Prof. Tayfun Aybek, MD -head of the Cardiovascular Surgery Department at TOBB ETU University – conducted the project of Remote Patient Monitoring Systems and the same University supported the Research and Development studies of this project. Remote Patient Monitoring Systems enable patients to follow their vital parameters (tension, EKG, saturation, hemoglobin, arterial blood gases etc.) after a Cardiac Surgery or Heart Attack. Patients may communicate their doctors instantly through the system.
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Case Presentation: Age 78, severe aortic stenosis, cardiac left ventricular ejection fraction (cardiac pumping capacity) is 35%, TAVI (biological aortic valve replacement through inguen) has been performed. Patient’s complaints continued and after 1 month, valve leak is observed (paravalvular leak) and TAVI (2nd implantation) operation is renewed.
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A healthy heart contracts 70-80 times in a minute and approximately 100.000 times in a day. In this way, 300 lt. of blood is pumped to the whole body in an hour. In a normal heart, there are 4 cavities. 2 upper cavities are called right and left atriums, lower cavities on the other hand are called left and right ventricles. Heart’s duty is to transfer oxygenic blood to whole body.
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A 55 years old patient admitted to our hospital with a size of 25x20 left atrium, a severe mitral valve disease. The symptoms of the disease were pulmonary edema, asthma, low cardiac output, arrhythmia, extreme fatigue and abnormal weight loss. In order to contract the left atrium, a cardiac autotransplantation surgery, the procedure of explantation and reimplantation of the heart was performed on the patient.
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It is proven that valve repair is the best method for Mitral Valve Insufficiency. Whether it is rheumatic or degenerative, mitral valve has to be repaired if it is possible. Long-term clinical studies show that the healthiest and the most effective method with less complication is the “Repair” method.
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