Why you need the Services of the Best Heart Specialist Doctor in Delhi - Dr. Rajneesh Malhotra

Why you need the Services of the Best Heart Specialist Doctor in Delhi 

Anybody living in Delhi with a heart condition needs the services of the best heart specialist doctor in Delhi.

Best heart specialist doctor in Delhi is the medical professional who can tell you if you suffer from heart ailments.

What is a Heart

Like other muscles in the body, the heart is also a muscle. While a person controls other muscles in the body, the person cannot control the heart muscle as it beats 72 times in a minute completing a cardiac cycle every minute of its life in an involuntary action.

What are the Functions of a Heart

The heart is among the most vital organs in the body. It functions as a pump to circulate blood through a system of blood vessels. The heart functions throughout its life time. If the heart stops pumping blood then it dies and so does the person.

The heart performs its functions of receiving used blood from all over the body through the veins, sending the blood to the lungs for purification and receiving the purified blood from the lungs and finally pumping the purified blood to other parts of the body through the arteries. The heart comprises the heart chamber which is a muscle. The heart chamber comprises four parts and together with the circulatory system performs its assigned tasks.

What is Heart Disease

The heart is the central muscle that controls the function of pumping blood to all parts of the body. The heart supplies blood through the circulatory system consisting of blood vessels. The group comprising the heart and the blood vessels together with the blood that circulates in the body is the cardiovascular group.

Any disease that affects the heart and the blood vessels is a heart disease or a cardiovascular disease.

Types of Heart Disease

The various diseases affecting the heart include

• Congenital heart defects or the disease a person is born with
• Heart rhythm anomalies
• Coronary artery disease
• Blocked or narrowed blood vessels
• Heart attack
• Stroke
• Angina or chest pain
• Valve malfunctions
• Heart muscle problems

What are Symptoms of Heart Disease

Symptoms depend on the disease affecting the specific part of the cardiovascular system. They include

• Fainting, shortness of breath, dizziness, fatigue, numbness, fluttering,
• Pain in the chest, jaw, neck, abdomen and throat
• Swelling in feet, abdomen,
• Irregular heartbeats, rhythmic changes, slow or fast heartbeats
• Dry cough, skin rashes, fever
• Rhythmic changes, slow or fast heartbeats

Congenital heart defects are defects that a person is born with. The symptoms for disease of the heart due to congenital defects showing up at birth include

• Poor weight gain, shortness of birth, swelling around the eyes, abdomen and legs and pale blue or grey skin color

Get Symptoms Checked by the Best Heart Specialist Doctor in Delhi

People showing symptoms of heart disease must immediately seek the services of the best heart specialist doctor in Delhi.

For information visit http://www.bestheartsurgeoninindia.com

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A Medical Miracle Called Beating-Heart Surgery

Thousands of people go for Coronary Artery Bypass Graft (CABG) each year. This is referred to as Bypass Surgery or Open-Heart Surgery and is performed by the top heart surgeons in Delhi if the blockage in the coronary arteries is severe. CABG used to be performed with the assistance of the heart lung machine on Cardio Pulmonary Bypass (CPB) traditionally. This medical practice is in trends nowadays as well. This open-heart surgery allows doctors to operate on a surface which is still and blood-free.

Unlike CABG, in beating-heart surgery the heart beat is not stopped and the heart lung machine is not used. This treatment is known as Off-Pump Coronary Artery Bypass Surgery (OPCAB). Beating-heart surgery has to be performed in a highly stabilized environment as heart is still functioning to pump blood to the body parts.

Who needs to undergo OPCAB?

OPCAB offers a reliable option for a healthy heart for below mentioned category of high risk patients:

• Severe left ventricular dysfunction
• Chronic obstructive pulmonary disorder (COPD)
• Chronic renal failure
• Advanced age
• Stroke
• when hybrid procedures are required, like, a combination of stenting and bypass surgery or some other surgical correction.

Understanding the Surgical Procedure

• Proper anesthesia will be given to you before performing the beating-heart surgery.
• Then your cardiac surgeon in India will remove a portion of a healthy vein for grafting from your own body.
• This graft will be used to bypass the blockage of the coronary artery. This helps in restoring the blood flow to the heart.
• Heart positioner is used for the proper positioning of heart. The plaque is removed from the blocked arteries while the rest of the heart beats normally.
• Tissue stabilizer helps to make heart steady and continue its normal beating process during OPCAB.
• It is also important to note that at times off-pump surgery may need to be converted to on-pump surgery. This situation arises when there is hemodynamic instability or improper exposure of the vessels that are targeted during operation, or when there is global ventricular ischemia. This condition is a high risk and complicated one.
• But, our top heart surgeons in Delhi who are globally trained and have decades of experience in handling most complicated cases, are easily able to handle such cases successfully.

Advantages of OPCAB procedure

• Beating-heart surgery allows for a faster recovery of the patient after the surgery at a relatively less cost of treatment than CABG.
• This surgery also reduces the need for blood transfusions and the time of hospitalization.
• This surgical technique is also free from negative effects like fluid imbalance, inactivation of certain blood cells, damage to the platelets, affecting the function of heart, etc. These complications are otherwise more likely to happen in the traditional CABG technique.

However, it is important to note that OPCAB is not always used as a replacement for CABG. The decision regarding the same is taken by treating doctor, depending upon the patient’s medical condition. Moreover, intramyocardial vessels and target vessels that are small and diffusely diseased cannot be operated through beating heart surgery technique.

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How Bentall Surgery in Delhi Helps You Overcome Aorta and Aorta Valve Defects

Bentall Surgery In Delhi

 

When you suffer from defects in the aorta you can bank upon Bentall surgery in Delhi to address these defects and correct them.
Bentall surgery in Delhi is the best procedure to correct defects in the aorta.

What is Bentall Surgery

The aorta is the largest artery in the human body. It comprises four important sections including the aortic valve which perform the function of carrying blood to various parts of the body. Since the aorta involves flow of blood the aortic valve ensures blood only flows out of the heart into the aorta and ensures blood does not flow back into the heart. Like any other part of the body aorta too is prone to under perform for various reasons and defects can occur in the aorta. Often, treatment of defects in the aorta is through surgery. Bentall surgery is a cardiac surgery performed to correct defects in the aorta. Hugh Bentall and Antony De Bono performed this surgery first in the year 1968.

When is Bentall Surgery Required

The four sections of the aorta comprise the ascending aorta, aortic arch, descending thoracic aorta and abdominal aorta. While the ascending aorta rises from the heart, the aortic arch bends over the heart, the descending aorta moves down the chest area and the abdominal aorta starts at the diaphragm. Bentall surgery helps to set right any defects noticed in the four sections of the aorta.

What Defects Manifest in the Aorta

The main defects noticed in the aorta include

• Leak in the aortic valve – aortic regurgitation
• Weakness in aortic wall caused by Marfan’s syndrome
• Segregation of the aortic valve layers – aortic dissection
• Enlarged aorta – aortic aneurysm

What are the Symptoms of Defective Aorta

Most defects in the aorta don’t manifest immediately but build over time. But, they can appear in quick time. Symptoms of defective aorta include

• Fluttering and fast pulse
• Shortness of breath and fatigue
• Swelling in ankles
• Chest pain

These symptoms show the heart is working overtime to counter the defective aorta. Not treating defects in the aorta is not an option as it can lead to heart failure.

What gets done in Bentall Surgery

In Bentall surgery the surgeon performs the procedure under general anesthesia. He replaces defective aortic root and valve. He also re-implants coronary arteries.
The surgeon removes the defective part of the aorta and examines the valve. The valve consists of three flaps that allow blood to flow out of the heart into the aorta. He removes the defective valve. He also removes the coronary arteries along with the button of the aorta’s surrounding wall and dissects them. He replaces the defective valve with an artificial graft that holds mechanical or biological valve prosthesis built into it. He re-attaches the coronary arteries to the graft by suturing them to the cut ends of the aorta.

Bentall surgery in Delhi is State-of-the-art

Bentall surgery in Delhi adopts the latest stat-of-the-art technology to correct defects of the aorta.

Heart specialist Doctor in delhi

Dr. Rajneesh Malhotra

Chief-CTVS, Max Delhi & NCR Hospital

Dr. Rajneesh Malhotra is the Chief of Cardiac Surgery at Max Super Speciality Hospital, New Delhi. He also offers a consultation at Dharm Clinic, Kalkaji, New Delhi. He is an expert in Minimally Invasive Cardiac Surgery, Minimally Invasive Mitral Valve Replacement, and repairs, Coronary Artery Bypass Grafting (CABG), Aortic Valve Replacement and Repair, Atrial Septal Defects (ASD's), Robotic Cardiac Surgery.

Education

• MBBS from King George Medical College, Lucknow
• MS(General Surgery) from King George Medical College, Lucknow
• M.Ch Cardio-Thoracic Surgery from Laxmipat Singhania Institute of Cardiology, Kanpur
• Fellowship in Cardiac Surgery from the Department of Thoracic and Cardiovascular Surgery, Hospital, Uppsala, Sweden
• Minimally Invasive Cardiac Surgery: Medtronic Inc.Minneapolis, USA

Experience

• 25 years of rich experience in Cardiac Surgery
• Work as Director - Cardiac Surgery, Medanta: The Medicity, Gurgaon 2009-2012
• Work as Senior Consultant - Cardiac Surgeon, Escorts Heart Institution and Research Centre, Delhi
• Work as Chief Consultant - Cardiac Surgeon, Durden's Heart Surgical Centre, Colombo, Srilanka

Awards

• Chapters in Books: Asia Pacific Cardiology: Developments in Total Arterial Myocardial Revascularisation
• Chapters in Books: Elsevier Educational Series In Cardiology: History of Cardiac Transplant
• Chapters in Books: International Travel Awards Recipient - Asian Society of Cardio-Vascular Surgery, Fukuoka, Japan
• Chapters in Books: Best Oral Presentation at Annual Scientific Meeting of International Society of Minimally Invasive Cardiac Surgery at San Francisco, USA
• dr. j. j. Sood Oration Award 2013

For More Detail Cardiac Surgeon In Delhi

LV Aneurysm Repair in Delhi

LV Aneurysms usually after effects of myocardial infarctions. When the heart muscle partially dies during the heart attack, a layer of muscle may survive and be severely weakened and start to become an aneurysm. The blood may flow into the surrounding dead muscles and inflate the weakened flap of muscle into trouble.

It's one of the many complications that may occur after a heart attack (Myocardial Infarction). They usually arise from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. This, in turn, blocks the passageways leading out of the heart, leading severely constricted blood flow to the body. It can be fatal and usually non-rapturing because they are lined by scar tissue.

Eligible for LV Aneurysm Surgery

Not all patient with heart failure is needed for this procedure. Patients who may benefit from left ventricular surgery include:

• Have had a heart attack that resulted in an aneurysm or a scar in the left ventricle and has symptoms of heart failure (such as shortness of breath, fatigue, swelling, and others) that are not relieved with medications and lifestyle changes
• Have severe coronary artery disease with symptoms of angina
• Have valve problems that require surgical treatment
• Ventricular tachycardia (abnormal rhythm originating in the left ventricle that makes it beat too quickly). Indication include passing out, feeling lightheaded or feeling a rapid pounding of the chest
• Carotid Endarterectomy:

It's a type of surgery that used to prevent strokes in people who have carotid artery disease. It occurs if plaque builds up in the two large arteries on each side of your neck (the carotid arteries). The carotid arteries supply your brain with oxygen-rich blood.

Plaque is made up of fat, cholesterol, calcium and other substances found in the blood. Over the time the plaque got hardens and narrows the carotid arteries. This limits or blocks the flow of Oxygen-rich blood to your brain which leads to a stroke.

A stroke also can occur if the plaque in a carotid artery cracks or ruptures (bursts). Blood cell fragments called platelets stick to the site of the injury and may clump together to form blood clots. Blood clots can partly or fully block a carotid artery.

A stroke also can occur if the plaque in a carotid artery cracks or ruptures (bursts). Blood cell fragments called platelets stick to the site of the injury and may clump together to form blood clots. Blood clots can partly or fully block a carotid artery.

A piece of plaque or a blood clot also can break away from the wall of the carotid artery. The plaque or clot can travel through the bloodstream and get stuck in one of the brain's smaller arteries. This can block blood flow in the artery and cause a stroke.

In the Carotid Endarterectomy, you receive a general anesthetic. Then we make small incision along the front of your neck, open your carotid artery and removes the plaques that are clogging your artery. We then repair the artery with stitches or patch made with vein or artifical material (patch graft).

We recommend carotid endarterectomy if you have more than 60 percent of blockage in your arteries. You may be experiencing symptoms. We will evaluate your condition and determine whether you're the right candidate for carotid Endarterectomy.

Aortic Aneurysm Repair

An aneurysm is an abnormal bulge in the wall of an artery. Normally, the walls of arteries are thick and muscular, allowing them to withstand a large amount of pressure. Occasionally, however, a weak area develops in the wall of an artery. This allows the pressure within the artery to push outwards creating a bulge or ballooned area called an aneurysm. Aneurysms can form in any blood vessel, but they occur most commonly in the aorta. The aorta is the largest artery in the body. It carries blood from the heart to the rest of the body. Aortic aneurysms can occur in two main places.

Abdominal aortic aneurysms occur in the part of the aorta that passes through the middle to the low abdomen. 2. Thoracic aortic aneurysms occur on the aorta as it passes through the chest cavity. These are less common than abdominal aneurysms.

Risk factors of Aneurysms

• Atherosclerotic plaque formation at the site of the aneurysm. This causes further weakening of the artery wall
• A blood clot may form at the site and dislodge, increasing the chance of stroke.
• Increase in the size of the aneurysm, causing it to press on other organs. This may cause pain.
• Aneurysm rupture. Because the artery wall thins at this spot, it is fragile and may burst under stress. The rupture of an aortic aneurysm is a catastrophic, life-threatening event.

Causes

• Atherosclerosis, or hardening of the arteries, which weakens arterial walls.
• Hypertension (high blood pressure).
• Local injury to the artery.
• Congenital abnormality. A number of conditions, such as Marfan syndrome or bicuspid aortic valves are present at birth and can cause weakness of the artery walls.
• Aging
• Syphilis used to be a common cause of thoracic aneurysms, but it is no longer as common.

For More Information http://www.bestheartsurgeoninindia.com/aortic-aneurysm-repair-india-aortic-aneurysm-surgery-india-aortic-aneurysm-surgery-delhi.html

Heart Surgery In Delhi, India

After Heart surgery - Recovery time from Heart Surgery (A day-to-day description)

There has always been a widespread perception that one of the scariest parts of any surgical experience is the pain and discomfort following surgery. Well, here is the good news. Things have radically changed thanks to the adoption of advanced minimally invasive techniques in most of our open heart patients. Even the sickest, elderly and frail patients can now enjoy a fast and uneventful recovery. What follows is a description of an average timeline and routine surgical recovery following open heart surgery. Please feel free to contact to me or my secretary with any questions or comments.

Day Zero (the day of surgery)

Operation Theatre

 

Most minimally invasive procedures are performed through a tiny 2" incision between the ribs without breaking any bone. In women a tiny heart surgery scar can be often hidden in the skin fold underneath the breast. This scar becomes therefore virtually invisible over time and that is why these techniques are often described as scar-less heart surgery. At the end of the procedure a local anesthetic is injected in between the ribs and makes the surgical incision completely numb for a while.

After the surgical procedure is completed, the patient is transferred back to the ICU still sleeping and breathing through a ventilator. All monitoring lines, chest tubes and bladder catheter are kept in. Within the following six hours he/she is allowed to slowly wake up and the breathing tube is removed. We want our patients to wake up slowly and in a drowsy and stress-free state. It is good for the heart and it avoids big swings in blood pressure. Most patients overnight in the ICU and have a specialized nurse assigned to constant bedside management under the direction of the treating surgeon. Heart surgery recovery in this set up is safe and reliable.

CTVS-ICU

 

 

 

Cardiac HDU Ward

The morning after surgery most patients are very comfortable and wide awake. Not much of an appetite, maybe some occasional bloating and constipation. These are minor side effects of the anesthesia drugs that resolve uneventfully in a day or two. The chest tubes, bladder catheters and monitoring lines are removed and our patients are allowed to stand up and sit out of bed in a chair. Later on in the day they are transferred to a private room in our adjacent Step Down Unit, staffed by the same group of specialized ICU nurses. The room is spacious and has a convertible sofa that can be used if a friend or a relative wants to stay with the patient overnight.

At this point most patients can start walking up and down the corridor with family members or a physical therapist. A mild soreness at the surgical site is present and it can be easily managed with pain pills. Patients are encouraged to walk as much as they are comfortable with and to carry out deep breathing exercises to clear up their lungs.

Day Two or Three

Still pretty comfortable and wide awake. Appetite is better and stomach feels fine. It gets easier to walk up and down the corridor or to the lobby. Most patients can be discharged home or to a rehab facility in two to three days after surgery. All instructions and prescriptions are given to them and an appointment for a follow up visit is set up.

Step Down Corridor

Following one to two weeks

Cardiovascular Lobby

 

Once he/she is home or at the rehab facility, a gradual increase in physical activity is recommended. By the end of these three or four weeks most patients have resumed their routine daily activities, including driving and going out (weather permitting). Most out-of-state patients are allowed to travel back home within the first seven days after surgery (day 7). After a successful postoperative visit in our office most patients can follow up with their primary care physician and/or cardiologist.

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