Publications by authors named "Jaafar Rhissassi"

11 Publications

  • Page 1 of 1

An unusual cause of multiple embolic strokes: cardiac myxoma, about a case.

J Surg Case Rep 2021 Mar 22;2021(3):rjab063. Epub 2021 Mar 22.

Cardiovascular Surgery A Department of Ibn Sina University Hospital Center, Mohammed V University of Rabat, Rabat City, Morocco.

Cardiac myxomas are the most common primary intracardiac tumors, accounting for 50% of all cardiac neoplasms, with an estimated frequency of 0.5/million/inhabitants/year. Presenting symptoms are related to cerebral or peripheral embolism, and/or intracardiac obstruction. Thus, urgent management of myxoma is mandatory due to embolism's risk. Herein, we report the case of an 82-year-old woman with a myxoma of the left atrium, revealed by a multiple ischemic strokes, to raise awareness of this entity.
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http://dx.doi.org/10.1093/jscr/rjab063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7984845PMC
March 2021

Use of neocords in the treatment of mitral valve prolapse: about 6 cases.

Int J Surg Case Rep 2021 Mar 25;80:105693. Epub 2021 Feb 25.

Cardiovascular Surgery A Department of Ibn Sina University Hospital Center, Mohammed V University of Rabat, Morocco. Electronic address:

Introduction And Importance: Mitral insufficiency is a common valve disease with a prevalence of 2% and increases after the age of 65. This is the second valvulopathy operated after aortic stenosis. The surgical management of mitral insufficiency has been completely changed in recent years. The mitral valvular replacement with was the gold standard; is currently preceded by conservative surgery thanks to the emergence of reproducible and durable surgical techniques. The aim of our study is to highlight the place of Neogortex in the treatment of mitral valvular prolapse.

Methods: This is a retrospective study that includes 6 adult patients operated on for mitral insufficiency by prolapse of the large valve between October 2016 and June 2018 in the Cardiovascular Surgery Department A of the Ibn Sina Hospital in Rabat, Morocco.

Results: We collected 6 patients. The average age is 56 years. The clinical presentation was made of dyspnea in the 6 patients. On the echocardiographic level, all patients had mitral insufficiency due to prolapse of the large mitral valve in 2 patients and a restriction of the play of the valve by shortening of the ropes in 2 patients. The 6 patients were operated. The technique was the installation of a prosthetic ring with neogortex fixation between the free edge and the abutment and a tricuspid plasty type Devega. The operative sequences were simple.

Conclusion: Mitral valve repair gives satisfactory results in terms of survival and symptomatic improvement with a low operative risk.
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http://dx.doi.org/10.1016/j.ijscr.2021.105693DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7933733PMC
March 2021

Surgicel mimicking early onset prosthetic valve endocarditis: case report.

Eur Heart J Case Rep 2020 Dec 12;4(6):1-5. Epub 2020 Nov 12.

Cardio-Vascular Surgery A Department, Ibn Sina University Hospital Center Ibn Sina, Mohammed V University, Rue Mfadel Cherkaoui, quartier Souissi, Rabat 10100, Morocco.

Background: Surgicel is one of the commercial forms of oxidized regenerated cellulose used as a bioabsorbable topical haemostatic agent during surgical procedures. However, its presence can mimic an abscess, tumour, lymph node or retained foreign body on imaging studies. The challenge in cardiac surgery is to differentiate the haemostatic material from an abscess that might be mistaken for an early onset prosthetic valve endocarditis.

Case Summary: A 56-year-old woman was admitted to our department for a suspicion of early onset prosthetic valve endocarditis after an aortic valve replacement. An early clinical and biological improvement, features on a chest computed tomography scan, as well as a surgical correlation were able to rectify the diagnosis. The acute fever was linked to urinary tract infection, whereas the periaortic echogenic mass shown at the transoesophageal echocardiography corresponded to Surgicel.

Discussion: Oxidized regenerated cellulose can mimic an abscess on cardiac imaging, especially when used in excess during cardiac surgery. Fortunately, some radiographic features can help differentiate the haemostatic material from an abscess. Hence, sharing the use and location of Surgicel between the surgeon, radiologist, and cardiologist is very important and necessary to make the correct diagnosis.
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http://dx.doi.org/10.1093/ehjcr/ytaa334DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7793203PMC
December 2020

Traumatic tricuspid insufficiency with a ventricular septal defect in a child: a case report.

Pan Afr Med J 2019 29;33:265. Epub 2019 Jul 29.

Pediatric Cardiovascular Surgery Unit, Children's Hospital, Rabat, Morocco.

Traumatic tricuspid insufficiency is very rare. In this report we describe an interesting case of a 13-year-old boy who suffered chest trauma from a horse kick. Echocardiography demonstrated a remarkable tricuspid regurgitation with ventricular septal defect. Once assessing the diagnosis, an emergency open heart surgery was necessary to repair the injuries with good results.
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http://dx.doi.org/10.11604/pamj.2019.33.265.19747DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814924PMC
November 2019

Double-orifice mitral valve associated with atrioventricular canal defects.

Pan Afr Med J 2016 15;23:199. Epub 2016 Apr 15.

Department of Cardiac Surgery A, Ibn Sina Hospital, Rabat, Morocco.

A 4 year-old male presented with effort dyspnea, and was diagnosed as atrioventricular canal defects. This finding was confirmed by open heart surgery, and a congenital double orifice mitral valve was discovered. The septal defect was closed but the double orifice mitral valve was respected because of the absence of hemodynamic disturbance. We report this case with review of literature.
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http://dx.doi.org/10.11604/pamj.2016.23.199.8676DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4907761PMC
February 2017

Transmitral exclusion of a giant congenital left ventricular aneurysm associated with mitral insufficiency in adult.

Interact Cardiovasc Thorac Surg 2015 Dec 22;21(6):811-3. Epub 2015 Sep 22.

Department of Cardiac Surgery A, Ibn Sina Hospital, Rabat, Morocco.

Congenital left ventricular aneurysm is rare, poorly understood and potentially lethal. It usually occurs in isolation. Its combination with mitral insufficiency is an uncommon entity. Because the literature on this kind of aneurysms consists of case reports and small series described especially in children, we report here an interesting and unique case of an adult aged 35 years bearing simultaneously a congenital left ventricular aneurysm and mitral insufficiency. Without medical past history, he consults for palpitations and dyspnoea. Once diagnosis was made by chest X-ray, echocardiography and computed tomography, an open heart surgery was necessary to prevent complications. Through a transmitral approach, aneurysmal exclusion was performed by closing the aneurysmal collar with a Dacron patch and mitral replacement was accomplished. At 12 months, follow-up was favourable without residual communication between aneurysm and ventricle or paraprosthetic leak.
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http://dx.doi.org/10.1093/icvts/ivv263DOI Listing
December 2015

Ascending aortic aneurysm in adult with patent ductus arteriosus.

Asian Cardiovasc Thorac Ann 2014 May 3;22(4):498. Epub 2013 Oct 3.

Cardiovascular Department, Avicennes Teaching Hospital, Rabat, Morocco.

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http://dx.doi.org/10.1177/0218492312474658DOI Listing
May 2014

Atypical ascending aorta aneurysm in a young patient.

Asian Cardiovasc Thorac Ann 2014 Mar 3;22(3):370. Epub 2013 Oct 3.

Cardiovascular Surgery Unit A, Ibn Sina University Hospital, Rabat, Morocco.

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http://dx.doi.org/10.1177/0218492312474455DOI Listing
March 2014

Dilatation of internal mammary arteries in adult presenting aortic coarctation.

Asian Cardiovasc Thorac Ann 2014 Mar 16;22(3):365. Epub 2013 Jul 16.

Cardiovascular Department, Avicennes Teaching Hospital, Rabat, Morocco.

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http://dx.doi.org/10.1177/0218492312472514DOI Listing
March 2014

Intracavitary hydatid cyst of the left ventricle in child: an emergency surgery case report.

Pan Afr Med J 2014 30;19:401. Epub 2014 Dec 30.

Department of Cardiovascular Surgery A, Ibn Sina Hospital, Rabat, Morocco.

Hydatid cysts of the heart are very rare in child. In this report we describe an interesting and unique case of an 8-year-old boy with a large cardiac intracavitary hydatid cyst filling the left ventricle. Echocardiography, computerized tomography, magnetic resonance imaging and serologic test were necessary for the diagnosis. Once assessing the diagnosis, an emergency open heart surgery was necessary to prevent the complications. Surgery associated to medical treatment provides good results as demonstrated in this case report.
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http://dx.doi.org/10.11604/pamj.2014.19.401.5770DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4430140PMC
November 2015
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