Articles

Surgical treatment for accidentally discovered pseudoaneurysm of the mitral-aortic intervalvular fibrosa with bicuspid aortic valve, ascending aortic aneurysm, and myocardial ischemia: a case report

Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) is a rare complication of infective endocarditis and aortic valve replacement. Ruptured P-MAIVF and angina due to compression of the coronary...

Authors: Kentaro Kiryu, Gembu Yamaura, Itaru Igarashi, Takayuki Kadohama, Fuminobu Tanaka, Daichi Takagi, Yoshinori Itagaki, Takeshi Arai, Takuya Wada and Hiroshi Yamamoto

Management of giant hydatid cysts: a tertiary centre experience

Hydatid cyst (HC), the most parasitic disease of the lung, is still an important health problem in Tunisia. In this study, we reviewed our experience in a surgical management of 33 patients with giant pulmonar...

Authors: Mahdi Abdennadher, Mariem Hadj Dahmane, Hazem Zribi, Sarra Zairi, Imen Bouassida, Imen Sahnoun, Henda Neji, Mouna Mlika, Sonia Ouerghi and Adel Marghli

Pulmonary benign metastasising leiomyoma: a single-institution case series

Benign metastasising leiomyoma (BML) is a rare and often asymptomatic presentation of smooth muscle tumour of uterine origin, occurring outside the uterus. We present the first case series of pulmonary BML in ...

Authors: Karishma Chandarana, Edward J. Caruana, Cathy J. Richards, Sridhar Rathinam and Apostolos Nakas

Extracorporeal membrane oxygenation (ECMO) in patients with severe COVID-19 adult respiratory distress syndrome: a systematic review and meta-analysis

COVID 19 is the most recent cause of adult respiratory distress syndrome (ARDS). Extracorporeal membrane oxygenation (ECMO) can support gas exchange in patients failing conventional mechanical ventilation, but...

Authors: Hany Hasan Elsayed, Aly Sherif Hassaballa, Taha Aly Ahmed, Mohammed Gumaa and Hazem Youssef Sharkawy

Right inferior phrenic artery injury as a complication of needle aspiration: a case report

To the best of the author’s knowledge, inferior phrenic artery injury was not documented in the literature as a complication of chest tube insertion or needle aspiration, and our case was the first to be menti...

Authors: Mohamed El Adel, Sayed Hassan, Mohamed A. Nady, Ahmed Ghoneim and Hany Seif

Efficacy of heart transplantation in patients with a failing Fontan: a systematic review and meta-analysis

As the population of patients with Fontan palliation grows, so does the number of patients with Fontan failure, necessitating heart transplantation. However, due to mainly small-sized studies, outcomes after h...

Authors: Wardah Hassan, Sohny Kotak, Mahima Khatri, Areeba Ahmed, Jawad Ahmed, Syed Saad Ali and Taj M. Khan

Short-term outcomes of reconstruction of extensively diseased left anterior descending artery with or without endarterectomy: a propensity score analysis

Surgical management of extensively diseased left anterior descending artery (LAD) is challenging. Reconstruction of the LAD with endarterectomy may lead to intimal disruption and affect the outcomes of surgery...

Authors: El-Sayed A. Fayad and Mohamed A. Amr

COVID-19 infection and cardiac angiosarcoma: a dangerous combination—a case report

The COVID-19 pandemic has strained all medical systems, especially in countries like Ecuador, where health services were already limited. These conditions, combined with a deadly and unusual disease, like prim...

Authors: Santiago A. Endara, Gerardo A. Dávalos, Gabriel A. Molina, Aldo B. Zavala, Patricia M. Ponton, Maribel Brito, Carlos Nieto and Vladimir E. Ullauri

TEVAR versus open repair of blunt traumatic descending aortic injury in polytraumatic patients involved in motor vehicle accidents

Thoracic endovascular aortic repair (TEVAR) is the standard-of-care for treating traumatic aortic injury (TAI). Few retrospective studies compared TEVAR to open repair in blunt traumatic aortic injury (BTAI). ...

Authors: Imthiaz Manoly, Mohamed El Tahan, Maymoona Al Shuaibi, Fatimah Adel, Mohammed Al Harbi, Yasser Elghoneimy and Mohamed Abdel Hafez Fouly

Inverted aortic bioprosthetic for mitral valve replacement with Ross procedure: case report

A 34-year-old gentleman presented with Staphylococcus salivarius infective endocarditis 13 years after aortic homograft and mitral valve repair for degenerative bicuspid aortic valve associated with rheumatic hea...

Authors: Iain McPherson, Christopher Bayliss, Tommaso Generali, Karen Booth and Asif Hasan

Delayed surgical repair of truncus arteriosus with interrupted aortic arch following bilateral banding of branch pulmonary arteries: a case report

Banding of the bilateral branch pulmonary arteries (PA) has evolved as a palliative method to limit the pulmonary blood flow in various complex congenital heart diseases. Although beneficial in small patients ...

Authors: Poonam Sharma, Maruti Haranal, Wai Kok Soo and Sivakumar Sivalingam

C-reactive protein in water leakage from gas exhaust of polypropylene oxygenators

Authors: Ignazio Condello, Alessandro Fiorentino, Giuseppe Santarpino, Massimiliano Manno and Giuseppe Speziale

Feasibility and outcome of mitral valve repair in patients with infective endocarditis

Valve repair is the treatment of choice for native mitral valve regurgitation. The feasibility of repair when the defect is caused by acute infective endocarditis (IE) is debated. This study aims to compare th...

Authors: Valentina Scheggi, Iacopo Olivotto, Stefano Del Pace, Nicola Zoppetti, Alterini Brunetto, Niccolò Marchionni, Alfredo Cerillo and Pier Luigi Stefàno

A case of needle embolism in a drug abuser, a diagnostic and therapeutic challenge

Needle embolism is a rare complication of intravenous habit. Clinical manifestations include recurrent pericarditis, tamponade, cardiac perforation, and infective endocarditis. We describe the case of needle e...

Authors: Valentina Scheggi, Tiziano Mariani, Carlotta Mazzoni and Pier Luigi Stefàno

Trans-thoracic versus trans-hiatal resection for oesophageal carcinoma: a retrospective comparative study of a single-centre case series

Oesophageal carcinoma (EC) is the eighth most common cancer. Surgery is the cornerstone of management for resectable EC. Trans-thoracic oesophagectomy (TTE) and trans-hiatal oesophagectomy (THE) are the two mo...

Authors: Aram Baram and Hiwa Sherzad

Gastrointestinal presentation of COVID-19 in a pediatric heart transplant recipient

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-associated coronavirus disease 2019 (COVID-19) most commonly causes a mild respiratory illness; however, there are wide ranges of presenting symptom...

Authors: Abdelmonem Helal, Ahmed F. Elmahrouk, Ahmed A. Jamjoom and Jameel A. Al-Ata

Index of deterioration of patients with mechanical prosthetic heart valve thrombosis

Mechanical prosthetic heart valves are known for their durability; however, a malfunctioning prosthesis can deteriorate rapidly to become a life-threatening complication. Our aim was to calculate a numerical i...

Authors: Ahmed Hassouna, Mohamed El-Ghanam, Hasan Moftah, Khaled Samir and Khaled Refaat

Dexamethasone for treatment of severe COVID-19, a surprise?

Authors: Hany Hasan Elsayed

Urgent surgical repair is pivotal in the management of major airway injury due to blunt trauma

Blunt traumatic airway injury is a life-threatening injury in which urgent management is pivotal and this would come through improving our clinical management and diagnostic tools. Our objective was to emphasi...

Authors: Hysam Abdelmohty, Mohamed A. Elanwar and Basem M. Abdelgawad

Uniportal video-assisted thoracoscopic drainless sympathectomy for palmar and palmo-plantar hyperhidrosis: an institutional experience

Primary hyperhidrosis (PH) still impacts negatively the patient’s quality of life (QoL). Progressively, it leads to poorer QoL regardless of gender. The endoscopic thoracic sympathectomy has been used safely a...

Authors: Mohammed Ahmed El-Hag-Aly, Rafik Fekry Soliman, Nehad Abdo Zaid, Mahmoud Said Eldesouky, Mohamed Mordy Bakoush and Mohamed Gamal Hagag

Short-term outcomes of surgical myocardial revascularization on health-related quality of life: a validation of the Arabic MacNew heart disease questionnaire

Impaired quality of life (QOL) is common in coronary heart disease and is the major indications for coronary artery bypass graft (CABG) operations. This study aims to compare the QOL of patients with coronary ...

Authors: Mohammad Abdallah, Shymaa Mamdouh, Abdel-Hady El-Gilany, Wael Abdel-Aziz, Olfat Farag and Noha ElAdawy

The effect of hyperlactatemia timing on the outcomes after cardiac surgery

Several studies linked postoperative hyperlactatemia to worse outcomes in adult patients undergoing cardiac surgery. However, data on the effect of timing of hyperlactatemia on outcomes are scarce. We sought t...

Authors: Khaled D. Algarni

Continuous paravertebral block by intraoperative direct access versus systemic analgesia for postthoracotomy pain relief

Systemic analgesia with paracetamol and nonsteroidal anti-inflammatory drugs plus opioids as a rescue medication had reported to be better than that depend mainly on opioids for postoperative pain relief. Thor...

Authors: Ahmed Deebis, Hala Elattar, Osama Saber, Kareem Elfakharany and Nezar Elnahal

A tentative guide for thoracic surgeons during COVID-19 pandemic

Authors: Ahmed Ghoniem, Amr Abdellateef, Amr Ibrahim Osman, Hany Hasan Elsayed, Hussein Elkhayat and Waleed Adel

Primary cardiac tumors: a spectrum of pathologies and scenarios

Cardiac tumors are rare, and their diagnosis is challenging. The level of evidence for the management of cardiac tumors came from case reports or small case series. We aim to present our multicenter experience...

Authors: Mohammed Sanad, Sherif Arafa, Mohammed Adel Hegazy and Wael Abdel Aziz Abdel Hamid

A rare chest X-ray sign in the diagnosis of an intracardiac bullet: case report

Gunshot injuries to the heart are often seen in cardiac surgical practice. Victims are usually investigated with various types of imaging modalities, including simple chest X-ray (CXR) which is a primary imagi...

Authors: Mohamed Osman, Reham Khalil, Ahmed Hany Abdalla, Azza Katta, Samer Nashef and Sameh Elameen

Tricuspid three-dimensional ring versus fashioned flexible band annuloplasty in management of functional tricuspid valve regurge: comparative long term study

Functional tricuspid valve regurgitation due to left sided valve lesions remains a common finding. Nowadays, different types of three-dimensional rings and flexible bands are considered to be the gold standard...

Authors: Abdallah Nosair, Mohamed Elkahely, Sherif Nasr and Hesham Alkady

Chemical pleurodesis for malignant pleural effusion: which agent is perfect?

Pleurodesis is defined as symphysis between two layers of pleura to prevent recurrence of effusion, and it is the best available treatment for recurrent effusions of incurable malignancies. An ideal agent must...

Authors: Mohamed Elshabrawy Saleh, Gehad Awad and Mohammed Sanad

Modified selective aortic root reconstruction with valve repair for treatment of Stanford A aortic dissection

Acute aortic dissection is a serious emergency with a significant impact on mortality and morbidity. Many patients present with hemodynamic instability that may prevent them from being transported to more expe...

Authors: Mohammed Abd Al Jawad

Spontaneous pneumothorax associated with primary lung cancer: a retrospective study

The occurrence of spontaneous pneumothorax in primary lung cancer patients is infrequent. No exact theory could explain its mechanism of association. It could be either a primary manifestation or a late compli...

Authors: Walid Abu Arab and Abdel-maguid Ramadan

Minimally invasive aortic valve replacement with central cannulation: A cost-benefit analysis in a developing country

Minimally-invasive approaches to aortic valve replacement (MIAVR) are technically and logistically demanding. However, few centers have started using these approaches with standard equipment because of the lim...

Authors: Mohammed Sanad and Hatem Beshir

Total anomalous pulmonary venous drainage repair: the effect of anatomical type and pulmonary vein stenosis on outcomes

Surgical repair of total anomalous venous drainage (TAPVD) is lifesaving. The operative mortality is reported between 4 and 35%. Anatomical type, obstructed presentation, associated single ventricle, and heter...

Authors: Osman O. Al-Radi, Ahmed Elmahrouk, Mohamed Ismail, Abdelmonem Helal and Tamer Hamouda

Reporting of interventions used in cardiothoracic surgery trials: analysis using the Template for Intervention Description and Replication (TIDieR) checklist

Authors: Craig Beavers, Jessica Sosio, Samuel Jellison and Matt Vassar

Pulmonary bullet embolism following cardiac gunshot wound: case report of a bullet that traversed the heart twice

Cardiac gunshot wounds with bullet embolism (BE) into the pulmonary artery are rare. Most pulmonary BE follow injuries of peripheral veins without concomitant cardiac injury. Herein, we describe a case of card...

Authors: Delan Ahmed Bakir, Yad N. Othman and Abdulsalam Y. Taha

Role of dexmedetomidine infusion after coronary artery bypass grafting

Postoperative pain has negative consequences on patients’ outcomes after cardiac surgery. Routine management with opioid and or non-steroidal anti-inflammatory medications has several disadvantages. Dexmedetom...

Authors: Tamer Hamouda, Mohamed Ismail, Tamer Hamed Ibrahim, Hesham Ewila and Ahmed Elmahrouk

Evaluation of the predictive value of thorax trauma severity score (TTSS) in thoracic-traumatized patients

Thorax trauma severity score (TTSS) combines patient-related parameters with the anatomical and physiological parameters, and it can be easily calculated in the emergency room. The validity of this score in th...

Authors: Mohamed Reda Zahran, Amr Abd El Monem Abd Elwahab, Mohamed Mahmoud Abo El Nasr and Mohamed Ahmed El Heniedy

Endoscopic versus open harvesting of radial artery for CABG

Endoscopic harvest of the radial artery avoids long forearm incisions and has better cosmesis compared to the open technique. The objective of this study was to compare the short-term results and wound-related...

Authors: Mohamed Abdel Hafez Fouly

Are neonatal age and small weight predictive of in-hospital death and prolonged hospital stay in children undergoing heart surgery?

The effect of young age and low weight on outcomes of congenital heart disease surgery is controversial. It is still widely believed both by parents and referring cardiologists that they do have a significant ...

Authors: Osman O. Al-Radi

Correction to: Outcome of MC3 ring annuloplasty for moderate and severe functional tricuspid regurgitation associated with rheumatic mitral valve disease

In a recently published article by Al-Elwany et al. [1] in The Cardiothoracic Surgeon, the authors reported that the rate of recurrence of tricuspid regurgitation was 4.3% after MC3 ring annuloplasty and 23.1% af...

Authors: Shady Eid Al-Elwany, Yasser Shaban Mubarak and Yasser Ali Kamal

Primary versus staged repair of Fallot with borderline pulmonary artery anatomy

Surgical management of tetralogy of Fallot (TOF) can be either with a total primary repair or staged repair. The superiority of one technique over the other is still debatable, especially in developing countri...

Authors: Basem M. Abdelgawad, Mahmoud A. Elshafie, Suzan Bayoumy and Elatafy E. Elatafy

Coronary artery bypass surgery in type 2 diabetic patients: predictors of mortality and morbidity

Coronary artery bypass grafting has been widely admitted in the therapeutic arsenal of coronary artery disease in diabetics with low morbi-mortality. However, it requires special management which may be challe...

Authors: Younes Moutakiallah, Abdelatif Boulahya, Aniss Seghrouchni, Reda Mounir, Noureddine Atmani, Mohammed Drissi, El Ghadbane Abdedaim Hatim, Zouhair Lakhal, Iliyasse Asfalou, Youssef El Bekkali, Redouane Abouqal and Mahdi Aithoussa

Outcome of MC3 ring annuloplasty for moderate and severe functional tricuspid regurgitation associated with rheumatic mitral valve disease

To evaluate early and midterm outcomes of tricuspid ring annuloplasty using three-dimensional (3D) MC3 ring for treatment of functional tricuspid regurgitation (FTR) during mitral valve replacement for rheumat...

Authors: Shady Eid Al-Elwany, Yasser Shaban Mubarak and Yasser Ali Kamal

Surgery for autoimmune aortitis: unanswered questions

The aorta is rarely affected by autoimmune vasculitis, which can lead to aortic dilatation requiring surgery. Autoimmune aortitis may affect one aortic segment or the entire aorta, and in some cases, the aorta...

Authors: Amr A. Arafat

Predictors of acute kidney insufficiency post isolated coronary artery bypass grafting surgery

Despite the advances of cardiac surgery in the last decades, the incidence of acute kidney insufficiency (AKI) post isolated coronary artery bypass grafting surgery (iCABG) is increasing. The purpose of this s...

Authors: Waleed Aty, Eric Lo, Wei Xuan, Rebecca J. Dignan, Bruce French and Rebecca Verchin

The outcome of surgical repair of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) in infants

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital malformation in infants presenting with angina, dyspnea, and excessive perspiration invoked by crying and fe...

Authors: Leena Moshref, Rana Moshref, Mazen Faden and Osman Al-Radi

Ministernotomy approach for modified Blalock-Taussig shunts in neonates: a feasibility study

The original approach to performing a modified Blalock-Taussig (MBT) shunt is via a left thoracotomy. However, the median sternotomy has become the preferred approach of many surgeons. We think that the upper ...

Authors: Ashraf A. H. El Midany and Ayman A. Doghish