Researcher:
Ateş, Mehmet Şanser

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Mehmet Şanser

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Ateş

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Ateş, Mehmet Şanser

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Now showing 1 - 4 of 4
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    Publication
    Isolated sternal cleft in a patient with coronary artery disease
    (Sage Publications Inc, 2016) Duvan, İbrahim; Onuk, Burak Emre; Kurtoğlu, Murat; Ateş, Mehmet Şanser; Teaching Faculty; School of Medicine; 230797
    A cleft sternum is a very rare developmental anomaly. It is caused by failure of fusion of the two lateral mesodermal sternal bars which later form the sternum. Diagnosis of cleft sternum is generally made in the neonatal period, and it is usually associated with other congenital defects. Occasionally, patients with cleft sternum may be reported late in the childhood or even in adulthood. We present the case of an adult patient with sternal cleft diagnosed incidentally in the perioperative period at the time of off-pump coronary artery bypass grafting. No other skeletal or cardiac congenital anomalies had been noted previously in this patient.
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    Publication
    Giant celiac artery aneurysm treated with a flow-diverting multilayer stent: early rupture as a fatal complication
    (Elsevier, 2017) Coşkun, Bilgen; Akpek, Sergin; N/A; N/A; N/A; Rozanes, İzzet; Erkan, Murat Mert; Ateş, Mehmet Şanser; Faculty Member; Faculty Member; Teaching Faculty; School of Medicine; School of Medicine; School of Medicine; 125890; 214689; 230797
    N/A
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    Publication
    Unilateral leg edema: is it always vascular?
    (Turkish Soc Cardiology, 2018) N/A; N/A; Mutluer, Ferit Onur; İndelen, Cenk; Dinçer, Neris; Aslan, Gamze; Ateş, Mehmet Şanser; Doctor; Doctor; Undergraduate Student; Doctor; Teaching Faculty; N/A; N/A; School of Medicine; N/A; School of Medicine; Koç University Hospital; Koç University Hospital; N/A; Koç University Hospital; N/A; N/A; N/A; 349025; N/A; 230797
    Unilateral lower extremity edema below the knee commonly results from deep venous thrombosis, venous insufficiency, or lymphedema. The patient history, a physical examination, and lower extremity venous duplex ultrasound often reveal the underlying etiology, which is frequently of vascular origin. Presently described is the case of a 23-year-old patient who underwent a diagnostic workup for unilateral leg swelling and was found to have a relatively uncommon cause of edema: lipedema. Lipedema is a disease characterized by subcutaneous adipose tissue deposition, and although diagnosed very rarely in general cardiology outpatient clinics, it has been demonstrated to be a cause of lower extremity edema in approximately one-fifth of cases in specialized clinics.
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    PublicationOpen Access
    Patient-specific hemodynamics of new coronary artery bypass configurations
    (Springer, 2020) Pişkin, Senol; Tenekecioğlu, Erhan; Karagöz, Haldun; N/A; Department of Mechanical Engineering; Rezaeimoghaddam, Mohammad; Oğuz, Gökçe Nur; Lashkarinia, Seyedeh Samaneh; Pekkan, Kerem; Ateş, Mehmet Şanser; Bozkaya, Tijen Alkan; Researcher; Faculty Member; Doctor; Department of Mechanical Engineering; Graduate School of Sciences and Engineering; College of Engineering; Koç University Hospital; N/A; N/A; N/A; 161845; N/A; N/A
    Purpose: this study aims to quantify the patient-specific hemodynamics of complex conduit routing configurations of coronary artery bypass grafting (CABG) operation which are specifically suitable for off-pump surgeries. Coronary perfusion efficacy and local hemodynamics of multiple left internal mammary artery (LIMA) with sequential and end-to-side anastomosis are investigated. Using a full anatomical model comprised of aortic arch and coronary artery branches the optimum perfusion configuration in multi-vessel coronary artery stenosis is desired. Methodology: two clinically relevant CABG configurations are created using a virtual surgical planning tool where for each configuration set, the stenosis level, anastomosis distance and angle were varied. A non-Newtonian computational fluid dynamics solver in OpenFOAM incorporated with resistance boundary conditions representing the coronary perfusion physiology was developed. The numerical accuracy is verified and results agreed well with a validated commercial cardiovascular flow solver and experiments. For segmental performance analysis, new coronary perfusion indices to quantify deviation from the healthy scenario were introduced. Results: the first simulation configuration set;-a CABG targeting two stenos sites on the left anterior descending artery (LAD), the LIMA graft was capable of 31 mL/min blood supply for all the parametric cases and uphold the healthy LAD perfusion in agreement with the clinical experience. In the second end-to-side anastomosed graft configuration set;-the radial artery graft anastomosed to LIMA, a maximum of 64 mL/min flow rate in LIMA was observed. However, except LAD, the obtuse marginal (OM) and second marginal artery (m2) suffered poor perfusion. In the first set, average wall shear stress (WSS) were in the range of 4 to 35 dyns/cm(2)for in LAD. Nevertheless, for second configuration sets the WSS values were higher as the LIMA could not supply enough blood to OM and m2. Conclusion: the virtual surgical configurations have the potential to improve the quality of operation by providing quantitative surgical insight. The degree of stenosis is a critical factor in terms of coronary perfusion and WSS. The sequential anastomosis can be done safely if the anastomosis angle is less than 90 degrees regardless of degree of stenosis. The smaller proposed perfusion index value,O(0.04 - 0) x 10(2), enable us to quantify the post-op hemodynamic performance by comparing with the ideal healthy physiological flow.