 457 - 464 Objective: Renal dysfunction commonly accompanies the course of cardiac disorders and strongly associates with increased morbidity and mortality. Elevated central venous pressure is related to worsening renal function in patients with heart failure. However, predictors of worsening renal function in mitral stenosis-whose pathophysiologic process is similar to heart failure with regard to right heart dysfunction-are unknown. This study aimed to evaluate whether clinical and echocardiographic parameters might predict worsening renal function in patients with mild-to-moderate mitral stenosis. Methods: The current study has a prospective cohort design. Sixty consecutive patients (9 male, 51 female, mean age 50±13 years) with mild-to-moderate mitral stenosis were followed up for 34±13 months (range 1-60) and their renal functions were monitored. Worsening renal function was defined as a decline in glomerular filtration rate of ≥ 20% on follow-up. In order to presence or absence of worsening renal functions, study patients divided into two groups. Statistical analysis was performed using the Chi-square, Independent samples t / Mann-Whitney U tests, univariate and multivariate Cox proportional hazards analyses, receiver operating characteristic (ROC) and Kaplan-Meier curve analyses. Results: Worsening renal function was observed in 14 patients (23%). In univariate analysis, male gender, mean pulmonary artery pressure (mPAP), peak tricuspid regurgitation velocity, systolic pulmonary artery pressure, digitalis and antiplatelet usage, right atrial size, and TEI index were determined to be predictors of worsening renal function. In a multivariate Cox proportional hazards model, mPAP (HR=1.136, 95% CI: 1.058-1.220, p<0.001) and male gender (HR=4.110, 95% CI: 1.812-9.322, p=0.001) were associated with increased risk of worsening renal function during the follow-up period. In ROC curve analysis, the optimal cut-off value of mPAP to predict worsening renal function was measured as more than 21 mmHg, with 78.6% sensitivity and 58.7% specificity (AUC 0.725, 95% CI 0.595-0.838). According to the Kaplan-Meier curve, a significant difference was found between those who had mPAP of >21 mmHg, and those who did not have, in terms of worsening renal function (p=0.006), and the difference between the groups increased after 30 months of follow-up. Conclusion: Elevated mean pulmonary artery pressure at the time of initial evaluation, in patients with mild-to-moderate mitral stenosis, might help to predict worsening renal function. |
8. | Increased YKL-40 levels in patients with isolated coronary artery ectasia: an observational study Turan Erdoğan, Sinan Altan Kocaman, Mustafa Çetin, Murtaza Emre Durakoğlugil, Aynur Kırbaş, Aytun Çanga, Adnan Yılmaz, Sıtkı Doğan, Yüksel Çiçek PMID: 23728225 doi: 10.5152/akd.2013.145 Pages 465 - 470 Objective: YKL-40, a new biomarker of localized inflammation, is secreted by macrophages within the atherosclerotic plaques. Coronary artery ectasia (CAE) is a clinical entity with unclear etiopathogenesis. Some studies have revealed that CAE may be a form of atherosclerosis that has more localized and intense inflammatory properties than atherosclerosis. The goal of this study was to investigate YKL-40 and C-reactive protein (CRP) levels in patients with isolated CAE compared to patients with normal coronary arteries (NCA) and coronary artery disease (CAD). Methods: Our study has an observational and cross-sectional design. Forty-nine patients with isolated CAE (mean age: 60±10 years), 30 age-and gender-matched control participants with NCA (30 patients, mean age: 58±12 years) and 30 patients with CAD (mean age: 61±10 years), were included in the study. The relationship between YKL-40, CRP levels and the presence of CAE was investigated. Univariate and multiple logistic regression analysis were used for analysis of independent variables to predict CAE. Results: Serum YKL-40 levels were significantly different among study groups (NCA: 110±53 μg/L, CAE: 144±68 and CAD: 180±117, p=0.005). CAD group and CAE group had significantly higher YKL-40 levels than NCA group (p=0.004 and p=0.015, respectively). CRP was not significantly different between three groups. In addition, there were no any statistically significant differences, with respect to age, gender, the presence of hypertension or diabetes mellitus, and the smoking status (p>0.05). Logistic regression analysis revealed only YKL-40 level as the determinant of CAE (OR: 1.010, 95% CI: 1.001-1.019, p=0.027). Conclusion: YKL-40 levels in patients with isolated CAE compared to patients with NCA were found significantly high and only YKL-40 level was established as the determinant of CAE. We believe that further studies are needed to clarify the possible causative roles of YKL-40 in patients with isolated CAE. |
EDITORIAL COMMENT | |
9. | Could YKL-40 be used as a new marker for coronary artery ectasia? Byung Jin Kim PMID: 23728271 doi: 10.5152/akd.2013.166 Pages 471 - 472 Abstract |Full Text PDF |
ORIGINAL INVESTIGATION | |
10. | Can single cIMT measurement during echocardiography affect further investigation decision for coronary artery disease? Alper Ö. Karaçalıoğlu, Semra İnce, Özdeş Emer, Turgay Çelik PMID: 23665987 doi: 10.5152/akd.2013.140 Pages 473 - 479 Objective: This study was aimed to evaluate whether there is any potential role of the measurement of the carotid intima-media thickness (cIMT) in patients with suspected coronary artery disease (CAD) during the echocardiography session on decision-making to refer patients for further diagnostic evaluation such as gated myocardial perfusion imaging (gMPI). Methods: cIMT of 199 consecutive patients was measured during the echocardiography session and all patients underwent gMPI. According to gMPI results, patients were divided into two groups as CAD and normal groups and according to cIMT measurements patients were divided into four subgroups. Results: Although, there was a good correlation between the age and cIMT values of the patients (r=0.546, p<0.001), the correlation between the summed stress scores and the age of the patients was very weak (r=0.142, p=0.045) and the correlation between the summed stress scores and the cIMT values was very weak (r=0.107, p=0.131). The cIMT measurements of the CAD group (0.74±0.17 mm) were significantly higher than those of the normal group (0.67±0.16 mm) (p=0.012), but after the age correction, the significance between the cIMT measurements of the CAD and the normal groups was not found (p=0.131). Besides, the relationship between the categorical cIMT values of both the CAD and the normal groups was insignificant (p=0.059) and the correlation between the increasing cIMT values and the presence of detectable CAD was also very weak (r=0.187, p=0.08). Conclusion: cIMT can predict occurrence of cardiovascular events in subjects, but single cIMT measurement during echocardiographic examination does not seem to have potential role on decision making for further investigation in patients with suspected CAD. |
11. | Holter ECG assessment of the effects of three different local anesthetic solutions on cardiovascular system in the sedated dental patients with coronary artery disease Mert Zeytinoğlu, Ümit Tuncay, M. Cemal Akay, İnan Soydan PMID: 23728226 doi: 10.5152/akd.2013.146 Pages 480 - 485 Objective: The purpose of the study is to compare the effects of lidocaine alone, epinephrine-combined lidocaine and prilocaine with octapressin on the cardiovascular system during minor oral surgery of sedated cardiac dental patients under local anesthesia. Methods: Connected to a Holter electrocardiogram (ECG) monitor for a total of 5 hours starting 1 hour before the procedure, twenty patients with high risk of coronary artery disease were included in the prospective cohort study. All the patients had three operations at 3 different appointments with at least one-week intervals and each operation was performed under local anesthesia achieved by 3.6 mL of 3% prilocaine with octapressin, 3.6 mL of 2% lidocaine with 1: 80.000 epinephrine and 3.6 mL of 2% lidocaine without a vasoconstrictor. Data of the Holter ECG device assessed at the end of every hour and evaluated statistically. Repeated measures ANOVA, Friedman test, and Wilcoxon signed ranks test were used to perform statistical analysis. Results: Heart-rate showed significant differences between lidocaine with epinephrine and pure lidocaine in an hour following the injection (p<0.05 for all). Cardiac rhythm showed significant differences between prilocaine with octapressin and pure lidocaine at the second hour after its administration (p<0.05 for all). There were no significant differences between 3 local anesthetics in terms of ST segment deviation. Conclusion: In minor oral operation on the sedated patients with cardiac disease, the use of 3.6 mL or a less amount of local anesthetic injection containing epinephrine appears to be a predictable and safe method. |
REVIEW | |
12. | Triple therapy (aspirin, clopidogrel and oral anticoagulant) after percutaneous coronary intervention: another call for personalized medicine Azra Tanrıkulu, Mehmet Ağırbaşlı PMID: 23728227 doi: 10.5152/akd.2013.147 Pages 486 - 494 Studies indicate that 5-7% patients undergoing percutaneous coronary intervention (PCI) have an indication for anticoagulation therapy. Most commonly atrial fibrillation (AF) is the indication. These subjects require triple therapy with aspirin, clopidogrel, and an oral anticoagulant (OAC). Several questions, concerns and challenges exist regarding the duration, benefit, risks and alternatives related to triple therapy. These questions constitute a moving target with recently approved antiplatelet and anticoagulant agents. This brief review will summarize the current literature regarding triple therapy, potential solutions that can mitigate the formidable risk of bleeding. Arising from that discussion, a logical consensus can be developed that should be applicable to studies with novel agents that interfere with homeostasis. The ultimate goal is to enhance cardiovascular outcome and decrease thrombotic and bleeding complications. |
CASE REPORT | |
13. | Percutaneous closure of a paravalvular leak after mitral valve replacement and transcatheter aortic-valve implantation Liliya Paranskaya, İlkay Bozdağ Turan, İbrahim Akın, Christoph A. Nienaber, Hüseyin İnce PMID: 23728228 doi: 10.5152/akd.2013.148 Pages 495 - 496 Abstract |Full Text PDF |
14. | Intrauterine idiopathic severe ductal constriction diagnosed by fetal echocardiography: a cause of hydrops fetalis Kadir Babaoğlu, Yiğit Çakıroğlu, Gürkan Altun, Emek Doğer, Demet Oğuz PMID: 23728229 doi: 10.5152/akd.2013.150 Pages 496 - 497 Abstract |Full Text PDF |
15. | Subclavian artery stenosis in a patient undergoing coronary bypass using composite t-grafting technique: is it subclavian artery stenosis or more? Arif Arısoy, Selim Topçu, Hüseyin Karal, Serdar Sevimli PMID: 23728230 doi: 10.5152/akd.2013.151 Pages 497 - 499 Abstract |Full Text PDF |
16. | Dilated cardiomyopathy due to miliary tuberculosis Ahmet İrdem, Osman Başpınar, Ercan Küçükosmanoğlu PMID: 23728231 doi: 10.5152/akd.2013.152 Pages 499 - 500 Abstract |Full Text PDF |
DIAGNOSTIC PUZZLE | |
17. | A heart- like cystic image in the heart Ziya Şimşek, Yavuzer Koza, Muhammet Hakan Taş, Uğur Kaya, Azman Ateş PMID: 23728270 doi: 10.5152/akd.2013.165 Page 501 Abstract |Full Text PDF |
LETTER TO THE EDITOR | |
18. | The risk of developing AF after cardiac surgery Orhan Gökalp, Gökhan İlhan, Ali Gürbüz PMID: 23728258 doi: 10.5152/akd.2013.153 Page 502 Abstract |Full Text PDF |
19. | Coronary collateral development might be impaired by decreases in glomerular filtration rate Murat Çelik, Turgay Çelik, Emre Yalçınkaya, Atila İyisoy PMID: 23728259 doi: 10.5152/akd.2013.154 Pages 502 - 503 Abstract |Full Text PDF |
20. | Epidemiological characteristics and in-hospital rhythmic complications of acute coronary syndrome: experience of single-center in Rabat, Morocco Ellouali Fedoua, Ahid Samir, Zarzur Jamila, Fellat Ibtissam, Oukerraj Latifa, Cherti Mohamed PMID: 23728260 doi: 10.5152/akd.2013.155 Pages 504 - 505 Abstract |Full Text PDF |
21. | A case of myopericarditis following butane gas inhalation Nermin Bayar, Cem Yunus Baş, Zehra Erkal, Şakir Arslan PMID: 23728261 doi: 10.5152/akd.2013.156 Pages 505 - 506 Abstract |Full Text PDF |
22. | Changing face of acute rheumatic fever: our clinical observations Filiz Ekici, Yusuf Kale, Abdullah Kocabaş PMID: 23728262 doi: 10.5152/akd.2013.157 Pages 506 - 507 Abstract |Full Text PDF |
23. | High twin birth rate of offspring in mothers with cardiac disease Anita Sadeghpour, Azin Alizadeasl PMID: 23728263 doi: 10.5152/akd.2013.158 Page 507 Abstract |Full Text PDF |
24. | On increasing number of percutaneous mitral valve repair with MitraClip in Turkey, and the fate of the high-risk patients Sinan Dağdelen PMID: 23728264 doi: 10.5152/akd.2013.159 Pages 507 - 508 Abstract |Full Text PDF |
DIAGNOSTIC PUZZLE - ANSWER | |
25. | A heart- like cystic image in the heart Ziya Şimşek, Yavuzer Koza, Muhammet Hakan Taş, Uğur Kaya, Azman Ateş, Mecit Kantarcı PMID: 23728270 Pages 509 - 510 Abstract |Full Text PDF |
NEWS | |
26. | International Scientific Summer Schools 2013 Ljuba Bacharova doi: 10.5152/akd.2013.178 Pages 511 - 512 Abstract |Full Text PDF |
27. | Statement From The International Scientific Summer School Collaboration Group doi: 10.5152/akd.2013.179 Pages 513 - 514 Abstract |Full Text PDF |
E-PAGE ORIGINAL IMAGES | |
28. | An adult patient with the ruptured aneurysm of mitral valve posterior leaflet Zafer Işılak, Mehmet Uzun, Murat Yalçın, Fethi Kılıçaslan PMID: 23728265 doi: 10.5152/akd.2013.160 Page E25 Abstract |Full Text PDF |
29. | Structural failure of a left atrial appendage occluder device İlkay Bozdağ Turan, Liliya Paranskaya, R. Gökmen Turan, Cristopher A. Nienaber, Hüseyin İnce PMID: 23728266 doi: 10.5152/akd.2013.161 Pages E25 - E26 Abstract |Full Text PDF |
30. | Fistulous connection of left circumflex coronary artery to coronary sinus presenting with massive pericardial effusion Fereshte Ghaderi, Mohammad Abbasi Teshnizi, Ali Eshraghi PMID: 23728267 doi: 10.5152/akd.2013.162 Pages E26 - E27 Abstract |Full Text PDF |
31. | Giant left atrial myxoma with left and right coronary system blood supply accompanying mitral stenosis; realtime three- dimensional echocardiography imaging Elnur Alizade, Hakan Çakır, Göksel Açar, Cemile Pirmammadova PMID: 23728268 doi: 10.5152/akd.2013.163 Pages E27 - E28 Abstract |Full Text PDF |
32. | Crossed pulmonary arteries associated with persistent truncus arteriosus and right aortic arch on the three-dimensional computed tomographic imaging Gürkan Altun, Kadir Babaoğlu, Demet Oğuz, Muhammed Dönmez PMID: 23728269 doi: 10.5152/akd.2013.164 Page E29 Abstract |Full Text PDF |
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