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Heart Surgery in India

Heart Surgery in India

Heart surgery is any surgery done on the heart muscle, valves, arteries, or the aorta and other large arteries connected to the heart. The term Open Heart Surgery means that an individual is connected to a heart-lung bypass machine, or bypass pump during surgery. ... Read More

Popular Cities in India for Heart Surgery

Treatments related to Heart Surgery in India

  • Coarctation of the Aorta (CoA) Surgery Start from INR 230880
  • Glenn procedure Start from INR 240500
  • Arterial Switch Operation Start from INR 336700
  • Fontan procedures Start from INR 346320
  • Coronary fistula Start from INR 216450
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Medanta - The Medicity, Gurgaon
1

Medanta - The Medicity, Gurgaon

Super Specialty
  • 1250 Number of beds
  • Gurgaon
ABOUT HOSPITAL

Doctors for Heart Surgery in Medanta - The Medicity, Gurgaon

Dr. Naresh Trehan

Chairman
Cardiac Surgeon
  • 40 years of experience

Dr Anil Bhan

Chairman
Cardiac Surgeon
  • 37 years of experience

Dr. Ali Zamir Khan

Associate Director
Cardiac Surgeon
  • 24 years of experience

Dr. R. K. Saran

Director
Cardiac Surgeon
  • 30 years of experience

Dr. Vijay Kohli

Chairman
Cardiac Surgeon
  • 35 years of experience

Dr. Bhuvnesh Kumar Aggarwal

Principal Consultant
Cardiac Surgeon
  • 31 years of experience
Fortis Escorts Heart Institute, New Delhi
2

Fortis Escorts Heart Institute, New Delhi

Multi Specialty
  • 285 Number of beds
  • New Delhi
ABOUT HOSPITAL

Doctors for Heart Surgery in Fortis Escorts Heart Institute, New Delhi

Dr. Surendra Nath Khanna

Director
Cardiac Surgeon
  • 25 years of experience

Dr Z S Meharwal

Director
Cardiac Surgeon
  • 27 years of experience

Dr. Naveen Saraf

Principal Consultant
Cardiac Surgeon
  • 20 years of experience

Dr. Surender Nath Khanna

Additional Director
Cardiac Surgeon
  • 25 years of experience
Apollo Hospitals, Greams Road, Chennai
3

Apollo Hospitals, Greams Road, Chennai

Super Specialty
  • Number of beds
  • Chennai
ABOUT HOSPITAL

Doctors for Heart Surgery in Apollo Hospitals, Greams Road, Chennai

Dr. Vijay Shankar S

Senior Consultant
Cardiac Surgeon
  • 30 years of experience

Dr. Robert Mao

Consultant
Cardiac Surgeon
  • 25 years of experience

Dr. Pramod Kumar

Consultant
Cardiac Surgeon
  • 22 years of experience

Dr Dillip Kumar Mishra

Consultant
Cardiac Surgeon
  • 31 years of experience

Dr. Girinath M R

Consultant
Cardiac Surgeon
  • 45 years of experience

Dr. Sridhar L F

Consultant
Cardiac Surgeon
  • 27 years of experience

Frequently Asked Questions related to Heart Surgery

Angioplasty- 1 Stent

Do I have to stay in the hospital after angioplasty?

 It will depend on your recovery rate. Usually, you will get discharged from the hospital 12-24 hours after the catheter is removed.

Are these stents permanent?

Yes, the stents are permanent. If you feel a narrowing in your stents, it usually happens within 6-9 months and can be treated with another stent.

What are the general signs of stents failure?

The general signs of stents failure are:

  • Shortness of breath

  • Chest pain

  • Fatigue

What specific medication should I avoid before angioplasty?

You should stop taking medications such as nonsteroidal anti-inflammatory drugs, aspirin, or any blood thinners. Tell your doctor all the medicines you take.

What is the risk of angioplasty?

The most common risk of angioplasty is re-narrowing of the artery. There is a small risk that the artery may become clogged again.

Can I eat something before angioplasty?

No, you can not eat or drink anything 6-8 hours before the surgery. Eating and drinking are avoided for your safety so that no complications will occur during the procedure.

What should I avoid after angioplasty?

You should avoid high-fat foods such as red meat, cheese, and baked products because they will only increase harmful LDL cholesterol in your bloodstream and decrease HDL cholesterol.

What should I avoid immediately after having stents?

You should avoid lifting heavy objects and tough workouts. You should also avoid sexual activities for at least a week.

How is the stent inserted during the procedure?

You will get a small cut in a blood vessel in your groin or arm. After that, a thin tube which is known as a catheter, is thread through the blood vessel to the blocked artery. At the end of the tube, there is a tiny balloon that inflates inside your blocked artery.

Can my stents block up again?

 Yes, a section of the blocked artery that was opened up with the help of angioplasty and stents can become narrowed again.

 

How does it feel during angioplasty?

Generally, you do not feel the dye injection, but in some cases, patients feel minor discomfort or a warm sensation that can only last a few seconds in their chest.

How much time does an angioplasty procedure take?

The procedure will take time between 3o minutes to 2 hours. But in some cases, the procedure can take longer.  

Is an anesthetic needed during angioplasty?

Generally, anesthesia is not needed during the procedure because it is performed through an artery in your wrist area or arm. You will get a sedative that will relax you, but you may be awake during the procedure.

Is angioplasty a major surgery?

Angioplasty is a minor surgery that can be performed under conscious and moderate sedation. In this procedure, a thin tube is inserted into an artery in the wrist and thread the tube around the affected artery around the heart. After that, a balloon or stent is inserted to open the artery.

What is Angioplasty?

Angioplasty procedure is used to restore blood flow to the heart muscle by opening narrow or blocked arteries. 

Heart Transplant

How is the functioning of heart assessed?

Functioning of heart is assessed by: Echocardiogram - measures the Ejection Fraction or EF which is a measure of how well the heart is contracting. NT-pro BNP - a hormone that rises in the blood as a response to a failing heart.

Are the hospitals in your panel internationally accredited?

At Vaidam, we are proud to associate with several Joint commission international (JCI )accredited Indian hospitals in our panel. Also Vaidam is the first and only online medical facilitator in India accredited by NABH. This recognition is an acknowledgment to the quality of care being provided to patients, safety standards and services.

How long does it typically take for hospital to arrange for cadeveric donor for me?

Unfortunately, there can never be a commitment on how long one has to wait. It depends on a lot of factors - age, height, weight, blood group of the patient, Indian patients in waiting queue, International patients in waiting queue before the patient.

What are heart transplant Rejection Symptoms?

General symptoms of heart transplant rejection are- Fever Fluid collection in lungs Decreased oxygen level in blood Shortness of breath.

What are the risks associated with Heart Transplants?

The most common causes of death following a transplant are infection and rejection. With the exception of having to take lifelong medication to keep the body from rejecting the new heart.

What are the Contraindication for heart transplant?

 

Contradictions are: Insulin-dependent diabetes with severe organ dysfunction Recent thromboembolism such as stroke Advanced kidney, lung, or liver disease Metastatic cancer Life-threatening diseases including acute infection or systemic disease such as systemic lupus erythematosus, sarcoidosis Vascular disease.

What can i expect after an heart transplant?

It takes about six to eight weeks for your incisions to heal.

How is matching done for heart transplant?

When checking whether a heart is a good match the team will look at the quality of the heart, the size, and how well it matches blood and tissue type.

How long is the heart transplant procedure?

A heart transplant operation usually takes between 4-6 hrs.

What is the survival rate for heart transplant patients?

85 to 90 percent patients live 2 years or more. 60% of them live for 5 years or more.

What are the steps in Heart transplant surgery?

Heart Transplant procedure consists of three stages: The first stage is harvesting the heart from the donor. The second removing the recipient's damaged heart And lastly is the implantation of donor's heart.

LVAD

How long can you live with a LVAD?

Usually an average life of 5 and half year is seen with LVAD. Mostly 85% patients live one year after they get LVAD and 70-75% patients live for 2 years after LVAD. The maximum life of seven years is seen in a patient of LVAD.

Can you swim with a LVAD?

No, you cannot swim with LVAD as it cannot be submerged. There is some hope that an fully implantable device will be made in future with which you can swim easily

Are LVAD portable?

Yes, LVAD devices are now portable, you can return home with the LVAD and continue your normal activities while waiting for a heart to become available.

Who is a candidate for an LVAD?

Patients who cannot do any  physical activity because of their cardiac disease, they are comfortable only when they are resting.

Are LVADs permanent?

LVAD is permanent in some critically ill patient whose condition is not eliglible for them to undergo heart transplantation. It is also known as destination therapy.

Is LVAD a pacemaker?

The purpose of LVAD and pacemaker are different, LVAD helps the heart in pumping the blood effectively, while a pacemaker helps in correcting the irregular or slow heartbeat. Pacemaker generates electrical stimulation which regulated heart beat.

Are ventricular assist devices new?

This device is not new, it was invented in 1962 and it was first time implanted in 1966 in a 37 years old patient.

How much time is required for LVAD placement?

It generally takes four to six hours and you'll be asleep during the procedure, so you shouldn't feel any pain during the procedure.

Can you exercise with an LVAD?

Exercises has given multiple beneficial effects on heart failure patients which is expected to improve the quality of life.

What is a Left Ventricular Assist Device (LVAD)?

LVAD is a mechanical pump that is placed in patient who have got heart failure.This device helps the bottom chamber of your heart for pumping out blood to the ventricle aorta and rest body part. Therefore, it is known as left ventricular assit device.

How does the LVAD work?

This device is implanted during open heart surgery, the pump unit is placed in the chest which is implanted by the surgeon into the apex of heart where it receives blood. A tube is used which delivers blood from aorta  which works by pumping blood continuously from left ventricle to aorta. The pump is attached to cable and the controller, the cable passes from the device through the skin on your belly to controller and a small computer is placed outside your body. Controller  provides you the message and alarm for helping your operating system.

Which doctor places LVAD?

Cardiac surgeon are specialized in placing LVAD.

Can an LVAD be replaced?

Even though LVAD is said to be durable and reliable device its replacement is expected in some patients.

When is it time for an LVAD?

Your doctor may recommend you LVAD when your left ventricle is damaged enough which affects its ability to pump blood, it can be a short term device to keep your heart pumping till you undergo heart transplant.

What happens when an LVAD fails?

When LVAD fails it leads to bleeding, complications, thrombosis, ischaemic and haemorrhagic strokes, infection and organ failure.

How long is recovery after LVAD?

Patient have to stay in hospital for 3-5 days after recovery, most patient remain in hospital for minimum 2 to 3 weeks.

Does an LVAD take the place of your heart?

It cannot replaced your heart, it receives blood from the left ventricle and then deliver it to aorta. LVAD along with left ventricle pumps the blood.

PDA Ligation

How PDA is repaired?

PDA is being repaired surgically in the operating room and iteis done under general anaesthesia, it involves closing of the PDA with stitches and sutures for preventing surplus blood from entering the lungs.

Is PDA life threatening?

PDA can lead to some disease such as congestive heart failure which is a disease of the right side of heart and it also increases the risk of endocarditis, which can be a life threatening infection of lining which covers heart chambers, valves and main arteries.

What are the risk factors for PDA?

Some of the risk factors of PDA includes premature birth, rubella infection, living at high altitude and new born girls.

How PDA ligation is done?

PDA ligation is done on blood vessels not on heart, first an incision is being made on the side of child’s chest in between the ribs and the doctor uses small tools between the ribs for closing the blood vessels with stitches and then the incisions are sutured.

How PDA is diagnosed?

If doctor sees any defect in your heart he may prescribe you some tests such as electrocardiogram, echocardiogram, chest x ray and cardiac catherization.

Is PDA genetic?

The cause of PDA is unknown but genetics have a role in PDA, this condition is more commonly seen in premature babies and mainly affects girls rather than boys.

How serious is PDA?

If the patent ductus arteriosus is small it will not cause any problem and may not need any treatment. If the patent duct arteriosus is large and it is not being treated it can allow poor oxygenated blood flow in the wrong direction, this causes weaking of the heart muscle causing failure of heart along with some other complications.

what are the instructions you have to follow after PDA ligation?

You will be given instructions by your doctor’s for your child. Your child will be prescribed with pain medications and antibiotics and you will be thought how to feed and give medicines to your baby

What is PDA in newborn baby?

PDA is heart defect which is seen few weeks or days after birth, usually the ductus arteriosus is a normal part of fetal blood circulation. When a baby is born there is an opening which is present between the aorta and pulmonary area and it generally closes itself after birth.

What is PDA in heart surgery?

Generally the blood vessels closes after birth and in case of PDA the blood vessels remains open. Some of the blood goes from heart to the body instead of going to lungs.

Which Anesthesia is preferred for PDA?

This surgery is usually done under general anaesthesia.

How long does PDA ligation surgery takes?

The procedure of PDA ligation will take around one to three hours. When your child is sent to the recovery room it will take around one to six hours to wake from the effect of anaesthesia.

How long does it take to recover from PDA Ligation?

Within few weeks only child is completely recovered after PDA ligation surgery.

What is the result of PDA ligation?

The child who are poorly feed before the surgery are able to eat better and they gain weight faster.

What is PDA ligation?

Patent ductus arteriosus (PDA) is seen as an opening between the two blood vessels which are connecting from heart. If PDA is small then no symptoms are being seen but if the PDA is big then a some problems may be seen such as poor eating, breathlessness etc. The oxygen rich blood instead of circulating in the body goes back to the lung. PDA ligation is method which corrects this problem.

What are the symptoms of PDA?

In some cases PDA remains undetected, you may experience some symptoms such as heart palpations, shortness of breath, high blood pressure.

TAVI

What happens after TAVI procedure?

You will be under observation for one or two days after the procedure, your cardiologist will come every day to check you. Your wound site will be monitored by your team during this time.

How long does it take to recover from a TAVI operation?

Recovery rate of the people is different depending on their health and the type of heart valve procedure.  You will need around six to ten weeks to recover completely after the procedure. You have to do daily activities and exercises during your recovery.

How long does a TAVI last?

There is no definite data which can tell how long your TAVI, according to recent data the age of TAVI lasts upto 20 years.

How will I feel after a TAVI?

You may feel umcomfortable after the procedure but it will go off in few days and you will be also given painkillers.

Is TAVI major surgery?

No, TAVI is not a major surgery it is less invasive surgery which is being designed to replace  a diseased aortic valve.

Are you awake during a TAVI?

The surgery is done under local anaesthesia and it will take around one to two hours to do the surgery in some cases it can also be done under general anaesthesia depending on the best solution for you.

What happens during a TAVI?

In this procedure a catheter is being inserted in your blood vessels and then  it is passed in your aortic valve and the catheter is used to guide and fix the replaced valve one above the other.

How long do you stay in hospital after a TAVI?

You will be in hospital for one to five days after the surgery initially you will be under close observation but when the doctor feel you are fit to go home then they can send you home.

What is TAVI surgery?

TAVI stands for Transcatheter Aortic Valve Implantation it is used in helping to improve a damaged aortic valve.

When is TAVI needed?

TAVI is not recommended if you have got any problem with your aortic valve and you are high risk for undergoing an open heart surgery. The aortic valve is one of the four main valves present in your heart.

Who cannot go for TAVI?

TAVI is not recommended for those who have severe aortic stenosis , TAVI surgery will not be beneficial to them  but they can definitely get benefit from TAVR surgery.

What can go wrong with a TAVI?

Even though the success rate of TAVI is high it has only got few complications, some of the risks of the procedure includes bleeding, injuries, stroke,  atrioventricular conduction, system injuries and aortic regurgitation.

Who is suitable for a TAVI?

Patient who is having severe symptomatic aortic stenosis are at high risk for conventional surgical aortic valave replacement.

How long does a Tavi operation take?

TAVI procedure will take around three hours to complete and it is performed under local or general anaesthesia.

VP Shunting- Programmable Device

How long will the surgery last?

The entire procedure takes about 90 minutes.

Is this going to be a lifetime device or will it be removed some time later?

Depending on the circumstances, a VP shunt can be temporary or permanent. If the cause of your hydrocephalus is idiopathic (unexplained), congenital (present from birth), or the result of a defect in the anatomy of the brain or spine, there is a strong chance that you will need to have your VP shunt for the long term.

What you recommend a programmable VP shunt vs unprogrammble VP Shunt?

There are different indications for programmed vs unprogrammed shunt, Programmed is usually done in elderly individuals and congenital hydrocephalus while unprogrammed is chosen for tumors, hydrocephalus and meningitis.

How long do VP shunts lasts?

It can last from a few days or weeks to many years. In adults we have seen them last for as long as 35 years. Over time the plastic tube can corrode and disintegrate, requiring a new shunt to be inserted.

Is the device going to be visible from outside?

You won't be able to see the catheter because it will be under your skin. However, you may be able to feel the shunt catheter along your neck.

Once all the parts of the shunt are connected, it will start draining the excess CSF as needed to reduce the pressure in your brain.

What are the chances of shunt getting blocked in future?

WHO regulation says it may require a change every 5 years so there are less chances of blockage.

What you recommend a programmable VP shunt vs unprogrammble VP Shunt?

There are different indications for programmed vs unprogrammed shunt, Programmed is usually done in elderly individuals and congenital hydrocephalus while unprogrammed is chosen for tumors, hydrocephalus and meningitis.

Is the device going to be visible from outside?

You won't be able to see the catheter because it will be under your skin. However, you may be able to feel the shunt catheter along your neck. Once all the parts of the shunt are connected, it will start draining the excess CSF as needed to reduce the pressure in your brain.

How long do VP shunts lasts?

It can last from a few days or weeks to many years. In adults we have seen them last for as long as 35 years. Over time the plastic tube can corrode and disintegrate, requiring a new shunt to be inserted.

Do I need a followup visit to my Surgeon?

No followup visit is required once the patient has been reviewed for about 3 weeks.

Can you live a normal life with a brain shunt?

Most of the hydrocephalic patients will be required to keep their CSF shunt all life long. One of the advantages of this therapy is that it allows you to have a normal daily life. The shunt will restore the CSF circulation to regulate its flow.

For how many days do i need to stay in the hospital?

Usually for 5 days.

How long will the surgery last?

The entire procedure takes about 90 minutes.

Can you live a normal life with a brain shunt?

Most of hydrocephalic patients will be required to keep their CSF shunt all life long. One of the advantages of this therapy is that it allows you to have a normal daily life. The shunt will restore the CSF circulation to regulate its flow.

Do I need a followup visit to my Surgeon?

No followup visit is required once patient has been reviewed for about 3 weeks

What are the chances of shunt getting blocked in future?

WHO regulation says it may require a change every 5 years so there are fewer chances of blockage.

Is this going to be a lifetime device or will it be removed some time later?

Depending on the circumstances, a VP shunt can be temporary or permanent. If the cause of your hydrocephalus is idiopathic (unexplained), congenital (present from birth), or the result of a defect in the anatomy of the brain or spine, there is a strong chance that you will need to have your VP shunt for the long term.

For how many days do i need to stay in the hospital?

Usually for 5 days.

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