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Cardiothoracic Vascular Surgery

Cardiovascular and thoracic surgeons at Manipal Hospitals diagnose and surgically treat conditions of the heart, chest and lungs. The Department provides the latest and the most innovative surgical treatment for virtually every type of cardiac and thoracic conditions, during both emergency and elective cases.

Cardiothoracic Vascular Surgery

OUR STORY

Know About Us

Why Manipal?

Founded on 16th October 2018, the CTVS is one of the most significant surgical units in our hospital. This division has contributed over 560 successful surgeries in a short span of just over an year covering the entire spectrum of cardiac treatment surgery from coronary artery bypass to aortic aneurysm repairs including congenital heart surgery and heart failure surgery and from open heart surgery to minimally invasive surgery and robotic surgery . The CTVS Unit at Manipal Hospital is home to highly experienced cardiac surgeons and vascular surgeons in Whitefield who follow an integrated team approach to offer diagnosis and treatment of the full spectrum of cardiac and vascular disorders. The surgeons work together with cardiologists and other healthcare professionals to provide the most effective and advanced cardiac care. Our unit is well-equipped with state-of-the-art facilities and offers advanced treatment options such as the minimally invasive approach to Repair or Replace heart valves and for blockage of single or multiple coronary arteries (MICAS/MIDCAB). Our surgical unit at Manipal hospital is the only unit in the entire north india and one of very handful of units in india running a highly successful and regular Robotic cardiac surgical program.  Manipal Hospital is the best hospital for cardio thoracic & vascular surgery offering comprehensive and high-quality cardiovascular care to provide life-changing heart and vascular disease treatments. Besides, the Manipal CTVS unit is prepared with high-end equipment and state-of-the-art technology including treatment options such as IABP, ECMO, and CRRT.  We have a team of highly experienced Critical care specialists and intensivists to take care of patients in the post-operative period to make his/her postoperative period as smooth and pleasant as possible.

Treatment & Procedures

Angioplasty & Stenting

This is a procedure that reopens arteries that have been narrowed or closed due to a build-up of fatty plaque. The procedure involves guiding a narrow tube towards the narrowed or blocked artery, and inflating a balloon to open up the artery for stent placement. A stent is a tube made to keep the artery open and free-flowing. An angioplasty is not…

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Heart Valve Repair…

The human heart has 4 valves that are responsible for controlling blood flow through the heart. Valves can be damaged or affected by disease, in which case they will need to be repaired or replaced. Damaged valves can be repaired by the placement of a special ring, while artificial valves are used to replace valves that are damaged beyond repair. While…

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Minimally Invasive…

Also referred to as keyhole surgery, MICS is a surgical option that requires much smaller incisions on the body, reducing the risk to the patient and the time needed for recovery. Using advanced surgical apparatus, a surgeon is able to perform complex cardiac surgeries like Mitral Valve Replacement (MVR) without compromising accuracy.

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Centre of Excellence: Cardio-thoracic and Vascular Surgery


Some heart problems can be managed with lifestyle changes and medicines, whereas others such as heart blocks and defects in major blood vessels require surgery. This speciality of medicine is known as cardio-thoracic and vascular surgery (CTVS). CTVS is used to manage disorders associated with the heart, lungs, and chest and blood vessels. 


Cardiothoracic surgery majorly aids in the opening of the blocked coronary arteries, heart valve disease, Repairing heart defects present since birth i.e. congenital heart disease, weakened heart muscles i.e. heart failure surgery and heart rhythm disorders.


Vascular surgery, on the other hand, deals with blood vessel disorders, such as diseases of lymphatic vessels, veins, and arteries. It helps in repairing and managing a network of blood vessels. Vascular surgeries may also include rerouting of blood flow.


Some common conditions that can be managed with CTVS are:
 

  • Coronary artery disease

  • Valves diseases of the aortic, mitral, tricuspid and the pulmonic valve

  • Infective endocarditis

  • Rheumatic heart disease

  • Congenital heart disease including blue baby syndrome

  • Heart failure surgery including Heart transplant and LVAD


Services Provided


The main areas of CTVS are:
 

  • CTVS Adult Surgery

  • CTVS Pediatric surgery


CTVS Adult Surgery


Some common surgeries include:


Coronary Artery Disease
 

  • Coronary artery bypass surgery (CABG): It is one of the most common operations performed by this department. It is an open-heart surgery where an artery from your arm or chest wall or a vein from your leg is used to bypass a heart artery, which is blocked or narrowed by a fatty plaque.
     

  • Minimally Invasive Coronary Artery Bypass Surgery (MICAS/ MIDCAB): It limits the invasiveness by using a small incision and operating on a beating heart. It is a challenging procedure, and Manipal surgeons are among a very few surgeons performing this procedure. During this procedure, the operating team uses advanced equipment to re-establish blood flow to coronary arteries. It is done by bypassing the blocked blood vessel and stabilizing heart portions in an extremely organized environment. We at this center are performing this procedure for blockage of single coronary arteries or multiple coronary arteries (triple vessel disease). 
     

  • Robotic CABG: It is a relatively new and less invasive procedure and used as an alternative to conventional CABG surgery. Here, the surgeon uses a robotic machine with a camera attached to its arm. The doctor can precisely control the arms of the machine using a computer console. We Are one of the few units in the country running this program successfully on a regular basis. 


Heart Valve Surgeries


Diseased or damaged heart valves cannot function normally. This, in turn, puts excess stress on the heart muscles. Here replacing and repairing the valves aids in regaining their normal functions.
 

  • Mitral Valve Replacement (MVR)

  • Double Valve Replacement (DVR)

  • Tricuspid valve repair/ Replacement

  • Minimally Invasive Valve Replacement Aortic/ Mitral

  • Heart port-Aortic Valve Replacement (AVR) / Mitral Valve Replacement (MVR) / 


Mitral valve repair
 


Stent Placement
 

  • Aortic Stenting for Type-B Aortic Dissection 

  • Aortic Stenting for aneurysm of Thoracic or Abdominal aorta


Heart Transplant and Left Ventricular Assist Device (LVAD): These are the surgical procedures for end stage heart failure and remain the only option for patients suffering from end stage heart failure after exhausting all treatment options. These patients are usually very sick and require a multidisciplinary team to take care of them. We at Manipal have a specialized Heart failure team managing such patients. In heart transplant we replace the diseased heart with a healthy heart from a brain dead patient. In LVAD, we put a special device in the body that helps in pumping the heart. 


Others
 

  • Right atrial / Left atrial Myxomas

  • Aortic Aneurysm Repair

  • Bentall Procedure

  • Redo coronary artery bypass Surgery and Redo valve surgery

  • Frozen Elephant Trunk and Aortic Arch replacement 

  • Ascending and Abdominal Aortic Aneurysm repair


CTVS Pediatric surgery

 

Kids require more compassionate care as compared to adults as they have very little reserve. Our team of cardiac surgeons and pediatric cardiologists are supported by specialized pediatric intensivists and anesthetists. 


This multidisciplinary team provides your kids with the highest quality and most effective care in congenital cardiac disorders. We have a pediatric cardiac team consisting of a cardiologist, cardiac surgeon, anaesthetist and intensivist who discuss every individual case to select the most appropriate approach to provide best and most advanced treatment for your child in the least invasive way. 


Some of the common surgeries performed at our CTVS pediatric unit are:
 

  • Atrial septal defects closure heart port and open 

  • Ventricular Septal defect closure

  • Tetralogy of Fallot Repair (Blue baby syndrome)

  • Shunt Procedure

  • Single Ventricle Repair

  • Senning procedure

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Facilities & Services

With state-of-the-art imaging facilities at Manipal Hospitals, continuous post-operative care has been the heart of every condition treated, some of them are,

Common cardiac surgeries for adults include Coronary artery bypass graft (CABG), Valve Repair and Replacement, Surgery for Ischemic Mitral Valve, Regurgitation and Post Infarct Ventricular Septal Defects, DOR Operation for left, Ventricular Aneurysms, Redo Surgery for Valve Replacement and CABG, Grown-Up Congenital Heart (GUCH) Operations

Common Pediatric Cardiac Surgeries include Open Heart Surgery for Congenital Heart Defects such as Ventricular Septal Defect and Atrial Septal Defect, Complex Defects including tetralogy of Fallot, single ventricle, transposition of great arteries (TGA), Ventricular Septal Defects, Cath based interventions, and assessment of Atrial Septal Defects, patent ductus arteriosus and device closure, Heart Surgery for newborn babies, Blocks in the blood flow (pulmonary stenosis, aortic stenosis, coarctation of the aorta), Cosmetic approaches for Congenital Heart Surgery

Vascular Surgeries include Resection of cardiac myxomas, Endovascular Laser Therapy, Carotid Endarterectomy along with CABG, Peripheral Vascular Surgeries for Ischemic Limbs, Dialysis for Patients with Renal Failure

Minimally invasive surgeries include Tricuspid valve repair and replacement, Atrial septal defect and patent foramen ovale closure, Maze procedure for atrial fibrillation, Saphenous vein harvest for coronary artery bypass, Mitral valve repair and replacement, Aortic valve replacement, Atrioventricular septal defect surgery and Coronary artery bypass surgery

FAQ's

A cardiothoracic surgeon is a medical doctor who specializes in surgical procedures of the heart, lungs, esophagus, and other organs in the chest. This includes surgeons who can be called cardiac surgeons, cardiovascular surgeons, general thoracic surgeons, and congenital heart surgeons.

It is required by one who suffers from blocked or narrowed arteries, heart rhythm disorders, or weakened heart muscles, heart valve disease or congenital heart disease.

After the surgery, you will be taken to an intensive care unit (ICU) where intensivists will monitor your breathing, blood pressure, alertness, and wound. The patient is usually extubated on the same day or next day and tubes are removed on the 2nd day. The patient usually starts moving after 2 days and shifts to ward on the 3rd day and discharged on 6th to 7th day. 

Precautions may differ for all procedures. However, some common precautions include:

  • Consuming softer foods. Your throat may be sore, and you may find it difficult to swallow for an initial 1-2 days.

  • Take all the medicines prescribed by your doctor, which may include painkillers and anti-platelet medications.

  • To limit swelling and pain, you may be advised to keep your head propped up on pillows while lying down.

  • Don't drive until your doctor advises you to.

  • Avoid strenuous activities for a few days, such as heavy exercise or lifting heavy objects, unless advised by your doctor.

  • Resume normal activities only after suggested by your doctor.

  • Watch for symptoms such as headache or swelling in the neck, or pain or swelling at the site of the procedure. Consult your doctor in case you find such changes.

All in all, it is essential to follow your doctor's advice.

Usually, a minimally invasive cardiac surgery includes single or multiple very small incisions between your ribs. The surgeon then inserts a high-definition endoscopic system with a tiny camera through the incision to have a better view of your heart. The camera helps to display an image of your heart on a monitor.

Its benefits include:

  • A small incision and thus less scar so cosmesis is good

  • Less pain

  • Lower risk of infection

  • A shorter hospital stay

  • A shorter recovery time

A re-do surgery is performing a surgery on a patient who already underwent a heart operation in the past. While many patients may require this surgery, some common ones are:

  • Dysfunctional valves

  • Aneurysm repair

  • Bypass surgery

Cardiovascular Thoracic Surgery can be both simple and complex, whatever be the procedure, Manipal Hospitals will be there with you every step of the way, helping you decide on the right treatment plan, providing the right post-operative care and recuperation assistance. Contact us to know more about the different cardiovascular thoracic surgery and book an appointment with one of our surgeons today

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