The
era of modren cardiac surgery was ushered in when on the 6th
of May 1953, John Gibon of New York closed a hole in a patients
heart with the help of a ingenious new machine he had devised.
This machine was called the heart lung machine and its job
was to take over the functions of the patients heart and lung
while the surgeon stopped the heart and performed the operation.
The techniques and technology of cardiac surgery have made
tremendous progress since those early days. At BBC HEARTCARE
CENTRE we practice the most modern techniques and offer surgery
in the following categories.
- Off Pump Coronary
Bypass or Beating Heart Surgery.
- Coronary Artery Bypass
Grafting (CABG)
- Heart Valve repair
and replacement.
- Surgery for Congenital
Hear disease.
- Vascular Surgery
or Surgery of the blood vessels.
- Chest and Vascular
Trauma Surgery as part of the management of the poly trauma
patient.
Should you or a member of your family require Heart Surgery,
you can have the peace of mind which comes from having chosen
a state of the art centre with a highly experienced team of
surgeons and anesthetists. Most patients who undergo Heart
Surgery make an uneventful recovery and return gradually to
a normal life style. We understand the apprehensions in the
mind of a patient about to undergo Heart Surgery and our pre-operative
management is designed specially to address these concerns
and provides maximum comfort.
CORONARY ARTERY BYPASS
SURGERY (CABG)
This operation
is recommended to patients with multiple blocks in the minute
arteries which supply oxygenated blood to the muscle of the
heart. The surgeons takes blood vessels from the patients
own body, most notably the internal mamary artery from the
inside of the chest wall the radial artery from the forearm
and the sphenous vein from the patients own body, from the
leg and uses them to create new channels of blood flow to
the heart muscle beyond the sites of block in the coronary
arteries. Traditionally the operation is performed on the
lung machine which take over the function of the heart and
lungs temporarily. Before the commencement of surgery the
patient is put to sleep by the administration of a general
anesthetic, At the conclusion of surgery. The patient is separated
from the Heart-Lung Machine and gradually allowed to wake-up
after several hours. The results of this operation in routine
patients are good.
OFF PUMP CORONARY BYPASS
SURGERY (BEATING HEART SURGERY)
This is
a revolutionary new method of perfuming Bypass Surgery being
applied only by a handful of top hospitals world wide. In
principle this operation is similar to CABG and is offered
to Patients with coronary artery disease. However it avoids
the use of the Heart Lung Machine. The operation involves
special techniques and is performed with the help of instruments
called Stabilizers. Through out surgery,
the heart continues to beat and pump blood, because the heart
lung machine involves circulating blood. Synthetic tubing
it can potentially produce serious side effects such as increased
bleeding, decreased lung function, stroke or kidney failure.
In beating heart surgery, the heart lung machine is not used
and therefore, the these side effects are avoided. Beating
Heart Surgery is a major for high risk patients such as these
with decreased pump function of the heart lung machine. The
recovery is most cases is faster and the patient can be sent
home at least a day earlier compared to these undergoing conventional
surgery.
At BBC
Heart Care we perform Beating Heart surgery in 99% of bypass
patients going by the principle that if it is good for high
risk patients, it is even better for low risk patients.
HEART VALVE SURGERY
Heart
Valve surgery is offered to patients with narrowing or leakage
of one or more heart valves. The operation involves the use
of the Heart Lung Machine. If the Patients valve well preserved
it can be repaired but if the deformity of value tissue is
servere, the valve is replaced with a mechanical valve. We
commonly select a mechanical valve made of pyrolyte carbon
with two leaflets because of its superior flow characteristics.
Most patients are sufficiently recovered by the seventh day
after surgery to merit discharge from hospital. Patients with
mechanical valve have to take an anticoagulant medication
life long. It prevents blood from clothing on the valve but
it also predisposes the patient to bleeding and so the patient
has to guard against inadvertent injury. In addition, the
valve can become infected from a focus of infection else where
in the body such as a sore throat. Therefore these patients
should consult their doctor in the event of minor illness
or if they have to undergo surgery.
The results
of valve surgery are excellent and most patients lead a normal
life for many years after their surgery. Approximately 20%
of the surgical work at BBC Heart care consists of valve surgery.
SURGERY FOR
CONGENITAL HEART DISEASE
Congenital
Heart disease is present since birth and takes the from of
holes or other abnormalities in the heart. Some of these babies
have a blue discoloration of nails, tongue and lips. The treatment
is usually by repair of these defects by open Heart surgery.
VASCULAR SURGERY
Sudden
or gradual blocks in one of the arteries in the legs or arms
can result in pain, discoloration and ultimately gangrene
of the affected Limb. Many of these patients stand to benefit
from timely bypass of the arteries or removal of arteries
clots form the aneurysms can also lead to serious symptoms.
These patients require replacement of the dilated segment
of the arteries with synthetic tubing's or grafts.
TRAUMA SURGERY
Injury
to structures of the chest such as the ribs, lungs, Heart
or blood vessels can be life threatening. Urgent institution
of life support systems, blood transfusion and appropriate
surgery can prevent loss of life. At BBC Heart Care centre,
We have a well equipped trauma care team including a neuro
surgeon where seriously injured patient are routinely managed. |