Quantcast
Channel: Fortis Hospitals Patient Education Blog » Innovations in Cardiac Surgery
Viewing all articles
Browse latest Browse all 2

“Innovations in Cardiac Surgery- Minimally Invasive Hybrid Heart Surgery”

0
0

~Collaborative approach by the team of heart specialists in Fortis Hospitals Bangalore sets benchmark in cardiac care~

The heart surgery team led by Dr. Vivek Jawali, Chief Cardiovascular and Thoracic Surgeon at Fortis hospital Bangalore had pioneered the minimally invasive bypass surgery in India in September 1994 and continues to be at the forefront of this modern field of minimally invasive heart surgery in its present “Avatar” leading to the new era of “Hybrid cardiac surgery”.

Sometime Heart problems tend to come in clusters, while some arteries are blocked, some valves don’t open or close all the way. The heart’s rhythm becomes irregular. Many people face not one but two or more treatment decisions.

A few years ago, someone who required multiple cardiac procedures might have had separate procedures done by specialists working in different parts of a hospital. In treating such patients hours might pass in between, in some cases, the two procedures might even require separate hospital visits. This fragmented approach to care is now changing, and thanks to the much-needed innovation in heart care- minimally invasive hybrid cardiac surgery.

“Minimally Invasive Hybrid cardiac surgery is part of a larger effort to make interventions safer and make recovery faster for the patient,” says Dr. Vivek Jawali, Chief Cardiothoracic & Vascular Surgeon Fortis Hospitals Bangalore.

“Some procedures that previously required large incisions and long periods of general anesthesia, can now be done with minimally invasive techniques, added Dr. Vivek Jawali.

Minimally invasive heart surgery is when the heart operations are done through a smaller incisions (or smaller openings in the chest) or without stopping the heart. The first minimally invasive beating heart bypass surgery was done by Dr. Vivek Jawali in Bangalore at the Wockhardt hospital (now renamed as the Fortis Hospital) at Cunningham road. It ushered a new era in cardiac surgery in India. The team now routinely performs a variety of minimally invasive heart valve replacements & repairs, minimally invasive surgical repairs of congenital heart defects in children and minimally invasive beating heart bypass operations.

As this advanced technique allowed to perform surgery as it was more patient friendly and low morbidity rates, the team is routinely performing the “Hybrid heart operations”. In hybrid heart operations the surgeons and the cardiologists combine the catheter based angioplasty like (stents etc) procedure with minimally invasive heart surgeries to convert some high risk, painful super major heart operations in to almost “no mortality, less pain less complications & fast recovery procedures”.

Few Surgeries- Hybrid bypasses: Elderly, frail, high risk patients diagnosed to have a triple coronary obstructions facing risk of major heart attacks are now managed by Dr. Jawali’s team at the Fortis hospitals in Bangalore by combining a minimally invasive beating heart bypass using the left internal mammary artery (which could last forever) with stenting of the other two coronary arteries in the cathlab by the cardiologists in the same sitting. This makes the entire procedure far minimalistic on the patient’s body. Less, cut, less pain, very minimal blood loss and no blood transfusion, no stopping of the heart or complications of the heart lung machine and much faster recovery and shorter hospital stay. It will also have a far superior long-term result than using 3 stents. A dozen such procedures have already been done by the team.

Aneurysms: (focal ballooning which can suddenly rupture and kill dramatically) of the arch of aorta are usually seen in very old people and need a super major surgery to replace the aortic arch bearing all the blood supply of the brain, by stopping the heart for long hours and facing the risk of a steep chance of dying in surgery or facing major complications (quite common) of paralysis by strokes or acute kidney failure etc. Instead, now days, Dr. Jawali and team treat these patients by a new hybrid procedure called “Arch de-branching and endo grafting the arch”. In this procedure the surgeons, on a beading heart, through a chest incision connect a branched artificial blood vessel to the ascending aorta and the branches going to the brain and tie off those branches. This is followed by the cardiologists, putting a large, fitting size, graft covered stent in to the aortic arch (which is already de branched after surgically establishing an alternative blood supply to the brain), through a catheter from a puncture in the groin. The whole procedure is dramatically low risk and enables the patient to recover far rapidly. There is neither the exposure to the heart-lung machine nor blood transfusion. Patient goes home in 4 days instead of 3 to 4 weeks.

For more visit: http://www.fortismihs.com/

 


Viewing all articles
Browse latest Browse all 2

Latest Images

Trending Articles





Latest Images