Board in cardiothoracic and vascular surgery.
Experiencesin academin teaching
Experiences in scholarship and cultural relations
RESEARCH INTERESTS
Cardiac surgery
Thoracic surgery
Vascular surgery
Academic teaching
Scholarship and cultural relation experience
5
Scopus Publications
Scopus Publications
Prevalence, clinical and angiography of Coronary Artery Disease in patients with chest pain with left bundle branch block in Iraqi Centers of Heart Disease Ahmed Shams-Aldeen Thanoon, Ahmed Mohammed Saeed, Fawaz Mahmood Mustafa AlFaqe Biomedicine India, 2023 Introduction and Aim: Left bundle branch block (LBBB), is seen on the electrocardiograms, when the His-Purkinje system disrupts the normal sequence of activation is changed in the left bundle branch block, leading to specific appearance on the electrocardiograms. Left bundle branch blocks usually occur in patients associated with advanced heart conduction disorders. In this study we aimed to study the prevalence of significant CAD in patients with chest pain and left bundle branches block sent to invasive coronary angiography and study clinical and angiography with distribution of CAD risk factors in our study population. Methodology: This investigation is a single center retrospective cohort study that included 400 patients who underwent coronary angiography with left bundle branch block on their ECGs. The study was carried out in the Iraqi Center for Heart Disease between April 2017 and May 2022. Data regarding their age, gender, related risk factors, electrocardiography, echo and left ventricular function was noted. Data was subjected to statistical analysis using the Minitab program. Results: The prevalence of CAD was 41% among the 400 patients who had LBBB. Demographic data showed age, hypertension, and diabetes mellitus to be a risk factor associated with CAD. The related anatomy of the left bundle branch block in 98 patients showed single or multiple coronary artery disease and likely reduced ejection fraction (<50%). Conclusion: The prevalence of LBBB is more common in males than in females. The biggest risk factor for cardiovascular disease in those with LBBB and coronary artery disease is hypertension, which is followed by age and diabetes mellitus. Thus, coronary angiography should be used in cardiac tests to identify CAD in individuals with LBBB.
Clinical evaluation for bronchoscopic management in pediatric patients suspected to have foreign body inhalation Current Pediatric Research, 2021
Complications of port-a-cath using for chemotherapy, drugs, and fluid administration in Mosul city Al-Faqe, Fawaz Mahmood Mustafa, Zobair, Alya Abdulaziz Al, Alzuhairy, Bassam Ismael Jasim Archivos Venezolanos De Farmacologia Y Terapeutica, 2021 <strong>Background</strong>: Port-A-Cath PAC has been increasingly used in cancer patients undergoing long term chemotherapy, however, no previous study has been done in Mosul for verifying its associated complications with chemotherapy administration. <strong>Patients and methods:</strong> This is a prospective, observational study that evaluated early and late complications and efficacy of US-guided puncture of the right internal jugular vein (RIJV) for PAC placement. It was conducted on patients who were diagnosed and treated in Mosul Oncology Hospitals in the period from Nov. 2017 to Nov. 2019 and had PAC for chemotherapy, drugs, blood and fluid administration. 93 patients were included in this study and followed up for at least 8 months. <strong>Results:</strong> Of the 93 included patients, there were 50 (53.7%) male and 43 (46.2%) female patients. Their mean age was 51, with a range from 17-80 years. Early complications were found in 14 (15 %) patients and late complications were found in 13 (13.9%) patients. No pneumothorax complication was reported in our study. Mal-position was occurred in 4 patients who underwent implantation without screening. Pulmonary embolism was never found. Wound bleeding was developed in 3 patients. The accidental arterial puncture occurred in 6 patients for whom PAC was inserted without US guidance and managed simply by direct pressure without surgical intervention. Thrombosis was developed in 3 patients that required anticoagulant therapy, mild and superficial wound infection occur in 7 patients. <strong>Conclusion</strong>: According to our data, it is safe and cost-effective to use PCA in our patients for their psychological satisfaction and prevention of peripheral vein complications and difficulties in getting venous access. In addition, the port can be used in different ways like antibiotic injections, blood transfusion, fluid administration together with the chemotherapy.
Early results after total correction of tetralogy of fallot (Tof) in Mosul center of cardiology and cardiac surgery Fawaz Mahmood Mustafa AlFaqe, Ziad Tariq Mahmood Al-Yakoob, Ammar Abdulsalaam Alsultan Revista Latinoamericana De Hipertension, 2021 <strong>Abstract:</strong> Objectives: Report an early follow-up in patients after TOF repair and special concern to Transatrial approach to find important predictors of adverse results. Methods: An original article (retrospective study) of 39 cases (26 male and 13 female) referred from different hospitals to our department for surgical management from (June 2012 till June 2016) including all cases of pediatric & adult age group that undergoing Total correction of TOF in Mosul Center of Cardiology and Cardiac Surgery (MCCCS). Weight distributions ranged from (14 – 80) kg and the mean body weight was (35.68 kg). Body surface area ranged from 0.47 to 1.92 with a mean of 1.16 and median 1.26. Age ranged from (3.5 - 34) years (median of 12y). Diagnosis of patients done by simple echocardiography study of the heart, cardiac catheterization with other investigations. We include all approaches of repair like Transatrial and Transventricular and patients with small pulmonary arteries need additional pulmonary annuloplasty or arterioplasty enlarge pulmonary arteries. The associated anomalies were 25 patients (46.1%). Results: In this study, there was 3 case death (7.6%), the mean aortic clamp time 74.8 ranged from 33 - 120 mins and while the mean cardiopulmonary bypass time was 130 minutes, ranged from 75 - 170 minutes. The mean perfusion time was 101.1 min ranged from (77-172) mins, time needed for weaning off from the ventilation ranged from 5.45 to 10 hours. In 71.8% (28 cases) inotropic support drugs was required for coming off bypass or during ICU stay, while 28.2 % (11 cases) no inotropes were needed. All patients remained in normal sinus rhythm. In 11 cases (28.2%) developed cardiac arrhythmias, 5 cases temporary supraventricular arrhythmias and 4 cases RBBB occurred postoperatively, and 2 cases have complete heart block, from all 11 patient 7 cases only required temporary pacing, the other 4 cases resolved with medical therapy and no patient developed persist cardiac arrhythmias. 4 case only developed pericardial effusion that didn’t require any intervention and managed conservatively. 2 cases developed Pneumothorax and managed by simple thoracostomy tube. No respiratory failure, one case developed acute renal failure and died later.one patient failed to weaned from CBP machine and died later. (The preoperative RVOT pressure gradient ranged from 48 – 160 mmHg, mean 93.97 mmHg. The gradient was at early post-operative follow up echocardiography 38.7 mmHg then it decreased on late follow-up to mean 25.7 mmHg in TA/TP approach. Conclusion: Surgical management of TOF in Mosul cardiac center is feasible technique by Transatrial approach is associated with excellent early results following surgery in spite of mortality rate.
