CARDIAC SURGERY IN INDORE

Cardiac (heart) surgery is surgery on the heart or large vessels performed by cardiac surgeons. In most cases, it is performed to treat problems of ischemic heart disease, correct a congenital heart disease, or treatment of valvular heart disease from different grounds including that of endocarditis, rheumatic heart disease and atherosclerosis. It also includes heart transplantation.

CORONARY ARTERY BYPASS GRAFT SURGERY (CABG) IN INDORE

Procedure:

Treats blocked heart arteries by creating new passages for blood to flow to your heart muscle. Performed by splitting or cutting through the breastbone or sternum. It works by taking arteries or veins from other parts of your body – called grafts – and using them to reroute the blood around the clogged artery. A patient may undergo one, two, three or more bypass grafts, depending on how many coronary arteries are blocked.

Major Indications:

  • Left main artery disease or equivalent.
  • Triple vessel disease.
  • Failed PTCA.
  • Occlusion of grafts from previous CABGs.

BEATING HEART SURGERY IN INDORE

Procedure:

During off-pump or beating heart surgery, the heart-lung machine is not used. The surgeon uses advanced operating equipment to stabilize (hold) portions of the heart and bypass the blocked artery in a highly controlled operative environment.

Major Indications:

This offers patients faster post-operative recovery and extracts less of a toll on their systems.

MINIMALLY INVASIVE CORONARY BYPASS SURGERY IN INDORE

Procedure:

In this technique the heart is approached through the side of the left chest via a small 4cm incision. This cut is placed just under the nipple. The chest is entered between the ribs without cutting any bones and by splitting the muscle.

Major Indications:

Similar to a regular heart surgery the operation is performed using all arteries or a combination of arteries and veins removed from the leg. The vessel from the leg in these operations is also removed endoscopically without cutting the skin over the leg. Highly advanced instrumentation and advanced techniques allow for the operation to be performed very safely.

Apollo Hospitals Indore is amongst the only center in Central India with a active MINI CABG program and has crossed over 250 MINI CABG’ over the last 2 years.

B

ENTALL PROCEDURE IN INDORE

Procedure:

A Bentall procedure is a cardiac surgery operation involving composite graft replacement of the aortic valve, aortic root and ascending aorta, with re-implantation of the coronary arteries into the graft.

Major Indications:

  • To treat combined aortic valve and ascending aorta disease, including lesions associated with Marfan syndrome
  • Aortic aneurysm
  • Aortic regurgitation

MITRAL VALVE REPLACEMENT SURGERY IN INDORE

Procedure:

Patients having mitral valve surgery receive general anesthesia. Incision can be made somewhat horizontally under the left breast, or vertically through the sternum. After the heart is exposed, canulae are placed to rerout blood to a heart-lung machine for cardiopulmonary bypass. An incision is made in the left atrium to expose the mitral valve. The valve is then replaced with either a biological or mechanical valve. The left artium is then closed, and the patient weaned from cardiopulmonary bypass.

Major Indications:

  • Severe Mitral Stenosis.
  • Severe Mitral Regurgitation.

    MITRAL VALVULOPLASTY IN INDORE

    Procedure:

    Is a minimally invasive therapeutic procedure to correct an uncomplicated mitral stenosis by dilating the valve using a balloon. Under local anaesthetic, a catheter with a special balloon is passed from the right femoral vein, up the inferior vena cava and into the right atrium. The interatrial septum is punctured and the catheter passed into the left atrium using a “trans-septal technique and is dilated in 3 stages.

    Major Indications:

    Mitral Valve lesions

    AORTIC ENDOVASCULAR ANEURYSM REPAIR IN INDORE

    Procedure:

    A surgical procedure or a minimally invasive procedure in which the aorta is reconstructed from within using a device called a Stent Graft.

    Major Indications:

    As part of the process of vascular disease, the wall of the aorta can become weak and dilate, and an aneurysm can form, either in the thoracic aorta in the chest or in the abdominal aorta in the belly. When these get large enough to threaten to rupture, a procedure is necessary to repair them.

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