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    Electron Microscopic Comparison of Radial Artery Grafts in Non-Diabetic and Diabetic Coronary Bypass Patients
    (WILEY, 2016-01-01) Gursoy, Mete; Guzel, Elif; Erturkuner, Pelin; Cakir, Idil; Duygu, Egemen; Gulcan, Fusun; Hokenek, A. Faruk
    Objective: We compared electron microscopic histologic changes of the radial artery grafts in non-diabetic and diabetic patients. Methods: Thirty-six patients were divided into three groups according to their diabetic status (Group I had no diabetes mellitus {[}DM], Group II had type two DM and HbA1c levels were <7.5\%, and Group III had type 2 DM but HbA1c levels were >7.5\%). Distal parts of radial artery grafts were evaluated with scanning electron microscopy in a blind fashion by two histologists. Electron microscopic scores were compared among the groups. Results: Radial artery electron microscopic scores were significantly different between group 1, 2 and 1, 3 and 2, 3 (p = 0.028, p<0.001, and p<0.001). In linear regression analysis, duration of DM (p = 0.027) and fasting plasma glucose (p = 0.001) were found as independent risk factors for histologic changes of radial artery grafts. Conclusion: Duration of DM and poor glycemic control were found to be associated with radial artery electron microscopic changes.
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    Isolated Right Superior Vena Cava Draining into the Left Atrium
    (WILEY, 2012-01-01) Gursoy, Mete; Salihoglu, Ece; Ozcobanoglu, Salih; Ozkan, Suleyman; Celiker, Alpay
    A 10-year-old male was admitted to our institution with complaints of mild cyanosis and dyspnea. Transthoracic echocardiography and angiography revealed a right superior vena cava (SVC) draining into the left atrium. At the time of surgery, the right SVC was connected to the right atrium. doi: 10.1111/j.1540-8191.2012.01509.x (J Card Surg 2012
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    Clinical SYNTAX Score Can Predict Acute Kidney Injury following On-Pump but Not Off-Pump Coronary Artery Bypass Surgery
    (KARGER, 2015-01-01) Gursoy, Mete; Hokenek, Abdulkadir Faruk; Duygu, Egemen; Atay, Mehmet; Yavuz, Asuman
    Background: The complexity of coronary artery disease is usually a neglected factor in risk stratification systems. We aimed to analyze the discriminative ability of the clinical SYNTAX score (CSS) for acute kidney injury (AKI) following on- and off-pump coronary artery surgery. Methods: A total of 193 patients were reviewed in this study. Patients were divided into two groups according to the surgical procedure (group I: off-pump coronary artery bypass grafting, n = 89
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    A Giant Dissecting Aneurysm of Ascending Aorta Following Aortic Valve Replacement
    (HINDAWI LTD, 2014-01-01) Hokenek, Faruk; Gursoy, Mete; Gulcan, Fusun; Duygu, Egemen; Fener, Murat
    Ascending aortic dissection and aneurysm are rare but life-threatening complications after aortic valve replacement. Preoperative evaluation of risk factors such as aortic diameter, structural features of aortic wall, and associated diseases may decrease complication rate. We herein present analysis of risk factors of proximal aortic events following aortic valve replacement based on patient with giant dissecting aneurysm who underwent modified Bentall procedure.