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Open Cardiac Surgery in Kolkata

Open Heart Surgery

Open Cardiac Surgery in Kolkata

Open-heart surgery refers to surgical treatments that treat heart issues by directly accessing the heart through a chest opening. To gain access to the heart during Open-heart surgery, the surgeon will cut through the breastbone and split the ribs. Cardiothoracic surgeons are highly trained specialists responsible for doing heart surgeries. During your hospital stay, you will be cared for by a team of healthcare providers, including your surgeon, imaging specialists, anesthesiologists, and nurses. Heart failure, heart valve disease, arrhythmias, aneurysms, and coronary artery disease are some of the disorders treated by Open-heart surgery in Kolkata. Anaesthesia, a medication that renders you unconscious and painless, will be administered during this sort of operation. During the surgery, you will be given drugs to thin your blood and prevent it from clotting. Also, the heart surgeon builds a new conduit for blood flow around the heart's obstructed or partially blocked coronary arteries. This technique effectively lowers the risk of stroke, heart damage, heart rhythm issues, and (sudden) death. 

FAQ's

Before the surgery, you may need to undergo various tests such as blood tests, electrocardiograms and chest X-rays. You may also need to stop taking certain medications, especially blood thinners. A certain period of fasting may also be needed. Also, make arrangements for someone to assist you at home post-surgery. Also, follow any other specific guidelines provided by your healthcare provider.
 

Usually, Open-heart surgery takes at least four hours, during which the patient is anaesthetised.

  • Your surgeons will make a 6- to 8-inch incision down the centre of your chest, then cut the breastbone and spread it. The heart and your circulation system are linked to a heart-lung machine, and heartbeats are temporarily stopped with medicine. 

  • As needed, procedures like Coronary Artery Bypass, Heart Valve Repair Or Replacement, Congenital Heart Defect Repair, or Aneurysm Repair are performed. 

  • Once the repair is done, the heart is stimulated to resume its normal beating to restore blood circulation, and the heart-lung machine is turned off. 

  • Sutures or wire are used to seal the breastbone and incision.

Open-heart surgery, like all other surgical operations, possesses problems such as:

  • Arrhythmia

  • Stroke

  • Injury to nearby blood vessels or organs

  • Bleeding from the sutured area

  • Infections around the sutures

  • Patients with underlying health issues such as diabetes, obesity, or chronic pulmonary disease (COPD) are more likely to have severe consequences. 

  • Additionally, people who indulge in chain smoking are more likely to experience surgical and post-operative difficulties. 

The following are the most common types of heart surgery:

  • Coronary Artery Bypass Graft (CABG): It is also known as Heart Bypass or Coronary Artery Bypass Surgery. This is one of the most common types of heart surgery that involves the surgeon connecting a healthy artery or vein from another part of your body to bypass the blocked coronary artery and restore normal blood flow.

  • Repair or Replace a Heart Valve: Surgeons will either repair or replace the valve with an artificial valve or with a biological valve mostly derived from pig or cow tissues. Implantation of a pacemaker or Implanted Cardioverter Defibrillator (ICD) may also be done in combination with this surgery.

  • Arrhythmia Treatment: It is a condition in which the heart beats excessively quickly, too slowly, or irregularly and is typically treated with medication initially. If medicine does not work, a surgeon may implant a Pacemaker under the skin of the chest or belly, with wires connecting it to the heart chambers. 

  • Surgery in the maze: The surgeon develops a scar tissue pattern within the upper chambers of the heart to help regulate the electrical signals that cause abnormal heart rhythms, guiding them to the lower chambers in a controlled manner.

  • Repairing an aneurysm: A patch or graft is used to replace a weak piece of the artery or heart wall to correct a balloon-like protrusion in the artery or heart muscle wall. 

  • Heart Transplant: The damaged heart is removed and replaced by a healthy heart from a dead donor. The implantation of a ventricular assist device (VAD) or a fully artificial heart. A ventricular assist device (VAD) is a mechanical pump that helps with heart function and blood flow.

Open Heart surgery and Bypass surgery are the most popular choices for the most effective heart disease treatments. Open Heart surgery includes making an incision through the patient's chest to gain direct access to the heart, whereas Bypass surgery involves constructing alternate channels to direct blood flow. Both Open-heart and Bypass operations have advantages. As a result, medical personnel will choose which of the two procedures is most suitable for you based on a variety of factors, such as your underlying medical problems, severity of the problem, type of disease, age, and so on.
 

While your surgeon will offer you the best evaluation of how long your treatment will take, you can consider the following recommendations:

  • Open-heart procedures often involve a four- to five-day hospital stay. 

  • Once you've been released from the hospital, it normally takes six to eight weeks for your breastbone and chest muscles to heal as you gradually resume your normal daily routine. 

  • Less invasive operations, such as Stent installation or Ablation, which scar or eliminate tissue associated with irregular heart rhythms, typically require only an overnight hospital stay. 

  • When you are home, the recovery from these treatments can take up to a month. 

Yes, a scar will remain down the centre of your chest from the incision made to access the heart. Although this scar will fade over time but may not completely disappear.