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Öğe A Rare Association; Pulmonary Artery Sling and Mowat-Wilson Syndrome(Düzce Üniversitesi, 2013) Binnetoğlu, Fatih Köksal; Topaloğlu, Naci; Tekın, Mustafa; Yıdırım, Şule; Kaymaz, Nazan; Sarıyıldırım, AbdullahPulmonary artery sling anomaly, where the left pulmonary artery originates from the rightpulmonary artery is a rare type of vascular ring that can cause respiratory difficulties, cough,wheezing, stridor, feeding difficulties and repetitive vomiting due to tracheal and esophagealcompression. We present a 14-year-old patient with dysmorphic facial appearance and mildmental retardation who underwent an echocardiography for murmur and was diagnosed withpulmonary artery sling anomaly [TR] Sol pulmoner arterin sağ pulmoner arterden çıktığı pulmoner sling anomalisi nadir bir vaskülerhalka tipi olup trakeaya ve özafagusa bası yaparak solunum sıkıntısı, öksürük, hırıltı, stridor,beslenme problemleri ve tekrarlayan kusmalara yol açabilir. Bu yazıda dismorfik yüz yapısı,hafif mental retardasyon nedeniyle izlenen ve üfürüm nedeniyle yapılan ekokardiyografidepulmoner arter sling anomalisi saptanan 14 yaşındaki bir olgu sunulmuşturÖğe Delayed time of atrial conduction in children with Familial Mediterranean Fever(2021) Şehitoğlu, M.Hilal; Binnetoğlu, Fatih Köksal; Aylanç, Hakan; Yıldırım, Şule; Kaymaz, Nazan; Özdemir, ÖztürkIntroduction: Familial Mediterranean Fever (FMF) is a disease with recurrent fever, characterized by painful, noninfectious inflammation of the serous membranes. It mostly affects Armenians, Turks, Arabs and Jews. Prolonged inflammation in FMF may lead to atrial fibrosis which can cause the deterioration of atrial conduction time and refractory periods of atrial myocardium. In the present study we aimed to assess atrial conduction time in children with FMF. Methods: The study included 36, children diagnosed with FMF(17 males/19 females, 13 (7-15) years) and 20 control(7 males/13 females, 11 (9- 16) years) cases in our Pediatric Outpatient Clinic between October 2015 and October 2016. Tissue Doppler Echocardiography (TDE) measurements of intra-and interatrial electromechanical delay were done. P wave dispersion (Pdisp) was calculated from the 12-lead electrocardiogram. Results: Inter-atrial (Lateral PA– Tricuspid PA) and Intra-left (Lateral PA-Septal PA) atrial electromechanical delay were significantly longer in FMF patients (P<0.001,respectively). (PA: the time range between the beginning of the P wave in the surface electrocardiogram and the beginning of the tissue Doppler late diastolic wave A). Also, P-wave dispersion (Pdisp) were significantly higher in FMF patients ( p= 0.002). Conclusions: This study shows that atrial electromechanical delay and Pdisp are prolonged in children with FMF. We recommend that atrial conduction time be measured for children diagnosed with FMF.Öğe Effect of infant feeding on epicardial fat thickness in normal weighted children(Anatolian Journal of Clinical Investigation, 2015) Yildirim, Şule; Binnetoğlu, Fatih Köksal; Aylanç, Hakan; Battal, Fatih; Tekin, Mustafa; Kaymaz, Nazan; Topaloğlu, NaciEFT is an independent predictor of coronary artery disease and closely associated with increased risk of metabolic syndrome and cardiovascular complications. This study aimed to evaluate the effect of breastfeeding on EFT thickness in normal-weighted children to predict the increased risk of coronary artery disease. This study included 84 normal weighted children (aged between 5-10 years), who admitted to pediatric cardiology department from October 2013 to March 2014. The patients were divided into 3 groups according to the feeding regimen in the first 6 months of year. Group 1 consisted of children who were exclusively breastfed in the first 6 months (n: 45). Group 2 consisted of children who were fed with both breast milk and formula (n: 37) and the Group 3 included children who only fed with formula (n: 2). Transthoracic echocardiography was performed and epicardial fat tissue measured. EFT was statistically lower in Group 1 compared to Group 2. EFT was highest in Group 3. The children who breastfed for longer time had low EFT thickness and this correlation was statistically significant (r= -0,457, p<0,001). In conclusion echocardiographically measured EFT thickness is low in breastfed children compared to formula-fed children. © 2015, Anatolian Journal of Clinical Investigation. All rights reserved.Öğe Left ventrİcular noncompaction and ventricular tachycardia diagnosed at preparticipatİon screening(Anatolian Journal of Clinical Investigation, 2015) Binnetoğlu, Fatih Köksal; Yildirim, Şule; Karadeniz, Cem; Topaloğlu, Naci; Tuzcu, Volkan; Kaymaz, NazanLeft ventricular noncompaction is a rare genetic cardiomyopathy which is characterized by excessive trabeculated and spongioform left ventricule. Heart failure, thromboembolism including stroke, ventricular arrhythmia and Wolf Parkinson White Syndrome are the main complications. In this study we present a patient with arrhythmia diagnosed during preparticipation screening and succesfully treated with radiofrequency ablation and flecainide. © 2015, Anatolian Journal of Clinical Investigation. All rights reserved.Öğe Right Aortic Arch with Aberran Left Subclavian Artery; Accompanied with Crossed Pulmonary Arteries: A Rare Association(2016) Aylanç, Hakan; Aylanç, Nilüfer; Binnetoğlu, Fatih Köksal; Battal, Fatih; Adam, Gürhan; Tekin, Mustafa; Kaymaz, Nazan[Abstract Not Available]
