Ihab Ali

Ihab Ali
Ain Shams University · Department of Cardiothoracic Surgery

MD, FRCS(C-Th)

About

32
Publications
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115
Citations
Introduction
Prof.Dr.Ihab Ali MD,Frcs(C-Th) Professor of Cardio-thoracic Surgery Ain Shams University Cairo/Egypt

Publications

Publications (32)
Article
What is known and objective: Tietze syndrome is a rare form of chest wall costochondritis with joint swelling which can cause significant chest pain and decline in ability of daily activities. There is no standardized treatment protocol. The aim of this study was to assess the efficacy of adding oral steroids in addition to other non- steroidal tr...
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Background Despite warfarin therapy had been used for decades for patients with mechanical mitral valve prostheses (MMVPs), serious and life-threatening complications are still reported worldwide with a significant economic burden. This study is aimed at assessing the clinical and the cost-effectiveness of adopting pharmacist-managed warfarin thera...
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Background and Aim Ischemic mitral regurgitation (IMR) is a serious consequence of coronary artery disease. The choice of the optimal surgical strategy remains debatable. The aim of the present meta‐analysis is to compare the outcomes of mitral valve repair (RPR) versus replacement (RPL) regarding perioperative mortality, overall mortality, reopera...
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Study objective: Preoperative anemia results in two- to sixfold increased incidence of perioperative blood transfusion requirements and reduced postoperative hemoglobin (Hb) level. This prospective study was designed to investigate the effect of preoperative intravenous infusion of iron on Hb levels, blood transfusion requirements, and incidence o...
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Purpose Transverse thoracic block is a new perioperative analgesic method for post-sternotomy discomfort. This study discusses the efficacy of an ultrasound-guided transversus thoracic muscle plane block (TTPB) in patients undergoing heart surgery, including sternotomy. Patients and Methods In this prospective trial, 60 patients were randomly assi...
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Coronary endarterectomy is an old surgical procedure against coronary artery disease which was first described by Baily et al. in 1957. In spite of the first adverse effects, several recent publications have demonstrated that coronary endarterectomy (CE) with coronary artery bypass grafting (CABG) can be done safely with appropriate mortality and m...
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Background: A significant cohort of patients who undergo cardiac surgery suffer from diabetes and atherosclerosis. These patients have impaired tissue perfusion, hence a reduction in antibiotic concentration in the subcutaneous tissues at the side of the mammary artery harvesting. Topical application of gentamicin and vancomycin before wound closu...
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Background: Although closure of a sternotomy incision is usually a simple procedure, failure to do so (sternal dehiscence) is a serious complication and is an independent factor that poses a high degree of morbidity or mortality after open heart surgery. Instability of the bone fragments can lead to complete sternal breakdown, sternal wound infect...
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Background: In cardiac surgery, myocardial protection is required during cross-clamping followed by reperfusion. The use of cardioplegic solutions helps preserve myocardial energy stores, hindering electrolyte disturbances and acidosis during periods of myocardial ischaemia. This study aimed to compare the efficacy and safety between the histidine...
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Background: Atherosclerosis is a systemic disease affecting the coronary, carotid, and lower limb arteries. Cerebrovascular accidents and lower limb ischemia are devastating postoperative complications. We aimed to evaluate the role of non-selective routine arterial duplex scanning in patients undergoing coronary artery bypass grafting (CABG). Me...
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Background: We present an unusual case of pericardial tamponade occurring subsequent to a radical right nephrectomy performed entirely through a laparotomy. Case presentation: A 43 year old gentleman who presented with large loculated posterior pericardial effusion compressing the left atrium, following a radical nephrectomy performed entirely t...
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Study objective: Postoperative delirium occurs in 20-50% of elderly patients undergoing cardiac surgery and increases morbidity and mortality. We investigated whether prophylactic dexmedetomidine could reduce delirium incidence in elderly patients after coronary artery bypass grafting (CABG), compared with clonidine. Design: Prospective observat...
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Post-operative air leak is well recognised complication of Lung surgery and is a recognised complication in up to 50% of all lung resections, with the highest incidence in the immediate post-operative period (approximately 28 - 60%) [1]. Prolonged air leaks (PALs) has been defined as any air leak persisting for ≥ 7 days post-operatively. The develo...
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nder for a clinical solution. Do we go for a single and or a double drain insertion? Surgeons in conventional clinical practice generally tend to use two thoracic drains in post-operative lobectomy patients. However, some surgeons now advocate a single drain approach. Proponents of this practice cite a reduction in post-operative pain and reduced p...
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Background: Patients with low ejection fraction (EF) are at a higher risk for postoperative complications and mortality. Our objective was to assess the effect of low EF (<40%) on early clinical outcomes after coronary artery bypass grafting (CABG) and to determine the predictors of mortality. Methods: From June 2017 to February 2019, 170 consecuti...
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Our case report describes a novel surgical strategy for the repair of antero-apical Post-infarction ventricular septal defect (PIVSD). We are reporting the management of 75 years old gentleman diagnosed with antero-apical PIVSD using the Hamburger procedure with the modification of performing it using the on -pump beating technique.This technique h...
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Background: Among the most emotionally distressing experiences in cardiac surgery is the removal of mediastinal drains. The study compared between two commonly used methods for pain control during the procedure of chest drain removal. We either used systemic administration of IV morphine or local infiltration of Bupivacaine as a mode of analgesia....
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Background: Mediastinoscopy is the procedure of choice for the assesment of mediastinal lymph node (MLN) metastatic disease. Cervical mediastinoscopy allows exploration of lymph nodes in the paratracheal and pretracheal regions, in the tracheobronchial angles, and in the anterior aspect of the subcarinal space. So we aimed to investigate the role o...
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Background: Venous thromboembolism (VTE) remains a fatal and preventable event for post-surgical patients. Many guidelines for prophylaxis were proposed for prevention. The aim of this project was to ensure that appropriate methods of VTE prophylaxis were implemented according to the NICE guidelines in a tertiary thoracic surgery unit. Methods: Eig...
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Objectives: The lack of consistent data on the effect internal mammary harvesting on pulmonary functions has triggered the research group to answer the question using a prospective case control study. Methods: This is a prospective study of 90 patients undergoing elective coronary artery bypass grafting operations (CABG), in the Cardiothoracic Surg...
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Background Cardiac surgery is a stress that causes insulin resistance leading to increased insulin requirements. The aim of our study was to evaluate whether preoperative oral intake of carbohydrate rich drinks could improve outcomes and reduce stress response post valve replacement cardiac surgeries. Methods Our prospective study included 20 AS...

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