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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cardiac surgeon in IndiaCardio Pulmonary Bypass (CPB)Coronary Artery Bypass Surgerytop heart surgeons in Delhi

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

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.

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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.

Tags= Best Heart Surgeon In India, Best Cardiac Surgeon in Delhi, Cardiac Surgeon In Delhi, Best Heart Surgeon in Delhi, Top heart surgeon in delhi

Atrial Fibrillation Surgery In Delhi, India

Atrial fibrillation (AF or AFib) is the most common abnormal heart rhythm. Atrial fibrillation is an irregular, frequently rapid heart rhythm originating in the atria (top chambers of the heart). Instead of the normal situation (normal sinus rhythm) in which a single impulse travels in an orderly fashion through the heart, in AF many impulses begin simultaneously and spread through the atria, causing a rapid and disorganized heartbeat.

Surgical treatment for atrial fibrillation is considered when

• Medical therapy does not effectively control or correct atrial fibrillation
• Medications for atrial fibrillation are not tolerated
• Anticoagulants (coumadin/warfarin) can not be taken
• Blood clots, including strokes, occur

Minimally invasive surgery is an option for many patients with atrial fibrillation. Surgical treatment for atrial fibrillation also may be considered when surgery is needed to treat a coexisting heart condition, such as valve or coronary artery disease.

Tags= Best Heart Surgeon In India, Cardiac Surgeon In Delhi, Heart Transplant Surgery In Delhi,

Minimally Invasive Cardiac Surgery In Delhi

Dr. Rajneesh Malhotra - Heart surgeon in delhi/ncr

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 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

• More than 50 publications in various International and National Journals and presented more than 50 papers in various International and National Scientific Meetings
• 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

Membership

• Member of Southern Thoracic and Cardiovascular Society, USA
• Member of European Association for Cardio-Thoracic Surgery, London, UK
• Member of International Society of Minimally Invasive Cardiac Surgery (ISMICS)
• Life Membership and Fellowship of Indian Association of Cardiovascular and Thoracic Surgeons of India (IACTS)
• Member of Indian Association of Surgeons of India
• Member of Cardio-Thoracic Surgery NET (CFS NET)
• Member of Indian College of Cardiology
• Member of Indian College of Indian Medical Association Delhi Branch
• European Association of Cardiothoracic Surgery (EACTS)

Area of Interest

• Expert in Minimally Invasive Cardiac Survey i.e. Minimally Invasive Mitral Valve Replacement, Repairs, Coronary Artery Bypass Grafting(CABG), Aortic Valve Replacement & Repair, Atrial Septal Defects(ASD)
• Robotic Cardiac Surgery
• ECMO - Extracorporeal membrane oxygenation
• Surgical treatment of heart failure and ventricular assist devices (VAD)

Location and Duration of OPD

MAX SUPER SPECIALITY HOSPITAL, SAKET
Monday to Sunday - 9.00 am - 6.00 pm

FOR MORE DETAIL http://www.bestheartsurgeoninindia.com

 

Lobectomy Surgery In Delhi

It is the surgical procedure of removal of a lobe of an organ which means the removal of a section of the lung which is badly damaged or diseases or prevents cancer from the spreading.

In the procedure, the affected lobe of the lung will be removed because the healthy tissue is spared to maintain healthy function of the lung.

How does lobectomy regulate?

There will be a different type of lobectomy and each one will be performed differently. Most of them will perform via thoracotomies, which mean we will make a small incision on the side of the chest between two ribs and perform this surgery and remove the affected lobe.

Other alternatives are via traditional throactomy in which we make three small incisions and one large incision around the surgical area and then perform the surgery. We also doing with open chest also.

Advantages of Lobectomy?

• It helps to stop/ slow the spreading of cancer
• It also helps in spreading the infections and other diseases
• It also removes the affected portion of the lung which is badly damaged
• It also prevents the adequate blood flow to another part of the body after removes affected lobe

Preparation for a lobectomy

• The patient needs at least 8 hours of fasting before performing the surgeries. Most often no eating after midnight
• smokers are asked to stop smoking prior to a lobectomy because this will help the patient to recover faster
• most patients receive a sedative which mean we give general anaesthesia before the surgery to help them relax.

Outlook after the Lobectomy

• All the patient need to stay almost 7-8 days of hospital stays after the surgery.
• most of the patient return to go their normal duties after a few days of discharge
• Patient avoids heavy lifting for 6-12weeks after the surgery. The patient can lift up to 10kg until the doctor determines physical fitness
• the doctor will also explained a plan of care and activity level, diet while incisions heal.
• Regular follow-up need to be undertake by taking prior appointment just to check status of incisons, medicine and X-ray just to make sure the area of the removed lobe is healing properly.

If the things go well the patient will fully be healed in less than 3 months

Tags = Lobectomy Surgery In Delhi, Best Heart Surgeon In India, Best Cardiac Surgeon in Delhi, Top heart surgeon in Delhi

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Port Access Cardiac Surgery In Delhi

Port-Access surgery has been one of the most innovative forms of cardiac operations and has been widely used for the treatment of several cardiac diseases. Port access surgery is a version of the traditional coronary artery bypass graft where the sternum is not split. Small incisions or ports are made in the chest through which the surgeon will perform the operation. Port- Access technique is safe and permits reproduction of standardized results with the use of a very limited surgical approach.

We are convinced that this is a superior procedure for certain types of surgery, including isolated primary mitral valve repair or replacement(MVR), repair of a variety of atrial septal defects (ASDs), and atrial tumors (Myxoma).

Major advantages of port access surgery are minimal trauma, lesser pain, very small incision, lesser stay in the hospital, cosmetic advantage and faster recovery.

For More Detail http://www.bestheartsurgeoninindia.com/keyhole-surgery-in-india-keyhole-surgery-in-delhi-port-access-cardiac-surgery-delhi-india.html

Coronary Artery Bypass Surgery in india - Best Heart Surgeon in India

Coronary Artery Bypass Surgery or Grafting is also known as CABG or Heart Bypass Surgery. It is also the commonly performed surgery around the World. Some people fail to cure the sickness simply due to ignorance or fear. The fear and ignorance need to be cleared so that most deserving lives could be saved by these procedures.

This surgery is done in order to clear the blockages at the heart muscle by letting the blood flow free. The bypass is performed by using the blood vessels from the patient’s body, the vessels he could spare. The blocks are not removed, but are bypassed; this is where the name bypass comes in.

There are two main approaches, in one, the left internal thoracic artery which is also known as internal mammary artery is diverted to the left anterior descending branch of the left coronary artery. The other, a vein called the great saphenous vein is removed from the patient’s leg; one end is attached to the aorta which is one of its major branches, and the other end is attached to the obstructed artery soon after the obstruction to restore to restore blood flow.

Why is CABG performed?

This surgery is performed to when a patient has severe blockages in the large coronary artery, this may be noticed, when the heart pumping becomes weak. The CABG is also an option for blockages in the heart that cannot be treated with PCI, in such situations; CABG may work the best than any other treatment.

CABG Aims;

• Improving quality of life and reducing angina and other CHD symptoms
• Allow a patient to resume a more healthy and active lifestyle
• Improve the pumping action of the heart which has been damaged by a heart attack or any of that sort
• Lower the risk of heart attacks in patients who suffer from diabetes or any other such sickness
• Improve survival rate

The CABG has achieved much success, the results are excellent most of the time. The surgery helps completely relive or improve angina symptoms in most patients. Sometimes the symptoms may re-occur, but most of the time, patient’s have been symptom free for as long as 10 to 15 years. The risk of heart attack is reduced while allowing you to stay healthy and have a longer life.

Coronary Artery Bypass Surgery in India

Coronary Artery Bypass Surgery in India is said to have achieved a number of success rates. Most International as well as local patients prefer India for cardiac related surgeries due to their success rates as well as affordable costs. India is known most affordable healthcare institute amongst most countries, both Western and Asian.

India is said to be using the latest medical facilities as well as procedures in order to convey the best treatments and quicker recovery to its patients. The country offers the best CABG at low costs. When compared with other countries, India offers 50 to 80% savings on the cost of CABG.

Success Rate of Bypass Surgery in India

To know the success rate of bypass surgery in India, we need to first find out what a heart bypass is, as well as how the surgery is done and how successful it is.

Heart Bypass Surgery or CABG Surgery

The heart bypass surgery is defined as a common procedure of surgery which incorporates diverting blood around the clogged arteries of the heart. This Surgery is also known as CABG which stands for; Coronary Artery Bypass Surgery also pronounced as “Cabbage”. CABG is known as a Gold standard surgical treatment for coronary artery disease. The success rate for this is said to be of 98 percent.

The coronary arteries, these are the arteries that bring blood to the heart muscles, they become clogged due to the plaque formation. Plaque formation is the building up of fat or cholesterol. This can slow down or even stop blood flow from flowing through blood vessels, which would then result in chest pain or a heart attack. When there is an increased amount of blood flow to the heart muscle, the chest pain and the risk of heart attacks could be reduced. This is the main reason, CABG surgery is done.

How is Surgery Done?

Down the center of the chest along the chest bone, an incision is made, which opens the rib cage apart so the heart is exposed. When the heart is exposed, it stops. The pumping and blood circulation function is then taken over by the heart-lung machine. A segment of a healthy blood vessel is taken from another part of the body which detours the blocked coronary artery.

A patient can undergo around three or more bypass grafts, this depends on the number of arteries that are blocked. There are many new surgical procedures. Some of them remove the use of the heart-lung machine or the need for making a larger incision. Others include the off-pump or beating heart surgery and the Minimally Invasive Surgery etc.

The Success Rate of Bypass Surgery in India

The success rate depends on the factors that should be considered while selecting the surgery procedure according to the individual. The success rate for bypass surgery is 98%. Studies show that after the surgery, the patients with the risk of heart attacks due to poor heart muscle functions have seen improvement in the function and the risk is reduced.

The success rate is also based on patients kidney problems, diabetes or hypertension, the lower the risk factors, the higher success. It also helps with reduced memory loss or thinking skills, lower death rates, low injury to the heart, few heart rhythm problems, etc.

India offers treatments at very reasonable costs and this makes it the healthcare hub even for international patients. They also provide the latest medical treatment facilities and offer the best of services as per the patients' comfort. The bypass surgery is available in major cities of India, like Delhi, Chennai, Bangalore, Kolkata, and Hyderabad.

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Heart bypass surgery in IndiaSuccess Rate of Bypass Surgery in India

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 patient’s medical condition. Moreover, intra myocardial vessels and target vessels that are small and diffusely diseased cannot be operated through beating heart surgery technique.

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5 Essential Tips for the Care of a Pediatric Cardiac Patient

Coronary illness is sufficiently troublesome when it strikes grown-ups; however, it can be particularly more severe in kids. A wide range of heart issues can influence youngsters. These include congenital heart defects, atherosclerosis, viral infections that affect the heart, and even heart disease acquired later in childhood due to sicknesses or hereditary disorders. Fortunately, with medical advancements and expertise of cardiology specialists in Delhi, numerous kids with coronary illness go ahead to live dynamic and active lives.

Here are the 5 essential tips suggested by the best cardiologist specialists in Delhi that may prove vital in the care of pediatric cardiac patients and help them stay as healthy and comfortable as possible:

Oxygen Therapy

The child suffering from cardiac problems requires extra oxygen supply at home. A small tube that rests at the entrance of the child’s nose helps to stabilize the supply of oxygen. The amount of oxygen as prescribed by physician should only be given through oxygen therapy.

Be patient and control your emotions

It is your attitude towards the patient that helps in the early revival than the magic of the medicines. Parents dealing with their child must show empathy and compassion. This will motivate the child and will be helpful in his early recovery. Don’t get irritated by abnormal behavior of the child during the treatment procedure.

Give medicines on time

Parents should be aware about the correct dosage and proper method to provide medicines to their children.You may even hire a professional nurse to take care of your child. Being strong, heart medicines can be hazardous if not given accurately. We also suggest that you maintain a written chart/record of your child’s medication.

Avoid external infections

The immunity of a child who suffers from a congenital heart disease is usually weak. So, parents have to take special care of their child. This is the reason that many cardiac patients are given antibiotic before surgical procedures. Strictly follow hygiene instructions given by the doctor and make it a habit for the child also.

Maintaining your child’s dental health and keeping him or her away from tooth infections is also very important in this regard. Any signs of skin infection or infection at the site of wound should immediately be reported to the treating doctor.

Take care of child’s nutritional needs

Infants affected by cardiac diseases have a higher metabolic rate and hence consume more calories. Proper care of their nutrition is must for keeping them in sound state. Being child, he or she may insist on having food items that may not be good for his or her health. When made to stay away from such stuff, they tend to get agitated, so handle them with utmost patience as this is bound to happen with anyone.

Make sure you always have something or the other to offer them as a healthy choice. Give small and frequent meals that are easy to digest and given them enough energy.

We also suggest you to keep a list of cardiology specialists in Delhi , particularly those handling pediatric cases, handy so that during emergency you can reach out to them.

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