Critical Care Unit or Intensive Care Unit where the patients can be admitted just after they have a heart attack or heart failure. Advanced infrastructure
Dr. Brajmohan Singh
M.S, M.Ch (CVTS)
Director & Consultant
- MBBS in 2005 from SMS Medical College, Jaipur.
- M.S ( Gen. Surgeon – 2009 ). M.Ch, Cardio Thoracic & Vascular surgeon in 2013 from VMMC & SJH Delhi.
Working: Since 2006
Known for :
- Director & consultant.
- Head of CVTS, HCG Group of Hospitals, Gujarat.
Profession: Cardiothoracic surgery
- 10 years of experience.
- Performed more than 4500+ Surgeries.
- Expert in total arterial CABG (LIMA -RIMA Y).
- Minimally Invasive Cardiac Surgery (Key hole surgery).
- Life member of Indian Association of Cardiothoracic Surgery Association.
- Was Core member of Heart Transplant and Ventricular assist device team at Fortis Escorts Hospital, Delhi.
- Gold Medalist.
- Presented papers in various conferences and conducted various CME.
- Given training to more the 10 cardiac surgeons from different parts of India.
For Patients Education
- Coronary artery bypass surgery is also called bypass surgery.
- It is done to allow blood to flow around blocked blood vessels in the heart.
- Coronary arteries are the blood vessels that supply the heart muscle with oxygen and nutrients.
- During bypass surgery, a piece of a blood vessel from the leg, arm, or chest, called a graft, is removed and attached to the aorta and beyond the blocked blood vessel of the heart.
- The blocked blood vessel remains, but blood is carried beyond it in the new blood vessel.
- If there are several blocked vessels, you may have more than one bypass done.
- The surgery takes 3 to 4 hours.
- After surgery, you will be in the ICU. Your family can see you after one hour of surgery. You will stay in the hospital for 4 to 6 days.
- Coronary artery bypass grafting (CABG) is a procedure to improve poor blood flow to the heart.
- It may be needed when the arteries supplying blood to heart tissue, called coronary arteries are narrowed or blocked.
- Coronary bypass surgery redirects blood around a section of a blocked or partially blocked artery in your heart to improve blood flow to your heart muscle. The procedure involves taking a healthy blood vessel from your leg, arm, or chest and connecting it beyond the blocked arteries in your heart.
- Total arterial – total arterial revascularization (TAR) has been shown to improve both short – and long term mortality in coronary artery bypass grafting patients when compared with a single internal thoracic artery.
Conventional – Done through Sternotomy (dividing the Sternum or, Breast bone).
Minimally Invasive Coronary Bypass surgery (MICS CABG) – It is the minimally invasive technique of bypassing of blocked blood vessels in the heart. The operation is done through a small cut on the left side of the chest. Minimally Invasive Coronary Bypass Surgery (MICS CABG).
- Chest pain
- Irregular heartbeat
- Shortness of breath
- Recovery from a CABG takes time and everyone recovers at different speeds.
- Generally, you should be able to sit in a chair after 1 day, walk after 3 days and walk up and down stair after 5 or 6 days.
- Most people make a full recovery within 12 weeks of the operations.
1. DO NOT stand or sit in the same spot for too long.
2. Walking is a good exercise for the lungs and heart after surgery.
3. Climbing stairs is OK, but be careful….
4. Light household chores, such as setting the table, folding clothes, walking, and climbing stairs, should be OK.
- After CABG surgery you will need to focus on eating a healthy diet.
- This will help your body to heal, reduce your risk of complications and enable you to recover well.
- Fruits, vegetables, wholegrain, and seeds can reduce your risk of heart disease.
- Heart bypass surgery is a relatively safe and effective procedure that reduces the risk of heart attack and death.
- The procedure cures symptoms of coronary artery disease such as: chest, pain, Irregular heartbeat, Shortness of breath.
Valve replacement surgery is the replacement of one or more of the heart valves with an artificial heart valve ( either a mechanical valve or bioprosthetic/tissue valve ). It is an alternative to valve repair.
- Shortness of breath.
- Chest pain.
- Weakness or inability to maintain the regular activity level.
- Swollen leg, feet or abdomen.
- Sudden stroke.
- Valves are organs for regulating blood flow & preventing the backflow of blood between different cardiac chambers.
- The mitral valve and tricuspid valve are located between the atria (upper heart chambers) and the ventricles (lower heart chambers).
- The aortic valve and pulmonic valve are located between the ventricles and the major blood vessels leaving the heart.
Valve stenosis: Stenosis is a condition of Stiffening of heart valves which can narrow the size of the valve opening and restrict blood flow.
Regurgitation : Regurgitation is a condition in which the heart’s valve doesn’t close tightly, which allows blood to flow backward in the heart. Symptoms include shortness of breath, fatigue, lightheadedness, and a rapid, fluttering heartbeat. Some people may not need treatment. More severe cases may require medication, such as diuretics and surgery.
Common Valve Surgery. Include… Aortic valve replacement and mitral valve replacement Aortic valve replacement is a procedure whereby the failing aortic valve of a patient’s heart is replaced with an artificial heart valve.
The aortic valve may need to be replaced because: The valve is leaky (Aortic insufficiency, also known as Aortic regurgitation) or the valve is stiff & narrow and restrict blood flow (Aortic Stenosis). Current methods for aortic valve replacement include open-heart surgery & transcatheter aortic valve implantation (TAVI).
Mitral Valve replacement: An open mitral valve replacement is a surgery to replace a poorly working mitral valve with an artificial valve.
Transcatheter Mitral valve replacement is also developing rapidly.
Tissue valves can last 10 to 20 years, and usually don’t require the long-term use of medication. For a young person with a tissue valve replacement, the need for additional surgery for replacement of tissue valve later in life is high.
- After an aortic valve replacement, you’ll usually need to stay in the hospital for about a week.
- The time required to fully recover varies depending on factors like your age and overall health.
- Your breastbone will usually heal in about 6 to 8 weeks, but it maybe 2 to 3 months before you feel your normal self again.
- An atrial septal defect is a hole between the two upper chambers of the heart. To close the hole, the doctor will place a special device in your child’s heart by catheterization through a percutaneous route. If the hole is too big to close with the device, the hole will be closed with surgery.
- Atrial septal defect (ASD) is one of the most common congenital lesions in adults. Percutaneous device closure remains the preferred approach. For ASDs that are not amenable to percutaneous closure, minimally invasive ASD repair represents an important and safe alternative.