Ahmed Ghoneim

Ahmed Ghoneim
Assiut University · Department of Cardio-Thoracic Surgery

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27
Publications
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68
Citations

Publications

Publications (27)
Thesis
Full-text available
Rheumatic heart disease remains a major health problem in developing countries. It is the most important sequel of rheumatic fever and occurs in about 30% of patients with rheumatic fever (1). Rheumatic mitral valves shows a different set of lesions by comparison with degenerative valves, because of the characteristic inflammatory process, which re...
Article
Full-text available
Background: Right ventricular global function (RVF) of the high pressure right ventricle in mitral stenosis patient's post Mitral Valve Replacement (MVR) had not been well-defined. Objectives: We evaluated the MVR effects on RVF in immediate and mid-term post-operative periods for mitral stenosis status Methods: A prospective observational study wa...
Preprint
The following are just recommendations not actual guidelines as currently there is not enough evidence to support the best practice and the situation is highly dynamic on day to day basis. • Thoracic surgery may not seem to be in the frontline with managing Covid-19 patients, but we do have a key role to play and this must be planned. In response t...
Article
Background Impaired sleep is a common complaint among patients undergoing major surgery and may be a contributing factor in postoperative pain. The provision of eye masks to patients after cardiac surgery may reduce postoperative pain through improvements in sleep quality. Objective To examine the effect of nocturnal eye masks on postoperative pai...
Thesis
Full-text available
Minimally invasive techniques impose itself on cardiac surgery in order to collaborate and overcome the advance in new technology in cardiology and fit the patient demands "psychic, physical and cosmetic", However proper utilization of resource and comparable outcome had been detected. Minimally invasive mitral valve surgery "repair or replacement"...
Thesis
Full-text available
This study was conducted at departments of Cardiothoracic Surgery in Assiut and Minia University Hospitals, between November 2014 and October 2016. All survivor patients completed a follow-up period of 6 months after CABG. The study included 100 patients who underwent isolated elective on-pump CABG. Group I included patients with LVEF < 50% (reduce...
Article
Background: The effect of anterior and posterior leaflet preservation on left ventricular function after mitral valve replacement is still the subject of ongoing research. The objective of this study is to analyze the early outcomes of total leaflets preservation compared to posterior and non-leaflet preservation during mitral valve surgery on card...
Article
Full-text available
Context: Assessment of surgical performance in the field of congenital heart surgery is very difficult, so many risk scoring systems have been developed. The most popular used systems nowadays are the risk adjustment for congenital heart surgery (RACHS-1) system, Aristotle basic complexity score (ABC score), and the Society of Thoracic Surgeons-Eur...
Article
Full-text available
Background: In spite of the magnificent improvement in Fontan operation results in the last two decades, there are still some concerns regarding the unfavourable early outcomes that may follow Fontan completion. Methods: From 2003 to 2016, 79 patients underwent Fontan operation at IRCCS Policlinico San Donato. Unfavourable early outcome was defined...
Article
Full-text available
Objective Thoracic Surgery has witnessed a massive revolution in the last 25 years with the standardization of video-assisted thoracoscopic surgery as the best approach of the thoracic operations. Earlier, when thoracic surgery was done through the huge thoracotomy incisions and rib spreading retractors with their excruciating pain, the chest tube...
Article
Full-text available
Background: The arterial switch operation (ASO) has become the procedure of choice for the transposition of great arteries (TGA) and double outlet right ventricle (DORV) Taussig – Bing anomaly. The improvement in diagnosis, surgical techniques, and peri-operative management resulted in improvement in mortality and morbidity. The objective of this s...
Article
Full-text available
Background: To determine adverse outcome and its specific perioperative predictors after coronary artery bypass grafting (CABG) in patients with reduced preoperative ejection fraction (EF). Methods: This study included two propensity-score matched groups, each of 50 patients. Group I included patients with EF
Article
Full-text available
Objectives: Although feasibility and safety of VATS becoming a well-established, many surgeons still consider benign lesions should preferably be approached through an open approach. literature review shows that thoracoscopy have been used since early 40's for benign pathologies so far we still find some centers using the open approach. We aim at e...
Thesis
Full-text available
Transposition of the great arteries (TGA) is a ventriculoarterial discordant lesion, in which the aorta arises from the right ventricle and the pulmonary artery from the left ventricle. The most common form of TGA is the dextro type (referred to as D-TGA), in which the ventricles are oriented so that the right ventricle is positioned to the right o...
Thesis
Full-text available
LVOT obstruction is a group of diseases characterized by: pressure hypertrophy of the LV, Symptoms of angina, dyspnea, and syncope (classic triad), If untreated. This may occur at different Levels of LVOT obstruction: Supravalvular, Subvalvular which is discrete type or Tunnel type, Valvular and multilevel Valvular aortic stenosis account for most...
Article
Full-text available
BACKGROUND: Subaortic stenosis constitutes up to 20% of all forms of left ventricular outflow tract (LVOT) obstruction in children. Although the resulting significant left ventricular hypertrophy and aortic insufficiency are clear indications for surgery, controversy persists whether to remove the membrane in symptom-free patients with an isolated...
Conference Paper
Full-text available
Also feasablity and safety of VATS becoming a well established,Many surgeons still consider benign lesions should preferably be approached through an open approach . literature review shows that thoracoscopy have been used since early 40’s for bengin pathologies so far we still find some centers using the open approach. Perpose: evaluation of VATS...
Article
Full-text available
There are several reports showing the deleterious effects of long-term pulmonary incompetence after repair of tetralogy of Fallot on RV functions and arrhythmias. That is why we adopted, since 2007, a strategy aiming to have a minimal/no PR after total correction of Fallot's tetralogy in our patients. Objectives: In our study, we sought to determin...
Research
Full-text available
VSDs can be successfully closed using a transatrial approach working across the tricuspid valve. Previous reports suggested tricuspid valve detachment technique [TVD] to improve exposure for closure of VSDs. However there has been concern that TVD might impair valve function, increase operative time and the incidence of postoperative heart block. O...
Thesis
Full-text available
Surgical management of congenital malformation of the mitral valve in the pediatric age group remains a therapeutic challenge due to the wide spectrum of the morphological abnormalities and the high incidence of associated cardiac anomalies (Stellin et al, 1988) 135. In addition, in the Third World countries, the severity and the rapid progression...
Thesis
Full-text available
From more than half of a century, the cardiac surgery was evolving by the first attempts for surgical treatment of mitral stenosis by digital closed valvotomy by Cutler in Boston (1923) and Souttar in London (1925) then it became a clinical possibility when Murry, Bailey and Harken in U. S. and Brock in England (1948) achieved modest success in the...

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