Resul Con, 24, living in Samsun, applied to a course to obtain the document required to become a security guard. Resul Con, who wanted to get the health report required from the course, went to Samsun Training and Research Hospital. Doctors told Resul Con here that in the tests performed, the aorta was 57 millimeters wide. Subsequently, Samsun University Faculty of Medicine, Department of Surgical Medical Sciences, Cardiovascular Surgery, Dr. Lecturer The patient was admitted by member İlker Hasan Karal.
In the tests performed by Doctor Karal and his team, in addition to an aortic aneurysm that was 3 centimeters larger than normal in the patient’s heart, a hole in the heart called ventricular septal defect (VSD), bicuspid aorta (valve stenosis) and aortic coarctation (congenital stenosis in the aorta) were also detected. Subsequently, Resul Con, Cardiovascular Surgeon Dr. Faculty Member İlker Hasan Karal, Dr. Faculty Member Emrah Ereren, Dr. Lecturer Member Aşkın Kılıç and Assistant Dr. An open heart surgery was performed on the patient by İlayda Danışmanz, which took approximately 9 hours. The surgery was successful and the patient clung to life.
“A VERY RARE DISEASE SEEN IN THE LITERATURE”
Giving information about the treatment process, Dr. İlker Hasan Karal said, “Our patient has a congenital heart disease. He applied to us because of a hole between the ventricles and a heart valve that should have 3 leaflets, but 2 leaflets. During the tests, we detected narrowing and thinning of the intermediate vein coming out of the heart in the chest. We decided to perform open heart surgery. . We performed this difficult surgery with his approval. The fact that he had no complaints and that he was young increased the stress of responsibility on us. He has now regained his health with a successful surgery. We closed the hole in the heart. We replaced the worn out valve along with the main vein coming out of the heart. We also bypassed the narrowed vein. We completed his treatment by doing this.
The disease he has is actually a very rare disease in the literature, with a frequency of 1 in 10 thousand. For us, for surgeons to experience, it is a very important disease situation. If it had not been diagnosed and treated early, a high-risk surgery would have been required with a rupture in the main artery. Maybe he wouldn’t make it to the hospital. This disease could result in sudden death, such as brain hemorrhage, or cause vascular ruptures. It could cause heart failure in the future and significantly reduce the patient’s standard of living. “It may be a chance that it is diagnosed at an early stage and the patient is compliant with the treatment,” he said.
“THIS KIND OF PATIENTS MAY EXPERIENCE LIFE COMPLICATIONS”
Dr. stated that if the patient had not been treated, life-threatening risks could have arisen at later ages. Faculty Member Emrah Ereren said, “Our patient had a 6-centimeter vascular dilatation. It is a congenital disorder, but while we were researching this, with a tomography we took, we discovered that our patient actually had a serious heart disease, almost to the point of rupture in his descending aorta. It was also seen that he had a hole in his heart. Such patients It can usually be treated with multiple sessions, with closed or open methods. In these patients, the blood flow to the legs can be seriously reduced. There are complaints of fatigue and weakness. At the same time, due to serious pressure increase in the upper part, there is enlargement of the brain and the ascending part of the aorta. Fatal risks such as tearing and bleeding may occur.
We exchanged ideas about whether we would perform the surgery in a single session or a double session. At the council we held, we decided that we would fix all the problems at once. We would resect our patient’s dilated aortic aneurysm and place an artificial vessel there. We replaced the aortic valve, which had double valves since birth and whose structure was damaged. At the same time, we closed the hole in the heart. At the same time, the most challenging part of the job is that we placed an artificial vein between the largest main artery coming out of the patient’s aorta and the aorta just behind it, in order to eliminate the coarctation from the same incision in the same session. Our patient’s condition is very good. “Under normal circumstances, these patients may experience very life-threatening complications starting from the second half of their 30s,” he said.