Our CTVS team is functioning from the year 2014; under the Leadership of Dr Sanjay Theodore. The team performs approximately 300 surgeries per year with a success rate of 98% for elective surgery. Our team includes Cardiac Anaesthetists, Intensivists, Perfusionists, Physician assistants and specialised nurses. Our team treats various cardiovascular and thoracic conditions that affect people of all ages. We also perform minimally invasive cardiac surgeries. Heart failure and lung failure are managed with circulatory support devices.
The heart contains contains four valves -Tricuspid valve, pulmonary valve, mitral valve, aortic valve.
The general principles of MV repair are to create an apposition of the anterior and posterior leaflet in systole, increase the valve mobility, prevent valve Stenosis, reduce the annular dilatation and remove all the infective foci in case of endocarditis. Stabilization of the annulus with an annuloplasty ring.
The presence of significant annular calcification; valvular dystrophic, inflammatory, or infective changes; subvalvular thickening or fusion; and progressive cardiomyopathy is an indication for primary mitral valve replacement.
During mitral valve replacement, the surgeon removes the part of the native diseased mitral valve and replaces it with a mechanical valve or a tissue valve.
Age >65 years: Tissue valve Age <65 years: Mechanical valve, in a patient with no contraindication for oral anticoagulation
MICS
A new valve is inserted into the heart to treat aortic stenosis, without removing the Diseased aortic valve.
CONTRAINDICATIONS:
Major advantage of TAVI :
Coronary artery disease is the most common type of heart pathology affecting patients.
RISK FACTORS
SYMPTOMS AND SIGNS:
TYPES :
DIAGNOSIS :
INDICATIONS FOR SURGERY:
SURGICAL MANAGEMENT:
CLINICAL BENEFITS:
Minimally invasive direct coronary artery bypass (MIDCAB) grafting is the technique to achieve revascularization of the anterior wall of the left ventricle using the left internal mammary artery (LIMA) as the bypass graft to the left anterior descending (LAD) artery, vein, radial artery for other vessels.
The procedure performed through a left anterior mini-thoracotomy has been proposed as a less invasive in alternative to full sternotomy revascularization of all stenosed vessels.
COMPLICATIONS OF CABG:
CABG is superior to PCI with stents in:
It is defined as the structural-functional or positional defect of the heart after birth Signs and symptoms for CHDs depend on the type and severity of the particular defect. Some defects might have few or no signs or symptoms. Others might have the following symptoms:
ASD
Atrial septal Defect -It is a defect in the atrial septum that allows the shunting of blood from left to right atrium.
TYPES
Types of atrial septal defects include:
INDICATION FOR SURGERY
All patients with isolated ASD at any age should undergo ASD closure.
ASD CLOSURE
It is defined as the defect in the ventricular septum which leads to shunting of the blood between the left and the right ventricle.
TYPES OF VSD
DIAGNOSIS
INDICATIONS FOR VSD CLOSURE
SURGICAL CLOSURE OF VSD
Complications
Tetralogy of Fallot is a combination of four congenital heart defects.
The four heart defects of tetralogy of Fallot include:
Signs and symptoms of tetralogy of Fallot at birth may include:
Diagnosis before birth - prenatal ultrasounds
After birth, tests for TOF may include:
TREATMENT
All children with tetralogy of Fallot need surgery.
Palliative Shunt
Blalock-Taussig shunt, is a palliative procedure done to increase pulmonary arterial blood flow.
In a modified BT shunt a Gore-Tex tube graft is placed between the subclavian artery and the pulmonary artery,
In central shunt a Gore-Tex tube is placed between the ascending aorta and the pulmonary artery
A shunt operation is not permanent; patient with a shunt requires corrective procedure later.
CORRECTIVE SURGERY
A full tetralogy of Fallot repair surgery involves:
COMPLICATIONS
An aortic aneurysm is a bulge in the aorta. Aneurysm may rupture or split, causes internal bleeding or block the flow of blood from the heart to various parts of the body.
WHAT IS AN AORTIC ANEURYSM?
An aortic aneurysm develops when there is a weakness in the wall of the aorta. In aneurysm, there is dilation of aorta more than 1.5 times of its normal size.
TYPES:
1. ABDOMINAL AORTIC ANEURYSM (AAA) :
Involves the abdominal part of the aorta
2. THORACIC AORTIC ANEURYSM (TAA) :
WHAT IS THE INCIDENCE OF THORACIC AORTIC ANEURSYSM?
WHAT ARE THE RISK FACTORS FOR AORTIC ANEURYSM?
WHAT ARE THE CAUSES AORTIC ANEURYSM ?
WHAT ARE THE SYMPTOMS OF AN AORTIC ANEURYSM ?
Most of the patients are asymptomatic until it ruptures.
Sudden rupture of aortic aneurysm include symptoms like :
HOW IS AORTIC ANEURYSM DIAGNOSED ?
Most of the aneurysms are asymptomatic and are diagnosed during a routine checkup or screening.
Imaging tests that helps in the diagnosis of an aortic aneurysm are
HOW IS AN UNRUPTURED AORTIC ANEURYSM TREATED?
The Physician may prescribe medications to improve bloodflow, lower blood pressure and control cholesterol. This helps slow aneurysm growth and reduces pressure on the artery wall. And also recommend regular screenings.
All thoracic aneurysm with diameter of > 5cm should be operated.
WHAT ARE THE TYPES OF AORTIC ANEURYSM SURGERY?
Bentall’s procedure: for ascending aortic aneurysm, involves replacement of diseased aortic valve .
For descending aortic aneurysm, diseased aorta is grafted with a dacron graft.
Treatment:
MBBS., MS., MCH.,
My Dad Umapathy 55/M underwent open heart surgery one month back. Now he is normal like before. Thanks to Dr.Sanjay Theodore and his team.
Before surgery We had a fear regarding surgery procedure. But all went good.
Thanks to chettinad team
I am S. Suresh Kumar from Mysore, and running for 68 years. I seem to be fit and fine. Suddenly I got collapsed, She caught hold of some person who was just nearby. Let me tell you very frankly. Our decision was taken so fast. The moment I landed in this hospital through my daughter and her friend, I met him only for 3 seconds. The next discussion for them to take was only three minutes for my bypass surgery. Within 3 hours the operation was successful and within three days, now I am out of the hospital.
Your hospital is the best and filled with intelligent healthcare people. Because decisions have been taken very fast and more comfortably. The atmosphere of the hospital is super fine. My children are very happy & I look forward that Dr Sanjay Theodore being so good that he treats every person. It is "Lady's hand a lion heart". He has been very kind to me with a smiling face.
Today being the third day, you can see my movement, you can be absorbed by movement carefully. This is the third day I can stand up on my own. Mine is the best example of this checking out the Chettinad Super Speciality hospital. And my special thanks to all your staff members, nurses and other parameter staff. They were so good, very hospitable, very smiling. No worries or complaints against anyone. I bless all of them for their long life. Thank you Dr. Sanjay Bless you.
My heart full thanks to entire team of Chettinad Super Speciality Hospital. My father had a massive heart attack a month ago and they done angio here. Since they found 3 blocks and advised us to go for CABG (by pass surgery). Initially I really got scared but after studying the process and coming to know about Dr. Sanjay and team I had gained confidence to proceed for surgery. After 2 days of bed rest my father improved a lot and after a week he could able to walk like normal days before and lot of improvement in other activities. We admitted for heart and the team also took care of diabetes issues and instructed us few activities to follow daily and results were great. My special thanks to Surgeon Dr. Sanjay, Ms. Sai Preethi, Mr. Prabhu who take care of billing process and also to be mentioned nurse Nalini, Sowmiya in wards and also ICU nurses who have taken special care. I will definitely refer this hospital for Cardiac and Thanks Team!!
The doctor may recommend coronary artery bypass grafting (CABG) surgery for :
Recovery takes from 4 to 6 weeks. Quick recovery depends on your overall health prior to surgery, the kind of surgery, and how well is your healing. A good cardiac rehabilitation program helps you regain your energy and overall good health.
Possible risks of coronary artery bypass graft surgery (CABG) include:
Care after CABG includes 2 reviews with a Cardiothoracic surgeon. Investigations such as ECG and echocardiogram may be performed during these visits.
The amount of time your valve repair or replacement lasts depends on several factors:
Heart Valve Disease
TAVI (or) TAVR (Transcatheter Aortic Valve Replacement)
Coronary Artery Disease
Coronary Artery Revascularisation
CABG
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