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Re-do heart surgery treatment in Hebbal, Bangalore

Re-do heart surgery (for both valve and CABG operations)

Re-do heart surgery treatment in Hebbal, Bangalore

Re-do heart surgery treatment in Hebbal, Bangalore, or re-operative heart surgery, is becoming very common in patients as they live longer after successful heart surgery. Redo heart surgery for valve replacement and coronary artery bypass grafting operations could improve quality of life and help the heart function more efficiently.

Conditions like aneurysms are progressive; symptoms worsen over time and require constant and close monitoring and management. This is primarily to avoid complications and death. Surgery could also be repeated to repair a mistake in the reconstructed, replaced, degenerated, or dysfunctional prosthetic valve.

Re-operative heart surgeries will be performed in the below circumstances,

  • Aortic and Mitral heart valve repair

  • Bypass surgery

  • Bulging of blood vessels or aneurysm repairs

  • Inflammation of the inner heart layer due to the artificial cardiac valve, also called prosthetic mitral valve endocarditis.

Procedure

A long incision is made in the chest where the breastbone is separated for the surgeon to access the heart. Minimal invasive techniques include 3-4 small incisions in the chest. In the percutaneous method, the chest cavity is accessed via a needle puncture on the skin. A redo operation helps to increase life span and relieve symptoms like fatigue.

  • DOR procedure for left ventricular aneurysms (left ventricular reconstructive surgery).

Left ventricular reconstructive surgery is a treatment procedure used to treat heart failure. When the heart suffers an attack in the left ventricle ( the lower left pumping chamber), it leaves a scar. The scarred area can become thin and bulge out with every beat. The bulging thin area is called an aneurysm. Aneurysm or other heart damage can cause the heart to work harder to pump blood all through the body. Initially, the heart can handle the additional load, but over time, the left ventricle could become larger than normal and pump less effectively.

Also known as aneurysm repair surgery, the surgeon can remove the scarred and dead portion of heart tissue. It helps the aneurysm and the left ventricle to a standard shape. The main aim is to improve longevity post-heart failure and reduces angina symptoms to help the heart pump blood effectively.

Procedure

An MRI or PET scan will determine if you have enough healthy tissue to benefit from the surgery. An echocardiogram will help provide information about the ability of the heart to pump blood and how efficiently your heart valves are functioning. Routine blood tests, chest X-rays, and electrocardiograms can be performed.

The surgeon will make a small incision in the left ventricle and find the exact location of the scarred or dead tissue. The surgeon will then place two or more rows of circular, round stitches around the border of the dead tissue to separate it from the healthy tissue. The stitches are pulled together like a purse string to permanently separate the dead tissue from the remaining part of the heart. At the time, an area of the scarred tissue is removed before the stitches are pulled together.

In very rare circumstances, there may be a lot of dead tissues to remove and normal stitches may not be enough to separate the area. A patch is then placed. The surgeon will then close the outside of the ventricle and reinforces the room with a different row of stitches. The surgeon makes an incision through the dead and scarred tissue. “Purse-string” stitches are sewn around the dead area and then pulled together until the left ventricle is closed. In addition, a coronary artery bypass graft surgery is also performed to improve the oxygen supply to the heart. Most patients undergoing left ventricular reconstruction surgery also get their mitral valve leaks repaired.

This is a major open-heart surgery that requires the use of a heart-lung machine at Manipal Hospitals with the help of best heart specialists in Bangalore. 

Experience world-class healthcare at Manipal Hospitals. Our expert team of doctors and state-of-the-art facilities ensure personalized and advanced treatments. Take the first step towards wellness. Book an appointment today.

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