Publications by authors named "Saad B Zakai"
Article Synopsis
- Redo mitral valve surgery has historically involved a median sternotomy, which is challenging and linked to higher perioperative mortality, but a shift towards minimally invasive techniques like right anterolateral mini-thoracotomy is being considered.
- A meta-analysis of seven observational studies (1,070 patients) evaluated outcomes comparing non-sternotomy and median sternotomy approaches, focusing on metrics like mortality, stroke, reoperations, and hospital stay.
- Results indicated that the mini-thoracotomy group had lower in-hospital mortality and shorter hospital stays compared to the median sternotomy group, suggesting that the mini-thoracotomy approach is a safe and effective option for redo mitral valve surgery.
Background: The results of cardiac surgery in patients with end-stage-liver-disease (ESLD) are poor. Concomitant cardiac surgery and orthotopic liver transplantation (OLT) may be an alternative treatment strategy in these patients.
Methods: Between 2001 and 2018, eight patients underwent concomitant cardiac surgery and OLT (Conc_OLT) in our institution.
Introduction Ventricular septal defect (VSD) is one of the more common congenital heart defects, and aortic regurgitation (AR) is its major complication if it remains unrepaired. We aim to determine the AR incidence in various types of VSD, its immediate and intermediate six to 12-month post-VSD repair outcomes of AR. Methods We conducted a retrospective review of medical records of all children aged 18 years or younger who were diagnosed with single VSD at our institution from 2016 to 2018.
View Article and Find Full Text PDFBackground: Convention mitral valve (MV) replacement is known to cause deterioration in the left ventricle function, the major mechanism responsible being disruption of the annulo-papillary continuity, thus favoring preservation of the mitral subvalvular apparatus. The aim of this study was to compare the early and midterm results, in terms of cardiac mechanics and clinical outcomes, of preserving the subvalvular apparatus (partial/complete) verses resection during mitral valve replacement.
Methods: This was a prospective non randomised trial.