Medical Specialties Commons^™

The Impact Of Ventricular Dominance On The Early Outcome Of Bidirectional Glenn Shunt In Children, Ahmed Mohamed Al Etreby, Zakaria Moustafa El- Mashtoly, Bahaa Abd Elgawad Hassan El Khonezy

Al-Azhar International Medical Journal

Background: Patients with UVH currently are accounting for about 20% of patients with complex heart defects, and have the highest mortality. Mortality is high during initial treatment and during long-term follow-up. Aim of the Work: to compare the outcome after BDG procedure in patient with dominant RV and patient with dominant LV as a palliative procedure. Patients and Methods: A prospective comparative non-randomized controlled trial included 60 patient's undergone BDG (30 patients having pathology of dominant RV, and 30 patients having pathology of dominant LV). Patients were collected from Al-Azhar university hospitals and of Misr children hospital during the period …

Early Results Of Left Anterior Descending Coronary Artery (Lad) Reconstruction In Patients With Poor Target Lad In Coronary Artery Bypass Grafting Procedure, Mohamed Shaffik Abd Allah, Mohammed Hussieny Mahmoud, Rami Ibrahim Abdelrehim Ibrahim

Al-Azhar International Medical Journal

Background: The development of numerous atheromatous plaques often compromises the long-term patency of a LIMA to LAD in patients with diffuse LAD disease, making it difficult to attain full myocardial revascularization using traditional bypass procedures. Reconstructing such LAD, has been proposed as a surgical solution. aims: to assess and compare the early surgical results of left anterior descending coronary artery reconstructional patch-plasty using the left internal mammary artery onlay patch technique and the saphenous vein graft patch alongside LIMA anastomosed to the patch technique among individuals with diffusely diseased LAD coronary artery. Patients and methods: this prospective study involves sixty …

The Impact Of Sequential Coronary Artery Bypass Grafting On The Early Clinical Outcome, Zakaria Mostafa El Mashtoly, Mohamed Hussieny Mahmoud, Tarek Zaghlol Mohamed, Mahmoud Mohamed El-Damanhory

Al-Azhar International Medical Journal

Background: Patients with ischemic heart disease undergo coronary artery bypass grafting (CABG) procedures; many modifications, including as the anastomosing technique, have been introduced to improve long-term clinical outcomes.

Aim of Study: In order to assess the effectiveness and results of sequential grafting for multiple coronary artery bypass.

Patients and Methods: It is a prospective, randomized study, conducted from April 2021 to June 2022 at Cardiothoracic Surgery Departments, Al-Azhar University Hospitals, Egypt, in Cairo. 40 patients with multi-vessel coronary artery disease were among the 40 patients who were ready for sequential CABG. Preoperative, intraoperative, postoperative, and three months of follow-up examinations …

Early Results Of Surgical Intervention In Patients With Malfunction Prothetic Cardiac Valves, Mohamed Ahmed Shaban Elghanam, El-Husseiny El-Husseiny Gamil, Mohammed Eldesoky Sharaa, Haythm Mohamed Abd Elmoaty

Al-Azhar International Medical Journal

Background:After their insertion, prosthetic valves—either mechanical or biological—have some drawbacks. There are many challenging events that lead to dysfunction of prothesis, such as formation of a thrombus or pannus, para-valvular leakage, and developing cardiac infections after the prosthesis, like endocarditis. Objective:to assess factors that are responsible for malfunction of prosthetic cardiac valves;in addition, assessment of post-operative mortality and morbidity of those patients. Patient and methods:In this prospective study, we followed up the early results of surgical intervention in 40 patients with malfunction prosthetic cardiac valves at the Cardiothoracic Surgery Department, El-Hussien Hospital, Al-Azhar University;the follow-up timespan was from March 2019 …