Overview

The Cardiac Surgery Department provides advanced surgical care for both adult and pediatric patients with congenital and acquired heart diseases. The department delivers excellence through a multidisciplinary approach, integrating surgical expertise, perfusion technology, and critical care. It is committed to ensuring the highest standards of safety, precision, and patient-centered outcomes.


Scope of the Unit

The Cardiac Surgery Department delivers comprehensive operative care for patients with a wide range of congenital and acquired heart conditions, from routine procedures to highly complex and high-risk cases. Through close collaboration between surgeons, anesthesiologists, perfusionists and rehabilitation teams, the department ensures seamless care across the entire surgical pathway. Emphasis is placed on precision, safety, and innovation, with integrated perioperative planning, advanced intraoperative support, and structured postoperative recovery programs designed to optimize outcomes and support long-term cardiac health.

What We Treat

Adult Cath (Adults – Heart & Vascular Procedures) We help adults who have problems with their heart arteries, heart valves, or blood vessels in the body. Conditions include:

  • Fixing birth defects in children – helping kids with congenital heart problems live normal, healthy lives.
  • Improving blood flow – by opening blocked arteries to reduce chest pain and prevent heart attacks.
  • Repairing or replacing heart valves – so the heart can pump blood more effectively.
  • Strengthening weak hearts – surgeries can help patients with heart failure live longer and better.
  • Correcting rhythm problems – certain procedures help the heart beat regularly.
  • Relieving breathing and chest problems – some thoracic surgeries improve lung and chest wealth.
  • Giving patients a new chance at life – many people feel stronger, more active, and free of symptoms after recovery.

Head of Department

Mahmoud El Shazly

Head Of Department

Team

Mohamed Ezz Eldin Azzam

Consultant

Gehad Mohamed Mostafa

Consultant

Ahmed Samy Fadaly

Consultant

Ahmed Hussein Abd Almonam

Head Of Department

al nas hospital

Clinical Programs

Ozaki Operation

Program Director:
Mahmoud El Shazly

Head Of Department

Hamza Elnady

Dr

Program Coordinator:

Program Description:

The Ozaki procedure is a relatively new procedure which was first carried out in Japan.

It involves creating new valve segments (leaflets) from either your own pericardium (the covering of the heart) or bovine pericardium (the covering surrounding a cow's heart)

Specialist equipment is used to measure the diseased part of the valve. These measurements are used to cut replacement tissue to the exact size. The strips of tissue are sewn precisely into place which allows the valve to function in its normal way.

There are a number of benefits to this procedure when compared to valve replacement including:

∙  No need to take lifelong anticoagulant drug therapy which can have side effects and lifestyle limitations when taken long term

∙  Evidence from Japan shows that this type of repair typically lasts longer than replacing the valve completely (particularly for patients under 60 years of age). Most biological implants made from animal tissue need to be replaced after 8 to 15 years.

Program Outcomes at a Glance

98%

Success Rate

105

Cases

6

Years

Mitral Valve Repair

Program Director:
Gehad Mohamed Mostafa

Consultant

Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Program Description:

The mitral valve is the one situated between the left atrium and left ventricle. When damaged, the usual action is to replace it with a mechanical valve. But the better approach is to repair the damage valve without replacing it in certain situations. The advantage is to preserve the natural valve, which is better on the long term, and to avoid using anticoagulant drugs, which are very troublesome to manage. The repair procedure is a technically demanding and needs extensive experience and training. We are proud to offer this procedure with all its varieties to our patients.

Program Outcomes at a Glance

98%

Success Rate

120

Cases

6

Years

Valve-sparing Aortic Root Replacement

Program Director:
Gehad Mohamed Mostafa

Consultant

Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Program Description:

Some patients have significant dilatation of the aortic root that is at risk of rupture. In our hospital, we treat those conditions by a special operation called valve-sparing aortic root replacement, which has several variations (including Tyron-David and Yacoub procedures).

Program Outcomes at a Glance

98%

Success Rate

75

Cases

6

Years

HOCM Septal Myectomy

Program Director:
Gehad Mohamed Mostafa

Consultant

Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Program Description:

HOCM is a serious genetic condition that is inherited from the parents. It can cause sudden death in severe cases. Septal myectomy is a very successful operation that reduces the chances of sudden death and relieves any symptoms that can be related to this condition. We also offer the patient genetic counseling and screening for the whole family.

Program Outcomes at a Glance

98%

Success Rate

55

Cases

5

Years

Minimally Invasive Aortic Surgery

Program Director:
Gehad Mohamed Mostafa

Consultant

Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Program Description:

We have successfully started a special program for replacing the severely calcified and stenosed aortic valve through a very small incision, and avoid opening the chest. This enhances rapid recovery, hospital discharge and early return to the normal daily activities.

Program Outcomes at a Glance

99%

Success Rate

45

Cases

5

Years

Minimally Invasive Coronary Surgery (MIDCAB)

Program Director:
Gehad Mohamed Mostafa

Consultant

Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Program Description:

We have successfully started a special program for bypass surgery through a very small incision that avoids opening up the whole chest bone. This enhances rapid recovery, hospital discharge and early return to the normal daily activities.

Program Outcomes at a Glance

98%

Success Rate

40

Cases

5

Years

Minimally Invasive Mitral Valve Surgery

Program Director:
Gehad Mohamed Mostafa

Consultant

Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Program Description:

We are about to start this program which repairs the damaged mitral valve through a very small incision that avoids opening up the whole chest bone. This enhances rapid recovery, hospital discharge and early return to the normal daily activities.

Program Outcomes at a Glance

100%

Success Rate

18

Cases

2

Years

Unifocalization of the Pulmonary Arteries

Program Director:
Mahmoud El Shazly

Head Of Department

Ahmed Samy Fadaly

Consultant

Program Coordinator:

Program Description:

Pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries (PA/VSD/MAPCAs) is complex and heterogeneous condition. Our approach to this lesion emphasizes early complete repair with the incorporation of all lung segments and extensive lobar and segmental pulmonary artery reconstruction.

Program Outcomes at a Glance

85%

Success Rate

18

Cases

2

Years

Cone Repair of Tricuspid Valve in Ebstein’s Anomaly

Program Director:
Mahmoud El Shazly

Head Of Department

Ahmed Samy Fadaly

Consultant

Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Program Description:

Tricuspid valve repair using tissues from the heart and it’s rare congenital anomaly that leads to many problems and complete damage that worsen if not treated.

Program Outcomes at a Glance

98%

Success Rate

18

Cases

2

Years

Nikaido Operation

Program Director:
Mahmoud El Shazly

Head Of Department

Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Program Description:

Patients with transposition of great arteries who cannot be repaired by arterial switch operation in early life. Another way of repair can be offered which include translocation of aortic valve with both coronaries from the right ventricle to the left ventricle.

Program Outcomes at a Glance

50%

Success Rate

4

Cases

2

Years

TOF Repair

Program Director:
Mahmoud El Shazly

Head Of Department

Mohamed Ezz Eldin Azzam

Consultant

Ahmed Samy Fadaly

Consultant

Program Coordinator:

Program Description:

Tetralogy of Fallot is made up of the following four defects of the heart and its blood vessels: A hole in the wall between the two lower chambers A narrowing of the pulmonary valve and main pulmonary artery The aortic valve, which opens to the aorta, is enlarged and seems to open from both ventricles. The muscular wall of the lower right chamber of the heart (right ventricle) is thicker than normal. Repair is usually done at the age of 4 months to repair all defects.

Program Outcomes at a Glance

98%

Success Rate

400

Cases

6

Years

Pulmonary Valve Replacement by Right Atrial Appendage

Program Director:
Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Mahmoud El Shazly

Head Of Department

Ahmed Samy Fadaly

Consultant

Program Description:

Right atrial appendage valve is effective technique to protect and preserve right ventricle function and prevent pulmonary regurge in terms of early postoperative course of pulmonary valve replacement. This novel technique can be offered to patients of age group of 1st day of life till the age of adult patient.

Program Outcomes at a Glance

99%

Success Rate

65

Cases

5

Years

Minimal Invasive Pediatric Surgery

Program Director:
Mahmoud El Shazly

Head Of Department

Program Coordinator:

Ahmed Samy Fadaly

Consultant

Mohamed Ezz Eldin Azzam

Consultant

Program Description:

We are about to start this program which repairs congenital anomalies  through a very small incision that avoids opening up the whole chest bone. This enhances rapid recovery, hospital discharge and early return to the normal daily activities.

Program Outcomes at a Glance

99%

Success Rate

78

Cases

5

Years

Arterial Switch Operation

Program Director:
Mahmoud El Shazly

Head Of Department

Ahmed Samy Fadaly

Consultant

Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Program Description:

The arterial switch surgery involves cutting off the aorta and pulmonary arteries just above the point where they leave the heart. Part of this surgery is reconnecting them to the proper ventricle. The valve stays attached to the ventricle, so what was once the pulmonary valve is now the aortic valve. It’s diagnosed in prenatal period and surgical performed in the form as an emergency procedure.

Program Outcomes at a Glance

95%

Success Rate

230

Cases

6

Years

Truncus Arteriosus Operation

Program Director:
Mahmoud El Shazly

Head Of Department

Ahmed Samy Fadaly

Consultant

Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Program Description:

The pulmonary and aorta are coming out of the heart from a single trunk. The surgery entails taking down the pulmonary artery and reconnected it to the right ventricle and now we have succeeded perform a new technique reallocate the pulmonary using the pericardium and we don’t need any external conduits which save a lot of resources and decrease the hospital stay.

Program Outcomes at a Glance

90%

Success Rate

28

Cases

2

Years

ALCAPA

Program Director:
Mohamed Ezz Eldin Azzam

Consultant

Program Coordinator:

Mahmoud El Shazly

Head Of Department

Ahmed Samy Fadaly

Consultant

Program Description:

Although anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital malformation in infants, excellent outcomes can be achieved if the incidence of misdiagnosis is decreased and early surgical repair by coronary reimplantation technique is performed as early.

Program Outcomes at a Glance

85%

Success Rate

37

Cases

3

Years


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