What we do at

CARDIAC SURGERY DEPARTMENT

The cardiac surgery department acts as a tertiary referral centre, catering principally for the underserved population of Aswan and Upper Egypt that spans an area with a radius of 500 kilometres, followed by referrals of the more complex surgical patients from the rest of the country. Utilizing 2 operating rooms and 26 intensive care beds the department has performed over 1000 operations in 2017, 60% of which are for babies and children.

Adult Cardiac Surgery

The surgical department has special interest in valve restorative procedures especially repair of rheumatic mitral valves utilizing innovative techniques like peeling of the rheumatic membrane and extensive sub-valvular release. In 2017 over 70% of all cases received mitral valve repair. The Ross operation is our preferred surgical treatment for children and young adults with aortic valve disease. Older patients with aortic valve disease are preferentially being treated using bioprosthetic aortic root replacement with the benefit of improved flow, across the valve and in the coronary arteries, and better LV remodeling following the operation. To date we have performed over 350 root replacements. As part of the active clinical program for hypertrophic cardiomyopathy (HCM), 250 patients received extended septal myectomy with mobilization of the fibrous trigones. Essential to the clinical program is an extensive study (for patients and their families) of genetics, flow dynamics and LV remodeling. Young patients with advanced heart failure are candidates for left ventricular assist device implantation as bridge-to-recovery at AHC. By 2017, more than 40 had received this advanced therapy. As an integral part of the program, these patients are being followed up closely utilizing advanced imaging, biomarkers analysis and clinical exercise capacity testing.

Pediatric Cardiac Surgery

Patients with transposition of the great arteries from all over the country, are fast-tracked to AHC where more than 100 arterial switch operations are performed annually. Long standing neglected cases undergo an atrial switch (Mustard) operation, to which the “Aswan Modification” is being added, with the aim of improving the contractile function of the systemic atrium and long-term outcomes. Neonates and infants with hypoplasia/interruption of the aortic arch receive an operation that restores laminar flow performed without the use of foreign tissue by exclusion of the aortic arch and performing an end to side anastomosis onto the ascending aorta, another “Aswan Technique”.