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Cardio Thoracic and Vascular Surgery

 

CARDIAC SURGERY Cardiac surgery is performed to treat the diseases or complications of ischemic heart disease (for example, coronary artery bypass grafting), correct congenital heart disease, or treat valvular heart disease due to various causes including endocarditis and rheumatic fever.

Cardiac Surgery can be performed in the following diseases / complications:

  • Coronary Artery Disease – Depending on the condition of your coronary arteries, your doctor may advise you to undergo bypass surgery wherein a healthy vein or artery from another part of your body is grafted to your coronary artery to create a bypass for improved blood flow to your heart muscles
  • Valvular Heart Disease - Heart valves can be abnormally formed at birth or damaged by rheumatic fever or bacterial infection. Valves also can degenerate with the normal aging process.
  • Congenital Heart Disease - Some people are born with problems that may affect the heart and major blood vessels. Corrective surgery may occur in childhood or postponed until adulthood.
  • Thoracic Aortic Aneurysms - An aneurysm is a saclike bulging that can develop on the wall of a blood vessel. This bulging can become life threatening if not treated. The treatment options include stenting and open surgery.
  • Tumors of the Heart - A myxoma is the most common cardiac tumor, and is nearly always curable

In order to diagnose and determine the treatment for a particular heart disease, the doctor obtains a complete medical history, performs a thorough physical exam and orders special diagnostic tests.

Major types of cardiac surgeries include coronary artery bypass graft surgery (CABG), heart valve surgery, minimally invasive surgical procedures, transmyocardial laser revascularization (TMR), congenital repairs and thoracic aortic aneurysm repair.

OPEN HEART SURGERY

When the patient's chest is opened and surgery is performed on the heart. The term "open" refers to the chest, not to the heart itself. The heart may or may not be opened depending on the particular type of surgery.

In open heart surgery a heart-lung machine is sometimes used to support the patient's circulation while the surgeon opens the chest and makes changes to the heart or the arteries on the surface of the heart. There are a variety of types of open-heart surgeries depending on the condition being treated and the overall health of the patient.

Special Care Units / Diagnostic Equipment / Facilities

  • Treadmill Test (TMT)
  • Echocardiography (Colour Doppler)
  • Stress Echocardiography
  • 24 Hour Holter Monitoring
  • Ambulatory BP Monitoring
  • Stress Thallium Test
  • 64 slice CT angiography
  • Coronary and peripheral angiograph
  • Electrophysiology Study
  • Endovascular Suite (For the first time in India)
  • Flat Panel Cath Labs with stent boost technology

Vascular Surgery

Vascular surgery is a specialty of surgery in which diseases of the vascular system (i.e. arteries, veins & lymphatic system) are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction.

The main types of arterial diseases are occlusive and aneurysmal disease (ballooning of the arteries). Occlusive disease is narrowing of the arteries like in the heart which can happen anywhere in the body but people are aware of the symptoms if it happens in the legs or in the tummy (can lead to ulcers or gangrene) or in the neck arteries (which can lead to a stroke).

Peripheral vascular disease affects smokers and also patients who have undergone coronary stenting or bypass surgery.

A large proportion of people with decade-long diabetes develop vascular problems. In a country where more than four crore people are estimated to have diabetes, the number of people estimated to have vascular problems is large. A diabetic patient is at a greater risk of lower limb amputation than the general population, a lot of them can be prevented with the involvement of a vascular surgeon.

We will be offering basic and advanced screening for vascular diseases at the Artemis Health Institute.

The prevalence of venous disease has been under estimated. A clot in the deep veins if it travels to the lungs can cause sudden death. Individuals are predisposed to forming clots if blood lacks few proteins which can keep the it fluid. It can also be caused if the patient is immobilized or if the lining of the vessels are damaged. Unilateral painful calf swelling must be taken seriously.

Varicose veins (dilated and tortuous veins) are also a common problem, if untreated can lead to skin changes, itching and ulcers.

Treatment for lymphatic disease (swelling of the legs) is mainly conservative.

Team of Specialists:

 

 

  • Dr. Rajat Kalra