Cardio thoracic & vascular Surgery

Cardio thoracic & Vascular surgery

The department of cardiothoracic is committed to excellence in patient care, basic & clinical research on disease affecting our patients. Our primary goal is to provide our patients with customized best treatment options available in surgical care. We specialize in Adult cardiac surgery such as Total arterial coronary artery bypass grafting, Minimal invasive valvular heart surgery with valve repair, Adult congenital heart surgery, Heart failure surgery, Complex aortic surgery, Endovascular repair of thoracic aortic aneurysms and many more. We provide Surgical treatment of end-stage heart failure, including heart, lung, and heart-lung transplants and ventricular-assist devices

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Our department of Cardiothoracic & Vascular surgery provides the treatment for:

Open Heart Surgery

Open-heart surgery is any type of surgery where the chest is cut open and surgery is performed on the muscles, valves, or arteries of the heart. During this surgery, a healthy artery or vein is grafted (attached) to a blocked coronary artery. This allows the grafted artery to “bypass” the blocked artery and bring fresh blood to the heart. Coronary heart disease occurs when the blood vessels that provide blood and oxygen to the heart muscle become narrow and hard. This is often called “hardening of the arteries.”

Hardening occurs when fatty material forms a plaque on the walls of the coronary arteries. This plaque narrows the arteries, making it difficult for blood to get through. When blood can’t flow properly to the heart, a heart attack may occur.
Open-heart surgery is also done to:
• repair or replace heart valves, which allow blood to travel through the heart
• repair damaged or abnormal areas of the heart
• implant medical devices that help the heart beat properly
• replace a damaged heart with a donated heart (heart transplantation)
• Open-heart surgery is sometimes called traditional heart surgery.

Heart transplant

Heart transplants are performed when other treatments for heart problems haven't worked, leading to heart failure.
In adults, heart failure can be caused by several conditions, including:
• A weakening of the heart muscle (cardiomyopathy)
• Coronary artery disease
• Heart valve disease
• A heart problem you're born with (congenital heart defect)
• Dangerous recurring abnormal heart rhythms (ventricular arrhythmias) not controlled by other treatments
• Amyloidosis
• Failure of a previous heart transplant
In children, heart failure is most often caused by either a congenital heart defect or a cardiomyopathy.

Ventricular Assist Device (VAD)

A ventricular assist device is a mechanical pump implanted in your chest that helps pump blood from the lower chambers of your heart (ventricles) to the rest of your body. VADs are commonly used as a temporary treatment for people waiting for a heart transplant. These devices are increasingly being used as a long-term treatment for people who have heart failure but aren't eligible for a heart transplant. If a VAD doesn't help your heart, doctors may sometimes consider a total artificial heart — a device that replaces the ventricles of your heart — as an alternative short-term treatment while you're waiting for a heart transplant.

Thoracic Aortic Aneurysm Repair

A thoracic aortic aneurysm or TAA is a bulging of the wall of the aorta, the main vessel that feeds blood from your heart to tissues and organs throughout your body. The aorta is normally about the size of a large garden hose. When the aorta expands to more than twice its normal diameter, it is called an aneurysm. When an aneurysm occurs in a portion of the aorta within your chest, it is called a thoracic (chest) an aortic aneurysm or TAA.

Heart Valve Repair or Replacement Surgery

Heart valve repair or replacement surgery be done when valves are damaged or diseased and do not work the way they should. Conditions that may cause heart valve dysfunction are valve stenosis (stiffness) and valve regurgitation (leaky valve). When one (or more) valve(s) becomes stenotic (stiff), the heart must work harder to pump the blood through the valve. Some reasons why heart valves become narrow and stiff include infection (such as rheumatic fever or staphylococcus infections) and aging. If one or more valves become leaky, blood leaks backward, which means less blood is pumped in the right direction. Based on your symptoms and the overall condition of your heart, your health care provider may decide that the diseased valve(s) needs to be surgically repaired or replaced.

Minimally invasive cardiac surgery

Minimally Invasive Cardiac Surgery, also known as MICS CABG (Minimally Invasive Cardiac Surgery/Coronary Artery Bypass Grafting) or The McGinn Technique is heart surgery performed through several small incisions instead of the traditional open-heart surgery that requires a median sternotomy approach. MICS CABG is a beating-heart multi-vessel procedure performed under direct vision through an anterolateral mini-thoracotomy.
Advantages of Minimally Invasive Heart Surgery are less blood loss, reduced postoperative discomfort, faster healing times and lowered risk of infections, as well as eliminating the possibility of deep sternal wound infection or sternal non-union. This procedure makes heart surgery possible for patients who were previously considered the too high risk for traditional surgery due to age or medical history. Patients referred for this procedure may have Coronary Artery Disease (CAD); aortic, mitral or tricuspid valve diseases; or previous unsuccessful stenting.