Giant Right Atrium

Abstract

Severe enlargement of the atrium usually happens within the left atrium and is rarely seen in the right atrium. Giant right atrium is a rare condition that can be seen in tricuspid valve pathologies. Pulmonary hypertension, which could develop after tricuspid valve stenosis or insufficiency, may lead to giant right atrium in adults. A 45-year-old female patient was operated for tricuspid valve insufficiency related to a giant right atrium. Key Words: Pulmonary hypertension, right atrial dilatation Dev Sağ Atrium ÖZETAtriumun ileri derecede genişlemesi genelde sol atriumda görülür. Nadiren sağ atriumda da gelişebilir. Dev sağ atrium triküspit kapak patolojilerinde nadir görülen bir durumdur. Erişkinlerde triküspit kapak stenozu ve yetmezliği sonucunda oluşabilen pulmoner hipertansiyona sekonder gelişebilir. Kırk beş yaşında kadın hasta triküspit yetmezliğine bağlı gelişen dev sağ atrium sebebiyle opere edildi.

Sternal cable wires for sternal closure in moderately or extremely obese patients undergoing cardiac surgery

“…However, the study group was too small to reach a definitive conclusion. The main difference between the cable groups in the Ozen et al [16] study and in our study was that our group consisted of moderately or severely obese patients. Furthermore, our surgical technique was of lower cost due to the utilization of two sternal cables on each patient compared with the use of three sternal cables in the Ozen et al [16] study.…”

“…The main difference between the cable groups in the Ozen et al [16] study and in our study was that our group consisted of moderately or severely obese patients. Furthermore, our surgical technique was of lower cost due to the utilization of two sternal cables on each patient compared with the use of three sternal cables in the Ozen et al [16] study. The sternal cable group of 24 patients in the study by Ozen et al revealed a satisfactory result with no postoperative sternal dehiscence.…”

“…Oh et al [10] and Ozen et al [16] also reported decreased postoperative bleeding. Total postoperative drainage was 499.0 ± 218.3 ml in the cable group and 741.9 ± 243.3 ml (p < 0.001) in the steel wire group in the study of Ozen et al In the study by Oh et al [10], 17 patients in the cable group and 29 patients in the conventional wire group underwent reoperation for bleeding (p = 0.068).…”

“…In a recent study by Ozen et al [16], the authors compared 24 obese patients (mean BMI 34.4 ± 3.1 kg/m 2 ) on whom they used the sternal cable system with 32 obese patients (mean BMI 34.2 ± 2.7 kg/m 2 ) on whom they used conventional wires for sternal closures. Ozen et al [16] did not observe any sternal dehiscence in the cable group and observed 3 incidences (9.4%) of sternal dehiscence in the conventional wire group (a non-significant difference). However, the study group was too small to reach a definitive conclusion.…”