Articles

Risk and benefits of temporary pacemaker electrodes in adult open-heart surgery—a systematic review

To assess the achieved risk and benefits of inserting temporary epicardial pacemaker electrodes after open-heart surgery for potential treatment of postoperative cardiac arrhythmias, and to investigate the ext...

Authors: Malene S. Enevoldsen, Per Hostrup Nielsen and J. Michael Hasenkam

Predictors of perioperative myocardial infarction in patients undergoing off-pump coronary artery bypass grafting

Perioperative myocardial infarction (PMI) increases morbidity and mortality after off-pump coronary artery bypass grafting (CABG). The objective of the current study was to characterize patients with PMI after...

Authors: Mohamed A. Amr and Elsayed Fayad

Surgical revascularization of a rare type IV dual left anterior descending artery—a case report

Type IV dual left anterior descending artery (LAD) is a rare congenital coronary anomaly. Though benign with most of the patients being asymptomatic, knowledge of its existence and identification during corona...

Authors: Bharathguru Nedumaran, Arunkumar Krishnasamy, Mahadevan Ramasamy, Nedumaran Kaliaperumal and Ramamurthy Balakrishnan

Early outcomes of aortic valve repair versus replacement for aortic regurgitation: a single-center experience

Aortic valve repair in rheumatic patients is not well-studied. We aimed to present our initial Egyptian experience in the aortic valve repair and compare it with the aortic valve replacement. The study include...

Authors: Mohamed A. Amr and Elsayed Fayad

Destination left ventricular assist devices in island states: asking too much or the inevitable solution

Destination left ventricular assist device placement is increasing as a result of donor shortages and changing patient attitudes. As organ shortages become critical, LVAD programs become fundamental even in mo...

Authors: Eric E. Vinck, Dominique Vervoort, Kaushal K. Tiwari, Ahmet Kilic, Benjamin F. Smood, Juan C. Rendón, José J. Escobar, Alejandro Quintero Gómez, Meindert Palmen and Robert J. M. Klautz

Del Nido versus warm blood cardioplegia in adult patients with a low ejection fraction

Del Nido cardioplegia was recently introduced to adult cardiac surgery with encouraging results. The effect of Del Nido cardioplegia in patients with low ejection fraction (EF) has not been thoroughly evaluate...

Authors: Amr A. Arafat, Essam Hassan, Juan J. Alfonso, Ebtesam Alanazi, Ahmad S. Alshammari, Asif Mahmood, Khaled Al-Otaibi, Adam I. Adam, Khaled D. Algarni and Claudio Pragliola

A surgical approach of an unusual variant of complete atrioventricular defect; A case report

Complete atrioventricular canal is a congenital heart defect that is characterized by an atrial septal defect, ventricular septal defect, and a common atrioventricular valve. Standard surgical techniques for r...

Authors: Hamad Qabha, Tariq Alanazi, Mohamad Khouqeer, Mohannad Dawary and Fareed Khouqeer

Risk factors for spinal cord ischemia in frozen elephant trunk–induced upper spinal cord ischemia in patients with combination of degenerative arch aneurysms and peripheral artery diseases: a possible mechanism

Degenerative aortic arch aneurysms are known to develop through a pathological process of arterial atherosclerosis, which could be accompanied by peripheral artery diseases and resultant development of intrape...

Authors: Kentaro Kiryu, Hiroshi Yamamoto, Takayuki Kadohama, Daichi Takagi, Yoshinori Itagaki, Takuya Wada and Itaru Igarashi

Thoracic surgery in the COVID-19 era: an Italian university hospital experience

Aims of this study were to assess the results of anti-COVID19 measures applied to maintain thoracic surgery activity at an Italian University institution through a 12-month period and to assess the results as ...

Authors: Riccardo Taje, Stefano Elia, Benedetto Cristino, Federico Tacconi, Gianluca Natali, Vincenzo Ambrogi and Eugenio Pompeo

Long-term surgical outcomes after repair of multiple ventricular septal defects in pediatrics

Surgical closure of multiple ventricular septal defects (VSDs) is challenging and associated with a high complication rate. Several factors may affect the outcomes after surgical repair of multiple VSDs. We ai...

Authors: Abdullah A. Alshehri, Abdulaziz M. Alshehri, Aisha A. Muthanna, Aitizaz Uddin Syed, Ayman R. Abdelrehim, Azzahra M. Edrees, Ahmed M. Dohain, Ahmed F. Elmahrouk, Ahmed A. Jamjoom and Osman O. Al-Radi

Neurological complications after pediatric cardiac surgery

The number of pediatric patients who survive open-heart surgery has increased in recent years and the complications seen in this patient group continue to decrease with each technological advance, including ne...

Authors: Ergin Arslanoğlu, Kenan Abdurrahman Kara, Fatih Yiğit, Cüneyt Arkan, Ufuk Uslu, Ömer Faruk Şavluk, Abdullah Arif Yılmaz, Eylem Tunçer, Nihat Çine and Hakan Ceyran

Minimally invasive mitral valve repair for degenerative etiology: a comparative study

There is a paucity of data comparing the minimally invasive mitral valve repair (MiMVr) to the conventional approach in patients with degenerative disease. Our objective was to compare the outcomes of MiMVr to...

Authors: Mohamed Abdel Hafez Fouly and Tarek K. Mousa

Tunneled right atrial two-stage cannulation in aortic surgery via ministernotomy

Authors: Tamer Türk, Ufuk Aydın, Mesut Engin and Yusuf Ata

J-ministernotomy for aortic valve replacement: a retrospective cohort study

The advantage of minimally invasive sternotomy (MS) over full sternotomy (FS) for isolated aortic valve replacement (AVR) is still controversial. We aimed to examine if J-shaped MS is a safe alternative to FS ...

Authors: Mohammad A. Torky, Amr A. Arafat, Hosam F. Fawzy, Abdelhady M. Taha, Ehab A. Wahby and Paul Herijgers

Comparative study between bedside chest ultrasound and chest CT scan in the diagnosis of traumatic pneumothorax

Traumatic pneumothorax (PTx) is common in chest trauma. Its incidence ranges between 10 and 28%. Chest X-ray (CXR) is the traditional imaging for the potential traumatic PTx, while CT chest is considered the g...

Authors: Walid Abu Arab, Muhammad Abdulhaleem, Salah Eltahan and Moustafa Elhamami

Balloon tracheoplasty for tracheal stenosis after prolonged intubation: a simple procedure, but is it effective?

Tracheal stenosis following prolonged intubation is a relatively rare but serious problem. This condition is usually managed by surgical or endoscopic interventions. Bronchoscopic balloon dilatation for trache...

Authors: Abdallah Nosair, Mahmoud Singer, Mohamed Elkahely, Rezk Abu-Gamila and Waleed Adel

Requirement of artificial intelligence technology awareness for thoracic surgeons

We have recently witnessed incredible interest in computer-based, internet web-dependent mechanisms and artificial intelligence (AI)-dependent technique emergence in our day-to-day lives. In the recent era of ...

Authors: Anshuman Darbari, Krishan Kumar, Shubhankar Darbari and Prashant L. Patil

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