Does 30% heart function rule out surgery?
Prof. Elwakeel explains what a low ejection fraction means, and when surgery can improve it instead of standing in the way.
Prof. Dr. Ahmed Elwakeel — over twenty years of complex open-heart surgery for adults and children. Accurate diagnosis, a written treatment plan in English or Arabic, and a second opinion returned within 48 hours.
From your first WhatsApp message to follow-up after recovery — a structured plan and a coordinated team at every stage.
Contact us via WhatsApp or phone. A care coordinator responds within hours, schedules your appointment and prepares your file before you arrive.
Echo, CT, diagnostic catheterisation when needed — with results explained in clear terms, not medical jargon that leaves you more confused than before.
A written plan in English or Arabic laying out all options, risks and expected outcomes — including if the best choice is no surgery at all.
Regular check-ins and a direct line to the medical team throughout your recovery — so you are never left wondering whether you're healing correctly.
Before any surgical decision, get an independent expert review of your case. We go through your reports and imaging and lay out every available option honestly — including if the best choice is not to operate.
Three integrated pillars, one team, one goal: the right decision for every case.
Valve repair and replacement (mitral and aortic), coronary artery bypass grafting (CABG) on and off the bypass pump, ascending aortic and arch surgery, and redo operations for cases declined elsewhere.
Correction of congenital defects in neonates, children and adults. From simple septal defects to Tetralogy of Fallot, Fontan procedures — including cases described as inoperable elsewhere.
Comprehensive care for conditions of the chest, lungs and oesophagus. Modern video-assisted thoracoscopic surgery (VATS) minimises pain and accelerates recovery, with open surgery available when required.
A note from the surgeon
Every patient who arrives carrying reports stamped "inoperable" or "too high-risk" deserves a second look — a thorough, objective one. Not a rubber stamp of the previous opinion, and not false hope either.
My commitment is simple: a written treatment plan, in the language you understand, explaining exactly what we propose and why. Sometimes the right answer is surgery. Sometimes it is not. Either way, you will leave with clarity — not confusion.
If you are outside Egypt and cannot travel for a consultation, send your reports to us directly via WhatsApp. We review everything and respond within 48 hours.
Articles and videos written and reviewed by the team — because informed patients recover faster.
Prof. Elwakeel explains what a low ejection fraction means, and when surgery can improve it instead of standing in the way.
A practical guide to telling muscle pain apart from cardiac pain, and the symptoms that mean you should seek emergency care.
A common mistake in treating regurgitation — why repair is preferred whenever possible, and how the choice is made.
No jargon. No vague reassurances. Just honest answers to what matters most to international patients.
Yes — and this is our most requested service. Send your files via WhatsApp (+201009831083). The team reviews everything and sends back a written report within 48 hours. We can then arrange a video consultation to walk through the findings together, from wherever you are.
All consultations and written treatment plans are available in both Arabic and English. International patients communicate with the team via WhatsApp in English and receive their report in their preferred language. No interpreter needed.
Off-Pump CABG means the bypass grafting is performed while the heart continues to beat — the heart-lung bypass machine is not used. This reduces the risk of stroke and protects kidney function, making it particularly beneficial for diabetic patients, the elderly, and those with pre-existing kidney disease. Prof. Elwakeel uses this technique whenever clinically appropriate.
Age alone does not prevent surgery. The decision is based on overall health and organ function, not a patient's date of birth. Every case is evaluated on objective criteria — with risks explained precisely and honestly rather than dismissed with a blanket refusal.
Choose whichever method works best for you. The care coordinator responds as quickly as possible.
In a cardiac emergency, call the Egyptian emergency line 123 immediately.