Dr Kshitij Dubey

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Heart Cardiac Surgeries in Indore

Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons. It is often used to treat complications of ischemic heart disease (for example, with coronary artery bypass grafting); to correct congenital heart disease; or to treat valvular heart disease from various causes, including endocarditis, rheumatic heart disease, and atherosclerosis. It also includes heart transplantation.

Heart surgery can correct problems with the heart if other treatments haven’t worked or can’t be used. The most common type of heart surgery for adults is coronary artery bypass grafting (CABG). During CABG, a healthy artery or vein from the body is connected, or grafted, to a blocked coronary (heart) artery.

Doctors also use heart surgery to

  • Repair or replace heart valves, which control blood flow through the heart
  • Repair abnormal or damaged structures in the heart
  • Implant medical devices that help control the heartbeat or support heart function and blood flow
  • Replace a damaged heart with a healthy heart from a donor
  • Treat heart failure and coronary heart disease
  • Control abnormal heart rhythms

Heart surgery has risks, even though its results often are excellent. Risks include bleeding, infection, irregular heartbeats, and stroke. The risk is higher if you are older or a woman. The risk is also higher if you have other diseases or conditions, such as diabetes, kidney disease, lung disease, or peripheral arterial disease.

Types Of Cardiac Surgeries

MICS

Minimally invasive procedures (also known as minimally invasive surgeries) encompass surgical techniques that limit the size of incisions needed and so lessen wound healing time, associated pain and risk of infection

techniques for Minimally Invasic Surgeries in Cardiac issues

  1. Minimally Invasive Multivessel CABG
  2. Minimally Invasive Valve Surgery
  3. Minimally Invasive Paediatric Cardiac Surgery

Minimally Invasive Multivessel CABG

People with multi-vessel blocked arteries of the heart have a better chance for survival if they receive coronary grafting surgery. Many times, it is seen that stents don’t work as effectively and patient with percutaneous coronary intervention has better survival chances than coronary artery grafting surgery. The percutaneous coronary intervention is commonly known as angioplasty, which includes opening up a blocked artery and placement of stents to prevent it from collapsing.

Minimally Invasive Valve Surgery

The heart is a complex pump with 4 one-way valves. The mitral valve is located between the left atrium and the left ventricle. Valves cease to function appropriately when the valve fails to open properly limiting the blood flow (mitral stenosis) or when the valve fails to close causing a large backward leak (mitral regurgitation). Mitral regurgitation (MR) or a leaking mitral valve is most commonly caused by mitral valve prolapse where a section of the valve does not close properly.

There are two types of Minimally Invasive Valve Surgeries, Which are as follows

  1. Minimally Invasive Mitral Valve Surgery
  2. Minimally Invasive Aortic Valve Surgery

let’s understand them in detail

Minimally Invasive Mitral Valve Surgery

Mitral valve surgery is surgery to either repair or replace the mitral valve in your heart. Blood flows from the lungs and enters a pumping chamber of the heart called the left atrium. The blood then flows into the final pumping chamber of the heart called the left ventricle

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Minimally Invasive Aortic Valve Surgery

A minimally invasive aortic valve replacement is a surgery to replace a poorly working aortic valve with an artificial valve. The aortic valve is one of the heart’s 4 valves. The valves help blood flow through the heart’s 4 chambers and out to your body normally. The surgery is called “minimally invasive” because it uses a smaller incision than a traditional open repair. This may lead to easier and faster recovery from surgery.

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Minimally Invasive Paediatric Cardiac Surgery

Minimally invasive cardiac surgery is a set of techniques in which surgeons perform operations through very small incisions.
Minimally invasive pediatric cardiac surgeries can be helpful in case of:
• Atrial Septal Defect
• Ventricular Septal Defect
• Complete AV Canal Defects
• Tetralogy of Fallot (For Some Patients)

Conventional

Minimally invasive procedures (also known as minimally invasive surgeries) encompass surgical techniques that limit the size of incisions needed and so lessen wound healing time, associated pain and risk of infection

techniques for Minimally Invasic Surgeries in Cardiac issues

  1. LIMA-RIMA Y (Arterial Heart Bypass)
  2. Open-Heart Surgery
  3. Open aortic surgery

LIMA-RIMA Y (Arterial Heart Bypass)

For total arterial grafting in CABG, the usual conduits used are the bilateral Internal Mammary Arteries i.e. LIMA and RIMA. Usually LIMA is used as a pedicle graft and the free RIMA on it to make the LIMA – RIMA ‘Y’ composite grafting.

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Open-Heart Surgery

Open-heart surgery may be done to perform a CABG. A coronary artery bypass graft may be necessary for people with coronary heart disease. Coronary heart disease occurs when the blood vessels that provide blood and oxygen to the heart muscle become narrow and hard. This is often called “hardening of the arteries.”

There are two types of open heart surgeries

  1. Surgery for Valves
  2. Surgery to operate Hole in Heart

1. Surgery for Valves

Aortic valve surgery. Surgery to repair or replace an aortic valve that is not working correctly.

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2. Surgery to operate Hole in Heart

Through an incision in the chest, surgeons use patches to close the hole. This procedure is the preferred treatment for certain types of atrial septal defects (primum, sinus venosus and coronary sinus), and these types of atrial defects can only be repaired through open-heart surgery.

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Open aortic surgery

Open aortic surgery, also known as open aortic repair, describes a technique whereby an abdominal or retroperitoneal surgical incision is used to visualize and control the aorta for purposes of treatment.

There are two types of aortic surgeries

  1. Aortic Aneurysms Surgery
  2. Aortic Dissection Surgery

1. Aortic Aneurysms Surgery

Your heart is the most important muscle in your body. During your lifetime it will pump enough blood to fill about three supertankers.

The aorta is the largest blood vessel in the body. Although your aorta is a tough, durable workhorse, sometimes its walls can weaken and bulge in what is called an aortic aneurysm. This could cause a leak that spills blood into your body.

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2. Aortic Dissection Surgery

An aortic dissection can be life-threatening if it is on the ascending aorta, the part of the aorta that goes up through your chest toward your head. A surgeon must repair this as soon as possible.
There are 2 possible surgery methods for aortic dissection repair. The first is standard open-heart surgery (Bentall Surgery for type A dissection) and minimally invasive endovascular surgery (endovascular stenting for type B dissection). The less invasive procedure is good to go if a patient is not strong enough for open-heart surgery. It may also be advised if the dissection is in your descending aorta, the part of your aorta that goes down through your chest and belly.

For Pediatric Purpose

Minimally Invasive Congenital/ Pediatric open heart surgery

Minimally invasive surgery for congenital heart disease in pediatric patients, in a traditional sense, refers to therapeutic approaches designed specifically to minimize physical trauma associated with surgery and thereby maximize the likelihood of rapid recovery with minimal morbidity.

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minimally invasive cardiac operations Does Dr. Kshitij Dubey Does

20+

Years of Experience

800+

Minimally Invasive surgery

7,000+

Successful Surgeries

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