Sometimes congenital heart defects, both complex and simple, would need to be corrected by open-heart surgery. From atrial septal defect ( hole in the heart) or hypoplastic left heart syndrome ( underdevelopment of the heart), open-heart surgery will help correct deficiencies and increase the longevity of the patient’s life.
Procedure and treatment
To prepare for the open-heart surgery, the doctor will make some recommendations to schedule the surgery. The doctor will check for any medications the patient is on currently, and any implanted devices, and get the patient to fast for at least 6 hours before the surgery. The doctor will also conduct chest X-rays, electrocardiograms and other tests to ascertain parameters before the procedure. The surgical area will be sterilised with antimicrobial and antiseptic soap. An intravenous line will be injected to send fluids and medication into your body.
The open-heart surgery will take about six hours or even longer. The patient will receive general anaesthesia and will be asleep during the procedure. The procedure may vary slightly depending on the heart condition and the complexities involved. Generally, the procedure will be as follows,
Make a 6 to 8-inch-long incision right in the middle of the chest.
The doctor will cut the breastbone and spread the ribcage to reach the heart.
The doctor will then connect the heart to a heart-lung bypass machine and stop the heart by injecting medication.
The surgery will be performed, and the area with the defect will be repaired.
On completion of the surgery, the blood flow to the heart will be restored, and the doctor will send some mild shock waves for the heart to beat again.
The heart-lung bypass machine will be disconnected.
The breastbone will be stitched up, and the incision will be closed with sutures or wires.
Vascular surgery for Bentall and valve-sparing operation for ascending aortic aneurysms with aortic valve disease
The Bentall procedure is nothing but an aortic root replacement with a composite valve graft. It is a surgical treatment for aortic root aneurysms with a diseased aortic valve. The root and aortic valve are replaced with a graft through a biological or mechanical valve prosthesis. Mechanical valves are durable. However, they require life-long blood thinners that increase the risk of bleeding and must be regularly monitored. Biological valves, on the contrary, need blood thinner and do not last as long as mechanical valves. Most patients who get a biological valve replacement need a repeat surgery in a few years.
The open heart surgery treatments in Hebbal, Bangalore is performed under general anaesthesia, and the heart is stopped temporarily using a heart-lung bypass machine. The aorta is cut; the diseased portion is removed, and the aortic valve is removed. The coronary arteries, which are the blood vessels that supply oxygen-rich blood to the heart, are disconnected. A graft with a valve inside is stitched to the heart and the other side of the aorta. Two tiny holes are made in the graft and the coronary arteries are reconnected through the graft valve.
The procedure requires the patient to stay in intensive care for two days. Constant monitoring will be done, and the recovery time is about two months. Book an appointment at Manipal Hospitals to know more about treatment with the help of a team of experts in Bangalore.