Profile

DIMITRIOS ANGOURAS

CARDIAC SURGEON

PROFESSOR OF CARDIAC SURGERY AT THE NATIONAL & KAPODISTRIAN UNIVERSITY OF ATHENS
  1. General
  • Education & Academic Titles
    • 1984 – Excellent: Varvakeios Model School 
    • Medical Degree, Medical School, National and Kapodistrian University of Athens (NKUA) (1990 – Suma Cum Laude / 9.2)
    • 1992 – 1995: General Surgery Training– 2nd Propaedeutic Department of Surgery, Medical School, NKUA - Laiko General Hospital (7-10/1994 Department of General and Cardiovascular Surgery, Methodist Hospital, Baylor College of Medicine, Houston, TX, USA)
    • Cardiothoracic Surgery Training (1996-2000) - Department of Thoracic and Vascular Surgery and 2nd Department of Cardiac Surgery and Heart-Lung Transplant Unit, Regional General Hospital of Athens "Evangelismos"
    • 2000: National Boards of Cardiothoracic Surgery Certification 
    • 1996: Educational Commission for Foreign Medical Graduates (ECFMG) Diploma - USA 
    • 2000 – 2002: Post-doctoral Cardiothoracic Surgery Clinical Fellow, Ohio State University Medical Center, OSU, Columbus, OH, USA 
    • 2003: European Board of Thoracic and Cardiovascular Surgeons Certification 
  • Doctoral Thesis
    1998: "The role of vasa vasorum in the structure and mechanical properties of the thoracic aorta" - Laboratory of Experimental Surgery and Surgical Research, Medical School, NKUA (Excellent)
  • Professional Experience
    • 2000 – 2002: Instructor in Surgery, Ohio State University Medical Center, OSU, Columbus, OH, USA 
    • 1992 – 1994: Senior Cardiac Surgeon, Henry Dunant Hospital 
    • 1994 – 1995: Associate Cardiac Surgeon, Athens Medical Center, Marousi 
    • Lecturer (2005-2010), Assistant Professor (2010-2016), Associate Professor (2016-2022), and Professor of Cardiac Surgery (2022-present), Medical School, National and Kapodistrian University of Athens
    • 2021 – present: Head of the Department of Cardiac Surgery, Attikon University Hospital 
  • Clinical Interest
    • Multi-arterial myocardial revascularization
    • Complex aortic surgery
    • Valve-sparing aortic root replacement (David procedure)
    • Minimally invasive cardiac surgery
    • Valve surgery, including mitral and aortic valve repair
  • Awards & Distinctions
    • State Scholarship Foundation scholarship for the academic years 1984-85, 1985-86, 1986-87, 1987-88, and 1988-89
    • A. Papadakis Bequest scholarship (1985-1990), following exams conducted by NKUA
    • Excellence Award - Medical School NKUA (1992)
    • Best Experimental Study Award, 5th Panhellenic Conference of Angiology and Vascular Surgery, Athens, 1998
    • 1st Prize for Best Research Study, 6th Panhellenic Conference of Angiology and Vascular Surgery, Athens, 1999
    • Finalist - Young Investigator’s Award, 13th Annual Meeting, European Association for Cardio-Thoracic Surgery, Glasgow, Scotland, 1999
    • Best Presentation Award, 4th Panhellenic Scientific Symposium of the Hellenic Society of Thoracic & Cardiovascular Surgeons, Patras, December 2009
    • Who's Who in Greece, Hubner 2006, ISBN 3-7290-0061-6
    • Who's Who in the World 2013 – 30th Pearl Anniversary Edition, November 2012 ISBN: 978-0-8379-1150-2
    • 1st Prize for the Best Cardiac Surgery Presentation, 14th Panhellenic Conference of Hellenic Society of Thoracic & Cardiovascular Surgeons, 2022, Thessaloniki
  • Recent Publications

    Scientific editor of 2 books and author of:

    • 20 chapters in international (6) and Greek (14) textbooks
    • 12 chapters in conference proceedings (Greek and international)
    • Publications in international journals (peer-reviewed), 60 of which are indexed in PubMed and Scopus (h-index: 16 / h-index: 20 in Google Scholar)
    • More than 260 oral presentations and lectures as an invited speaker and 75 presidencies as moderator at Greek and international conferences. 

    Selected publications: 

    • Implementation of a cardiogenic shock team in a tertiary academic center. Hellenic J Cardiol 2024 Jul 2:S1109-9666(24)00135-0.
    • Is TEVAR an Effective Approach to Prevent Complications after Surgery for Aortic Dissection Type A? A Systematic Review. Healthcare (Switzerland) 2024;12(13):1263.
    • Improvement of the outcome of the saphenous vein graft when connected to the internal thoracic artery. Front Cardiovasc Med 2024;11:1478166.
    • Mitochondrial Mutations in Cardiovascular Diseases: Preliminary Findings. Genes 2024;15(11):1442.
    • Sarcopenia Adversely Affects Outcomes following Cardiac Surgery: A Systematic Review and Meta-Analysis. J Clin Med 2023;12(17):5573.
    • Extracorporeal Membrane Oxygenation (ECMO)-Associated Coagulopathy in Adults. Diagnostics 2023;13(23):3496.
    • Heart Xenotransplantation: Current Issues and Perspectives. J Tehran Univ Heart Cent 2023;18(2):79-81.
    • Investigation of the Role of BMP2 and -4 in ASD, VSD and Complex Congenital Heart Disease. Diagnostics 2023;13(16):2717.
    • Bioprosthetic Valves for Lifetime Management of Aortic Stenosis: Pearls and Pitfalls. J Clin Med 2023;12(22):7063.
    • Disseminated Intravascular Coagulation Post Endovascular Aortic Repair. Vasc Endovasc Surg 2023;57(7):738-748.
    • Intraoperative accurate assessment of septal myectomy for hypertrophic obstructive cardiomyopathy (HOCM). J Card Surg 2022;37(10):3322-3324.
    • Regional and directional variations in the layer-specific resistance to tear propagation in ascending thoracic aortic aneurysms. J Biomech 2022;138:111133.
    • Huge asymptomatic left atrial myxoma resected through a superior septal approach. ICVTS 2021;33(3):499.
    • Failure properties of ascending thoracic aortic aneurysms with dysfunctional tricuspid aortic valves. ICVTS 2021;33(6):949-958.
    • Adding Inflammation to the Perfect Cytokine Storm: Concerns Related to Extracorporeal Membrane Oxygenation for COVID-19 Patients. ASAIO J 2020;66(8):E110.
    • Successful conservative management of left ventricular pseudoaneurysm caused by a vent catheter. Eur J Cardiothorac Surg 2020;57(3):611.
    • Regional distribution of delamination strength in ascending thoracic aortic aneurysms. J Mech Behav Biomed Mater 2019;98:58-70.
    • Effect of Aneurysm and Bicuspid Aortic Valve on Layer-Specific Ascending Aorta Mechanics. Ann Thorac Surg 2018;106(6):1692-1701.
    • Identification of regional/layer differences in failure properties and thickness as important biomechanical factors responsible for the initiation of aortic dissections. J Biomech 2018;80:102-110.
    • Bilateral versus single internal-thoracic-artery grafts. N Engl J Med 2017;376(18):e37.
    • How should I treat a TAVI-eligible patient with a left ventricular thrombus and rapid clinical deterioration? EuroIntervention 2017;12(16):2033-2036.
    • Patient characteristics and predictors of mortality associated with pericardial decompression syndrome: a comprehensive analysis of published cases. Eur Heart J Acute Cardiovasc Care 2015;4(2):113-120.
    • Mechanical impairment of the aortic media caused by vasa vasorum dysfunction: A potential key element in the pathogenesis of aortic dissection in hypertensive patients. Eur J Cardiothorac Surg 2014;45(2):395.
    • Circulating autoantibodies to oxidized low-density lipoprotein in patients with ascending aortic aneurysms: Marker of oxidative stress involved in pathogenesis, epiphenomenon of endothelial dysfunction, or pure chance? Cardiology 2014;128(2):92-94.
    • Single-stage, off-pump hybrid repair of extensive aneurysms of the aortic arch and the descending thoracic aorta. Hellenic J Cardiol 2014;55(5):355-360.
    • Jehovah's witnesses may not have identical outcomes with non-transfused non-witnesses after cardiac surgery. JAMA Intern Med 2013;173(3):248-249.
    • Bovine aortic arch: Normal variant or a marker of aortopathy? Cardiology 2012;123(2):113-115.
    • Surgical thoracic sympathectomy induces structural and biomechanical remodeling of the thoracic aorta in a porcine model. J Surg Res 2012;172(1):68-76.
    • Treatment with simvastatin inhibits the formation of abdominal aortic aneurysms in rabbits. Ann Vasc Surg 2012;26(2):250-258.
    • Pericardial Decompression Syndrome: A Term for a Well-Defined but Rather Underreported Complication of Pericardial Drainage. Ann Thorac Surg 2010;89(5):1702-1703.
    • Does hypothermic circulatory arrest or prolonged cardiopulmonary bypass time affect early outcome in reoperative aortic surgery? J Cardiovasc Surg 2010;51(3):423-428.
    • Postoperative and Long-Term Outcome of Patients With Chronic Obstructive Pulmonary Disease Undergoing Coronary Artery Bypass Grafting. Ann Thorac Surg 2010;89(4):1112-1118.
    • Reoperative repair of the aortic root and the aortic arch following previous surgery for acute type A aortic dissection. Chirurgia 2009;22(4):171-175.
    • Differential Expression of Collagen Type V and XI α-1 in Human Ascending Thoracic Aortic Aneurysms. Ann Thorac Surg 2009;88(2):506-513.
    • External validation of the modified Thoracoscore in a new thoracic surgery program: Prediction of in-hospital mortality. ICVTS 2009;9(3):463-466.
    • The impact of left ventricular hypertrophy on early and long-term survival after coronary artery bypass grafting. Int J Cardiol 2009;135(1):36-42.
    • Acute intraoperative aortic dissection following axillary artery cannulation. ICVTS 2008;7(2):288-289.
    • Independent predictors for early and long-term mortality after heart valve surgery. J Heart Valve Dis 2008;17(5):548-556.
    • Impact of Early and Delayed Stroke on In-Hospital and Long-Term Mortality After Isolated Coronary Artery Bypass Grafting. Am J Cardiol 2008;102(4):411-417.
    • AIDS-related cardiac tamponade: Is surgical drainage justified? Ann Thorac Surg 2004;78(3):1084-1085.
    • Risk factors affecting the survival of patients with pericardial effusion submitted to subxiphoid pericardiostomy. Chest 2003;124(1):242-246.
    • Early experience of coronary artery bypass grafting with a new self-closing clip device. J Thorac Cardiovasc Surg 2002;123(4):783-787.
    • An alternative surgical approach to facilitate minimally invasive mitral valve surgery. Ann Thorac Surg 2002;73(2):673-674.
    • Short- and long-term results of open-heart surgery in patients with abdominal solid organ transplant. Eur J Cardiothorac Surg 2002;21(6):1061-1072.
    • Blunt and penetrating trauma of the thoracic aorta and aortic arch branches: An autopsy study. J Trauma 2000;49(4):696-703.
    • Effect of impaired vasa vasorum flow on the structure and mechanics of the thoracic aorta: Implications for the pathogenesis of aortic dissection. Eur J Cardiothorac Surg 2000;17(4):468-473.
  • Membership in Societies and Editorial Boards
    • European Association for Cardiothoracic Surgery (EACTS)
    • The Society of Thoracic Surgeons (USA)
    • The European Society for Cardiology (ESC)
    • The Zollinger Surgical Society (OH, USA)
    • Hellenic Society of Thoracic & Cardiovascular Surgeons (Special Secretary of the Board of Directors 2014-6 & 2017-8)
    • Hellenic Society of Cardiology (Chairman of the Cardiac Surgery Working Group, 2019-2020)
    • Hellenic Aorta and Heart Institute
    • Hellenic Surgical Society
    • Hellenic College of Surgeons
    • Hellenic College of Cardiology, etc.
    • Has served in numerous administrative roles and represents Greece in the Cardiothoracic Section of the European Union of Medical Specialists (UEMS) (2016-present)
  • Research
    • Thoracic aortic aneurysms and aortic dissection
    • Aortic biomechanics
    • Pericardial decompression syndrome (term he introduced into international literature)
    • Risk stratification models and frailty assessment