Busting The Myths of CABG (Bypass Surgery)
Dr. Manmohan Singh Chauhan
4 Min Read
Mar 21, 2023
Some heart conditions can be treated with medication and a change in lifestyle, while others, such as heart blocks and anomalies in important blood veins, call for surgery. Cardio-thoracic and vascular surgery is the name of this subspecialty of medicine (CTVS). To treat conditions affecting the heart, lungs, and chest, CTVS is employed. Heart defects, weak heart muscles, and clogged coronary arteries can all be treated by cardiothoracic surgery, as well as issues with heart rhythm. On the other side, vascular surgery deals with problems of the arteries, veins, and lymphatic vessels that affect the blood vessels. It aids in blood vessel network maintenance and repair. Blood flow rerouting may also be done during vascular procedures.
With highly skilled cardiothoracic surgeons who use an integrated team approach to provide diagnosis and treatment of the complete spectrum of vascular and heart diseases, Manipal Hospital is the best hospital for cardiothoracic surgery in Gurgaon. To deliver the most cutting-edge and efficient cardiac care, surgeons collaborate with cardiologists and other medical experts.
Our facility is state-of-the-art, and we provide cutting-edge treatment alternatives like a minimally invasive method for replacing or repairing heart valves.
At Manipal, we deliver comprehensive and excellent cardiovascular care to treat heart and vascular illness in a way that can change people's lives.
Additionally, the Manipal CTVS unit is outfitted to provide treatment with top-notch tools and cutting-edge technology. Additionally, we have the support of intensivists and critical care specialists who offer treatments like IABP, ECMO, and CRRT.
Please consult a specialist in Gurugram for all your CTVS needs.
This is a procedure that reopens arteries that have been narrowed or closed due to a build-up of fatty plaque. The procedure involves guiding a narrow tube towards the narrowed or blocked artery, and inflating a balloon to open up the artery for stent placement. A stent is a tube made to keep the artery open and free-flowing. An angioplasty is not…
The human heart has 4 valves that are responsible for controlling blood flow through the heart. Valves can be damaged or affected by disease, in which case they will need to be repaired or replaced. Damaged valves can be repaired by the placement of a special ring, while artificial valves are used to replace valves that are damaged beyond repair. While…
Also referred to as keyhole surgery, MICS is a surgical option that requires much smaller incisions on the body, reducing the risk to the patient and the time needed for recovery. Using advanced surgical apparatus, a surgeon is able to perform complex cardiac surgeries like Mitral Valve Replacement (MVR) without compromising accuracy.
CTVS'S PRIMARY FOCUS AREAS ARE
Adult Surgery CTVS
Pediatric surgery CTVS
The following common conditions can be treated using CTVS:
Pulmonary, aortic, mitral, tricuspid, and mitral valve diseases
A rheumatic heart condition
ADULT SURGERY CTVS
Some frequent surgical procedures include:
Open heart operations
Coronary artery bypass grafting (CABG): This department performs this procedure the most frequently. An artery from your arm, chest wall, or leg, along with a vein from your leg, is utilised during open-heart surgery to circumvent a cardiac artery that has been obstructed or restricted by a fatty plaque.
The surgery is a relatively recent, minimally invasive treatment that can be performed in place of traditional CABG surgery. In this instance, the surgeon employs a robotic device with a camera mounted on its arm. Using a computer console, the doctor can precisely control the machine's arms.
Minimally Invasive Direct Coronary Artery Bypass (MIDCAB)
By making a tiny incision and doing the procedure on a beating heart, the minimally invasive direct coronary artery bypass (MIDCAB) substantially reduces the degree of invasiveness. Manipal doctors are among the few surgeons who conduct it because it is a difficult technique.
The operating team uses cutting-edge machinery to restore blood flow to coronary arteries during this treatment. Bypassing the obstructed blood vessel and stabilising various heart components in a highly structured setting, is accomplished.
Heart Valve Operations
Heart valves that are ill or damaged cannot function appropriately. The heart muscles are consequently subjected to excessive tension. Here, the valves' regular functioning can be restored by replacing and repairing them.
Replacement of the mitral valve (MVR)
Replacement of a double valve (DVR)
Tricuspid valve replacement/repair
Transcatheter aortic valve replacement (TAVR) and implantation (TAVI) (TAVR)
The heart's aortic valve narrows and is unable to fully open as a result of calcification, preventing oxygen-rich blood flow to the rest of the body. Similar to angioplasty, which involves replacing a malfunctioning valve with a mechanical one using a catheter inserted into the aorta, TAVR is a less invasive technique. To know more about heart valve replacement treatment in Gurugram, visit Manipal Hospitals.
In this procedure, the restricted artery is opened by inserting a tiny metal tube, or stent. The doctor will do an angioplasty to eliminate the plaque buildup before this treatment.
Pediatric Surgery CTVS
Children need more sympathetic treatment than adults do. Other medical professionals assist our group of paediatric cardiologists and interventional heart surgeons.
With regard to cardiovascular problems, this multidisciplinary team offers your children the highest calibre and most efficient care. The team will choose the most intrusive and clinically sophisticated procedure possible to avoid infection and reduce the likelihood of complications.
The following are a few of the common operations done at our CTVS paediatric unit:
malformations in the atrium septum
Heart Failure Surgery
The following procedures can be used to treat heart failure:
CABG: Coronary Artery Bypass Graft
Plaque accumulation causes the coronary arteries to constrict, eventually obstructing the flow of oxygen-rich blood.
Normal blood flow is restored by using healthy blood vessels or transplants from the chest, wrist, or arm to go around blocked arteries.
Surgery on Valves:
Papillary muscles weaken and stretch out of shape in the later stages of heart failure, which causes the leaky mitral valve.
Valve surgery is done to either restore the value by supporting it with a ring or replace the value that has become weak.
LVAD, or Left Ventricular Assist Device
The LVAD, sometimes referred to as a ventricular assist system (VAS), is a mechanical pump powered by batteries that are surgically placed in patients with advanced heart failure.
This is a life-saving option for individuals who are waiting for a heart transplant or who are unable to have a heart transplant.
PMVR, or percutaneous mitral valve repair
Mitral valve regurgitation is the medical term for the irregular reverse flow of blood from the left ventricle to the left atrium.
A mitral clip is inserted in the injured area during PMVR, also known as the mitral clip operation, to stop the blood from flowing backwards.
Transplanting a heart
An unhealthy heart is replaced with a healthy one during an open-heart operation known as a heart transplant.
The new heart begins to beat once the blood flow has been restored.
A heart transplant patient has a good chance of living if the right follow-up procedures are followed.
For getting a specific treatment listed above, book an appointment at a top heart hospital in Gurugram.
With state-of-the-art imaging facilities at Manipal Hospitals, continuous post-operative care has been the heart of every condition treated, some of them are, Common cardiac surgeries for adults include Coronary artery bypass graft (CABG), Valve Repair and Replacement, Surgery for Ischemic Mitral Valve, Regurgitation and Post Infarct Ventricular Septal Defects, DOR Operation for left, Ventricular Aneurysms, Redo Surgery for Valve Replacement and CABG, Grown-Up Congenital Heart (GUCH) Operations Common Pediatric Cardiac Surgeries include Open Heart Surgery for Congenital Heart Defects such as Ventricular Septal Defect and Atrial Septal Defect, Complex Defects including tetralogy of Fallot, single ventricle, transposition of great arteries (TGA), Ventricular Septal Defects, Cath based interventions, and assessment of Atrial Septal Defects, patent ductus arteriosus and device closure, Heart Surgery for newborn babies, Blocks in the blood flow (pulmonary stenosis, aortic stenosis, coarctation of the aorta), Cosmetic approaches for Congenital Heart Surgery Vascular Surgeries include Resection of cardiac myxomas, Endovascular Laser Therapy, Carotid Endarterectomy along with CABG, Peripheral Vascular Surgeries for Ischemic Limbs, Dialysis for Patients with Renal Failure Minimally invasive surgeries include Tricuspid valve repair and replacement, Atrial septal defect and patent foramen ovale closure, Maze procedure for atrial fibrillation, Saphenous vein harvest for coronary artery bypass, Mitral valve repair and replacement, Aortic valve replacement, Atrioventricular septal defect surgery and Coronary artery bypass surgery
A cardiothoracic surgeon is a medical doctor who specializes in surgical procedures of the heart, lungs, esophagus, and other organs in the chest. This includes surgeons who can be called cardiac surgeons, cardiovascular surgeons, general thoracic surgeons, and congenital heart surgeons.
A physician with specialisation in operations on the heart, lungs, oesophagus, and other organs in the chest is known as a cardiothoracic surgeon. This includes doctors who practise general thoracic surgery, congenital heart surgery, cardiac surgery, and cardiovascular surgery. Consult a specialist in Gurugram for all your cardiovascular surgery needs.
It is necessary for those who have congenital heart disease, constricted or obstructed arteries, irregular heartbeat, weak heart muscles, or heart valve problems.
You will be transferred to an intensive care unit (ICU) after your procedure at the top vascular surgery facility in Gurgaon, where intensivists will keep an eye on your breathing, blood pressure, level of alertness, and wound. On the same day or the following day, the patient is typically extubated, and the tubes are withdrawn the following day. The patient often begins moving after two days, switches to the ward on day three, and is released on day six or seven.
Cardiovascular Thoracic Surgery can be both simple and complex, whatever be the procedure, Manipal Hospitals will be there with you every step of the way, helping you decide on the right treatment plan, providing the right post-operative care and recuperation assistance. Contact us to know more about the different cardiovascular thoracic surgery and book an appointment with one of our surgeons today