What Is The Difference Between Bypass Surgery And Open Heart Surgery?
Dr. Shrirang Ranade
8 Min Read
Oct 24, 2024
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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.
Manipal Hospital is the best cardiac hospital in Pune having highly experienced cardiothoracic surgeons in Pune who follow an integrated team approach to offer diagnosis and treatment of the full spectrum of vascular and heart 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.
We, at Manipal, offer 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 to offer treatment. We are also backed up by specialists and intensivists with treatment options such as IABP, ECMO, and CRRT.
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…
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…
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.
The main areas of CTVS are:
CTVS Adult Surgery
CTVS Pediatric surgery
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
CTVS Adult Surgery
Some common surgeries include:
Open Heart Surgeries
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.
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.
Minimally Invasive Direct Coronary Artery Bypass (MIDCAB): It further limits invasiveness by using a smaller incision and operating on a beating heart. It is a challenging procedure, and Manipal surgeons are among 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 vessels and stabilizing heart portions in an extremely organized environment.
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
Transcatheter aortic valve implantation (TAVI)/ Transcatheter aortic valve repair (TAVR)
Due to calcification, the heart's aortic valve narrows and fails to open fully, interrupting oxygen-rich blood flow to the rest of the body. TAVR is a minimally invasive procedure just like angioplasty, which involves replacing a diseased valve with a mechanical one with the help of a catheter placed inside the aorta
Heart post-Aortic Valve Replacement (AVR) + Mitral Valve Replacement (MVR) + Mitral valve repair
Stent Placement
In this surgery, a small metal tube or stent is placed in the narrow artery to open it. Before this procedure, the doctor will perform an angioplasty to remove the plaque build-up.
Others
Right atrial/left atrial Myxomas
Aortic Aneurysm Repair
Bentall Procedure
Re-do Surgery
Frozen Elephant Trunk and Aortic Arch replacement
Ascending aortic aneurysm repair with island graft + intra-aortic balloon pump (IABP)+ Echo
CTVS Pediatric surgery
Kids require more compassionate care as compared to adults. Our team of interventional cardiac surgeons and pediatric cardiologists are supported by other healthcare professionals.
This multidisciplinary team provides your kids with the highest quality and most effective care for cardiovascular disorders. Whenever possible, the team will select a clinically advanced and invasive approach to prevent infection and lower the risk of complications.
Some of the common surgeries performed at our CTVS pediatric unit are:
Atrial septal defects
Fontan procedure
Senning procedure
Surgical Treatment of Heart Failure: Heart failure can be treated by -
Coronary Artery Bypass Graft (CABG):
Coronary arteries narrow with the build-up of plaque and eventually block the oxygen-rich blood flow.
Healthy blood vessels or grafts from the chest, wrist, or arm are used to bypass the blocked arteries and restore normal blood flow
Valve Surgery:
Valve surgery is performed to either replace the weakened value or repair the value by supporting it with a ring.
Left Ventricular Assist Device (LVAD):
Percutaneous Mitral Valve Repair (PMVR):
The abnormal reverse flow of blood from the left ventricle to the left atrium is called mitral valve regurgitation.
PMVR, also known as the mitral clip procedure, is a minimally invasive procedure in which a mitral clip is implanted in the damaged value to prevent the reverse flow of blood.
Heart Transplant:
Once the blood flow is restored, the replaced heart starts to function.
A patient with a heart transplant has a good chance of survival if appropriate follow-up care is practised.
Contact us now to get the finest treatment best hospital for heart in Pune with the help of a team of experts in Pune.
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), Angioplasty & Stenting, 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.
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.
Cardiovascular Thoracic Surgery can be both simple and complex, Whatever the procedure, Manipal Hospitals will be there with you every step of the way, helping you decide on the right treatment plan, and providing the right post-operative care and recuperation assistance. Contact us to learn more about the different cardiovascular thoracic surgery and book an appointment with one of our surgeons today.