Cardiac Surgery

Heart (cardiac) and chest (thoracic) surgeons at Paras Institute of Cardiac Surgery are adept to diagnose and surgically treat conditions of the heart, lungs and chest. Paras Institute of Cardiac Surgery surgeons perform more than 4000 cardiac surgeries each year, including numerous complex surgical procedures across all units.

The surgeons at Paras Institute of Cardiac Surgery are on the leading edge of treating cardiovascular and cardiothoracic conditions using the latest innovations and techniques in heart surgery, including minimally invasive heart surgery. The team of doctors of national and international reputed have performed some path breaking cardiac surgeries in adults as well as paediatrics. Bentall Surgery, Heart Tumor Surgery, ROSS Surgery, Minimally Invasive Cardiac Surgery and complex valve replacements are some of the exceptional surgeries that are adeptly performed by the team of cardiac surgeons.

Paras Institute of Cardiac Surgery specialises in performing various procedures –  Ventricular assist devices (VADs), Heart failure surgery, Transcatheter aortic valve replacement, Surgery to treat congenital heart defects in children and congenital heart disease in adults, Heart valve surgery such as heart valve repair and heart valve replacement, Hypertrophic cardiomyopathy, Mitral valve regurgitation, Thoracic aortic aneurysm and Tricuspid valve regurgitation, to list a few.

  • Paras Hospitals, Gurgaon and Paras HMRI, Patna are specialized centers where Minimally Invasive Cardiac Surgery is performed by Cardiac Surgeons of national and international repute.
  • Paras Global Hospital, Darbhanga is the first hospital in Mithila to perform path breaking adult and pediatric cardiac surgeries such as Bentall and Mitral Valve Replacement (MVR) through Minimally Invasive Cardiac Surgery (MICS) technique

INTERVENTIONAL CARDIOLOGY:

  • Coronary & Radial Angiography
  • Coronary Angioplasty
  • Carotid Angioplasty
  • Peripheral Angioplasty and Stenting

Percutaneous Valvular Interventions, including:

  • Ballon Mitral Valvulotomy
  • Aortic Valvulotomy
  • Percutaeneous Aortic Valve Replacement
  • Percutaneous Aortic Aneurysm Repair by Stent Grafts
  • Septal alcohol ablation in Hypertrophic Cardiomyopathy

Electrophysiology:

  • Electrophysiology studies
  • Radio frequency ablation for supra ventricularand ventricluar tachyarrhythmia
  • Pacemaker implantation
  • ICD and combo device implanatation

Non Invasive Cardiology:

  • ECG
  • Stress Cardiology
  • TMT
  • Holter Monitoring
  • Colour Doppler

CARDIAC SURGERY:

  • Minimally Invasive Cardiac Surgery
  • Beating Heart CABG
  • Total arterial Revascularization (TAR-OPCAB)
  • Redo CABG
  • Mid CAB
  • Awake Open Heart Surgery
  • Valve Replacement/ Valve Repair
  • Congenital Surgery/Congenital Defects
  • ASD/VSD/TOF/PDA
  • Thoracic surgery
  • Lung Tumour Resection
  • Lobectomy
  • Pneumonectomy
  • Segmentectomy
  • Decortication of lung

Vascular Surgery:

  • Reconstructive Surgeries

Trauma:

  • Emergency/Traumatic Thoracic & Vascular Surgeries

FACILITIES:

  • 24X7 advanced life support ambulances
  • Cardiac Care units 9CCu)
  • Interventioonal Cardiology
  • Flat panel Cath lab
  • Catheterisation laboratories
  • EPS & RF Ablation
  • Non invasive investigations
  • Heart- line contact for emergencies

Minimally Invasive Cardiac Surgery Technique – Minimally invasive heart surgery (also called keyhole surgery) is performed through small incisions (in that sides of your chest), by using specialized surgical instruments. The incision used for minimally invasive heart surgery is about 3 to 4 inches instead of the 6- to 8-inch incision required for traditional surgery. In this surgery the CTVS surgeons operate on the heart between the ribs and hence do not split/divide the breast bone for heart access. This helps the surgeon by giving him a better view of the heart than open heart surgery and helps the patient as it reduces pain and guarantees quicker recovery.

4D Echocardiography (ECHO) – Latest technology in echocardiography which is able to provide 3D reconstructions, as well as a real-time rendering (4D) of the heart. This machine gives the ability to deliver increased volume size, resolution and volume rate of the heart. With the 4D Stress applications, physicians can view the entire ventricle under stress. Such high-quality images enable us to use this machine for screening as well as diagnostic purposes to detect / rule out heart disease.

CT Angiography – A coronary computed tomography angiogram (CTA) uses advanced CT technology, along with intravenous (IV) contrast material (dye), to obtain high-resolution, 3D pictures of the moving heart and great vessels. It can be used to provide early diagnosis of heart disease and blockages in the heart.

NOW BY PASS SURGERY SIMPLIFIED

BY PASS WITHOUT ANY BONE DAMAGE!

With the advancements in technology and medical research cardiac surgeons have formulated a new efficient way of performing bypass surgery. Cardio thoracic vascular surgeons in Paras Institute of Cardiac Sciences perform bypass surgery without stopping the heart and putting a patient on a heart-lung machine.

When do you require By Pass Surgery?

Not everyone with coronary artery disease needs bypass surgery. Some people can be helped by angioplasty with stents. Others use medical therapy, which involves making lifestyle changes and taking medicines. Some people use both of those treatments. Your doctor is likely to recommend bypass surgery only if you will benefit from it and if those benefits are greater than the risks.

Your doctor may advise bypass surgery if:

  • Your left main heart artery is very narrow.
  • All three arteries of the heart are blocked or the amount of blood flowing through them is very low.
  • Your doctor thinks that bypass surgery will be more successful than angioplasty with stents.
  • You also need surgery to repair or replace a heart valve damaged by heart valve disease.
  • You have diabetes and two or more blocked arteries.
  • Your heart is having trouble pumping. This is called a decreased ejection fraction.

Your choice may depend on the number of arteries that are blocked or which arteries are blocked. At Paras Hospitals patients are counseled and are explained the risks and all the treatment modalities. The patients are explained that the best treatment for them may also depend on your age, your health, and how much your angina is affecting your quality of life. Better and more advanced surgery methods are also advised to patients.

What is minimal invasive cardiac surgery (MICS)?

Minimally invasive heart surgery (also called keyhole surgery) is performed through small incisions (in that sides of your chest), by using specialized surgical instruments. The incision used for minimally invasive heart surgery is about 3 to 4 inches instead of the 6- to 8-inch incision required for traditional surgery. In this surgery the CTVS surgeons operate on the heart between the ribs and hence do not split/divide the breast bone for heart access. This helps the surgeon by giving him a better view of the heart than open heart surgery and helps the patient as it reduces pain and guarantees quicker recovery.

A heart-lung machine is also not needed for this surgery, and a device is attached to your heart to stabilize it.

CTVS Surgeons in Paras Institute of Cardiac Sciences have achieved an unmatched, research-based level of experience and skill with minimally invasive heart surgery. The cases performed to date have demonstrated that it is a safe and broadly applicable technique for performing a wide range of complex cardiac procedures, including single or multiple valve procedures. As a result the minimally invasive technique is considered the preferred approach for most of these patients.

What kind of surgeries can be performed by the minimal invasive cardiac surgery?

The CTVS team at Paras Institute of Cardiac Sciences has cumulative experience of performing more than 500 minimal invasive cardiac surgeries on patients from all over the world.

The minimally invasive heart surgery procedures performed at Paras Institute of Cardiac Sciences have demonstrated that it is a safe and broadly applicable technique for performing a wide range of complex heart procedures, including single or multiple heart valve procedures, bypass surgery, congenital heart repairs, and reoperations.

Most patients are candidates for minimally invasive heart surgery which has become the preferred approach at Paras Institute of Cardiac Sciences for the majority of our heart surgery patients, including:

  • Mitral Valve Repair and Replacement
  • Aortic Valve Replacement
  • Atrial Septal Defects
  • Coronary Artery Bypass
  • Atrial Myxoma Removal

What are the benefits of minimally invasive cardiac surgery?

The benefits of minimally invasive and robotic heart surgery techniques include:

  • Small incisions
  • Small scars
  • Less pain and trauma
  • Shorter ICU and hospital stay after surgery: The average stay is 3 to 5 days after minimally invasive surgery, while the average stay after traditional heart surgery is 7 to 10 days
  • Low risk of infection
  • Low risk of bleeding and blood transfusion
  • Quicker return to normal activity
  • Shorter recovery time and faster return to normal activities/work: The average recovery time after minimally invasive surgery is 1 to 2 weeks while the average recovery time after traditional heart surgery is 6 to 8 weeks.
  • Division of the breastbone is not needed.

Who can have Minimal Invasive Cardiac Surgery?

Not everyone is a candidate for these surgical techniques. The CTVS surgeon will review the results of your diagnostic tests before your scheduled procedure to determine if you are a candidate for minimally invasive surgery. The surgical team will carefully compare the advantages and disadvantages of minimally invasive techniques versus traditional surgery techniques.

What are the Post Operative advantages?

Upon returning home, many patients resume their normal lives in much less time after minimally invasive cardiac surgery. They require minimal assistance and report needing little or no pain medication. Often, they begin cardiac rehabilitation sooner and consistently maintain their regimen. In as little as two weeks, patients have resumed day-to-day activities and even returned to their jobs.

Minimally invasive cardiac surgery dramatically improves cosmetic results. Rather than a 10-inch scar down the middle of the chest, the minimally invasive approach results in a substantially smaller, less visible incision on the side of the chest. For many women, the scar is almost unnoticeable as it is underneath the breast.

Why choose Paras Institute of Cardiac Sciences for minimal invasive cardiac surgery?

  • Experience. CTVS surgeons at Paras Institute of Cardiac Sciences have performed more than 500 minimally invasive heart surgeries .
  • Specialized teamwork.: Paras Institute of Cardiac Sciences has a reputed team of cardiologists and cardiac surgeons who specialize in transradial as well as minimally invasive heart surgery . The doctors work closely to provide integrated, coordinated and ensure a full, smooth recovery after surgery.
  • Cutting-edge medicine. Paras Institute of Cardiac Sciences CTVS surgeons and researchers actively study potential new techniques, advanced technology and new developments for minimally invasive heart surgery in clinical and laboratory research.
  • Pediatric expertise. Paras Institute of Cardiac Sciences is one of the few medical centers experienced in performing minimally invasive heart surgery in children. 

CARDIAC SURGERY:

  • Minimally Invasive Cardiac Surgery
  • Beating Heart CABG
  • Ventricular assist devices (VADs)implantation
  • Total arterial Revascularization (TAR-OPCAB)
  • Redo CABG
  • Mid CAB
  • Awake Open Heart Surgery
  • Valve Replacement/ Valve Repair
  • Congenital Surgery/Congenital Defects
  • Atrial Septal Defect(ASD)
  • Ventricular Septal Defect(VSD)
  • Tetralogy of Fallot in Children(TOF)
  • Patent ductus arteriosus(PDA)

 

  • Thoracic surgery
  • Lung Tumour Resection
  • Lobectomy
  • Pneumonectomy
  • Segmentectomy
  • Decortication of lung

VASCULAR SURGERY:

  • Reconstructive Surgeries

Trauma:

  • Emergency/Traumatic Thoracic & Vascular Surgeries

Our Cardiac Surgery Experts

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