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5. Large pericardial mesothelial cyst coexisting with hypertrophic obstructive cardiomyopathy

Author

Sadeghpour, Anita, Alizadeh-Ghavidel, Alireza, Mozaffari, Kambiz, Pouraliakbar, Hamidreza, Ghadrdoost, Behshid, and Behjati, Mohaddeseh

Subjects
Mesothelioma, Cardiomyopathy Hypertrophic Obstructive, Pericardial Cyst, Case Report
Abstract

BACKGROUND Pericardial mesothelioma cyst occurs rarely, and is often found incidentally. The coexistence between large pericardial mesothelial cyst and hypertrophic obstructive cardiomyopathy (HOCM) can make difficulties in medical management. CASE REPORT Our case was a 33-year-old man presented with dizziness and pallor while standing since four years before, and recent syncope. On admission, transthoracic echocardiography reveled presence of hypertrophic cardiomyopathy in association with relatively small right ventricular and atrium due to compression effect by a large echo-free space at the right side of heart suggestive of pericardial cyst. Cardiac computed tomography confirmed presence of HOCM and large pericardial cyst. Patient underwent surgical septal myectomy and large mesothelial pericardial cyst excision because of persistent symptoms and compression effect of cyst on the right chambers despite beta-blocker therapy. CONCLUSION To best of our knowledge, the coexistence of the large pericardial mesothelial cyst and HOCM has not been reported before.

Published
2020

7. Iranian Society of Cardiac Surgeons COVID-19 Task Force Version II, Restarting Elective Surgeries

Author

Alizadeh Ghavidel, Alireza, primary, Mirzaaghayan, Mohammadreza, additional, Yousefnia, Mohammad Ali, additional, Asdaghpour, Esmaeil, additional, Baghaei Tehrani, Ramin, additional, Jalilifar, Naser, additional, Radmehr, Hasan, additional, Shirzad, Mahmoud, additional, Austine, Nicholas, additional, Ahmadi, Hosein, additional, Ahmadi, Zargham Hossein, additional, Afrasiabi Rad, Abbas, additional, Amirghofran, Ahmadali, additional, Amin, Ahmad, additional, Ansari Aval, Zahra, additional, Babazadeh, Kamran, additional, Bakhshandeh, Alireza, additional, Baharestani, Bahador, additional, Parvizi, Rezayat, additional, Jadbabaei, Amirnaser, additional, Jahangirifard, Alireza, additional, Hoseini, Saeed, additional, Hekmat, Manouchehr, additional, Heidari, Amanollah, additional, Shabani, Minoosh, additional, Sadeghipour, Parham, additional, Salehi, Mehrdad, additional, Ziabakhsh Tabari, Shervin, additional, Abbasi, Mohammad, additional, Gholampour Dahaki, Maziar, additional, Firouzi, Ata, additional, Laali, Mojgan, additional, Mandegar, Mohammad Hosein, additional, Mirmohammadsadeghi, Mohsen, additional, Navvabi Shirazi, Mohammadali, additional, and Nikpajooh, Akbar, additional

Published
2020
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8. The influence of mean arterial blood pressure during cardiopulmonary bypass on post-operation acute kidney injury in hypertensive patients

Author

Alavi, Seyed Mostafa, primary, Sanadgol, Hoshang, additional, Ziyaeifard, Mohsen, additional, Foroutan, Mohammad Reza, additional, Alizadeh-Ghavidel, Alireza, additional, Azarfarin, Rasoul, additional, Ghadrdoost, Behshid, additional, Noorzadeh Roshan, Yusef, additional, and Varamini, Mohammad Reza, additional

Published
2020
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11. Iranian Society of Cardiac Surgeons Position Statement for the Treatment of Patients in Need of Cardiac Surgery in the COVID-19 Pandemic Period (Version I)

Author

Asdaghpour, Esmaeil, primary, Baghaei, Ramin, additional, Jalilifar, Naser, additional, Radmehr, Hassan, additional, Shirzad, Mahmoud, additional, Mirzaaghayan, Mohammad Reza, additional, Yousefnia, Mohhamad Ali, additional, Austin, Nicholas, additional, Alizadeh Ghavidel, Alireza, additional, Hossein Ahmadi, Zargham, additional, Amirghofran, Ahmad Ali, additional, Amin, Ahmad, additional, Babazadeh, Kamran, additional, Parvizi, Rezayat, additional, Hosseini, Saeid, additional, Jadbabaei, Amir Nasser, additional, Jahangirifard, Alireza, additional, Hekmat, Manouchehr, additional, Shabani, Minoosh, additional, Sadeghipour, Parham, additional, Abbasi Tashnizee, Mohammad, additional, Gholampour Dehaki, Maziar, additional, Firouzi, Ata, additional, Mirmohammadsadeghi, Mohsen, additional, and Nikpajouh, Akbar, additional

Published
2020
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12. Concomitant cardiac and hepatic hemangiomas

Author

Shojaeifard, Maryam, primary, Saedi, Sedigheh, additional, Alizadeh Ghavidel, Alireza, additional, Karimlu, Mohammad Reza, additional, Kasaei, Mohammad, additional, Reza Pouraliakbar, Hamid, additional, and Mozaffari, Kambiz, additional

Published
2020
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13. Surgical left atrial appendage closure: Success rate and its relationship with cerebrovascular accident.

Author

Peighambari, Mohammad Mahdi, Moradkarami, Firoozeh, Sadeghpour, Anita, Baharestani, Bahador, Alizadeh-Ghavidel, Alireza, Ghadrdoost, Behshid, Etemadifar, Masoud, and Behjati, Mohaddeseh

Subjects
STROKE, SURGICAL complications
Abstract

Background: Several surgical procedures such as excision or exclusion are recommended for the closure of the left atrial appendage (LAA). This study was conducted with the aim to evaluate the success rate of different surgical techniques for LAA closure, their respective complications, and the rate of post-surgical cerebrovascular accident (CVA). Methods: This retrospective study included 150 consecutive patients who underwent LAA closure most commonly after mitral valve surgery within 3 to 6 months after surgery. An expert echocardiographic fellow collected the data on patients' surgical LAA closure methods and history of CVA, types of prosthetic valves, mortality, and bleeding. Results: The failure rate for complete LAA closure was 36.7% (55 patients) in our study. The greatest success rate of complete LAA closure was seen in purse-string method (75.5%), followed by resection method (71.4%), while the lowest success rate (? 33.3%) was observed in ligation method. A significant relationship was observed between clots on the surface of metallic valve and postoperative CVA (P = 0.001; likelihood ratio: 32). In multivariate analysis, there was also no statistically significant relationship between partial LAA closure and the incidence of post-surgical CVA (P > 0.050). Conclusion: We observed the highest success rate of complete LAA closure in purse-string method followed by resection method. Interestingly, our results showed that despite the higher rate of residual LAA clot in cases of partial LAA closure, the occurrence of post-surgical CVA was mostly related to the presence of clots on the surface of metallic mitral prostheses rather than the presence of partial LAA closure. [ABSTRACT FROM AUTHOR]

Published
2021
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14. Challenges and experience of setting up an aortic service.

Author

Hosseini, Saeid, Rezaei, Yousef, and Alizadeh Ghavidel, Alireza

Abstract

Aortic surgery is a complex procedure posing high risks in comparison to other adult cardiac surgeries. Novel surgical approaches including minimally invasive procedures, sutureless aortic valve replacement, and transcatheter aortic valve implantation have been found to be acceptable alternatives to conventional surgeries. In addition, novel endovascular repair techniques and hybrid procedures have been introduced for the management of patients with thoracoabdominal aortic pathologies. However, these modalities are not readily available in every center, and such novel procedures impose a learning curve for surgeons and high costs for affected patients. In this review, we discuss the challenges of setting up an aortic service, having regard to the Iranian experience. [ABSTRACT FROM AUTHOR]

Published
2021
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23. Mesenchymal stem cells from human amniotic membrane differentiate into cardiomyocytes and endothelial-like cells without improving cardiac function after surgical administration in rat model of chronic heart failure

Author

Gorjipour, Fazel, primary, Hosseini-Gohari, Ladan, additional, Alizadeh Ghavidel, Alireza, additional, Hajimiresmaiel, Seyed Javad, additional, Naderi, Nasim, additional, Darbandi Azar, Amir, additional, and Pazoki-Toroudi, Hamidreza, additional

Published
2019
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24. Challenges and experience of setting up an aortic service

Author

Idhrees, Mohammed, Bashir, Mohamad, Hosseini, Saeid, Rezaei, Yousef, and Alizadeh Ghavidel, Alireza

Abstract

Aortic surgery is a complex procedure posing high risks in comparison to other adult cardiac surgeries. Novel surgical approaches including minimally invasive procedures, sutureless aortic valve replacement, and transcatheter aortic valve implantation have been found to be acceptable alternatives to conventional surgeries. In addition, novel endovascular repair techniques and hybrid procedures have been introduced for the management of patients with thoracoabdominal aortic pathologies. However, these modalities are not readily available in every center, and such novel procedures impose a learning curve for surgeons and high costs for affected patients. In this review, we discuss the challenges of setting up an aortic service, having regard to the Iranian experience.

Published
2021
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31. Hemostatic Role of TachoSil Surgical Patch in Cardiac Surgery

Author

Alizadeh Ghavidel, Alireza, Mirmesdagh, Yalda, Samiei, Niloufar, and Gholampour Dehaki, Maziar

Subjects
Hemostasis, lcsh:Diseases of the circulatory (Cardiovascular) system, Bleeding, Blood Transfusion, Cardiac surgery, lcsh:RC666-701, Original Article
Abstract

Introduction: Excessive bleeding presents a risk for the patient in cardiovascular surgery. Local haemostatic agents are of great value to reduce bleeding and related complications. TachoSil (Nycomed, Linz, Austria) is a sterile, haemostatic agent that consists of an equine collagen patchcoated with human fibrinogen and thrombin. This study evaluated the safety and efficacy of TachoSil compared to conventional technique.Methods: Forty-two patients scheduled for open heart surgeries, were entered to this study from August 2010 to May 2011. After primary haemostatic measures, patients divided in two groups based on surgeon’s judgment. Group A: 20 patients for whom TachoSil was applied and group B: 22 patients that conventional method using Surgicel (13 patients) or wait and see method (9 cases), were performed in order to control the bleeding. In group A, 10 patients were male with mean age of 56.95±15.67 years and in group B, 9 cases were male with mean age of 49.95±14.41 years. In case group 70% (14/20) of the surgeries were redo surgeries versus 100% (22/22) in control group.Results: Baseline characteristics were similar in both groups. In TachoSil group 75% of patients required transfusion versus 90.90% in group B (P=0.03).Most transfusions consisted of packed red blood cell; 2±1.13 units in group A versus 3.11±1.44 in group B (P=0.01), however there were no significant differences between two groups regarding the mean total volume of intra and post-operative bleeding. Re-exploration was required in 10% in group A versus 13.63% in group B (P=0.67).Conclusion: TachoSil may act as a superior alternative in different types of cardiac surgery in order to control the bleeding and therefore reducing transfusion requirement., Journal of Cardiovascular and Thoracic Research; ISSN 2008-5117

Published
2014
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37. Unusual Clinical Presentation of a Giant Left Ventricle Hydatid Cyst

Author

Alizadeh-Ghavidel, Alireza, Kyavar, Majid, Sadeghpour, Anita, Totonchi, Zia, Mirmesdagh, Yalda, Almassi, Nooshin, and Madadi, Shabnam

Subjects
Hydatid Cyst, lcsh:Diseases of the circulatory (Cardiovascular) system, lcsh:RC666-701, Pericardial Cyst, parasitic diseases, Case Report, 610 Medical sciences, Medicine, Pericardial Effusion
Abstract

A 39-year-old woman was hospitalized in our center due to chest and left shoulder pain. Having a history of tamponade and tuberculosis, she was under treatment for the previous two months. Echocardiography, chest CT and MRI documented intramyocardial and pericardial hydatid cyst which was later confirmed by further pathological studies. Later, the cyst was removed surgically., Journal of Cardiovascular and Thoracic Research ; ISSN: 2008-5117

Published
2013

46. A rare presentation of late right coronary artery spasm following aortic valve replacement.

Author

Alizadeh-Ghavidel, Alireza, Basiri, Hosseinali, Totonchi, Ziae, Mirmesdagh, Yalda, Jalili-Shahandashti, Farshad, and Gholizadeh, Behnam

Subjects
*CORONARY arteries, *SPASMS, *CHEST pain, *CORONARY angiography, *HEMODYNAMICS
Abstract

BACKGROUND: Coronary artery spasm (CAS) is defined as a reversible, sudden epicardial coronary artery stenosis that causes vessel occlusion or near occlusion. CASE REPORT: In this article, we present a clinical case of CAS in a 48-year-old woman undergoing elective aortic valve replacement surgery for aortic stenosis. On the 3rd post-operative day, the patient suffered from chest pain and dyspnea. Emergent coronary angiography demonstrated a significant spasm of the ostium portion of the right coronary artery. CONCLUSION: This case shows that delayed coronary spasm should be considered as a cause of hemodynamic instability after valvular surgery. [ABSTRACT FROM AUTHOR]

Published
2015

47. Surgical outcomes of heart valves replacement: A study of tertiary specialied cardiac center.

Author

Samiei, Niloufar, Hakimi, Mohammad Reza, Mirmesdagh, Yalda, Peighambari, Mohammad Mehdi, Alizadeh-Ghavidel, Alireza, and Hosseini, Saeid

Subjects
PROSTHETIC heart valves, HEART valve diseases, POSTOPERATIVE care, SURGICAL complications, MITRAL valve surgery
Abstract

BACKGROUND: Heart valve disease is a significant and increasing global problem in the developing world. The aim of this study is to evaluate the incidence of postoperative complications and mortality in patients who underwent heart valve replacement. METHODS: In this prospective study, 320 adult cases (186 females and 134 males, mean age of: 45.7 ± 15.0) with valvular heart diseases who underwent heart valve replacement at our center, from June 2011 to January 2012 were enrolled. All the required demographic, echocardiographic, and electrocardiogram data were studied. The incidence of intraoperative and early postoperative complications and mortality were evaluated. RESULTS: Among total, 96.3% of the cases underwent elective surgery. Mitral valve replacement surgery was occurred the most in 58.8% of the cases. In 11.3% of the cases, bioprosthetic valves and in 88.8% of the patients prosthetic valves were required. Early postoperative complications were occurred in 85 patients (26.6%), including: valve-related events: 7 cases, postoperative arrhythmia: 24 patients, worsening function of the repaired valve: 16 cases and general complications: 38 patients. Mortality was occurred in 25 patients (7.8%), 10 cases due to cardiac problems versus 15 patients due to non-cardiac problems. There were significant correlations between age, simultaneous valve repair and replacement, the anatomic site of the valve and the incidence of postoperative complications. Age, history of diabetes mellitus (DM), hypertension (HTN), and high grade of functional capacity were reported the significant causes of postoperative mortality. CONCLUSION: Age, DM, HTN, functional capacity and multivalve disease are significant predictors of post-valvular surgery morbidity and mortality. [ABSTRACT FROM AUTHOR]

Published
2014

48. Amiodarone versus lidocaine for the prevention of reperfusion ventricular fibrillation: A randomized clinical trial.

Author

Alizadeh-Ghavidel, Alireza, Haghjoo, Majid, Nabavi, Salaheddin, Toutonchi, Zia, Mirmesdagh, Yalda, and Javadikasgari, Hoda

Subjects
*AMIODARONE, *LIDOCAINE, *VENTRICULAR fibrillation treatment, *TREATMENT of reperfusion injuries, *COMPLICATIONS of cardiac surgery
Abstract

BACKGROUND: Reperfusion ventricular fibrillation after aortic cross clamp is one of the important complications of open cardiac surgery and its prevention could reduce myocardial injuries. This study aimed to evaluate the efficacy of single dose of amiodarone or lidocaine by the way of pump circuit three minutes before aortic cross clamp release and compare the results with normal saline as placebo in a randomized double blinded controlled trial. METHODS: One hundred fifty patients scheduled for first time elective coronary artery bypass graft surgery were randomly assigned to receive either single dose of amiodarone (150 mg), lidocaine (100 mg), or normal saline (5 ml) three minutes before aortic cross clamp release. The incidence of ventricular fibrillation and the need for reuse of drug were compared between these groups by chi-square, Student's t-test, Mann-Whitney test, and One-way ANOVA. SPSS software was used for statistical analysis. RESULTS: The incidence of ventricular fibrillation is higher in the placebo group (15.9%) compare to lidocaine (11.8%) and amiodarone (8.9%) groups; however, there was no statistical difference among the three groups (P = 0.41). Moreover, the reuse of amiodarone (22.7%) was statistically higher (P < 0.05) than lidocaine (5.9%). CONCLUSION: This study showed no difference among lidocaine, amiodarone, and placebo in preventing ventricular fibrillation after aortic cross clamp release. [ABSTRACT FROM AUTHOR]

Published
2013

50. Pregnancy Outcome after Mechanical Mitral Valve Replacement: A Prospective Study.

Author

Samiei, Niloufar, Kashfi, Fahimeh, Khamoushi, Amirjamshid, Hosseini, Saeid, Alizadeh Ghavidel, Alireza, Taheripanah, Robabeh, and Mirmesdagh, Yalda

Subjects
ANTICOAGULANTS, CHI-squared test, FISHER exact test, PROSTHETIC heart valves, LONGITUDINAL method, EVALUATION of medical care, MITRAL valve, PREGNANCY, RESEARCH funding, STATISTICAL hypothesis testing, DATA analysis software
Abstract

Background: Pregnant patients with mechanical heart valves require anticoagulation. The risk of bleeding and embryopathy associated with oral anticoagulants must be weighed against the risk of valve thrombosis. Methods: In this prospective study, undertaken between 1999 and 2009, 53 pregnancies (47 women with mechanical mitral valves; 29.8 ± 4.8 years old) were studied. Patients were divided into two groups: group I (n = 43) received Warfarin throughout the pregnancy, while group II (n = 10) received Heparin in the first trimester and then Warfarin until the 36th week. Results: Thirty-two (60.4%) pregnancies resulted in live births, whereas 18 (34%) abortions, 2 (3.8%) stillbirths, and one (1.9%) maternal death occurred. In group I, there were 26 (60.5%) live births, one (2.3%) stillbirth, and 15 (34.9%) abortions. In group II, there were 6 (60%) live births, one (10%) stillbirth, and 3 (30%) abortions. There were no significant differences between the two groups in terms of fetal outcome. Thirty-nine (90.7%) of the pregnancies in group I and 50% of those in group II (p value = 0.001) were without complications. There were no congenital malformations in the two groups. Conclusion: Fetal outcome was almost the same between the Warfarin and Heparin regimens. In maternal outcome, the Warfarin regimen is safer than Heparin. [ABSTRACT FROM AUTHOR]

Published
2012

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