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    Kardiyovasküleri işlemlerde görüntüleme
    (Archives of the Turkish Society of Cardiology, 2022) Vatansever Ağca, Fahriye; Babur Güler, Gamze; Gürsoy, Mustafa Ozan; Özden, Özge; Altın, Mert Pehlivan; Kahveci, Gökhan
    Kardiyovasküler İşlemlerde Görüntüleme
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    Persistent right heart dilatation after percutaneous mitral balloon valvuloplasty: A weird coexistence of iatrogenic and congenital shunts
    (John Wiley and Sons Inc, 2022) Güler, Arda; Topel, Çağdaş; Memiç Sancar, Kadriye; Kahveci, Gökhan; Onan, Burak; Güler, Gamze Babur
    We present an interesting case of concomitant congenital anomalies with an iatrogenic defect. The female patient underwent a percutaneous mitral balloon valvuloplasty due to rheumatic mitral stenosis. Unfortunately, an iatrogenic atrial septal defect (ASD) transpired during the procedure. Upon post-procedure examination, partial anomalous pulmonary venous (PAPVR) return was observed. The patient was symptomatic; on imaging, dilatation of the right heart chambers were detected. In addition, another crucial point was that the patient was planning a pregnancy, thus robotic surgery for iatrogenic ASD and PAPVR return was recommended. After a successful operation, the patient was asymptomatic and the size of right heart chambers were normalized. © 2022 Wiley Periodicals LLC.
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    Right atrial reservoir strain and right ventricular strain improves in patients recovered from hospitalisation for non-severe COVID-19
    (NCI CPTAC Assay Portal, 2022) Sonsöz, Mehmet Rasih; Güven, Gülden; Yıldız, Ufuk; Koyuncu, Atilla; Altuntaş Aydın, Özlem; Kahveci, Gökhan
    Purpose: Those hospitalised with coronavirus disease 2019 (COVID-19) have recently been shown to have impaired right ventricular (RV) strain, but data about the course of heart function after discharge are limited. Our aim was to compare right ventricular strain and right atrial reservoir strain (RASr) associated with COVID-19 between acute disease (during hospitalisation) and follow-up (after discharge). Methods: In this retrospective single-center study, we analysed the echocardiograms of 43 patients hospitalised for non-severe COVID-19 between December 2020 and March 2021, undergoing echocardiography both during and after hospitalisation. In addition to conventional echocardiographic parameters, we applied 2-dimensional speckle tracking to obtain RV global longitudinal strain (RV-GLS), RV free wall strain (RV-FWS), and RASr. Results: Mean (standard deviation) age of the study population was 50 (9) years, and 18 (42%) of the participants were women. Median duration between exams was 6 months (range, 5-7 months). Both mean RV-GLS and mean RV-FWS significantly increased at follow-up (-20.8 [3.8] vs. -23.5 [2.8], p < 0.001 and -23.3 [4.2] vs. -28.2 [2.8], p < 0.001; respectively), and RASr significantly improved as well (-32.3 [6.6] vs. -41.9 [9.8], p < 0.001). Conclusion: In patients hospitalised for non-severe COVID-19 pneumonia, RV-GLS, RV-FWS, and RASr improved significantly between acute disease and 6 months after discharge.