Hosam F Fawzy

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BACKGROUND Preoperative patients' characteristics can predict the need for perioperative blood component transfusion in cardiac surgical operations. The aim of this prospective observational study is to identify perioperative patient characteristics predicting the need for allogeneic packed red blood cell (PRBC) transfusion in isolated primary coronary(More)
BACKGROUND Cardiopulmonary bypass has been implicated as a cause of acute lung injury in cardiac surgical patients. This could be avoided with off-pump coronary artery bypass surgery. Aim. To ascertain the possible benefit of OPCAB surgery on pulmonary gas exchange. METHODS We randomized 75 consecutive patients (mean age 57 years) into two groups: Group 1(More)
Patients who received clopidogrel prior to coronary bypass surgery are at increased risk for bleeding that must be balanced with risk of ongoing ischemia if coronary artery bypass grafting is delayed. This study aimed to evaluate the impact of clopidogrel on mortality and major bleeding in patients undergoing urgent coronary bypass surgery. We reviewed 451(More)
BACKGROUND Median sternotomy infection and bony nonunion are two commonly described complications which occur in 0.4-5.1% of cardiac procedures. Although relatively infrequent, these complications can lead to significant morbidity and mortality. The aim of this retrospective study is to evaluate the initial experience of a transverse plate fixation system(More)
BACKGROUND Sternal instability with mediastinitis is a very serious complication after median sternotomy. Biomechanical studies have suggested superiority of rigid plate fixation over wire cerclage for sternal fixation. This study tests the hypothesis that sternal closure stability can be improved by adding plate fixation in a human cadaver model. METHODS(More)
BACKGROUND Diffuse microvascular bleeding remains a common problem after cardiac procedures. Systemic use of antifibrinolytic reduces the postoperative blood loss. The purpose of this study was to examine the effectiveness of local application of tranexamic acid to reduce blood loss after coronary artery bypass grafting (CABG). METHODS Thirty eight(More)
BACKGROUND Plate and screw fixation is a recent addition to the sternal wound treatment armamentarium. Patients undergoing cardiac and major vascular surgery have a higher risk of postoperative arrest than other elective patients. Those who undergo sternotomy for either cardiac or major vascular procedures are at a higher risk of postoperative arrest.(More)
OBJECTIVE Many surgeons consider the tricuspid valve to be a second-class structure. Our objective was to determine the normal anatomy and dynamic characteristics of the tricuspid valve apparatus in vivo and to discern whether this would aid the design of a tricuspid valve annuloplasty ring model. METHODS Sixteen sonomicrometry crystals were placed around(More)
BACKGROUND There is no previously published report on the applicability of risk stratification systems to adult cardiac patients in Saudi Arabia. AIM We have tried to verify the predictive value of Parsonnet and EuroSCORE in Saudi patients. METHODS Data of 194 consecutive adult patients operated in our unit over the period of last few years, was(More)
To develop an anatomically correct mitral valve prosthesis, one needs to study the dynamics of the mitral valve apparatus in vivo. The authors used three-dimensional (3D) sonomicrometry and custom visualization software to develop a system to study the mitral valve. Sixteen ultrasonic transducers each were implanted into the hearts of pigs under(More)