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Health<br />
85 years old patient holds on to the life with a<br />
valve derived from bovine pericardium!<br />
Suffering from palpitation and shortness of breath for 15 years, 85 years old<br />
Hanım Yaş had severe stenosis in the aortic valve. This old woman had to take<br />
medicines to survive, as various hospitals found her inoperable, and the heart<br />
of the female patient is replaced by suture-free valve derived from bovine<br />
pericardium in a 45-minute operation in Okan University Hospital.<br />
The heart of 85 years old Hanım<br />
Yaş, who was suffering from<br />
palpitation and shortness of breath<br />
for 15 years, reached the critical<br />
level due to the sorrow of losing<br />
her son and daughter sequentially<br />
3 years ago. Since severe aortic<br />
stenosis was detected and she<br />
was reported high risk in various<br />
hospitals, she could not undergo<br />
cardiac surgery and Mrs. Yaş found<br />
the remedy in Okan University<br />
Hospital, where she presented<br />
upon an advice. Treatment is<br />
started here for this old woman,<br />
who could not lie on her back and<br />
suffers from severe palpitations.<br />
First, Kidney Functions Are<br />
Normalized<br />
Since Mrs. Hanım Yaş also had<br />
renal failure, it was necessary to<br />
normalize her kidney functions in<br />
order to operate on the patient.<br />
After Mrs. Yaş was maintained<br />
on treatment for 1 week, renal<br />
failure was persisting and<br />
normal angiography could not be<br />
performed, as she could not lie on<br />
her back. Next, CT angiography is<br />
scanned with the state-of-the-art<br />
scanner and no pathology could<br />
be found in coronary arteries.<br />
After the renal functions were<br />
normalized, the patient was ready<br />
to undergo the operation.<br />
Suture-free Valve Derived from<br />
Bovine Pericardium is implanted<br />
Since 85 years old woman had<br />
renal failure, it was necessary<br />
to complete the operation within<br />
a very short time. Professor of<br />
Cardiovascular Surgery Hızır<br />
Mete Alp, M.D., and Lecturer Salih<br />
Salihi, M.D., decided to implant<br />
the suture-free heart valve that is<br />
made from the bovine pericardium<br />
to the patient. Following the<br />
45-minute operation, the patient<br />
got healthy again.<br />
Shortness of Breath Is Left Back<br />
“I am far better than the past.<br />
Shortness of breath completely<br />
disappeared. I will even be better.<br />
I thank Professor Hızır Mete and<br />
Doctor Salih. I survive thanks to<br />
their efforts” said Mrs. Hanım Yaş,<br />
who was discharged 1 week after<br />
the operation and could walk back<br />
to the home.<br />
The Surgeon Carrying Out The<br />
Procedure First Time in Turkey:<br />
Prof. Hızır Mete Alp, M.D.<br />
“Overall condition of the patient<br />
was very poor when presented<br />
to the hospital. She could not<br />
lie on her back. Other facilities<br />
deemed her inoperable and left the<br />
patient to her fate. We operated<br />
on the patient following detailed<br />
investigations and treatments. It<br />
was a high-risk surgery. An aortic<br />
valve replacement is performed<br />
that takes shorter time than the<br />
conventional operation, and a<br />
heart valve derived from bovine<br />
pericardium is used that does<br />
not require stitching. Complaints<br />
are relieved and the patient got<br />
healthy again” said Prof. Hızır Mete<br />
Alp, M.D., who pioneered such<br />
procedures in Turkey.<br />
Eylül <strong>2018</strong> 71
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