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Öğe Balanced double aortic arch causing persistent respiratory symptoms mimicking asthma in an infant(Georg Thieme Verlag KG, 2021) Otçu Temur, Hafize; Yozgat, Can Yılmaz; Uzuner, Selçuk; Uğurlucan, Murat; Yazan, Hakan; Çakır, Erkan; Yozgat, YılmazDouble aortic arch (DAA) is a common form of complete vascular ring. The condition leads to airway obstruction and compression of the esophagus. A balanced type of DAA is an extremely rare anomaly. The anatomical aberration cannot be easily distinguished by transthoracic echocardiography when an infant has chronic respiratory distress. Herein we presented a case of an 11-month-old infant who had chronic respiratory distress and a balanced type of DAA.Öğe Challenges in the management of giant cardiac rhabdomyoma in a toddler: unresponsive to everolimus therapy(2024) Tamer, Reyhan; Otçu Temur, Hafize; Yurtsever, İsmail; Yozgat, Can Yılmaz; Talebazadeh, Faraz; Kuş, Hazar Doğuş; Erol, Ahmet Berk; Yozgat, Yılmaz...Öğe Co-occurrence of interrupted aortic arch and Apert syndrome: A case report(Elsevier Taiwan, 2021) Ergör, Serap Nur; Kütük, Mehmet Serdar; Duman, Nilgün; Yozgat, Can Yılmaz; Otçu Temur, Hafize; Uğurlucan, Murat; Yozgat, Yılmaz[Abstract Not Available]Öğe Development of myocardial infarction in a 12-year-old female after the use of inhaled salbutamol(Georg Thieme Verlag KG, 2020) Yozgat, Can Yılmaz; Uzuner, Selçuk; Otçu Temur, Hafize; Ergör, Serap Nur; Güliyeva, Aynur; Tahaoğlu, Irmak; Çoban, Şenay; Yozgat, YılmazAnomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) accounts for 0.023% of all cases reported in pediatric patients. According to literature, only a handful of ALCAPA patients are able to reach adulthood. Clinical manifestations of ALCAPA range from fatigue during exercise to sudden death in adulthood. Herein, we described a 12-year-old symptomatic patient with ALCAPA who had severe chest pain after using salbutamol treatment for presumed asthma. ALCAPA is one of the curable versions of myocardial ischemia and infarction in childhood. Due to clinical findings in conjunction with electrocardiogram and echocardiography, a computed tomography scan with coronary angiography was performed and the diagnosis of ALCAPA was confirmed. We presented this case because ALCAPA-related myocardial ischemia and infarction in children are rare with only sporadic cases reported. This case illustrated the need for close monitoring and surgery as the best treatment for ALCAPA associated with myocardial infarction.Öğe Diagnosis and surgical management of pulmonary artery sling: a case report(2024) Yurtsever, İsmail; Otçu Temur, Hafize; Yozgat, Can Yılmaz; Erol, Ahmet Berk; Doğuş Kuş, Hazar; Talebazadeh, Faraz; Yozgat, Yılmaz[Abstract Not Available]Öğe Evaluation of cardiac arrhythmias by electrocardiographic markers in pediatric patients who have tuberous sclerosis without cardiac rhabdomyoma(Elsevier France-Editions Scientifiques Medicales Elsevier, 2021) Yozgat, Yasemin; Kuş, Hazar Doğuş; Kahraman, Fatma; Elagöz Yüksel, Mine; Fırat, Cem Koray; Toprak, Atakan; Yozgat, Can Yılmaz; Yakut, Kadriye; Sönmez Şahin, Şeyma; İşcan, Akın; Otçu Temur, Hafize; Ergör, Serap Nur; Erenberk, Ufuk; Sarıtaş, Tuba BerraBackground: Tuberous sclerosis (TS) is an autosomal dominant and hereditary disorder. Cardiac rhabdomyoma and arrhythmias are the most deleterious risk factors linked to TS. Although arrhythmias in pediatric patients with TS who have cardiac rhabdomyoma have been frequently reported, arrhythmia in patients who have TS without rhabdomyoma is rarely reported in the literature. The study aimed to assess the susceptibility of pediatric patients who have TS without cardiac rhabdomyoma to cardiac arrhythmia using electrocardiographic (ECG) markers. Methods: This prospective study included 10 patients who had TS without cardiac rhabdomyoma. The control group was made up of 30 healthy children of the same age and sex as the patient group. P wave, P wave dispersion, QT dispersion, QTc dispersion, TP-e interval, and TP-e interval dispersion were calculated on 12-lead surface ECGs for each patient in both groups and compared. Results: P wave, P wave dispersion, QT dispersion, and QTc dispersion were found to be significantly higher in the patient group (P<0.001). Furthermore, patients had a greater Tp-e interval and Tp-e interval dispersion than healthy children (P<0.001). Conclusion: Pediatric patients with TS without cardiac rhabdomyoma might be prone to atrial and ventricular arrhythmias according to their prolonged ECG markers. Our findings suggest that patients with TS without cardiac rhabdomyoma need close monitoring for atrial and ventricular arrhythmias.Öğe MRI evaluation of right heart functions in children with mild cystic fibrosis(Cambridge University Press, 2023) Otçu Temur, Hafize; Alkan, Alpay; Yozgat, Can Yılmaz; Çakır, Erkan; Yazan, Hakan; Çelik Yabul, Fatma; Çeşme, Dilek Hacer; Yozgat, YılmazBackground: This study aimed to assess the ventricular anatomy, function of the right ventricle, and the haemodynamic findings of pulmonary artery in children with cystic fibrosis using cardiac MRI. Patients: This prospective study consisted of 32 children with mild cystic fibrosis and 30 age-matched healthy control participants. Methods: Cardiac MRI was used to assess right ventricular volumes, anatomy, and function and to assessment of haemodynamic findings of pulmonary artery in the control and study groups. Haemodynamic findings of pulmonary arteries were determined using pulmonary arteries peak velocity (cm/s), and pulmonary arteries time-to-peak velocity (ms) and pulmonary artery systolic pressure. All data of children with mild cystic fibrosis were compared with those of 30 age-matched healthy control group participants. Results: Our patients and their age-matched controls were aged from 6 to 17 years and from 7 to 15 years, respectively. We found that ejection fraction (%), cardiac output (L/ml), cardiac output (L/ml/m2), and systolic volume (ml/m2) were significantly lower in children with cystic fibrosis (p < 0.01). Right ventricular anterior wall thickness (mm) was significantly higher in children with cystic fibrosis (p = 0.01). No significant difference was observed between the haemodynamic parameters of pulmonary artery in the patient group. Conclusion: In our study, cardiac MRI was used to investigate whether the right ventricle was affected functionally and anatomically in children with mild cystic fibrosis. We detected a significant decrease in right ventricular systolic functions and notable alterations in the right ventricular geometry of children with mild cystic fibrosis. These alterations usually manifest themselves as hypertrophy of the right ventricle. Our study's results demonstrate no relationship between the development of pulmonary hypertension in mild cystic fibrosis children.Öğe The possible role of IVIG in the treatment of atrial fibrillation accompanied by fulminant myocarditis in a 12-year-old pediatric patient(2021) Yozgat, Can Yılmaz; Yesilbaş, Osman; Uzuner, Selçuk; Bayramova, Nigar; Ergün, Gökçe; Nurmammadova, Lala; Tekin, Eser; Otçu Temur, Hafize; Yozgat, YılmazBackground: Fulminant myocarditis (FM) is a potentially lethal condition in children due to rapid progressive hemodynamic instability and cardiogenic shock. Patients with FM might show different clinical manifestations on emergency department admission. Case: Herein, we describe the case of a 12-year-old girl who was admitted to our institution's emergency department due to complaints of abdominal pain and incessant vomiting. However, we detected an early onset of atrial fibrillation (AF) accompanied by FM. The patient's condition of AF and severe hemodynamic disorder was successfully treated in our institution's pediatric intensive care unit. Conclusion: To the best of our knowledge, this is the first report of the co-occurrence of FM and AF successfully treated in childhood. This case report will serve as a guide for the treatment of cases with FM accompanied by AF.











