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Author Guidelines

The Annals of CardioThoracic Academy (ACTA) welcomes scientific contributions to the journal in the field of management of patients with a primary cardiovascular or thoracic disease. The journal features original articles, new technology, images or techniques, case reports, review of current literature, meta analysis and correspondence; provided being original and have not been published or submitted elswhere for publication. The Equator network provides reporting guidelines for main study types such as randomized clinical trials (RCT), meta analysis, systematic reviews, observational studies and case reports. In accordance with the (ICMJE), reporting RCT necessitates a prior registration in a public trial registry at or before patient enrolment, total compliance to the Consolidated Standards of Reporting Trials Statement (CONSORT) and inclusion of the CONSORT checklist and CONSORT flow diagram in their manuscript.

Every submission, regardless of category, must include: the complete manuscript, including title page, abstract and key-words, text, tables and figures, acknowledgments, required disclosures and references. Papers are subjected to peer review by members of the Editorial and Advisory Board, by other invited reviewers and a statistician when appropriate. Acceptance is based on the originality, significance, and validity of the material presented. Kindly refer to our manuscript reviewing policy in the about journal section. 

ACTA 5 steps (pages) online submission procedure: All manuscripts, correspondence and editorial material must be submitted to the online editorial office at All users (readers, authors and reviewers) have to register with an email address and a password and have to complete a short profile. In order to submit a manuscript online, be sure that you have registered as an "author" while completing the final paragraph of your profile section. Once done, the system will always keep memory of your status "as an author" for additional submissions. 

First page: 1- Select the appropriate journal section for the manuscript from a drop-down list. 2- Review the submission checklist and check-up by selecting each item (vide-infra: items 1-14). 3- Review the copyright notice and agree to terms and conditions. 4- Review our privacy statement. 5- Edit your comments to the editor including; a) Name, full address and URL of the establishment(s) where the study was carried out (mandatory);b) Name, venue, date and URL of the meeting where the manuscript was presented; c) Suggested one or two reviewers to be considered by the editorial board (facultative). The suggestion should include name of the reviewer, hospital or institution, field of interest and e-mail address. d) Any other comments that you wish to give to the editor like the reason behind the presence of >8 authors on the manuscript, previous publication of an abstract or a short extract of your work in another journal, etc...   6- Click on the “Save” button and continue to proceed to the second page.

Second pageBefore uploading your manuscript, click on “ensuring a blind review” to learn how to ensure that your manuscript does not contain any reference to the authors or institutions. Now browse your hard drive and choose your manuscript file and upload it to our system. Once uploaded, the system will give a new name to this file; which will change throughout the publishing process with resubmissions for revision, editing and proofreading. Make sure in the future to note the newly given file name during this ongoing process and until publication. Now, click on the “Save” button and continue to proceed to the third page.

Third pageEnter submission’s Metadata that includes: 1- Name, affiliation and email address of each author; information that will remain blind to reviewers throughout the reviewing process. The corresponding author’s should give his exact postal address with Zip code as well as his phone and fax numbers. Number of participating authors should be limited to 8 or otherwise justified in your comments to the editor on page (1). 2- Title and abstract: which are the first part sent to reviewer to test his ability and willingness to review the subject.  Once accepted, the reviewer will acquire permission to access your manuscript. Make sure that neither the title nor the abstract contain the authors’ names or affiliations. 3- Indexing and keywords that will help indexing and search for your manuscript. 4- Contributors and supporting agents 5- References in Vancouver style, separating individual references by blank lines. Although the references should figure on your manuscript (vide-infra), you should copy them here to help the editorial system to easily check out their accuracy and value your work. 6- Click on the “Save” button and continue to proceed to the fourth page.

Fourth page: Upload supplementary file, if any. You can elect to present those files to reviewers, provided not to compromise the blind reviewing process. Click on the “Save” button and continue to proceed to the fifth page.

Fifth page: Review your uploaded files and finish submission. You can click on active submissions to show the manuscript ID, date of submission, authors, title and status (in review, in editing, etc..). By clicking on the title of your manuscript, you can review all submitted material during those 5 steps and add a supplementary file or edit metadata. 


Submission Preparation Checklist

As part of the submission process, authors are required to check off their submission's compliance with all of the following items, and submissions may be returned to authors that do not adhere to these guidelines.

  1. When reporting on human subjects, authors have indicated whether the procedures followed were in accordance with the ethical standards of the Helsinki Declaration (1964, amended most recently in 2008) of the World Medical Association. Manuscript included a statement that the patient’s written informative consent was obtained and that the appropriate ethical committee has approved the design.

  2. Authors have observed high standards with respect to publication ethics as set out by the Commission on Publication Ethics (COPE) and International Committee of Medical Journal Editors (ICMJE). Falsification or fabrication of data, plagiarism and duplicate publication will result in the article being rejected outright or subsequently retracted after publication.

  3. Authors listed on the manuscript have contributed significantly to the study design, its implementation, or analysis and interpretation of the data. All authors have been involved in the writing of the uploaded manuscript. All authors aggree to cooperate in making necessary draft revisions, to read and to collectively approve the final version as well as their order of appearance on the manuscript.

  4. Names, affiliation and email address of authors as well as names, address and URL of the establishment(s) where the study was carried out were completely removed from the manuscript file, including title page and abstract. On the other hand, institutional data were clearly indicated in the comments to the editor on the first page of online submission. Names, affiliations and e-mail addresses of all authors (including the corresponding author postal address with Zip code, phone and fax numbers) were supplied in the metadata uploaded on the third page of online submission. 

  5. The manuscript is the part sent to reviewers for evaluation and should not contain any reference to the authors’ names or affiliations, place(s) where the study was carried out or venues where the study was presented. This important information will be separately given in the comments to the editors and metadata sections, as we showed above.

    The manuscript is arranged as title page (first page), abstract or summary and keywords (the second page) and is followed by the main text arranged as introduction, material and methods (including a section for statistical analysis), results (containing tables and figures), discussion, sources of funding, acknowledgments, conflicts of interest, future prospects (if any) and references.

             The manuscript format should be in an Open Office, Microsoft Word, RTF, or WordPerfect document file format and pages should be numbered consecutively, with title page as number 1. The text should be single-spaced; using a 12-point font; employs italics, rather than underlining (except with URL addresses); and all illustrations, figures, and tables should be placed within the text at the appropriate points, rather than at the end. 

  6. A) Title page: is the first page of all manuscripts that should include:

    • 1- title of the manuscript: the title should be descriptive, limited to 150 characters and spaces for original articles and 100 characters and spaces for all other categories of manuscripts. It may not contain acronyms or abbreviations.
    • 2- the original file name and the system's file names:  the original Microsoft word file name is the one that you have first uploaded on our system. Once uploaded, the system will assign a new name for your file. Moreover, throughout the publication process and in concordance to changes made to your manuscript; the system will give a new file name with each step of the editorial procedures (revision, layout, proofreading, etc..) and with each resubmission. In such case, make sure to add the system updated file name(s) following your original file name. 
    • 3- exact word count of the manuscript: the title page should indicate the exact word count of the manuscript not including figures, tables and references. Maximum words count for original articles, reviews and meta-analysis is 5000 words. Editorial, editorial comments, case report and surgical techniques should not exceed 1500 words. Letters to the editor and images should be limited to 500 and 50 words, respectively.
    • 4- numbers of tables, figures and references.
    • 5- Note of submission: the title page should end with a note clearly indicating that: the submission has not been previously published, nor is it considered for publication by another journal. All authors have read and approved the manuscript and, subject to acceptance, authors will sign an exclusive license to publish. There is no ethical problem or conflict of interest; otherwise they should be fully explained to the editors. Being delivered to reviewers, the note should not indicate authors’ names or affiliations.
  7. B) Abstract, Summary and keywords: is the second page of the following manuscript types:

    • Original article: A structured abstract of <350 words should be arranged as: objectives describing the main problem addressed, methods detailing how the study was basically done and analyzed, results of the main findings and their statistical significance and conclusions made upon solid findings. 
    • Review article or meta-analysis: A summary of <350 words.
    • Editorial comment, surgical technique or case report: A summary of <200 words.
    • Avoid acronym and abbreviations and indicate exact word count below the abstract or summary.

    Keywords: all manuscripts should visualize 3-6 selected Keywords for subject indexing.

  8. C) The main text follows the title and abstract pages. The main text of an original article should include the following sections:

    • Introduction: Describing the purpose of the study and pertinent literature, in a few sentences.
    • Material and methods: giving detailed information about the patients (experimental animals), methods and equipment, in a sufficient way the readers to replicate the study. Abbreviations should be limited to SI units and to those most commonly used and extensions should be included when first cited. Drugs should be mentioned in generic names and manufacturer name should be given between brackets, when first used.  Statistical formulae and methods used to describe and analyze data should be stated in the last paragraph. Authors have to verify the tests being appropriate for the data and can answer the posed questions, as well. This section should end with the assumptions made for sample size calculation, when relevant.
    • Results: should be reported concisely and without repetition, either in tables and figures, and briefly commented on in the text, or in the text alone. Authors should supply the exact P values.
    • Discussion: is an interpretation of the results and their significance with reference to pertinent work by other authors. It should be clear and concise.
  9. Notes on tables, figures and videos:  Tables and figures should be self-explicit and should not duplicate the text. A maximum of 8 Tables and/or figures are allowed for original articles, reviews or meta-analysis. A maximum of 2 Tables and/or Figures are allowed for editorials, case reports, surgical techniques and images. Tables and figures should not figure in comments and correspondence.


    • All tables should be accompanied by a title, and footnotes where necessary. Tables should be numbered consecutively using Arabic numerals. Legends and explanatory notes should be placed below the table. Abbreviations used in the table follow the legend in alphabetic order. Lower case letter superscripts beginning with "a" and following in alphabetic order are used for notations regarding statistics.
    • Units in which results are expressed should be given in parentheses at the top of each column or row and not repeated in each line of the table. Exact p values must be used.
    • Avoid overcrowding the tables and the excessive use of words. The format of tables should be in keeping with that normally used by the journal; in particular, vertical lines, colored text and shading should not be used.


    • Figures and illustrations should be numbered consecutively using Arabic numerals, tailed with appropriate legends and uploaded embedded in the word processing file as low-resolution images (.jpg, .tif, .gif or .eps). For reproduction in the journal, you will be required after acceptance to supply high-resolution .tif files.
    • Short (<2 minutes) video sequences may be submitted using standard digital video formats. Videos will be displayed in the online journal and a link to URL address will be provided in the hardcopy journal. Videos should be numbered consecutively using Arabic numerals and require a legend.
  10. Funding: funding sources should be given in a separate section, indicating full official funding agency name and grant number(s).
  11. Acknowledgments: of non-financial support, with personal acknowledgments preceding those of institutions or agencies.
  12. Conflicts of interest statement should fully reveal any personal or institutional financial interests or connections that might raise the question of bias in the work reported or the conclusions, implications, or opinions stated. Authors have to include this section even if none is declared.

  13. References: should be numbered in order of appearance in the text (in Arabic numerals in between brackets; e.g. [1]) and must be listed numerically in the reference list. Journal titles and author initials should be properly abbreviated and punctuated, as listed in Index Medicus. 

    A maximum of 80 references are allowed for review articles and meta analysis, 25 for original articles, 10 for editorial, editorial comments and surgical techniques and a maximum of 5 references are allowed to letters to the editor and case report. References are not allowed for images.

    For references with more than six authors, the first 6 authors should be listed, followed by et al. Personal communications (Jones, personal communication) must be authorized in writing by those involved, and unpublished data should be cited in the text as (unpublished data). References to manuscripts submitted, but not yet accepted, should be cited in the text as (Jones and Smith, manuscript in preparation) and should not be included in the list of references.

    The citation of journals, books, multi-author books and articles published online should conform to the following examples:

    • Journals: [1] Bates SM, Geer IA, Middeldrop S, Veenstra DL, Prabulos A, Vandvik PO. VTE, thrombophilia, antithrombotic therapy and prevention of thrombosis, 9th ed.: American college of chest physicians evidence-based clinical practice guidelines. Chest 2012; 141: e691S-e736S.
    • Books: [2] Cooley DA. Techniques in cardiac surgery. Philadelphia: Saunders, 1984:167-176. 
    • Chapter in a Book: [3] Bonnar J. Haemostasis and coagulation disorders in pregnancy. In: Bloom AL, Thomas DP, editors. Hemostasis and Thrombosis. London: Churchill Livingstone, 1994: 570–583.
    • Online journal publication: [4] Gage BF, Fihn SD, White RH. Management and dosing of warfarin therapy. The American Journal of Medicine. 2000;109(6):481-488. doi:10.1016/S0002-9343(00)00545-3.
    • Online journal publication without doi: [5] Thurber JS, Deb SJ, Collazo LR. Ascending-to-descending aortic bypass for coarctation of the aorta. CTSNet [published 12 May 2008, accessed 30 November 2011]. Available from:
  14. Supplementary material: Supporting material that is not essential for inclusion in the full text of the manuscript, but would nevertheless benefit the reader, can be made available as online-only content, linked to the online manuscript.

Copyright Notice

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.


Privacy Statement

The names and email addresses entered in this journal site will be used exclusively for the stated purposes of this journal and will not be made available for any other purpose or to any other party.