Cardiac Surgery/ Cardio Thoracic Vascular Surgery

Surgical interventions that are performed to treat heart ailments is commonly known as cardiac surgery.

Some of the common heart surgeries include–
• Aortic Surgery - Carried out to repair / replace aortic aneurysms & dissections

• Aortic Valve Surgery that is performed to repair or replace aortic valve. It can be carried out in the following manner
- Endoscopic
- Non Sternotomy
- MAZE Procedures for AF

• Arrhythmia surgery - A surgical procedure to correct irregular heart rhythms such as atrial fibrillation or ventricular tachycardia.

• Corrective surgery to fix or treat a genetic heart defect or Congenital heart surgery

• Coronary Artery Bypass Graft (CABG) – Commonly known as Heart Bypass surgery/ Coronary Bypass surgery, is a surgical procedure which creates alternate routes for blood to flow to the heart tissue, bypassing the narrowed/blocked arteries (leading to what is known as Coronary Artery Disease). For this purpose, a healthy blood vessel (also called a graft) taken from one area of patient’s own body is placed around the narrowed/blocked area to restore blood flow to the heart. The goal of this procedure is to relieve symptoms of coronary artery disease (including angina), enable the patient to resume a normal lifestyle and to lower the risk of a heart attack or other heart problems.

• Surgery for heart failure
- LVAD or Left ventricular assist device - A device that aids in the pumping function circulating blood inside the body.
- Left ventricular remodeling/surgical ventricular restoration – This is a technique that provides the heart with a more normal shape post a MI, allowing the heart to pump blood efficiently.
- Heart transplant - A surgery to treat end stage heart failure - a condition that occurs when the heart can't pump enough oxygenated blood to meet the needs of the body's organs.

• Awake heart surgeries (on or off-pump cardiac surgeries under high thoracic epidural without general anaesthesia)

• Cardiothoracic and vascular procedures / surgery
o Bypass surgery
- Off-pump
- Keyhole
o Major Aortic Cardiac Aneurysm Surgeries
o Minimal access aortic arch replacement
o Aortic surgery
- Hybrid
- Endovascular aortic surgery

At Fortis, our hospitals are also equipped with dedicated Cardiothoracic ICUs with up to 1:1 nursing ratio, 24X7. Each ICU is equipped with
• Color Doppler system
• Echocardiography (ECG) system
• Continuous oxygen supply
• Infusion pumps
• Defibrillator
• Ventilators
• Pressure monitoring systems
• Temporary pace maker both transdermal and transvenous
• Intra-aortic balloon pump
• ABG (Blood Gas machine)
• Electrolytes analysis machines

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