For the first time in the world at Mansoura University The Cardiothoracic Surgery Center performs surgery to reconstruct the aortic and pulmonary valves from the body's own tissues with the participation of an Egyptian expert in the United States of Ameri

Prof. Cherif Khater:

-           The success of the operation confirms the leadership of Mansoura University of Medicine and the excellence of its professors.

-           The participation of the international expert enhances medical cooperation with major medical centers in the world and supports expertise in complex and new surgeries.

Mansoura University continues its successes in various medical fields, as a medical team at the Cardiothoracic Surgery Center, led by Asst. Prof. Mohamed Sand, Assistant Professor of Cardiothoracic Surgery and Deputy Director of the Center, and Prof. Sameh Mahmoud Saeed, Professor of Congenital Heart Surgery for Children and Adults at New York Medical School, the anesthesia team, the artificial heart machine, and the nursing staff, succeeded in performing the first surgery of its kind in the world in heart surgery for a 23-year-old patient, to rebuild the right and left ventricular outlets from self-tissue, in a way that combined two very advanced methods in heart surgery to treat aortic valve stenosis, namely the "Ross" surgery and the "Azaki" procedure to rebuild the right and left ventricular outlets from self-tissue in a single operation, which results in achieving wonderful blood flow dynamics, with the patient returning to his normal condition.

The surgery was successfully performed two months ago, and the patient remained on a ventilator for 36 hours, then continued to be observed until she was discharged from the center on the 7th day after the surgery, and continued to improve during the follow-up period, as tests showed the efficiency of the new atrioventricular valve, the new atrial ventricle, and good ventricular functions, and she is in very good health now.

The method was approved and the operation was published globally in the European Journal of Cardiothoracic Surgery, on January 24, 2025, which is the largest scientific journal specialized in the field of cardiothoracic surgeries worldwide.

Prof. Cherif Khater, President of Mansoura University, sent a message of appreciation and gratitude to the medical team led by Prof. Sameh Saeed and Prof. Mohamed Sand, who were credited with achieving this first-of-its-kind achievement globally, within Mansoura University Hospitals, stressing that this success is a source of pride for the medical sector and all university staff. He also extended his greetings and appreciation to the staff of university hospitals headed by Prof. Ashraf Shoma, Dean of Mansoura Faculty of Medicine, Prof. Al-Shaarawy Kamal, Executive Director of University Hospitals, Prof. Samer Rijal, Director of the Cardiothoracic Surgery Center, Prof. Sameh Ibrahim, Head of the Cardiothoracic Surgery Department, and all faculty members and employees of the center for their efforts and tireless pursuit to provide quality medical services at the highest level in the world. The university president stressed the excellence of Mansoura Medicine professors and their high ability to deal with the most complex surgeries, which contributes to providing the best medical services to patients and achieving Egypt's 2030 vision in the field of advanced healthcare and quality medical services, pointing out the importance of cooperation with leading medical institutions in the world in acquiring the new and distinguished skills and experiences necessary to perform such surgeries at the center later.

Prof. Ashraf Shoma said that the success of this surgery provides a new treatment option for patients suffering from heart problems, and this achievement motivates to more research and development in the field of cardiac surgery.

Prof. Sameh Saeed said that this is the first application of the Ross and Ozaki procedure together to create a complete autologous reconstruction of both the right and left ventricular outflow tracts, which offers great potential for cost savings and solves the problem of limited availability of donors and expensive human connections, in addition to avoiding the known problems associated with other methods.

Prof. Al-Shaarawy Kamal pointed out that the new surgical procedure saves costs as the use of the body's own tissues reduces costs compared to the use of artificial and biological materials and valves, in addition to being an ideal solution for the occasional unavailability of artificial valves.

Prof.. Mohamed Sand pointed out that performing this surgery in its new way avoids complications as avoiding the use of artificial materials reduces the risk of complications such as rejection, and it also opens new horizons for the development of new treatments for heart problems.

It is worth noting that the Mansoura University Cardiothoracic Surgery Center is the first center specialized in advanced surgeries in cardiothoracic surgery and vascular surgery together in Egypt and the Middle East. It includes 6 operating rooms with a capsule system for open heart surgeries, including rooms equipped for lung transplantation and thoracic surgeries, and intensive care beds equipped with the latest devices and technologies. The center was opened in October 2020, and in October 2024, the center obtained quality accreditation and ISO 9001, 14001, 45001, 22000 certificates, which is a clear confirmation of the center's compliance with local and international medical quality and accreditation standards. The center is currently seeking to comply with the standards and requirements of the General Authority for Accreditation for Health Supervision in preparation for obtaining GAHAR accreditation.