Volume 23 Jul-Sep. 2015 Number (3) Egyptian Society Egyptian Society of of Cardio-Thoracic Surgery Cardio-Thoracic Surgery Board of Directors Journal Board PRESIDENT EDITOR-IN-CHIEF Mohamed Ezzeldin Abdel-Raouf, MD Mohamed Abdel-Raouf Khalil, MD VICE PRESIDENT CO-EDITOR Ayman Shoeeb, MD Khalid Karara, MD GENERAL SECRETARY Ehab Abdel-Moneim, MD PAST EDITORS Hassouna M. El-Sabea, FRCS (1995 - 1996) TREASURER Mohamed S. El-Fiky, MD (1997 - 2004) Mostafa El-Noewahey, MD Ezzeldin A. Mostafa, MD (2004 - 2008) Yasser M. Hegazy, MD (2008 - 2011) BOARD Abdel-Maguid Mohamed, MD Ahmed Deebis, MD Ahmed Labib, MD ETHICS EDITOR Aly Hasan, MD M. Magdy Gomaa, MD Adel El-Gamal, MD El-Husseiny Gamil, MD Ezzeldin A. Mostafa, MD Mohamed Abdel-Raouf Khalil, MD Submit Manuscripts: Editorial office Mohamed Helmy, MD 330 ElSudan Street, Embaba, Egypt Mohamed A. Nasr, MD Email : [email protected] Wahid Osman, MD Tel.33038054 -Mob.01002327650 EDITORIAL BOARD Abdalla Shamel. Loma Linda, California, USA. Magdi Gomaa. Cairo, Egypt. Abdel Hady Taha. Tanta, Egypt. Magdi Mostafa. Ain Shams, Egypt. Abdel Maguid Ramadan. Alexandria, Egypt. Mahmoud El-Battawy. Cairo, Egypt. Adel El-Banna. NHI, Giza, Egypt. Mamdouh El-Sharawi. Zagazig, Egypt. Adel El-Gamal. Mansoura, Egypt. Marco Pozzi. Ancona, Italy. Ahmed Deebis. Zagazig, Egypt. Marco Taurchini. Forli, Italy. Ahmed Elkerdany. Ain Shams, Egypt. Mauro Romano. Massy, France. Ahmed El-Minshawy. Assuit, Egypt. Mohamed Abdel-Raouf Khalil. Cairo, Egypt. Ahmed Hassouna. Ain Shams, Egypt. Mohamed Elfeky. Ain Shams, Egypt. Ahmed Kadry. Mansoura, Egypt. Mohamed Emara. NHI, Giza, Egypt. Ahmed Labib. Menofia, Egypt. Mohamed Ezani Taib. Kwala Lambour, Malaysia. Alain Combes. Paris, France. Mohamed Ezzeldin Abdel Raouf. Alazhar, Egypt. Alessandro Frigiola. Milan, Italy. Mohamed Fawzy Badr. Cairo, Egypt. Aly El-Banayosy. Penn State, USA. Mohamed Helmy. Cairo, Egypt. Aly Hassan Taher. NHI, Giza, Egypt. Mohamed Nasr. NHI, Giza, Egypt. Amro Serag. Tanta, Egypt. Morris Beshay. Bielefeld, Germany. Antonio M. Calafiore. Italy. Mostafa Elhamami. Alexandria, Egypt. Ashraf Helal. Cairo, Egypt. Mostafa Elnewehy. zagazig, Egypt. Ayman Shoeb. Ain Shams, Egypt. Nour Eldin Noaman. Mansoura, Egypt. Bertrand M.Goudot. Paris, France. Peter Oberwalder. Graz, Austria. Brian M Fabri. Liverpool, UK. Pierre Michel Roux. Metz, France. Carlos Mestres. Barcelona, Spain. Robert M. Soyer. Rouen, France. Cosimo Lequaglie. PZ, Italy. Said Abdel Aziz. Cairo, Egypt. David Anderson. London, UK. Salah Khalaf, Mansoura, Egypt. Ehab Wahby. Tanta, Egypt. Sameh Morsy. NHI, Giza, Egypt. Elhusseiny Gamil. Alazhar, Cairo, Egypt. Sami S. Kabbani. Damascus, Syria. Ezzeldin Mostafa. Ain Shams, Egypt. Samir Abdulla. Cairo, Egypt. Frans GJ Waanders. Nieuwegein, Holland. Samir Keshk. Alexandria, Egypt. Hany El Domiaty. Suez Canal, Egypt. Steven Tsui. Cambridge, England. Hisham Shawky. Cairo, Egypt. Tarek Kilani. Ariana, Tunisia. Ibrahim Khadragui. Alexandria, Egypt. Wadih R. Dimitri. Birmingham, UK. Ina Ennker. Lahr, Germany. Wagih Elboraey. Cairo, Egypt. James C. Pollock. Glasgow, UK. Wahid Osaman. Alazhar, Cairo, Egypt. Jean-Francois Obadia. Lyon, France. Yasser Hegazy. Maady, Egypt. Jean-Paul F. Bessou. Rouen, France. Yahia Balbaa. Cairo, Egypt. John R. Pepper. London, UK. Zohair Al-Halees. Riyadh, KSA. Juergen Ennker. Lahr, Germany. Kamal Mansour. Atlanta, USA. Khaled Karara. Alexandria, Egypt. Journal Secretary Leonard Bailey. Loma Linda, California, USA. Ahmed Ali Kalifa Journal of The Egyptian Society of Cardio-Thoracic Surgery • Volume 23, Number (3) A3 Journal of The Egyptian Society of Cardio-Thoracic Surgery Volume 23 Jul-Sep. 2015 Number (3) ISSN 1110-578X CONTENTS ANNOUCEMENT 27 TRICUSPID Septal LEAFLET Detachment 6A Guidelines for authors AS AN ACCESS FOR VSD CLOSURE; SAFETY AND CONVENIENCE ASSURED BY TEE 10A Gondition for publication form Abdullah Osama Mahfouz, 12A Guidelines for reviewers Passaint M.F. Hassan, Alaa Eldin Khalil Ibrahim A. CARDIOVASCULAR 33 Early Results OF TRICUSPID Valve 1 MANAGEMENT OF SEVERE ORGANIC Repair FOR Moderate FUNCTIONAL TRICUSPID VALVE DISEASE: TO REPAIR TRICUSPID REGURGE IN Concomitant OR TO REPLACE? MITRAL Valve Surgery Yasser Ahmad Boriek, Bassem Ali Hafez Alaa Eldin Farouk 39 Impact OF HYPOTHERMIA ON 7 Comparative STUDY OF THE EFFECT OF Postoperative BLEEDING FOLLOWING NORMOTHERMIC VERSUS HYPOTHERMIC Bypass GRAFTING Operations Cardiopulmonary Bypass DUR- ING Coronary Revascularization Ihab Ali, IN Postoperative BLEEDING AND Hoda Shokri TRANSFUSION REQUIREMENTS Nasr E. Mohamed THORACIC 13 Impact OF Preservation OF PLEURAL INTEGRITY VERSUS Pleurotomy 45 Impact of Intrapleural Streptokinase Instillation DURING INTERNAL Mammary Artery on Management of Empyema Thoracis: A pro- Harvesting IN Coronary Artery spective Randomized Study Bypass GRAFTING SURGERIES ON Ahmed Labib Dokhan, Postoperative OUTCOME Montaser Elsawy Abd elaziz Ayman Salah Gado, Waleed Gamal Abo Senna, 53 SMALL VERSUS LARGE BORE CHEST DRAINS Samy Mahmoud Amin, FOR MANAGEMENT OF Spontaneous Sobhy M. Ayman Sobhy PNEUMOTHORAX RUNNING HEADING: SMALL VS LARGE DRAINS 21 Concomitant USE OF BIPOLAR Ehab Kasem, RADIOFREQUENCY LEFT ATRIAL Osama Saber El Dib, Ablation FOR CHRONIC ATRIAL Fibrillation DURING MITRAL Valve Surgery: Impact ON CLINICAL AND ECHOCARDIOGRAPHIC OUTCOMES Yasser Farag Elghonemy Mohammad Abdelrahman Hussein Abdullah Osama Mahfouz Wael Mohammed Attia A4 Journal of The Egyptian Society of Cardio-Thoracic Surgery • Jul-Sep. 2015 Subject Search 85 10. Lung 57 1. Valvular Heart Diseases 87 11. Trachea 66 2. Coronary Heart Diseases 88 12. Pleura 76 3. Congenital Heart Diseases 89 13. Oesophagus 80 4. Aorta 90 14. Mediastinum 81 5. Cardiopulmonary bypass (CPB), 91 15. Trauma Perfusion & Assist Devices 92 16. Thorax (General Subjects) 82 6. Cardiac Tumours 92 17. Diaghragm 83 7. Heart - Cardiac (General Subjects) 93 18. Sympathectomy 84 8. Pericardium 93 19. Miscellaneous 85 9. Chest Wall Journal of The Egyptian Society of Cardio-Thoracic Surgery • Volume 23, Number (3) A5 Guidelines For Authors Journal of Egyptian Society of Cardio-Thoracic Surgery (J. Egypt. Soc. Cardiothorac. Surg.) General Information Editorial Office Three copies of the Manuscripts should be sent preferably prepared Please address all correspondence to: in Microsoft Word, typed double-spaced throughout (including Mohamed Abdel Raouf Khalil, MD, Editor title page, abstract, text, references, tables and legends) with one (1) inch (2.5 cm) margins all around. Place Author name and page Journal of the Egyptian Society of Cardio-thoracic Surgery number in the upper right corner of each page. 330 El-Sudan St., Imbaba, Cairo, Egypt. Manuscripts written in 12 point Arial or Times New Roman Telephone: (+202) 3303 6634 fonts are preferred (Note: Do not submit your manuscript in PDF format it causes problems in processing your submission.) Fax: (+202) 3303 8054 Arrange manuscript as follows: (1) title page, (2) abstract, E-Mail: [email protected] (3) text, (4) acknowledgments, (5) disclosures if required, (6) references, (7) tables and (8) legends. Number pages The Journal of the Egyptian Society of Cardiothoracic Surgery consecutively, beginning with the title page as page 1 and [ISSN 1110-578 X] is the official publication of the Egyptian ending with the legend page. Society of Cardio-thoracic Surgery. The journal is published If your manuscript contains illustrations, in addition to every three months . submitting them online, you must send two sets of original illustrations to the editorial office labeled with manuscript number, first author, and figure number on back. General Instructions Tables and figures should be provided separate from the text while there position in the text should be marked on the manuscript. Every submission must include: Word Limits by Category of Manuscript Cover letter, indicating the category of article, the Complete manuscript, including title page, abstract, text, tables, Original articles should not exceed 4500 words including title page, abstract of 150-200 words, text, figure legends acknowledgments, references, illustrations. and references. The combined total of illustrations and tables should not exceed 10 and the number of references should not Required disclosures; exceed 40. A. Conditions for Publication Form which includes New Technology articles are limited to 2500 words including title disclosures regarding freedom of investigation and page, abstract, text, figure legends and references. The number of conflicts of interest, signed byall authors. In single Author tables should not exceed three; the number of illustrations should publication an additional Senior Consultant Signature is not exceed six if tables are included; eight if there are no tables. required. The number of references should not exceed 10. B. Written permission from the publisher (copyright Case reports and “how to do it” articles are limited to a total holder) is required to reproduce any previously published of 1500 words including title page, abstract, text, references and figure legends. For each illustration subtract 100 words table(s), illustration(s) or photograph(s) in both print and and for each table subtract 300 words from the word limit. electronic media . References are limited to eight. A “how to do it” article should C. Written permission from unmasked patients appearing in be a description of a useful surgical technique and contain descriptive, illustrative material. photographs is also required. Images in cardiothoracic surgery are limited to 350 words