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Overview of Cardiac Surgery Abroad: |
This information is provided by MedTrava, Medical Tourism experts. |
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The Cardiology and Cardio Thoracic Surgery Departments of Medtrava-represented hospitals are one of the largest cardiovascular groups in the world. The commitment of its Cardiologists and Cardio Thoracic Surgeons to the prevention and treatment of heart disease has led to the achievement of better outcomes and improved quality of life for thousands of cardiac patients. Several of the doctors at these hospitals have been recognized for their contributions to the specialty through national and international awards. Many American medical tourists have successfully undertaken healthcare travel to receive cardiac treatments like heart valve repair, angioplasty, and heart bypass surgery abroad. |
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Coronary Angioplasty (PTCA or PCI) |
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Coronary Artery Bypass Graft (CABG) |
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Coronary Angiography |
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Heart Valve Repair |
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Heart Valve Replacement |
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Mitral Valve Repair |
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Cardiac Cathertization |
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Artial Septal Defect (ASD) and Ventricular Septal Defect (VSD)ASD Device |
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Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) |
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Off Pump Coronary Artery Bypass (OPCAB) |
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Enhanced External CounterPulsation (EECP) (noninvasive) |
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Implantable Cardioverter and Defibrillator (ICD) |
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Pacemaker Implantation (Single Chamber) |
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Pacemaker Implantation (Dual Chamber) |
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Peripheral Vascular Treatment |
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PDA Device |
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Robotic Cardiac Surgery (daVinci Telemanipulation) |
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Stenting |
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Totally Endoscopic Coronary Artery Bypass (T-CAB) |
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Trans Myocardial Laser Revascularisation (TMLR) |
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Valvuloplasty |
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Annuloplasty |
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Candidates for heart surgery: |
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Debilitating chest pain - caused by narrowing of several of the arteries that supply your heart muscle, leaving the muscle short of blood during light exercise or at rest. |
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Diseased coronary artery - You have more than one diseased coronary artery and the heart's main pump - the left ventricle - is functioning poorly. |
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Blocked main coronary artery - If this artery that feeds blood to the left ventricle is blocked or narrowed. |
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You have symptoms of artery disease, such as pain or ulceration, in one of your limbs. |
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Descriptions of Common Heart Surgeries performed |
Heart Bypass surgery
Heart Bypass, also known as Coronary Artery Bypass Surgery (CABG—pronounced like “cabbage”) is a common procedure used to divert blood around clogged arteries in the heart. It is the most commonly performed surgery in the U.S., and it has a 99.6 percent success rate at our global partner hospitals.
During this procedure, a blood vessel is removed or redirected from your chest, legs, or arms and placed around the area or areas of narrowing to "bypass" the blockages and restore blood flow to the heart muscle. This vessel is called a graft.
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Angioplasty
In this procedure, a surgeon inflates a small balloon inside a narrowed blood vessel. The balloon helps to widen your blood vessel and improve blood flow. After the vessel has been widened, the surgeon may insert a stent, or a mesh tube designed to support the artery walls and keep the vessel open.
Angioplasty most often is used to treat peripheral arterial disease (PAD), which is when the arteries supplying blood to your limbs or to organs in your body other than your heart harden. Angioplasty can also sometimes be used to treat narrowed areas in your veins. |
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Angiography
Coronary computed tomography angiography (CT Angiography) is used as a noninvasive method for detecting blockages in the coronary arteries. The 64-slice CT Angio system is used to accurately detect any significant narrowing of the major coronary arteries and to non-invasively detect "soft plaque," or fatty matter that may lead to future problems if lifestyle changes or medical treatment are not initiated. It is also used to determine the conditions of the stents and bypass surgery grafts of patients who have had angioplasties or CABG. |
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Valve Repair
Valve repair allows the surgeon to fix your faulty heart valve, often without the use of artificial parts. Heart valve repair has a lower risk of infection than valve replacement, and it also decreases your need for life-long blood thinner medication and preserves your heart muscle strength.
The mitral valve is the most commonly repaired valve, followed by the aortic and tricuspid valves. |
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Services |
The cardiology department treats several cardiac conditions including: |
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Heart attacks |
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Aortic stenosis and insufficiency |
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Myocardial Infarction |
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Aortic disease |
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Mitral valve prolapse |
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Congestive heart failure |
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Arrhythmias |
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Atrial fibrillation and flutter |
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Mitral stenosis and insufficiency |
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Coronary artery disease |
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The depth and breadth of experience in dealing a wide variety of cases allows surgeons to handle more complex operations with success rates at par with the best centers. The entire gamut of cardiac surgery - from surgery on a 2 day-old infant to pacemaker implantation in a 97 year-old has been successfully undertaken .
Cardiothoracic Surgery offers contemporary techniques including off-pump bypass.
Over 98% of the surgeries are "beating heart" which offer patients faster post-operative recovery and extract less of a toll on their systems. Beating-heart surgery allows the patient to forego cardiopulmonary support. The precise area of operation is stilled with high-tech stabilizing devices.
The surgery is supported by a well-equipped third generation Cardiac Catheterisation Lab, Critical Care Units and Intensive Care Units. The team regularly performs the following surgeries |
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Paediatric Cardiothoracic Surgery: |
A wide variety of pediatric cardiac surgical procedures have been done including operations on simple congenital lesions such as atrial septal defect, ventricular septal defect, patent ductus arteriosus, coarctations of aorta and Tetralogy of Fallot corrections and more complex procedures such as Glenn and Fontan procedures and Sennings and arterial switches. Patients with atrial septal defects and patent ductus arteriosus are evaluated and assessed for closure by device thereby avoiding surgery. When surgery is considered for atrial septal defect, the option is given to the patient to have the operation through a thoracotomy thereby avoiding a midline sternotomy.
Medtrava represented hospitals have several senior cardiologists who are experienced at handling infants with congenital heart disease. They are backed by a well-equipped catheterization unit and echocardiography department besides a 30 bed CCU and ICU. In support, there are several senior anaesthetists and perfusionists and postoperative care is reinforced by excellent nursing staff. |
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Cardiovascular Imaging |
Obtaining and interpreting images of the heart is critical to the successful management of any cardiac disorder. The Cardiovascular imaging physicians are experts in the treatment and long-term management of many types of heart conditions including: |
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Anomalous coronary artery anatomy |
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Chronic coronary artery disease |
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Marfan syndrome |
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Radiation heart disease |
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Aortic aneurysm |
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Diastolic dysfunction |
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Mitral valve prolapse |
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Rheumatic heart disease |
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Aortic stenosis |
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Heart valve disease |
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Pericarditis |
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Hypertrophic cardiomyopathy (HCM) 0 |
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Cardiac tumors |
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Other less common types of heart disease |
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Preclinical coronary artery disease |
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Imaging specialists utilize the following diagnostic studies to diagnose heart disease, plan optimal care for patients, and help ensure treatment is complete. They also use these diagnostic studies to minimize complications during many types of catheter-based procedures and heart surgery. |
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Echocardiography, including Doppler and 3-D is used to assess the overall function of the heart, determine the presence of many types of heart disease, follow the progress of valve disease and evaluate the effectiveness of medical or surgical treatment.
Stress echocardiography uses exercise or medication to make the heart work harder than when at rest. This helps us obtain more detailed pictures of the heart and how well or poorly it is functioning.
Transesophageal echocardiography (TEE) is used during surgery of the coronary arteries, valves or aorta. TEE is also done to evaluate whether a patient who has atrial fibrillation is at high risk for stroke. The procedure can show the presence of any blood clots in the heart (which have the potential to travel into the bloodstream and cause a stroke.
Intracardiac echo is valuable during electrophysiology and other catheter-based procedures to assist the cardiologist in visualizing the heart's structures and minimizing complications.
Nuclear imaging studies are used to diagnose various heart conditions. Specialists use Multigated Acquisition Scan (MUGA)m positron emission tomography (PET) and sestamibi exercise stress testing to find out more about the structure and function of the heart.
Heart failure management program
The heart failure program is established for the care of people with heart failure, also called congestive heart failure or ventricular dysfunction. The program provides a single location where cardiologists, cardiac surgeons, and clinicians work together toward the common goal of treating diseases such as cardiomyopathy and ischemic coronary disease and controlling congestive heart failure symptoms, such as shortness of breath, fluid retention, and swelling.
There is a Centre for Advanced Heart & Lung disease which provides comprehensive evaluation and risk stratification of PTST Congenital heart failure. A CPET (Cardiopulmonary exercise test) is available, which is a non-invasive investigation, which allows prognosticating in heart failure.
A pulmonary hypertension clinic is being developed which includes evaluation simultaneously by a Pulminologist, Cardiologist and surgeon with an interest in pulmonary Thromboendarterectomy.
Indian Cardiologists have pioneered Coronary Artery Stenting. They are experts in techniques including Percutaneous Transluminal Septal Myocardial Ablation. |
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Useful Links: |
www.vascularweb.com |
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Cost of Treatment |
For affordable Cardiac Surgery overseas, Register with MedTrava now or call 1.877.My.MedTrava. MedTrava is dedicated to connecting patients to world-class healthcare abroad at affordable prices. Click here to read testimonials of some of our patients who have received medical treatment abroad. |
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