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Heart Surgery

HEART SURGERY

Your Heart pumps blood through the circulatory system to all parts of the body and hence it is known as the blood-pump of the body. The blood thus circulated carries food and oxygen to the cells (so that they can function properly) and carries away carbon dioxide and waste materials.

A very large number of people suffer from heart disease and millions of them die each year worldwide. There are many types of heart diseases that affect your heart. The various heart diseases include diseases of your blood vessels, such as coronary artery disease, heart rhythm problems heart infections and heart problems that you may have at the time of birth.

Sometimes the term “heart disease” is often used interchangeably with “cardiovascular disease.” Cardiovascular disease is caused by disorders of the heart and blood vessels, and includes coronary heart disease (CHD) cerebrovascular disease (stroke), raised blood pressure, peripheral artery disease, rheumatic heart disease, congenital heart disease and heart failure. Cardiovascular diseases are the number one cause of death globally and more people die annually from cardiovascular diseases than from any other cause. Some of the common causes of cardiovascular disease are tobacco and excess alcohol use, physical inactivity, stress and an unhealthy diet.

Common cardiovascular diseases treated at our network heart hospitals in India

This is also known as Ischaemic Heart Disease (IHD) or Coronary Artery Disease (CAD)and is the most common type of cardiovascular disease in many countries around the world. In simple, Coronary Heart Disease refers to problems with the circulation of blood to the heart muscle. The circulation of the blood may be affected due to one or more blockages in the coronary arteries. Coronary arteries are the vessels that deliver oxygen-rich blood to heart muscle. A partial blockage in the coronary arteries may cause symptoms such as chest pain (angina) and shortness of breath. A complete blockage of an artery may cause damage to the heart muscle tissues and may lead to a heart attack. In some people there may be multiple blockages.
Just like heart muscle, your brain also needs a constant supply of oxygen and nutrients to function properly. For this you should have an interrupted circulation of blood to the brain. In some people the circulation of blood in the blood vessels of the brain might get disturbed. Because of this the cells may start dyeing due to the lack of oxygen rich blood. Such a situation may cause a stroke. A stroke is an emergency medical condition since it may cause serious brain damage and possibly death if the treatment is delayed. The sooner you get the treatment for stroke lesser the damage is likely to occur.
In Peripheral Vascular Disease the blood circulation is affected due to blockage in the arteries to your limbs, primarily in the legs. If you have Peripheral Vascular Disease then you may have pain in the calves, thighs or hips especially when walking, running or climbing stairs.You may feel cramps, a dull pain or a sensation of heaviness in the muscles of your legs.Peripheral vascular disease is also known as Peripheral arterial disease.
Cardiomyopathy refers to the diseases of the heart muscle where the heart muscle becomes enlarged, thick or rigid. If the cardiomyopathy worsens then the heart becomes weaker. In such a situation, the heart may not be able to properly pump blood through the body and maintain a normal electrical rhythm. This can lead to weakening of the heart or heart failure which in turn may cause fluid to build up in the lungs, ankles, feet, legs, or abdomen and in some cases it might also cause heart valve problems.There are different causes, signs and symptoms, and treatments available.
Valvular Heart Disease is the disease of the valves of the heart. Your heart is a pump that pumps blood through the circulatory system in your body. The blood carries all the vital things that help your body function.The direction of blood flow is controlled by a set of four valves. Each valve opens and closes once per heartbeat. The valves play a major role in helping the blood to flow into the main arteries in one direction and preventing the regurgitation of blood in reverse direction. In case of Valvular Heart Disease, the heart valves become less effective in controlling the flow of blood. The valves may fail to close fully or leak or the outlet of the valve may become narrowed. The problems with the valves maylead to the reduction of the blood flow and an increase in the pressure on heart wall.It may also cause back pressure in the lungs or the peripheral tissues. Valvular Heart Disease cause significant reduction of effective blood circulation causing congestion of the lungs and peripheral tissues. It may also lead poor oxygen supply to the vital organs.
Rheumatic Heart Diseases are the heart disorders that can occur as a result of rheumatic fever. Rheumatic Heart Disease may cause damage to the heart valves. This may lead to a heart valve disorder.Rheumatic Heart Disease may affect heart valves during childhood and the actual heart problems may develop or may be seen in later years. In most of the cases the affected valves have to be replaced by a valve replacement surgery.
Congenital Heart Disease is the disease that arises due to the defect/s in the structure of the heart that is present at birth. These defects can be as simple as a small hole in one of the inner walls of the heart or they can be very complex which may seriously affect the flow of blood in heart and lungs. Some congenital heart problems may need surgical intervention and in some cases more than one operation may be required.

Services offered at our network heart hospitals in India

Cardiology is a medical specialty that deals with the diagnosis and treatment of coronary artery disease, heart failure, congenital heart defects, valvular heart disease and electrophysiology. The doctors who specialize in this field are called as Cardiologists.The cardiologists at our network cardiac hospitals in India have cardiologists with expertise in diagnosis and interventional cardiology. The cardiologists do a detailed case study of each patient to suggest and undertake the most feasible course of action regarding the treatment.The cardiologists at our network heart hospitals in India work in the most advanced cardiac catheterization Labs and offer the widest range of stents including third generation, drug eluting stents which prevent re-narrowing.
Thoracic and Cardiovascular Surgery deal with the surgical treatment of diseases that affect the organs inside chest, heart and lung.Our network Cardiac Hospitals in India offer complete range cardiac services for acquired heart disease, congenital heart disease and transplantation. Some of the very common cardiothoracic surgeries done are artery bypass grafting, valve repair and replacement, treatment of thoracic aneurysms, surgeries for congenital cardiac problems include the arterial switch procedure, use of homographs, and the Fontan and unifocalization procedures. The cardiothoracic surgeons at our network cardiac hospitals in India have extensive experience in the treatment of adults with congenital heart disease. The hospitals have transplant programs that include heart, heart-lung, and lung transplantation, as well as assist devices.
Echocardiology is the study of the heart using ultrasonic images of the heart and interpreting the images. An echocardiogram is a sonogram of the heart and commonly called as cardiac ECHO or simply an ECHO. The echocardiologylaboratory at our network heart hospitals in Indiaare staffed by senior cardiologists, with expertise in transthoracic, transesophageal, and stress echocardiography.The echocardiology services also provide support in the operating room and cardiac catheterization laboratory. Theechocardiology laboratory is equipped with the most advanced technology available.
In Electrophysiology the electrical activity and the electrical pathways of your heart are recorded and studied. This helps to determine the cause of your heart rhythm disturbance and the best treatment for you. During an electrophysiology procedure an electrode catheter is inserted into the heart from veins in the leg and/or neck.
India has some of the best centres for Heart Transplant Surgery with very good success rates. Heart transplantation is the most advanced treatment which requires vast experience, great expertise and a multi-disciplinary approach. Heart Transplantation is done for end-stage heart disease. This means that a heart Transplantation is done in the final phase of the disease when there is no effective surgical or medical treatment.A heart transplantation surgery may improve the length and quality of life for patients with end-stage heart disease. In a Heart Transplant Surgery your diseased heart is removed and replaced with a healthy heart from a person who has died.
One of the latest advancements in the field of Heart Surgery is the Minimally Invasive Heart Surgery. In Minimally Invasive Heart Surgery the operation is done through tiny openings in the chest instead of a large incision through the breastbone or sternum. Minimally Invasive Heart Surgeryoffers many benefits compared to traditional, open-chest procedures. At our network heart hospitals in India, the heart surgeons use sophisticated thin instruments, miniature cameras, robotic devices, and hybrid techniques while performing minimally invasive heart surgeries. The hospitals have advanced diagnostic technology and state-of-the-art imaging capabilities and hybrid operating rooms that unite the surgical suite and the cardiac catheterization laboratory. Some of the benefits Minimally Invasive Heart Surgery are Faster return to normal activities, Shorter hospital stay, No splitting of the breastbone, Smaller incisions, Quicker resolution of pain, Elimination of the heart-lung bypass machine, in most cases, Minimal blood loss and less need for transfusion and Little scarring. Some of the common minimally invasive heart surgeries performed at our network heart hospitals in India are coronary artery bypass surgery (CABG), Valve repair and replacement, Surgery to correct atrial fibrillation, Implantation of ventricular heart devices and Procedures to treat congenital heart conditions, such as atrial septal defect
World’s first awake bypass surgery with valve replacement was performed in India. India has some of the best cardiac surgeons in the world who have expertise in advanced cardiac procedures like the Awake By-pass Heart Surgery. In an Awake By-pass Heart Surgery, you undergo heart bypass surgery while actually being awake. You can converse with the operating surgeon and his team during the surgery.Awake By-pass Heart Surgery is performed with epidural anaesthesia, eliminating the need and risks of general anaesthesia. The technique requires a very high precisionbased methodology and involves giving anaesthesia only to the chest region while the rest of the system is fully awake. Awake By-pass Heart Surgery makes the surgery safe for patients who are at high risk for general anaesthesia.Awake By-pass Heart Surgery is recommended for patients with severe lung disease, liver disease, past history of stroke and who have a very high risk for general anaesthesia.
Off pump Coronary Artery Bypass surgery is also known as Beating Heart Bypass Surgery. In a beating-heart bypass procedure an incision is made through the breastbone to gain access to the heart. Unlike traditional bypass surgery, in Beating Heart Bypass Surgery the heart is not stopped during the procedure. In Beating Heart Bypass Surgery, special devices are used to stabilize the part of the heart the surgeon is operating on. At our network heart hospitals in India, the surgeons also perform beating heart bypass surgery without the use of a heart-lung bypass machine. Some of the benefits of Beating Heart Bypass Surgery are quicker recovery, shorter hospital stay, better outcomes among high risk patients, lesser chances liver or kidney complications and better preservation of heart function. Beating Heart Bypass Surgery is one of the very common procedures that is routinely done at our network heart hospitals in India.
Another recent advancement in the field of heart surgery is the Robotically assisted cardiac surgery or Robotic Heart Surgery. There are some Minimally Invasive Heart surgeries that can be performed with the help of a high advanced special robotic device. The robotic device helps the surgeon to perform the heart surgery with greater precision and control than is possible in traditional way of doing surgery. In robotic heart surgeries, the chest cavity is accessed through smallincisions. The surgeon sits in a console. The console is equipped with controls that direct robotic arms to perform the surgery. The robotic arms of the device are essentially an extension of the surgeon’s hands. The surgeon gets a very detailed, three-dimensional view inside the chest through a tiny camera attached to a robotic arm.
Our network heart hospitals in India have dedicated department for children suffering from cardiac disorders. The department handles complicated paediatric and neonatal surgery cases.The department has fulltime experienced Interventional Paediatric Cardiologists and Paediatric Cardiac Surgeons. The department has advanced Live 3-D echocardiographic imaging tools including Fetal echocardiography. There are dedicated intensive care units (ICU) that have spacious area, supported by Laminar Air Flow systems and near zero bacteria air-conditioning. The inpatient rooms and the ICUs have a very child friendly atmosphere and designed to keep the child and the parent relaxed.
Our network heart hospitals in India have dedicatedCardiac Rehabilitation departments.A cardiac rehabilitation department focuses onphysical and emotionalactivities and lifestyle changesthat are designed to help you recover from a heart treatment or to prevent heart problems. The department has trained and experienced medical staff and nurses who will guide you at every step and plan specific rehabilitation activities for you in consultation with your treating cardiologists or cardiac surgeon.

Some of the most common heart treatment procedures offered at our network heart hospitals in India

OPD procedures offered at our network heart hospitals in India

Cardiac surgery for adult patients offered at our network heart hospitals in India

Cardiology procedures for adult patients offered at our network heart hospitals in India

Cardiology procedures for children offered at our network heart hospitals in India

Cardiac surgery for children offered at our network heart hospitals in India

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