Thursday, 13 September 2012

Cardiac Surgery





Cardiac Surgery in India

We Care offers a complete package of surgical treatment in India for specialized healthcare sectors. This is a surgical package, which includes hospitalization and stay in India, in patient care, post operative medical consultancy with complete healthcare advice.



Overview:

Cardiac surgery is used to correct heart problems in children and adults. When medication and catheter-based treatments do not relieve your symptoms then cardiac surgery may be the only option for treatment for a range of heart conditions, including but not limited to mitral valve prolapse (MVP), atrial septal defect (ASD), and coronary artery disease.

What is cardiac surgery?
Cardiac surgery is a surgery on the heart performed by cardiac surgeons. Frequently, it is done to treat complications of ischemic heart disease (for example, coronary artery bypass grafting), correct congenital heart disease, or treat valvular heart disease caused by various causes including endocarditis. It also includes heart transplantation.


Cardiac surgery for ?
The various types of Cardiac Surgeries performed may be used to address the following issues:
  1. Repair or replace the valves that control blood flow through the heart's chambers
  2. Bypass or widen blocked or narrowed arteries to the heart
  3. Repair aneurysms, or bulges in the aorta, which can be deadly if they burst
  4. Implant devices to regulate heart rhythms
  5. Destroy small amounts of tissue that disturb electrical flow through the heart
  6. Make channels in the heart muscle to allow blood from a heart chamber directly into the heart muscle
  7. Boost the heart's pumping power with muscles taken from the back or abdomen
  8. Replace the damaged heart with a heart from a donor

Cardiac Conditions:
  1. Aneurysm
  2. Angina Pectoris
  3. Arrhythmias
  4. Atherosclerosis
  5. Atrial Fibrillation
  6. Cardiac Sarcoma
  7. Cardiomyopathy
  8. Congenital Heart Defects
  9. Coronary Heart Disease
  10. Heart Attack (Myocardial Infarction)
  11. Heart Failure
  12. Heart Murmurs
  13. Heart Valve Diseases
  14. High Blood Pressure / Hypertension
  15. Mitral Valve Prolapse
  16. Pericarditis
  17. Peripheral Vascular Disease
  18. Rheumatic Heart Disease
  19. Types of Cardiac surgery:
    Cardic surgery, which are used to fix different types of heart problems


  20. Coronary Artery Bypass Grafting: Coronary artery bypass grafting (CABG) is the most common type of heart surgery. This surgery is used for people who have severe coronary heart disease (CHD), also called coronary artery disease. In CHD, a fatty material called plaque builds up inside your coronary (heart) arteries. Plaque narrows the arteries and limits blood flow to your heart muscle. CHD can cause angina, shortness of breath, and heart attack. During CABG, a surgeon takes a vein or an artery from your chest, leg, or another part of your body and connects, or grafts, it to the blocked artery. The grafted artery bypasses (that is, goes around) the blockage. This allows oxygen-rich blood to reach the heart muscle. Surgeons can bypass multiple blocked coronary arteries during one surgery.

    Transmyocardial Laser Revascularization: or TLR, is a surgery used to treat angina when no other treatments work. For example, if you've already had one CABG procedure and can't have another one, TLR may be an option. This type of heart surgery isn't common. During TLR, a surgeon uses lasers to make channels in the heart muscle. These channels allow oxygen-rich blood to flow from a heart chamber directly into the heart muscle.

    Heart Valve Repair or Replacement: is done to fix leaflets that don't open as wide as they should. This can happen if they become thick or stiff or fuse together. As a result, not enough blood flows through the valve into the artery. It is also is done to fix leaflets that don't close tightly. If the leaflets don't close tightly, blood can leak backward into the heart chambers, rather than only moving forward into the arteries as it should. To fix these problems, surgeons either repair the valve or replace it. Replacement valves are taken from animals or made from human tissue or man-made materials. To repair a mitral or pulmonary valve that's too narrow, a surgeon will insert a catheter through a large blood vessel and guide it to the heart. This procedure is less invasive than open-heart surgery.
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Arrhythmia Treatment
: An arrhythmia is a problem with the rate or rhythm of the heartbeat. Most of them are harmless, but some can be serious or even life threatening. When the heart rate is abnormal, the heart may not be able to pump enough blood to the body. Lack of blood flow can damage the brain, heart, and other organs. Arrhythmias usually are treated with medicine first. If medicine doesn't work well enough, you may need surgery. This surgery is done with a pacemaker who sends electrical signals through the wires to control your heart rhythm. In this operation, the surgeon makes new paths for the heart's electrical signals to travel through. This type of surgery is used to treat atrial fibrillation, the most common type of serious arrhythmia. Simpler, less invasive procedures also are used to treat atrial fibrillation.




Aneurysm Repair: An aneurysm is an abnormal bulge or "ballooning" in the wall of an artery or the heart muscle. This bulge happens when the wall weakens. Pressure from blood moving through the artery or heart causes the weak area to bulge. Over time, an aneurysm can grow and burst, causing dangerous, often fatal bleeding inside the body. Aneurysms in the heart most often occur in the heart's lower left chamber (the left ventricle). Repairing an aneurysm involves surgery to replace the weak section of the artery or heart wall with a patch or graft.



Open-Heart Surgery: Open-heart surgery is any kind of surgery in which a surgeon makes a large incision (cut) in the chest to open the rib cage and operate on the heart. "Open" refers to the chest, not the heart. Depending on the type of surgery, the surgeon also may open the heart. Open-heart surgery is used to bypass blocked arteries in the heart, repair or replace heart valves, treat atrial fibrillation, and do heart transplants. Increasing numbers of surgeons have started to use off-pump, or beating heart, surgery to do CABG. This approach is like traditional open-heart surgery, but surgeons don't use a heart-lung bypass machine. Off-pump heart surgery isn't right for all patients.

Minimally Invasive Heart Surgery: For minimally invasive heart surgery, a surgeon makes small incisions in the side of the chest between the ribs. A heart-lung bypass machine sometimes is used for some types of minimally invasive heart surgery. Minimally invasive heart surgery is used for some CABG and maze procedures. It's also used to repair or replace heart valves and insert pacemakers or ICDs. One type of minimally invasive heart surgery that's still being developed is robotic-assisted surgery. For this surgery, a surgeon uses a computer to control surgical tools on thin robotic arms. The tools are inserted through small incisions in the chest. This allows the surgeon to do complex and highly precise surgery. The surgeon always is in total control of the robotic arms; they don't move on their own.

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