Journal of the Egyptian Society of Cardio-Thoracic Surgery最新文献

{"title":"WITHDRAWN: Early outcome of minimally invasive mitral valve surgery","authors":"Shawky Fareed, Waleed Abou Senna, M. Sewielam, Ahmed Fouad, Ayman F Sabry, A. Bassiony","doi":"10.1016/J.JESCTS.2016.05.006","DOIUrl":"https://doi.org/10.1016/J.JESCTS.2016.05.006","url":null,"abstract":"","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78117093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Major adverse cardiac events after first time elective isolated coronary artery bypass grafting: A retrospective cohort study","authors":"Ahmed Tarek Hussein Kamel,&nbsp;Ahmed Hassouna,&nbsp;Hossam El-Din Ashour Abd El-Hamid,&nbsp;Tamer Shahat Hikal","doi":"10.1016/j.jescts.2018.11.001","DOIUrl":"10.1016/j.jescts.2018.11.001","url":null,"abstract":"<div><h3>Background</h3><p>Major adverse cardiovascular events (MACE) are useful endpoints to evaluate cardiovascular outcomes after coronary artery bypass grafting (CABG). The aim of this study was to evaluate our results in concordance with the expected improvement of records with the use of the online Research Electronic Data Capture (REDCap) software.</p></div><div><h3>Methods</h3><p>This is a retrospective cohort study with two years follow-up of patients who benefited from first time elective isolated CABG at Ain-Shams University Main Hospital, in the period between April 2014 and April 2016. Incidence, risk factors and independent predictors for MACE were calculated including; mortality, the occurrence or re-hospitalization for: heart failure, recurrence of angina or myocardial infarction (MI), cerebrovascular stroke (CVS), need of coronary angiography (CA), repeat percutaneous intervention (PTCA) or CABG.</p></div><div><h3>Results</h3><p>607 cases met our inclusion criteria and 105 patients (18.7%) developed 184 MACE, including 45 hospital mortalities (7.4%), 13 late mortalities (2.1%) and 126 non-fatal events recorded in 47 patients (7.7%); forty patients (6.6%) had at least 3 non-fatal events. Two-years follow-up was complete for the 562 hospital survivors with a total of 1113 patient-years. The annualized incidence rates of ICU admission, repeated angina or MI, need for CA, PTCA, or CABG, development of CVS, heart failure, and late mortality were: 3.6%, 2.8%, 1.8%, 0.5%, 0.09%, 0.35%, 2% and 1.2% per patient-year; respectively.</p><p>Independent predictors of hospital mortality were: older age at surgery (OR 1.06: 1–1.12; P = 0.049), female sex (OR 3.4: 1.3–8.9; P = 0.01), prolonged durations of: cardiopulmonary bypass (CPB) (OR 1.02: 1.01–1.04; P &lt; 0.001), mechanical ventilation (OR 1.07: 1.04–1.09; P &lt; 0.001) positive inotropic support (OR 1.03: 1.02–1.05; P &lt; 0.001) and ICU stay (OR 1.09: 1.07–1.11; P &lt; 0.001). Independent predictors of overall MACE was older age at surgery (OR 1.04: 1.01–1.07; P = 0.011), prolonged durations of: aortic cross clamp (OR 1.09: 1.04–1.11; P = 0.003), CPB (OR 1.06: 1.04–1.08; P &lt; 0.001) and mechanical ventilation (OR 1.02: 1.01–1.03; P &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>Our results suggested that more care should be given to females, elderly and to shorten and improve the quality of our operative time. The repetition of non-fatal MACE could be modified by closer observation of the patient, once developing his first event.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 237-244"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81219234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of pre-operative hemoglobin level on early outcomes in patients undergoing urgent coronary artery bypass grafting","authors":"Ayman Sallam ,&nbsp;Essam Hassan","doi":"10.1016/j.jescts.2018.11.006","DOIUrl":"10.1016/j.jescts.2018.11.006","url":null,"abstract":"<div><h3>Background</h3><p>Low hemoglobin (Hb) is progressively frequent sign in patients undergoing cardiac surgery. Although, anemia is potentially treatable condition prior to surgery, numerous studies have proven that low hemoglobin level is linked with higher rate of morbidity and mortality. The proportion of pre-operative low hemoglobin level and its significant effectiveness on outcomes of patients subjected to urgent coronary artery bypass is not well investigated.</p></div><div><h3>Aim of the work</h3><p>this study was conducted to examine the implications of preoperative anemia and adverse outcomes in patients referred for urgent coronary artery bypass grafting (CABG) in a tertiary care, university affiliated center.</p></div><div><h3>Methods</h3><p>128 consecutive patients undergoing urgent CABG between January 2011 and June 2013 were included. Our cohort was grouped according to pre-operative hemoglobin (HB) concentration and divided into two main groups: Anemic patient's group n = 51 (HB &lt; 13 gm/dl in men and &lt;12 gm/dl in women) and Non-anemic patients' group n = 77 (HB &gt; 13 gm/dl in men and &gt;12 gm/dl in women). Information from those patients was collected on a regular basis. Pre-operative and operative data points (including demographics, diabetes mellitus, hypertension, smoking, myocardial infarction, NYHA class, pre-operative EF, pre-operative ES diameter, pre-operative ED diameter, preoperative creatinine, preoperative PASP, prior PCI, thrombolysis, number of grafts, associated procedures (aortic valve surgery, mitral valve surgery, VSD, and ascending aorta replacement).</p></div><div><h3>Results</h3><p>Postoperative adverse outcomes in both groups was defined as the presence any of the following complications either alone or in combination such as post-operative mortality, rewiring for infection, AF, stroke, acute kidney injury, need of intra-aortic balloon pump(IABP), ECMO, cerebral hemorrhage, RBCs transfusion, plasma transfusion, ICU and hospital stay. In our population, limited to patients undergoing urgent CABG, 40% of patients were anemic and we demonstrated that anemic patients are at risk of rewiring for infection and this was statistically significant (p-value = 0.02).</p></div><div><h3>Conclusions</h3><p>Anemic patients had significantly worse outcome in terms rewiring for infection in patients undergoing urgent CABG. Further, comprehensive prospective studies are required to justify the proportional significance of pre-operative low hemoglobin level, other comorbidities and peri-operative blood transfusion in patients going through urgent CABG.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 252-256"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.11.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90690596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study of preemptive effect of pregabalin and gabapentin on postoperative pain after coronary artery bypass graft surgery. A clinical randomized trial","authors":"Samy Hanoura ,&nbsp;Mohamed Sharaa ,&nbsp;Medhat Refaie ,&nbsp;Rajvir Singh","doi":"10.1016/j.jescts.2018.11.003","DOIUrl":"10.1016/j.jescts.2018.11.003","url":null,"abstract":"<div><h3>Background</h3><p>Pain that pursues coronary artery bypass graft (CABG) surgery is usually associated with increased both recovery duration and hospital stay. Patient outcome could be worsened owing to large doses of opioids for pain control through over sedation, and prolonged mechanical ventilation. This study was designed to evaluate the effect of preemptive gabapentinoids on post CABG surgery pain control.</p></div><div><h3>Methods</h3><p>Sixty patients subjected to CABG were equally randomized to either receive 150 mg pregabalin, 600 mg gabapentin or identical capsule placebo, 2 hours before surgery. The postoperative pain was assessed with critical care pain observation tool (CPOT) and Numeric rate score (NRS). Total administered of patient controlled analgesia (PCA) with morphine as well as any rescue doses were registered and patient satisfaction was recorded.</p></div><div><h3>Results</h3><p>Out of the 60 eligible patients, 56 patients were enrolled in the study with male predominance 51 (9.1%). Enrollment at gabapentin, pregabalin and placebo groups was (19, 18 and 19 respectively). Post-operative patient satisfaction was better in the pregabalin group with value 8.1 ± 1.1 compared to 7.9 ± 1 in the gabapentin group, and 6.7 ± 1.2 in the placebo group (P &lt; 0.001). The amount of post-operative morphine PCA was lowest in the pregabalin group 22.4 ± 6 versus 27.1 ± 5.1 in the gabapentin group; with the highest was in the placebo controlled group 31 ± 5.1 (p &lt; 0.001). Ostoperative patient satisfaction and morphine PCA were comparable between treatment groups</p></div><div><h3>Conclusions</h3><p>Both pregabalin and gabapentin were effective for reduction of post CABG morphine consumption and had better patient satisfaction if given preemptively as a single dose preoperatively.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 245-251"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76786476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital outcomes of antegrade versus retrograde arterial cannulation in type A aortic dissection: A single center experience","authors":"Said Soliman,&nbsp;Alaa Eldin Farouk,&nbsp;Ahmed Elsharkawy,&nbsp;Omar Dawoud,&nbsp;Ihab Ragab","doi":"10.1016/j.jescts.2018.11.002","DOIUrl":"10.1016/j.jescts.2018.11.002","url":null,"abstract":"<div><h3>Background</h3><p>the aim of our study was to evaluate the impact of different cannulation strategies, retrograde and antegrade, on outcome of type A aortic dissection (TAAD) surgery and to identify the predictors of perioperative transient &amp; permanent neurologic dysfunction.</p></div><div><h3>Methods</h3><p>Between March 2014 and September 2017, 50 patients with TAAD who underwent surgical repair of aortic dissection at Kasr Alainy Hospital, Cardiothoracic Surgery Department were divided into two equal groups: The first group had retrograde (femoral) cannulation, while the second group had antegrade cannulation (central, right axillary, and innominate artery).</p></div><div><h3>Results</h3><p>the mean age was 52.6 ± 7.55 years in the retrograde group and 46.5 ± 10.53 years in the antegrade group. There were 3 deaths in the retrograde group (12%) and 2 deaths in the antegrade group (8%). Transient neurologic dysfunction was observed in 4 patients (16%) in the first group and 0 patients (0%) in the second group. A total of 3 patients (12%) in the first group suffered from a permanent neurologic dysfunction to 2 patients (8%) in the second group.</p></div><div><h3>Conclusions</h3><p>The cannulation site in an aortic dissection should be carefully chosen on a case-by-case basis and larger study is recommended to better evaluate optimal cannulation technique.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 270-275"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90954394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiofrequency ablation in atrial fibrillation. Predicting factors for restoration of sinus rhythm","authors":"Ahmed Osama Saad ,&nbsp;Khaled Saad El-din Karara ,&nbsp;Bassem Adel Ramadan ,&nbsp;Ahmed Saleh Abo El-Kassem ,&nbsp;Syed Saeed Ashraf","doi":"10.1016/j.jescts.2018.06.005","DOIUrl":"10.1016/j.jescts.2018.06.005","url":null,"abstract":"<div><h3>Background</h3><p>Atrial fibrillation (AF) is the most common sustained arrhythmia. It increases the risk of thromboembolic stroke, anticoagulation induced bleeding, and the overall mortality. Restoration of the sinus rhythm may improve the quality of life and reduce the mortality. The classic ‘cut and sew’ cox maze procedure is the gold standard; however, it is complex. Bipolar radiofrequency ablation is faster and simpler.</p></div><div><h3>Methods</h3><p>This study included 129 patients. They underwent bipolar radiofrequency ablation for their AF in concomitant with their cardiac surgery from 2008 throughout 2016 in Morriston hospital in UK. Patients were followed up for 6 months and divided according to their rhythm at 6 months into sinus group and AF group. Peri-operative data were collected. Comparison between the two groups was done to determine the predicting factors for the restoration of the sinus rhythm.</p></div><div><h3>Results</h3><p>42 patients were in AF in 6 months, while 87 patients restored their sinus rhythm. The two groups were compared according to different parameters. The results were tabulated and analysed using different tests. The significant predicting factors were left atrial diameter (P=0.004), type of AF (P=0.005), duration of AF (P&lt;0.001), and the rhythm at discharge (P=0.020).</p></div><div><h3>Conclusions</h3><p>The predicting factors for the restoration of the sinus rhythm after AF ablation were: smaller left atrial diameter, paroxysmal atrial fibrillation, short duration of atrial fibrillation, and sinus rhythm at discharge.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 264-269"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.06.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82876695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Histopathological changes of right ventricle outflow tract myocardium in relation to age in tetralogy of Fallot and its relation to clinical outcome","authors":"Vivek Jaswal ,&nbsp;Shyam Kumar Singh Thingnam ,&nbsp;Rana Sandip Singh ,&nbsp;Manoj Kumar Rohit ,&nbsp;Uma Nahar Saikia","doi":"10.1016/j.jescts.2018.06.001","DOIUrl":"10.1016/j.jescts.2018.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Right ventricle outflow tract myocardium in tetralogy of Fallot reflects the effect of hemodynamic stresses on right ventricle muscle and correlates with clinical right ventricle dysfunction. It may be a useful adjunct in determining the time for intracardiac repair and predicting the clinical outcome.</p></div><div><h3>Methods</h3><p>Septal and parietal bands of infundibular septum and obstructing muscle bands were excised in 48 patients undergoing intracardiac repair for tetralogy of Fallot. Microscopic study of histopathological changes in resected muscle bands was done. Post operative 2D echocardiography and tissue doppler imaging were done at the end of first and third month evaluating the right ventricular function.</p></div><div><h3>Results</h3><p>Moderate myocardial fibrosis was seen in 42.9% (12/28) patients with age &gt;5 years compared to 37.5% (6/16) patients with age between 1-5 years and 0% patients with age &lt; 1 year (P &gt;0.05). Right ventricular dysfunction was seen in 41.9% (18/43) patients who had no myocardial ischemia compared to 60% (3/5) patients with myocardial ischemia. Right ventricular dysfunction was noted in 13.33% (4/30) patients having mild myocardial fibrosis compared to 33.33% (6/18) patients with moderate myocardial fibrosis (P &gt;0.05). Early postoperative right ventricular dysfunction was seen in more number of patients with increasing age as calculated by fractional area changes and Tei index.</p></div><div><h3>Conclusions</h3><p>Myocardial fibrosis was seen in more number of patients as age progresses. Early postoperative right ventricular dysfunction was more frequent in patients with higher grade of myocardial fibrosis and higher age group.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 287-296"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74998937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective randomized study comparing Video assisted thoracoscopic surgery (VATS) resection versus cautery for treatment of primary hyperhydrosis","authors":"Ahmed G. karmota ,&nbsp;Moustafa F. Aboollo ,&nbsp;Bassem A. Hafez ,&nbsp;Ahmed A. Shaker ,&nbsp;Baker Ghoneim","doi":"10.1016/j.jescts.2018.11.005","DOIUrl":"10.1016/j.jescts.2018.11.005","url":null,"abstract":"<div><h3>Background</h3><p>Endoscopic thoracic sympathectomy (ETS) can predictably eliminate the disabling symptoms of palmar and axillary hyperhidrosis. There is debate over different techniques, including excision, electro diathermy ablation or application of surgical clips on the thoracic sympathetic ganglia.</p><p>The present study was done to compare the results achieved by thoracoscopic resection and electro-cautery ablation.</p></div><div><h3>Methods</h3><p>This prospective randomized study was conducted in our centers along 3 years and included 40 patients with palmar and/or axillary hyperhidrosis who underwent a thoracoscopic sympathectomy. They were randomized into 2 groups; each of 20 patients. Group 1 (ABLATION GROUP); the sympathetic chains and ganglia were cauterized and group 2 (RESECTION GROUP); the sympathetic chains with T₂, T₃ and T₄ ganglia were resected.</p></div><div><h3>Results</h3><p>40 patients with palmar and/or axillary hyperhidrosis underwent thoracoscopic sympathectomy. The procedures were performed through two 5 mm ports in all patients of group1. In group 2 we used one 10 mm port with a single 5 mm port in 12 patients, and one 10 mm port with two 5 mm ports in 8 patients. Success rate (defined as dramatic disappearance of sweating) and patient satisfaction were 100% in both groups. Moderate to severe postoperative pain was observed more in Group 2 {with Two patients (10%) in group 1 and 8 patients (40%) in group 2} requiring more analgesics than the standard doses. Also, minor bleeding that was controlled by diathermy in 1 patient (5%) in group 1 and 3 patients (15%) in group 2. Pneumothorax requiring chest drainage in 2 patients (10%) in group 2, compensatory hyperhidrosis, affecting 2 patients (10%) one in each group, recurrence of symptoms occurred in 1 patient (5%) in group1.</p></div><div><h3>Conclusions</h3><p>There is no statistically significant difference between VATS cautery ablation and complete resection of T_{2, 3, 4} regarding success rate and patient satisfaction; On the other hand, cauterization carry less postoperative pain and pneumothorax as well as less hospital stay.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 318-323"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78581130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the position of the drains after open heart surgery make a difference? A clinical randomized trial","authors":"Ali M. Refat,&nbsp;Amir Abdelsayed","doi":"10.1016/j.jescts.2018.10.002","DOIUrl":"10.1016/j.jescts.2018.10.002","url":null,"abstract":"<div><h3>Background</h3><p>Pericardial effusion remains a common clinical problem after cardiac surgery. Adequate postoperative drainage can be obtained by posterior pericardial drainage through a posterior tube, along with conventional drainage of the anterior mediastinum.</p></div><div><h3>Methods</h3><p>Three hundred patients, who underwent cardiac surgery, were enrolled in a prospectively randomized study. Group A (150 patients) had two retrosternal drains and group B (150 patients) had two retrosternal drains, one retrosternal and one retro-cardiac.</p></div><div><h3>Results</h3><p>Early pericardial effusion developed in 5 (3.4%) patients in group A and 2 (2.9%) in group B (<em>P</em> = <em>0.76</em>). Early posterior pericardial effusion occurred in 5 (3.4%) patients of group A whereas no patients had early posterior pericardial effusion in Group B (<em>P</em> = <em>0.024</em>). Fourteen (9.5%) patients from group A had late posterior pericardial effusion, compared to 1 (0.7%) patient from group B (<em>P = 0.001</em>). Three patients from group A had late posterior cardiac tamponade whereas no patients from group B had late posterior cardiac tamponade (<em>P = 0.013</em>).</p></div><div><h3>Conclusions</h3><p>The use of a drain placed in the posterior pericardial cavity is simple and safe and appears to be sufficient for posterior drainage. This reduces not only the high incidence of late significant pericardial effusion but also reduce early pericardial effusion and tamponade.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 281-286"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79236521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally-invasive mitral valve replacement in a patient with Libman-sacks endocarditis: A case report and literature review","authors":"Akshay Kumar Singh,&nbsp;Madhusudhan M. Gopivallabha,&nbsp;Ashwini Kumar Pasarad,&nbsp;Kishore Kolkebaile Sadanand","doi":"10.1016/j.jescts.2018.11.008","DOIUrl":"10.1016/j.jescts.2018.11.008","url":null,"abstract":"<div><p>Systemic lupus erythematosus is an autoimmune disorder characterized by microvascular inflammation, usually causing multiple organ dysfunction including the heart and kidneys. It commonly causes valvular heart disease, mitral valve insufficiency being the most common. SLE patients are prone to develop premature coronary artery disease. Some patients who are positive for Anti-Ro/La antibodies develop complete heart block. We describe the case of severe mitral regurgitation with Libman-sacks endocarditis in a patient diagnosed with SLE. She underwent minimally invasive mitral valve replacement.</p></div>","PeriodicalId":100843,"journal":{"name":"Journal of the Egyptian Society of Cardio-Thoracic Surgery","volume":"26 4","pages":"Pages 297-300"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jescts.2018.11.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79785825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}