Varicose veins are swollen, twisted veins that you can see just under the skin. Although it is all over the body, it can be seen more often in the legs. There are valves inside the veins in our body that allow the blood flow to move towards the heart. When these valves become dysfunctional for any reason, the direction of blood flow changes and leakage occurs in the opposite direction and causes venous pooling. This causes swelling in the veins and varicose veins occur. The doctor diagnoses with a physical examination and Doppler ultrasound. What is important here is the degree of leakage in the vein and the change in venous diameter. In surgical treatment, patients are discharged after approximately 1-2 hours with one of the closed operation methods (Radiofrequency Ablation, Laser Ablation, Bioglue Closure). After this procedure, the patient can return to his daily routine immediately.

Mitral valve surgery involves the replacement or repair of the mitral valve, which provides the passage of blood flow from the left atrium to the left ventricle. Blood passes between the heart chambers with the help of heart valves. When the valve closes, keeps blood from flowing backward. In conventional mitral valve surgery, the surgeon opens the rib cage to reach the heart. An incision of approximately 20 cm to 30 cm is made on the patient's anterior chest wall. After reaching the heart, the mitral valve is reached with a separate incision made on the heart. Here, mitral valve replacement with a bioprosthesis or mechanical valve, and after mitral valve repair, annuloplasty procedure is usually performed with a supporting ring of the valve ring. In these surgeries, the heart is usually stopped and a heart-lung device is used. This device provides circulation when the heart and lungs are not working. There is a responsible healthcare professional using this device. These surgeries are performed under general anesthesia. Generally, there is an operation time between 4-6 hours. After surgery, the patient is taken to the cardiac surgery intensive care unit. Here he is followed by a cardiac anesthesiologist and cardiac surgeon. After the operation, patients wake up 2-4 hours later and leave the ventilator 4-6 hours later. On the night of the operation, the patient is mobilized in the intensive care unit. It goes into service the next day. The patient is discharged 5-6 days after the operation. After the mechanical valve replacement procedure, the patient uses the drug called Coumadin (warfarin) for life. In addition, the dose of this drug should be adjusted intermittently by the doctor following the patient. The life of the valve used after the mechanical valve replacement can be extended up to 20 years. After bioprosthesis valve replacement or valve repair, aspirin is used more frequently as a blood thinner. Bioprosthesis valve durability can be extended up to 10-15 years. After repair, this time of valve durability could be the range of 5-12 years. When the operation is terminated after the valve replacement, the cut sternum bone is reconnected with steel wires. These wires remain in the patient's body for life. It takes 3-6 months for the bone to come back together and become stable.

Aortic valve surgery is the operation of the aortic valve that provides the blood flow from the left ventricle to the whole body through the aorta. It covers the replacement or repair of the aortic valve that provides blood passage. Blood passes between the heart chambers with the help of heart valves. When the valve closes, keeps blood from flowing backward. In conventional aortic valve surgery, the surgeon opens the rib cage to reach the heart. An incision of approximately 20 cm to 30 cm is made on the patient's anterior chest wall. After reaching the heart, the aortic valve is reached with a separate incision made on the aorta. Here, aortic valve replacement is performed with a bioprosthesis or mechanical valve. In these surgeries, the heart is usually stopped and a heart-lung device is used. This device provides circulation when the heart and lungs are not working. There is a responsable healthcare professional using this device. These surgeries are performed under general anesthesia. Generally, there is an operation time between 4-6 hours. After surgery, the patient is taken to the cardiac surgery intensive care unit. Here he is followed by a cardiac anesthesiologist and cardiac surgeon. After the operation, patients wake up 2-4 hours later and leave the ventilator 4-6 hours later. On the night of the operation, the patient is mobilized in the intensive care unit. It goes into service the next day. The patient is discharged 5-6 days after the operation. After the mechanical valve replacement procedure, the patient uses the drug called Coumadin (warfarin) for life. In addition, the dose of this drug should be adjusted intermittently by the doctor following the patient. The life of the valve used after the mechanical valve replacement can be extended up to 20 years. After bioprosthesis valve replacement or valve repair, aspirin is used more frequently as a blood thinner. Bioprosthesis valve Life can be extended up to 10-15 years. After repair, there is a life in the range of 5-12 years. When the operation is terminated after the valve replacement, the cut sternum bone is reconnected with steel wires. These wires remain in the patient's body for life. It takes 3-6 months for the bone to come back together and become stable.

Arterial diseases occur when there is narrowing of the blood vessels. Due to this narrowing, ischemia occurs in the organs fed by the vessel. The most common cause of arterial vascular disease is atherosclerosis. In the formation of atherosclerosis, plaque accumulation occurs primarily on the vessel wall. Later, this condition progresses and causes vascular stenosis or complete occlusion. Risk factors that cause atherosclerosis include smoking, diabetes, advanced age, high blood cholesterol and hypertension. Patients often do not have symptoms until their stenosis reaches critical levels. When it is symptomatic, various symptoms may develop depending on the organ to which the vessel attaches. If the patient has stenosis in the coronary vessels, a heart attack may develop. If critical stenosis occurs in the carotid artery leading to the brain, stroke and paralysis may develop. In stenosis of the leg arteries, symptoms that can progress from pain and cramping while walking to wound formation on the feet may develop. Erectile dysfunction can also be seen in peripheral arterial disease, especially in diabetic men. With the angiography method we use in diagnosis and treatment, we have the chance to both view the stenosis in the vessel and intervene in these obstructions with balloon angioplasty, atherectomy or stent. This procedure is performed under local anesthesia in the angio unit. After the procedure, the patients are kept under observation for 6 hours,Then discharged on the same day or the next day. Depending on the patient's diagnosis, the procedure may be repeated in a few days.

Unlike classical open coronary bypass surgery, this operation is performed with small incisions. The greatest comfort it provides to the patient is that it heals faster and with less pain. Although it is possible to perform this surgery with a smaller bone incision without fully opening the sternum bone, coronary artery bypass surgery with left mini thoracotomy, which has been used more frequently in recent years and which we think is more comfortable for the patient, is quite frequently preferred. The most important difference of this operation is that the sternum is not cut. No bone incision is made during the operation. The operation is performed by entering through the 4th or 5th intercostal space. The saphenous vein from the patient's leg, the radial artery from the left wrist, and the mammarian artery through the thorax are used as grafts. These grafts are anastomosed to the coronary vessels. In these surgeries, the heart is usually stopped and a heart-lung device is used. This device provides circulation when the heart and lungs are not working. There is a responsible healthcare professional using this device. This operation can also be performed on the beating heart without stopping the heart and without using a heart-lung machine. In this case, we call it Beating heart coronary artery bypass surgery. These surgeries are performed under general anesthesia. Generally, there is an operation time between 4-8 hours. After surgery, the patient is taken to the cardiac surgery intensive care unit. Here he is followed by the cardiac anesthesiologist and cardiac surgeon. After the operation, patients wake up 2-4 hours later and leave the ventilator 4-6 hours later. On the night of the operation, the patient is mobilized in the intensive care unit. It goes into service the next day. The patient is discharged 3-4 days after the operation. After Coronary Bypass surgery, the patient uses various blood thinners such as aspirin as blood thinners. Since the sternum bone is not cut in this technique, sternum wires, which will remain in the patient's body for life after the operation, are not used.

Unlike conventional open mitral valve surgery, this operation is performed with small incisions. The greatest comfort it provides to the patient is that it heals faster and with less pain. Although it is possible to perform this surgery with a smaller bone incision without fully opening the sternum bone, mitral valve surgery with right mini thoracotomy, which has been used more frequently in recent years and we think is more comfortable for the patient, is quite frequently preferred. The most important difference of this operation is that the visual cage bone, the sternum, is not cut. No bone incision is made during the operation. The operation is performed by entering through the right intercostal spaces. In these surgeries, the heart is usually stopped and a heart-lung device is used. This device provides circulation when the heart and lungs are not working. There is a responsible healthcare professional using this device. These surgeries are performed under general anesthesia. Generally, there is an operation time between 4-8 hours. After surgery, the patient is taken to the cardiac surgery intensive care unit. Here he is followed by the cardiac anesthesiologist and cardiac surgeon. After the operation, patients wake up 2-4 hours later and leave the ventilator 4-6 hours later. On the night of the operation, the patient is mobilized in the intensive care unit. It goes into service the next day. The patient is discharged 3-4 days after the operation. Since the sternum bone is not cut in this technique, sternum wires, which will remain in the patient's body for life after the operation, are not used.

Congenital heart surgery deals with congenital heart diseases accompanied by one or more defects in the heart of the baby. These defects can be completely closed or repaired. In some cases, there may be repetitive operations that follow each other over the years. There are many varity of congenital heart defects. Some of these are complex congenital pathology, while others are minor heart defects. These defects can be inside the heart or in the great vessels coming out of the heart. In some cases, it is necessary to intervene immediately after the birth of the baby. Sometimes, the baby can safely wait weeks, months or even years under the control of a doctor.

In the fetal circulation of the prenatal baby, there is a structure called the ductus arteriosus, which provides blood passage between the aorta and pulmonary vessels coming out of the heart. Under normal conditions, it gradually shrinks and closes immediately after birth. In cases where the ductus arteriosus does not close, medical treatment is tried first. Patent ductus arteriosus is closed surgically by ligation or division in infants who do not respond to treatment. Rarely, there may be pediatric patients with unrecognized patent ductus arteriosus who have reached advanced age. In this surgery, the PDA is reached with an incision of approximately 3-5 cm made on the left side or left anterior side of the baby. The heart-lung machine used in other open heart surgery procedures is not used and the PDA is closed without stopping the heart. The procedure is done under general anesthesia. Afterwards, the baby is followed up in the neonatal intensive care unit (NICU) by a cardiac anesthesiologist and cardiac surgeon. The baby is taken to the service after staying in the intensive care unit for 1 or 2 nights. Postoperative 3-4th day baby could be ready for discharge.

It usually presents with narrowing of the aortic segment at the beginning of the descending aorta after the arcus aorta, most commonly in infancy. The most important accompanying finding is the difference in upper extremity and lower extremity tension. Due to the narrowing of the aorta, there is little blood flow to the lower extremity. In the surgery, the narrowed segment is removed by entering between the left lateral ribs and the aorta is repaired without using a heart-lung machine. The procedure is done under general anesthesia. Afterwards, the baby is followed up in the neonatal intensive care unit (NICU) by a cardiac anesthesiologist and cardiac surgeon. The baby is taken to the service after staying in the intensive care unit for 1 or 2 nights. Postoperative 3-4th day baby could be ready for discharge.

The atrial septum is the wall that separates the right and left atrium of the heart. The defect here is called ASD. The naming and treatment methods of the defect may vary according to its location on the septum, its morphology, size and accompanying pathologies. Due to its asymptomatic course, many patients with atrial septal defect are seen in the adult age groups without being diagnosed. In some cases, severe heart failure accompanied by arrhythmias can be seen due to the mixing of oxygenated, de-oxygenated blood and pressure differences between the right and left atrium. ASD can also be closed with the device with catheterization. In surgery, a minimally small incision (5-10 cm) is entered between the right ribs, and the heart is stopped with the heart-lung machine used in open heart surgery, and the defect is closed with a patch from the patient's own pericardium. The procedure is done under general anesthesia. Afterwards, the baby is followed up in the neonatal intensive care unit (NICU) by a cardiac anesthesiologist and cardiac surgeon. The baby is taken to the service after staying in the intensive care unit for 1 or 2 nights. Postoperative 3-4th day baby could be ready for discharge.intensive care unit for 1 or 2 nights. Postoperative 3-4th day baby could be ready for discharge.

The ventricular septum is the wall that separates the right and left ventricles of the heart. The defects here are called VSD. The naming and treatment methods of the defect may vary according to its location on the septum, its morphology, size and accompanying pathologies. Due to its asymptomatic course, patients with ventricular septal defect are seen without diagnosis until adult age groups. In patients with untreated large defects, severe heart failure accompanied by arrhythmias may be seen due to the mixing of oxygenated, de-oxygenated blood and pressure differences between the right and left atrium. In addition, endocarditis can also be seen in these patients. VSD can also be closed with the device with catheterization. In surgical treatment, a minimally small incision (5-10 cm) is entered between the right ribs or with standard median sternotomy, the heart is stopped with a heart-lung machine used in open heart surgery, and the defect is closed with a patch from the patient's own pericardium. The procedure is done under general anesthesia. Afterwards, the baby is followed up in the neonatal intensive care unit (NICU) by a cardiac anesthesiologist and cardiac surgeon. The baby is taken to the service after staying in the intensive care unit for 1 or 2 nights. Postoperative 4-5th day baby could be ready for discharge.

Tetrology of Fallot is a condition that presents with bruising in infancy accompanied by postnatal cyanosis, and includes four different cardiac defects. It is also called blue baby syndrome because of the cyanosis that occurs. The best time for surgery is when the baby is 4-6 months old. In some cases, it can be expected up to 2 years old. Surgery can be summarized as closing the VSD with a patch, interfering with the pulmonary valve, and eliminating the right ventricular outflow tract stenosis. In surgical treatment, a minimally small incision (5-10 cm) is made by entering between the right ribs or by stopping the heart with a heart-lung machine used in open heart surgery with standard median sternotomy. The procedure is done under general anesthesia. Afterwards, the baby is followed up in the neonatal intensive care unit (NICU) by a cardiac anesthesiologist and cardiac surgeon. The baby is taken to the service after staying in the intensive care unit for 2 or 4 nights. Postoperative 7-8th day baby could be ready for discharge.

In a normal heart, the aorta arises from the left side of the heart and the pulmonary artery arises from the right side of the heart. In the transposition of great arteries, these two main veins are opposite. There may also be other accompanying defects. Surgery is usually done as soon as possible after delivery. In surgical treatment, it is performed by stopping the heart with a standard median sternotomy and a heart-lung machine used in open heart surgery. The procedure is done under general anesthesia. Afterwards, the baby is followed up in the neonatal intensive care unit (NICU) by a cardiac anesthesiologist and cardiac surgeon. The baby is taken to the service after staying in the intensive care unit for 2 or 4 nights. Postoperative 7-8th day baby could be ready for discharge.