ÖZKoronavirüs hastalığı-2019 (COVID-19) tüm dünyada sağlık çalışanlarını alarm durumuna geçiren ciddi bir sağlık sorunudur. Pandeminin beraberinde getirmiş olduğu ve sağlık sistemini ilgilendiren ele alınması gereken iki önemli konu mevcuttur. Birincisi; pandeminin yayılma hızına yetişme sıkıntısı çekebilecek olan sağlık sisteminin yükünü azaltabilmek açısından elektif birçok işlemin/cerrahinin ertelenmesi gerekliliğidir. Bu nedenle, cerrahi gereken kardiyovasküler hastalıkların önceliğinin ve ertelenebilirliğinin belirlenmesi için "Öncelik Düzeyi" olarak adlandırdığımız bir algoritma geliştirilmesini amaçladık. İkinci olarak ise; kardiyovasküler cerrahi yapılması gereken acil ve öncelikli hastalarda cerrahinin ve sonrasında yoğun bakım ünitesinde takibinin, enfeksiyon koruma tedbirlerinin sağlandığı bir ortamda yapılması gerekliliğidir. Bu yazıda, hasta güvenliğinin sağlanabilmesi ve cerrahi ekibin maksimum seviyede korunabilmesi için uygulanabilecek olan gerekli tedbirler sunuldu. ABSTRACTCoronavirus disease-2019 (COVID-19) is a serious health concern which alert all healthcare professionals worldwide. There are two main issues caused by this pandemic regarding for the healthcare system. First, it is a necessity to postpone many elective procedures/surgeries to reduce the burden of the healthcare system which may be confronted with strain by the increased speed of transmission. Therefore, we aimed to develop an algorithm called as Level of Priority to identify the priority and deferrability of cardiovascular diseases requiring surgery. Second, it is essential to perform surgery and intensive care unit follow-up in a setting where the infection prevention measures are followed for primary patients requiring emergency cardiovascular surgery. In this article, we present necessary precautions to be exercised to provide the patient safety and the highest level of protection for the surgical team.

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Introduction: Endovascular aortic aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) is increasingly used, and has become the standard treatment option for AAA. Aim: To evaluate the outcomes and predictors of survival of endovascular treatment of AAA in the short-and medium-term. Material and methods: A total of 222 patients having endovascular AAA repair between January 2013 and December 2019 by the same surgical team were included in the study. Patient demographics, perioperative and follow-up data including mortality, complications, and need for secondary intervention were collected. The primary endpoint was all-cause mortality. Kaplan-Meier analysis was conducted for survival and Cox regression models were assessed for predictors of survival. Results: The median age was 70 years, with male predominance (202 patients, 91%). Thirty-day mortality was 1.8%. Median follow-up to the primary endpoint was 20 months (range: 1-80 months).

Currently, thoracic endovascular aortic repair is usually the first-line treatment option for descending aortic pathologies. Supra-aortic or visceral branches sometimes involve assistive thoracic endovascular aortic repair techniques; hybrid procedures or intentional coverage may be performed during the procedure to achieve a sufficient proximal or distal landing zone. Most surgeons may agree on selective coverage of celiac truncus, but revascularization is preferred to reduce the risk of ischemic complications. Herein, we present the first successful surgeonmodified fenestrated stent graft procedure for celiac truncus in a patient with Crawford type V descending aortic aneurysm in Türkiye.