Cardiac Surgery Coronary Angioplasty

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We have few of the most experienced cardiologist and cardiac surgeons with us.

Our doctors specialize in various heart and vascular conditions and diseases. If you need any cardiology or cardiac surgery related problem including pediatric cardiac surgery, our team of experienced cardiologist and cardiac surgeons  can help you in achieving the best possible result.

What do we treat?

Coronary Artery Disease

Aortic Disease

Heart Rhythm Abnormalities (Arrhythmia)

Heart Valve Disease

Thoracic Disease

Varicose Veins

Coronary Artery Disease (CAD)

Coronary artery disease is caused by accumulation of cholesterol in the vessel wall that causes narrowing   or complete blockage of the coronary artery—the blood vessel leading to the heart—increasing the risk of heart attack.  We provide   diagnosis and treatment of CAD using the most modern technology available, using an integrated approach that puts Patients First. 

The coronary arteries supply the blood to heart muscles (myocardium) so that it can pump enough blood to the body. High cholesterol levels, high blood pressure, diabetes and smoking can cause narrowing and complete blockage of these arteries by a build-up of plaque that contains lipids, fibrous tissue, and calcium.

The restricted blood flow leads to a lack of oxygen to the heart muscle, and results in cell damage and causes chest pain, called angina. If the artery is completely blocked, the heart muscle dies and a heart attack occurs. This is a life-threatening situation. 

If a patient is experiencing severe chest pain or other heart attack symptoms, the patient should immediately be consulted by a local cardiologists. If you need a second opinion cardiologists in team of My virtual hospital is always there to provide online consultation.

We treat coronary arteries disease through medicine, surgery and other intervention.

Diagnosis of Coronary Artery Disease

Patients usually present with symptoms of chest pain.

The doctor assesses the patient’s risk factors, such as high cholesterol, elevated blood pressure, high blood sugar, and tobacco use. After a physical examination, additional diagnostic tests are often requested. These tests may include: 

Echocardiography

Exercise stress tests: A test that monitors heart rate, blood pressure, breathing, and electrical activity of the heart during exercise. 

Nuclear imaging (or myocardial perfusion scan): A test that uses radioactive tracers injected into the veins to show the blood flow patterns in the heart and coronary artery.

CT coronary angiogram -this is a noninvasive way to assess the bolockage in the coronary artery.

Coronary Angiogram – This is the most accurate way to assess severity of coronary artery disease. Catheters are inserted into the heart through the wrist or the groin and the blood flow through the heart is recorded.

Treatment of Coronary Artery Disease 

Once the diagnosis is confirmed, treatment options are discussed  if necessary with cardiologists, and surgeons.  In many cases, stents can be implanted into blockages immediately ( Coronary angioplasty). This procedure is carried out using local anesthetic and patients can usually leave the hospital after one day. 

Our cardiologists can deal with most of the blockage using stents and they have access to best of the stents available in the world. They can use drug coated stents or absorbable stents.

If the disease is complex, or if very important heart vessels are involved, cardiologist  may recommend coronary artery bypass surgery, also known as coronary artery bypass grafting (CABG) or heart bypass surgery.

Coronary Artery Bypass Surgery

Coronary artery bypass surgery restores normal blood flow to the heart. The surgery involves taking a vein from the chest or leg and using it to redirect blood from the aorta – the body’s main artery—to the coronary artery.  Surgeons may use arteries instead of veins. Our surgeons do these surgeries on beating heart or called Off-pump bypass surgery.

The traditional way to perform coronary artery bypass surgery is through a midline chest incision. If a patient fulfills certain criteria, noninvasive surgery options, which allow for a quicker recovery, are also offered by our surgeons.

Minimally invasive Cardiac Surgery Procedures

Our cardiac surgeons are few in India to have experience in doing bypass surgery using small incisions and using laparoscope.

Aortic Disease

The aorta is the main blood vessel in the body, whose branches carry blood from the heart to all of the organs. Aortic disease is characterized by blockages or enlargement of the aorta that can impact blood flow. 

Most of the aortic diseases are asymptomatic or silent. Aortic disease is often discovered during testing for other conditions. However, if a patient has enlargement or narrowing of a blood vessel that affects blood flow, they may experience pain in the affected part of the body.

The most common aortic diseases are:

Aneurysms of the aorta

Aneurysms of the branches of the aorta

Obstruction or narrowing of the aorta

MVH has doctors who have experience in treating these complex conditions. 

Diagnosis of Aortic Disease

Computed tomography (CT scans): A scan that provides detailed pictures of the aorta and its branches.

Magnetic resonance imaging (MRI): A scan that uses radio waves and magnets to provide images of the scanned area.

Treatment of Aortic Disease

Treatment may consist of surgery, or a minimally invasive procedure to insert a stent. This is dealt by a multidisciplinary team  that maintains the patient’s care during the entire treatment process: from admission to discharge, as well as long-term ambulatory care.

Aortic Disease Team 

The team consists of

Cardiac Surgeons 

Interventional cardiologists

Radiologists

Anesthesiologists

Intensivists

Heart Failure

Heart failure (HF) is a condition in which the heart muscle is unable to pump enough blood to meet the body’s needs for oxygen. It is a long-term condition that worsens over time and can be affected by both genetic and lifestyle factors. Heart failure can have many underlying causes, such as:

High blood pressure

Coronary artery disease

Diabetes

Tobacco use

Congenital heart defects

Viral infections

Alcohol use

Heart rhythm abnormalities (arrhythmia)

Obesity

Heart valve disease

Family history and genetics 

Correct management of heart failure can improve both quality and length of life.

Diagnosis of Heart Failure

Patients with heart failure typically experience decreased tolerance for exercise, decreased ability to participate in activity, and shortness of breath. They do not necessarily experience chest pain.

Diagnosis starts with questions about the patient’s medical history and symptoms, and a physical examination.

Physicians use several tests during the diagnosis and management of heart failure. Most tests are noninvasive, such as:

Electrocardiogram (ECG): A recording of the electrical activity of the heart, used to detect heart abnormalities.

Echocardiogram: A test that uses sound waves to reveal the size, shape, and functioning of the heart.

Occasionally, the diagnosis may require the use of invasive tests, such as cardiac catheterization, in which a catheter is placed in the heart to observe blood flow and blood pressure.

Treatment of Heart Failure 

We offer full range of treatment options that can be tailored to each patient’s needs. Treatment aims to reduce the heart’s workload. Non-surgical treatment options include medication or lifestyle changes, such as improvements in diet and exercise. In addition, we offer a range of surgical procedures, including heart transplantation.

Some times devices such as pacemakers and defibrillators may be needed if symptoms persist. Advanced cases are evaluated to determine suitability for artificial heart pumps or heart transplantation.

Arrythmia

My virtual hospital provides specialized treatment services for heart rhythm abnormalities, also known as arrhythmia. Heart rhythm abnormalities are characterized by abnormally slow, abnormally rapid, or irregular heartbeats.  Our specialist electrophysiologist  provides state-of-the-art diagnosis and treatment of the full spectrum of heart rhythm abnormalities.

Lifesaving and life-altering procedures are performed in suites equipped with cutting-edge technology using world-class techniques. 

Symptom

MVH offers comprehensive treatment for heart rhythm abnormalities, on both an outpatient and inpatient basis. 

Depending on the type of heart rhythm abnormality, symptoms may include:

Heart palpitations 

Chest discomfort 

Dizziness 

Difficulty breathing 

Loss of consciousness (syncope)

Treatment plans are individualized to address the unique needs of every patient. We offer the latest treatments, such as the leadless pacemaker and the subcutaneous defibrillator.

Diagnosis of Heart Rhythm Abnormalities

 First, a thorough history is obtained from the patient, then an electrocardiogram (ECG), or electrical recording of the heart, identifies any abnormalities in the generation or distribution of the heart’s electricity. Testing is done in the electrophysiology (EP) laboratory.

To assist in diagnosis and treatment, patients may be asked to wear a lightweight heart monitor for up to seven days. If the patient has infrequent but serious symptoms, a tiny heart monitor can be implanted under the skin for up to three years.

Treatment for Heart Rhythm Abnormalities 

Patients with slow heart rates (bradycardia) may require implantation of a pacemaker to stabilize their condition. 

Patients with a rapid heart rhythm (tachycardia) or with an irregular heart rhythm (arrhythmia) can be treated with medication or with other therapies. Rapid heart rhythms can be treated, and possibly cured, with catheter ablation. Catheter ablation is an invasive therapy used to correct abnormal electrical connections in the heart; catheters and probes are inserted into the heart through the groin area. 

Certain patients with weak heart muscles or inherited electrical abnormalities of the heart sometimes require implantable defibrillators to decrease their risk of sudden cardiac death, or sudden cardiac arrest, when the heart stops beating. Some forms of pacemakers can, by synchronization of the heart’s electricity, improve the heart’s performance.

Patients with atrial fibrillation, a heart rhythm abnormality associated with an increased risk of stroke, heart failure, and other symptoms, can expect a multidisciplinary approach to their diagnosis and treatment.

Heart Valve Disease

Heart Valve Disease causes valves to be  either too narrow or leaking.

In addition to standard heart valve surgery techniques, MVH offers minimally invasive procedures for heart valve repair and replacement, which can mean less trauma and faster healing for the patient. Surgical procedures can be performed through the groin using catheters, or through small incisions in the chest using videoscopic and robotically-assisted surgery techniques.

Common types of heart valve disease:

Heart valve disease generally falls into two categories: stenosis, the narrowing of the heart valve, and regurgitations, the leaking of the heart valve. 

Mitral regurgitation (MR) is the most common heart valve problem. Primary mitral regurgitation can be caused by a variety of underlying conditions, such as congenital birth defects, acquired degenerative heart valve diseases, or inflammatory diseases or infections. Secondary mitral regurgitation occurs due to incorrect blood flow to the heart muscle or dilatation of the left heart chamber.

Aortic valve stenosis (AS) is a condition where the aortic valve narrows and limits blood flow. It is most commonly found in elderly patients and develops over time. Congenital aortic valve stenosis is a rare condition that is present at birth, in which the heart valve may function normally for several years before requiring treatment.

Pulmonary stenosis and tricuspid regurgitation are the most common valve defects of the right heart.

Diagnosis of Heart Valve Disease

Patients with heart valve disease usually experience shortness of breath, chest pain, and irregular heartbeats. In the clinic, the physician listens to the heart and may hear these “heart murmurs”, or irregular heartbeats. The diagnosis is usually confirmed through diagnostic testing, such as:

Echocardiogram: A test that reveal the size, shape, and functioning of the heart.

Computed tomography (CT scans): A scan that provides detailed pictures of the inside of the heart.

Cardiac catheterization: A test in which a catheter is placed in the heart and arteries to observe blood flow and blood pressure across the different chambers of heart.

Treatment of Heart Valve Disease 

Moderate grades of heart valve disease can, in most instances, be treated with medication. If the disease is severe, heart valve surgery, such as valve repair or valve replacement, may be necessary. In valve repair, the patient’s own valve is preserved. For valve replacement, biological tissue valves or mechanical valves are used. While mechanical valves last longer, patients will require blood thinning medication to prevent blood clots. 

The traditional way to perform heart valve surgeries is through a midline chest incision, with a heart lung machine used to maintain circulation during surgery. If certain criteria are met, the operation can be carried out through small noninvasive incisions in the chest. Another surgery option is catheter-based valve intervention, in which catheters are inserted into the heart valve through the groin or the chest. These minimally invasive surgery approaches mean less trauma and faster healing for the patient.

Special surgical techniques available include

Robotically-assisted mitral valve repair 

MitraClip implantation 

Transcatheter Aortic Valve Replacement (TAVR)

Transcatheter Aortic Valve Implantation (TAVI)

Heart valve disease care is provided by a multidisciplinary team that provides support throughout all stages of the patient journey.

Varicose Veins

The Varicose Veins are diseases of the peripheral venous system, almost exclusively confined to the legs.

What We Treat

We treat the complete spectrum of varicose veins, from cosmetic concerns to serious medical complications.

Cosmetic Concerns 

Spider veins (or telangiectasia) occur when veins form small blue webs on the skin of the legs. They are generally a cosmetic concern rather than a medical issue, and can be controlled by compression stockings, or treated by microinjections close to the vein. 

Medical concerns 

 Varicose veins appear as non-colored soft bumps over the legs, visible when standing and disappearing when lying flat. Venous insufficiency appears as a swelling of the legs and/or a discoloring of the skin of the lower leg, indicating that the veins cannot pump enough blood back to the heart; venous insufficiency is a serious medical condition.

We also treat conditions resulting from clotting of the deep leg veins, known as deep vein thrombosis or DVT. This can be fatal if the clot formed in the leg moves to the lungs.   

Diagnosis of Varicose Veins

Doctors  do a clinical evaluation of the symptoms, as well as an assessment of foot impairments and walking limitations, which can cause varicose veins. Physicians may also request diagnostic testing, such as dopplar ultrasound, to help identify the cause of the varicose veins and determine the best surgical or non-surgical treatment options.

Treatment of Varicose Veins

We at MVH offers a full spectrum of surgical techniques to treat varicose veins, such as:

Traditional surgical vein removal: An operation to surgically remove varicose veins.

Endovenous thermal ablation therapy: A minimally invasive procedure where laser or thermo catheters are used to close the problem veins. 

Cardiac Surgery Coronary Angioplasty