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Background: The aim of this study is to investigate the effect of COVID-19 outbreak on congenital cardiac surgery practice in a single center. Methods: The first case of COVID-19 in our country was seen on March 11th, 2020. The patients operated between March 11th, 2019-and March 10th, 2020 were taken as the pre-COVID group, and those operated between March 11th and May 11th, 2020 were taken as the COVID group. The data was retrospectively collected, and the two periods were compared. Results: Monthly average number of cases which was 52 patients/month (626 patients in 12 months) before COVID decreased to 35 patients/month (70 patients in 2 months) during COVID periods (P < .01). During the pre-COVID period the median postoperative length of hospital stay was 3 (IQR: 1-5) days.

Objective In this study, we aimed to compare clinical outcomes of superior transseptal approach with the conventional left atriotomy in patients undergoing mitral valve surgery.Methods Between January 2010 and November 2012, a total of 91 consecutive adult patients (39 males, 52 females; mean age: 54.0±15.4 years; range, 16 to 82 years) who underwent mitral valve surgery in the Division of Cardiovascular Surgery at Koşuyolu Training Hospital were included. The patients were randomized to either superior transseptal approach (n=47) or conventional left atriotomy (n=44). Demographic characteristics of the patients, comorbidities, additional interventions, intraoperational data, pre- and postoperative electrophysiological study findings, and postoperative complications were recorded.Results Of all patients, 86.7% (n=79) were in New York Heart Association Class III, while 12 were in New York Heart Association Class IV. All patients underwent annuloplasty (42.9%) or valve replacement surgery (57.1%). There was no significant difference in pre- and postoperative electrocardiogram findings between the groups. Change from baseline in the cardiac rhythm was statistically significant in superior transseptal approach group alone (P<0.001). There was no statistically significant difference in mortality rate between the groups. Permanent pacemaker implantation was performed in 10.6% of the patients in superior transseptal approach group and 4.5% in the conventional left atriotomy group. No statistically significant difference in bleeding, total length of hospital and intensive care unit stay, the presence of low cardiac output syndrome was observed between the groups.Conclusion Our study results suggest that superior transseptal approach does not lead to serious or fatal adverse effects on sinus node function or atrial vulnerability, compared to conventional approach.

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Introduction: Finding a surgeon and center they can trust is essential for a patient who will be for heart surgery. YouTube® is a modern method at this decision stage as a visual source of information that includes many user comments. In this study, we examined how accurately YouTube® resources guide patients. Material and Method: The social media platform's official page (https://www.youtube.com) was used for this research. Keywords "heart surgery," "open-heart surgery," "robotic heart surgery" were selected as keywords for related video searches. Advertising promotions and videos with game content have been removed from search results. As the videos' evaluation criteria included in the study, relevance, date added, the number of views, views/likes rate, the descriptive response rate to comments, and video quality were determined. Result: The most popular 1069 videos were evaluated between 05.10.2020-05.01.2021. Of these, 70 videos with the highest level of interest were evaluated. Video views median value is 26401 (Interquartile range [IQR]: 4968-1998337). The engagement rate median value was 0.55 (IQR: 0.40-0.88). The median average value was 1.67 (IQR: 0.35-10.68). The comment/subscriber rate median value was 0.001% (IQR: 0.0233%-0.0585%). Conclusion:Despite the ease of access to information sources in the information age, the importance of face-to-face meetings is still indispensable in information transfer. Because when it comes to illness, people look for knowledge, trust, and complacency. Patients want to know the person they will entrust their health to and ask questions repeatedly, even if it is the same question. Video sources can still only give a preliminary idea.