Publications by authors named "Aziz Ghaly"
The Impella heart pump is an intravascular microaxial device that provides short-term mechanical circulatory support and can be placed through the femoral, axillary, or central vessels. One of the most feared complications is stroke. It is unclear if patient stroke risk varies based on access vessel.
View Article and Find Full Text PDFSurgical and endoscopic management of a pericardioesophageal fistula after radiofrequency pulmonary vein isolation.
Pacing Clin Electrophysiol
November 2020
Article Synopsis
- The text discusses the serious complication of atrioesophageal fistula (AEF) that can arise from pulmonary vein isolation (PVI), emphasizing that while it's rare, surgical closure is more effective than stenting.
- A case study is presented involving a 71-year-old man who developed a pericardioesophageal fistula (PEF) following PVI, leading to complications including bacteremia and eventually death.
- The conclusion highlights that while AEF management strategies are known, there is a lack of consensus on treating PEF, and the case demonstrates the shortcomings of using esophageal stenting for this condition.
Chylothorax is an exceedingly rare but serious complication of orthotopic heart transplantation (OHT). Prompt diagnosis and appropriate management are essential for a good outcome. Management is similar to that of nontransplant patients, but special attention must be given to patients' nutritional and immunological status.
View Article and Find Full Text PDFBackground: The small incisions of minimally invasive surgery have the proposed benefit of less surgical trauma, less pain, and faster recovery. This study was done to compare minimally invasive techniques for aortic valve replacement, including right anterior mini-thoracotomy and mini-sternotomy, to conventional sternotomy.
Methods: We retrospectively reviewed 503 patients who underwent isolated aortic valve replacement at our institution from 2012 to 2015 using one of three techniques: 1) Mini-thoracotomy, 2) Mini-sternotomy, 3) Conventional sternotomy.
Background: Patients with infective endocarditis (IE) are at high risk for post-operative morbidity and death, which might be associated with drug abuse. The purpose of this study is to evaluate the impact of drug dependence on outcomes in patients who have IE and undergo valvular surgery (VS).
Patients And Methods: The Nationwide/National Inpatient Sample 2001-2012 was queried to select patients with IE who had elective VS using International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis and procedure codes.
Article Synopsis
- - The study investigates outcomes of cardiac surgery in 1,357 patients with asymptomatic carotid stenosis, finding that 29.7% had this condition, mostly presenting as moderate stenosis.
- - Most patients with stenosis were older and more likely to be female, but overall rates of postoperative complications and mortality were similar to those without stenosis.
- - The research concludes that asymptomatic carotid stenosis does not increase the risk of complications or death after cardiac surgery, suggesting that preemptive carotid revascularization may not be necessary.
One of the concerns when placing a total artificial heart is whether the device will fit in the thoracic cavity without impinging on vital structures. We report the creation of a patch in a recipient of the AbioCor Implantable Replacement Heart that allowed for an appropriate fit of the device without adversely affecting pulmonary and hemodynamic functions.
View Article and Find Full Text PDFImproved pain control after cardiac surgery: results of a randomized, double-blind, clinical trial.
J Thorac Cardiovasc Surg
November 2003
Objective: We sought to determine whether a continuous regional infusion of a local anesthetic delivered to the operative site would result in decreased levels of postoperative pain and narcotic requirements for patients who undergo a standard median sternotomy for cardiac surgery.
Methods: A double-blind, randomized, controlled trial was conducted at a single center. Patients who were undergoing elective coronary artery bypass graft surgery alone or combined with laser transmyocardial revascularization received bilateral intercostal nerve blocks with either ropivacaine or saline.