000			03029cam a2200325 a 4500
003			EG-GiCUC
008			190406s2018 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.05.Ph.D.2018.Mo.V
100	0		_aMostafa Mahmoud Atta
245	1	4	_aThe value of intra-operative epiaortic scanning in patients submitted for coronary artery bypass grafting / _cMostafa Mahmoud Atta ; Supervised Mohammed Magdy Gomaa , Hesham Zayed Saleh , Alaa Mohammed Omar
246	1	5	_aقيمه جهاز مسح الشريان الاورطى للمرضى اثناء عمليه زرع الشرايين التاجيه
260			_aCairo : _bMostafa Mahmoud Atta , _c2018
300			_a155 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Cardiothoracic Surgery
520			_aBackground & Objectives: Stroke is the dreaded complication of cardiac surgery. Atherosclerosis of the ascending aorta and the aortic arch is one of the most significant risk factors for peri-operative stroke.The purpose of this study was to assess the value of EAS in prevention of stroke and compare performance to TEE. Methodology : We studied 100 patients who underwent primary isolated CABG from may 2016 into may 2017 as it represent 40% of total primary isolated CABG was done in this time. Patients were prospectively randomized into Two groups.These study was performed in KOBRY EL KOBA Military Hospital. Patients were divided into Epiaortic group "Group A" and TEE & palpation group "Group B ". The primary endpoint of this study was an incidence of early post-operative stroke. The secondary endpoint of this study was an incidence of early post-operative MI , AF , renal failure , deep wound infection. Results: 100 patients who underwent isolated CABG , The patients were classified into two groups: In Group 2A3 , age ranged from 46-73 years with a mean of 60 ± 10.1, while in Group 2B3 , age ranged from 48-71 years with a mean of 57.6 ± 13.5, and there was no statistical significance (P valve >0.05).In Group 2A3, there was 36 males (72%) and 14 females (28%), while in Group 2B3 there was 40 males (80%) and 10 females (20%) with no statistical significance (P value >0.05).Group 2A3 38 underwent on-pump while 12 underwent off-pump under EAS, Group 2B3 44 underwent on-pump while 6 underwent off-pump under TEE and palpation. Pre-operative assessment in group 2A3 showed that the ejection fraction (EF) in group 2A3 was 63.7 ± 4.1 %, while in group 2B3 it was 61.3 ± 4.3 % with a P value >0.05
530			_aIssued also as CD
653		4	_aCABG
653		4	_aEpiaortic scan
653		4	_aTransesophageal echocardiography
700	0		_aAlaa Mohammed Omar , _eSupervisor
700	0		_aHesham Zayed Saleh , _eSupervisor
700	0		_aMohammed Magdy Gomaa , _eSupervisor
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c71229 _d71229