Kavya, a 4-year-old child, was brought to Manipal Hospitals Jaipur to be consulted by the expert doctors at the Centre of Excellence in Cardiac Care. It was identified that Kavya was suffering from a congenital defect of the heart, namely, Bicuspid Aortic Valve and Severe Aortic Stenosis, with Severe Aortic Regurgitation. At the age of 6 months, Kavya had undergone a Balloon Valvotomy, which helped prolong her life. However, Kavya was now in a life-threatening situation and required immediate surgical intervention. In order to treat Kavya, Dr. Vikram Goyal - Cardiac Surgeon at Manipal Hospitals Jaipur, took the decision to perform a valve-replacement surgery on Kavya, to save her life. Dr. Goyal and his team performed the Manouguian S, Seybold Root Enlargement Technique of Surgery. The surgery was technically challenging and highly risky, however, it was a success! Through this surgery, an adult-sized valve was implanted in Kavya's heart, which will now help her lead a better life.
दीपू को जानलेवा बीमारी थी - उसका दिल माप में 4 गुना बढ़ गया था। दीपू के दिल में सब माइट्रल एन्यूरिज्म हो गया था जिसे ठीक करने के लिए तुरंत सर्जरी करने की ज़रुरत थी। डॉ. विक्रम गोयल और उनकी टीम ने यह सफल सर्जरी करके दीपू की जान बचायी।
Deepu had a very serious heart disease which needed immediate surgery to cure but there was a threat to his life. His sister in law played an important role in taking the decision. Dr. Vikram Goel and his team performed successful surgery of Deepu's sub mitral aneurysm.
3 Most Common
Coronary Artery Bypass Grafting (CABG) including Re-Do Bypass
Valve surgery (valve repair and valve replacement) including Re-Do valve surgeries
Congenital Heart Surgeries
Aortic surgeries i.e Aortic dissection, Aortic aneurysm etc.
Pericardial surgery i.e. total pericardiectomy
Peripheral vascular disease i.e. Aortofemoral grafting, Femoropopliteal and other vessel bypasses
Cardiac surgeon in Jaipur suggest that one of the commonest of heart surgery is Coronary Artery Bypass Grafting (CABG) which is also known as Bypass Surgery. Coronary Artery Bypass Grafting is a surgery in which the blocked coronary arteries are bypassed to restore blood supply to the damaged heart muscles using arteries or vein. It can be performed either on a pump (using a heart-lung machine) or off-pump.
Manipal Hospital a multispeciality hospital in Jaipur is equipped with these following developments:
Beating Heart Surgery - Most of CABG surgeries are being conducted of beating heart without stopping the heart.
Total Arterial Bypass Surgery - In this all the conduits used to restore blood supply are arteries either in a conventional way or in a sequential way like LIMA and RIMA, LIMA and Radial artery etc. This leads to an increase in the longevity of the procedure.
Endoscopic Vein Harvesting - Harvesting of vein Endoscopically with minimal scar.
There are two main types of valve surgeries performed:
The cardiac surgeon in Jaipur suggests that the decision of valve replacement or valve repair depends on valve pathology, age of the patient and some specific conditions like pregnancy. Some time valve is replaced with an artificial conduit. The commonest of this type is BENTALL surgery.
Two main types of valves are:
Mechanical valve - It is everlasting usually used in the younger generation. Due to its unique design and character, blood-thinning drugs (OAC) are needed throughout life. Regular monitoring is a must to avoid complications like bleeding or thrombosis.
Bio-Prosthetic valve - It is being used in the elderly population, having the durability of 10-20 yrs. Cardiac surgeon in Jaipur recommends that there is no need of OAC therapy in this. Many new generations, advance bioprosthetic valves are available with a better profile now in one of the best hospital for heart surgery in Jaipur.
Congenital heart diseases are heart defects by birth.
There are two major types:
Acyanotic heart disease - The colour of the skin is usually normal, usually defect/hole in the chamber of heart like Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD) etc.
Cyanotic heart disease - The colour of the skin is bluish, more complex like Tetralogy of Fallot (TOF), Double Outlet Right Ventricle (DORV), Total Anomalous Pulmonary Venous Connection (TAPVC).
Yes, the surgery is possible in almost 98-99% of cases. In the case of Simple Congenital surgeries, results are better and defects can be treated in a single sitting. Cardiac surgeon in Jaipur suggests that the Complex Congenital heart diseases may require stage procedures, also they carry a poor prognosis. The results of surgery also depend on the age at which the diagnosis is made and the general physical condition of the child.
Yes, Manipal Hospital Jaipur performs Minimal Invasive Cardiac surgery.
Minimal Invasive Cardiac surgery is the variation of conventional cardiac surgery in which no bone (sternum) is cut. Only 2-3 inches’ incision on the right side or left side of the chest is made. The benefits of minimally invasive cardiac surgeries are minimum scar, a sub-mammary incision (cosmetically better), faster recovery, fewer chances of infection, and minimal requirement of blood product. It is performed by one of the best cardiac surgeons in Jaipur.
Almost all types of surgeries are possible:
Almost all CABG – On-pump, Off-pump, and minimally invasive CABG
Almost all valve surgeries - For Mitral valve / Tricuspid, Mitral valve + Tricuspid valve, a right-sided incision is placed in 4th intercostals space and for Aortic right-sided incision is placed in 2nd intercostals space.
Some simple congenital heart surgeries: Atrial Septal Defect, Ventricular Septal Defect etc. are also performed
This technique is still in the developing stage in most of the institutions in India and abroad. Manipal Hospital a multispeciality hospital in Jaipur routinely performs Minimal Invasive Cardiac Surgery for Valve Replacement, Multiple Vessels CABG. For MICS, a total/partial femoral-femoral bypass circuit is used. Special instruments are needed and single lung ventilation is used in certain special situations.