Introduction: Our experience in minimally invasive procedures and improvement of graft technology enables easy and successful operation carried out even with complex thoracic aortic diseases from limited surgical area. However, it should be more than one incision or cannulation site for such intervention. We aimed to present our experience and results of 23 patients who has ascending aorta and aortic arch pathologies of which we operated with J-shaped partial sternotomy and innominate vein cannulation. Methods: From January 2014 to January 2016, 23 patients with aorta and aortic valve pathologies who underwent aortic surgery with J-shaped partial sternotomy and innominate vein cannulation included. Operation findings, cardiopulmonary bypass (CPB) values, postoperative results, surgical mortality and morbidity rates, late conversion to full sternotomy rates, ICU and hospital length of stay were evaluated. Results: The mean age of the patients was 53. 7± 12 (range 19-68) and 18 (78. 2%) were males. Arcus aorta debranching applied to 4 patients (17. 3%) and one of these procedures was frozen elephant trunk procedure (4. 3%). Neither mortality nor cerebrovascular accident occurred. Mean CPB peak flow was 4. 6± 0. 4 L/min, mean flow index calculated as 2. 01± 0. 38 L/min/m2 and there was no CPB problem intraoperatively. Innominate vein ligation was carried out in 5 patients but no complication was seen except one who had left arm swelling treated with elevation. Conclusion: Innominate vein cannulation with J-shaped partial sternotomy is a reliable and easily applicable method providing effective utilization of limited operative field not only in ascending aorta and aortic arch operations but also with the advancements of hybrid systems used in descending aorta pathologies.

Indoor air quality is inevitably linked to ambient air quality. What controls ambient air quality also affects indoor air quality. The desert belts and their respective dust plumes on a global basis regulate ambient air quality. Each desert has its own exclusive extension zone and during the period of cyclonic depressions millions of tons of dust is injected into the atmosphere. These dust particles having 10-micron size or less can traverse long distances and are composed of clay minerals and embedded bacteria fungus and viruses. It has been shown that when inhaled it may adversely affect the respiratory system as well as triggering genes that are responsible from the production of specific proteins that results with migraine attacks. Basing on this work we have developed simple water based air purifier system that can effectively removes 90 % of particles in an hour and ultimate purification is reached within 120 minutes in one cubic meter experimental chamber. Of course, increase in air flux will inevitably shorten the time necessary for ultimate purification for a given environment. The air purifying system consists of an aquarium pump hose and air stone and simple 5 l water bottle. The basic principle behind the purification system based on the fact that during the rise of air bubble the air bubbles increases the surface area that is in contact with water and friction with water creates a vortex further assisting the transfer of any particles and bacteria fungus and virus to water phase. With this simple purification system the adverse effect of dust particles can effectively be removed from indoor environment. Renewing the water is the only thing required for the continuation of effective purification. The water is not wasted and can be used to irrigate the flowers lawns etc. Such systems also offer an ideal low cost pre-cleaning filtering that can be used to extent the operational life of expensive filtering systems.