Cardiothoracic and Vascular Surgery Hospital in Mumbai, India

The Cardiothoracic and Vascular Surgery Unit at Heart Institute offers high quality, comprehensive cardiovascular care by combining cardiology, cardiothoracic surgery and vascular surgery to provide life-changing vascular and heart disease treatments.

The doctors at the unit follow an integrated team approach to provide comprehensive prevention, diagnosis, treatment and management of the full spectrum of heart and vascular conditions. Our multidisciplinary team consisting of cardiac surgeons, cardiologists, intensivists, cardiac anaesthetists, who work closely with patients and their families to provide personalized medical care or surgical treatment for problems that affect their heart and blood vessels.

The unit is equipped with state-of-the-art technology and specialised equipment in order to offer life-changing vascular and heart disease treatments. We are backed up by Critical Care Intensivists, specialists with treatment modalities like ECMO, IABP, CRRT, etc.

Key highlights of the our centre

  • All CTVS surgeries under one roof from neonatal to old age.
  • Shorter Stays
  • Fast recovery

From minimally-invasive procedures to open-heart surgery and transplants, we offer the full spectrum of treatments such as:

Beating Heart Bypass Surgery (OPCAB) or Coronary Artery Bypass Grafting (CABG)

  • Coronary Artery Disease

Heart Valve Surgeries (Repair and Replacement Surgery)

  • Congenital valve disease
  • Aortic valve disease
    • Aortic regurgitation
    • Aortic Stenosis
    • Bicuspid aortic valve
  • Mitral valve disease
    • Mitral regurgitation
    • Mitral stenosis
    • Mitral valve prolapsed
  • Pulmonic valve disease
    • Pulmonic regurgitation
    • Pulmonic stenosis
  • Tricuspid valve disease
    • Tricuspid regurgitation
    • Tricuspid stenosis
  • Acquired Valve Disease
  • Infective endocarditis
  • Rheumatic Heart Disease

Vascular Surgeries

  • Thoracic Aortic Aneurysm
  • Aortic Dissection
  • Abdominal Aortic Aneurysm
  • Cerebrovascular Disease
  • Vertebrobasilar Disease
  • Peripheral Arterial Disease (PAD)
  • Carotid artery disease-Stroke
  • Vascular infections and complications

Redo or Reoperative Heart surgery

  • Aneurysm (excessive growth, dilatation of blood vessels) repairs
  • Bypass surgery
  • Recurrence of disease after surgery
  • Heart valve repair (aortic and mitral)
  • Prosthetic mitral valve and aortic valve endocarditis
  • Replace a degenerated or dysfunctional prosthetic valve

Lung Surgery

  • Chest wall tumours
  • Hydatid cyst excision
  • Injury to the chest wall
  • Lung resection
  • Mediastinal tumours
  • Pancoast tumour excision
  • Thoracic outlet syndrome

Beating Heart Surgeries

The team of surgeons at Cardiothoracic and Vascular Surgery Unit offers most comprehensive ‘Beating Heart Bypass Surgery’ to patients suffering from coronary artery diseases, with an aim to improve out-comes. The unit is equipped with state-of-the-art procedures to provide patients with the most effec-tive, safe and advanced cardiac care.

According to many doctors, the most common cause that leads to coronary artery disease, is a vascular cholesterol plaque build-up in the arteries, known as atherosclerosis. The plaquereduces the flow of blood resulting in malfunctioning of heart.  The four arteries in the heart which can get affected are:

  • Right main coronary artery
  • Left main coronary artery
  • Left circumflex artery
  •  Left anterior descending artery

These arteries are responsible for bringing nutrient-rich blood into the heart muscles thereby maintaining the function of heart muscles. 

What Is Beating Heart Bypass Surgery?

Also termed as Coronary Artery Bypass Graft Surgery (CABG) or Off-Pump Coronary Artery Bypass Graft Surgery (OP-CAB), Beating Heart Bypass Surgery is performed to treat a variety of medical conditions associated with Coronary Artery Diseases. It helps in bypassing blockages in the coronary arteries.

What Are The Different Types Of Beating Heart Surgery?

The surgeon will recommend beating heart surgery depending upon the number of arteries blocked in a patient’s heart:

  • Single bypass: Only one artery is blocked
  • Double bypass: Two arteries are blocked
  • Triple bypass: Three arteries are blocked

Your risk of heart attack, heart failure or other heart issues increases depending upon the number of arteries blocked.

How is Beating Heart Bypass Surgery Performed?

The surgery is performed using a contemporary technique including the off-pump artery bypass surgery, in which the heart continues to supply blood to the body even during the surgery. During the procedure, a team of surgeons uses advanced operating equipment to restore blood flow to the coronary arteries by stabilising (hold) portions of heart and bypass the blocked artery in a highly controlled operative environment.

The operations we perform at the unit are tailored according to patients’ unique needs and circums-tances. The end result equals better outcomes for patients.

Benefits of  Beating Heart Bypass Surgery

  • Heart need not be stopped during the surgery.
  • Heart Lung machine is not used.
  • Side effects of using heart lung machine are avoided.
  • Faster recovery
  • Less ICU stay

Heart Valve Surgery

The Cardiothoracic and Vascular Surgery Unit at Nanavati Max Super Speciality Hospital is home to highly experienced Cardiac surgeons who work together as a multidisciplinary team with cardiologists and other health care professionals. Our team strives to provide coordinated, comprehensive care to patients suffering from various kinds of heart valve diseases such as valvular stenosis, congenital valve disease, bicuspid aortic valve disease, acquired valve disease, mitral valve prolapse, etc.
Our unit is well-equipped with state-of-the-art facilities and offers advanced treatment options minimally invasive approach to repair or replace heart valves.

What Is Heart Valve Surgery?

A human heart has four valves which are responsible for controlling the one-way blood flow through the heart’s four chambers. When a person acquires heart valve disease (also called valvular heart disease), one or more valves in the heart are unable to function properly. 
The four heart valves include:

  • Mitral valve 
  • Tricuspid valve 
  • Pulmonary valve 
  •  Aortic valve

The surgery performed to repair or replace a valve in the heart is termed as Heart valve surgery. It is an advanced surgical procedure that is performed to prevent any lasting damage to a patient’s heart valve and heart.

What are the various types of Heart Valve Surgery?

The different types of heart surgeries we perform at the unit include:

  •  Heart Valve Repair Surgery

As the name suggests, this type of surgery is performed to repair the faulty valve. The various procedures involve:

  • Commissurotomy/ Valvulotomy: For the treatment of a tight valve
  • Annuloplasty/ Valvuloplasty: For the treatment of a leaky valve
  • Decalcification: For the removal of excessive calcium build-up

Heart Valve Replacement Surgery

When the heart valves are damaged and cannot be repaired then an advanced heart valve repair surgery is performed to replace the faulty valve. The various artificial valves are used for replacement purpose. Such as: 

  • Mechanical Valves:  Made up of long-lasting and durable plastic or metal materials
  • Biological Valves or Bio-Prosthetic Valves: These are specially prepared natural valves that come from animals like cows and pigs and human donors.
  •  Auto-Graft Valves: These are valves prepared from the patient’s tissue

How is Heart Valve Surgery Performed?

The Heart Valve Surgeries are performed under the effect of anaesthesia. A patient is put on a bypass machine which drains the blood coming to the heart, purifies it and sends it back to the body. The heart is stopped, chamber of the heart is opened & the valve which is dysfunctional is either repaired or replaced. The chamber is then closed & health is started again.
However, cardiologists can also perform a non-invasive catheter procedure called a Balloon Valvuloplasty to treat a valve with a narrowed opening. The doctor uses a catheter with a balloon on the tip to perform the procedure. This catheter is inserted into the patient’s blood vessel through the arm or groin and guided to the affected valve. The balloon is then inflated in the valve, which expands the opening of the heart valve. The doctor then removes the catheter and balloon.
After the heart valve surgery, a patient can return to their daily activities, such as working, driving and exercise in a few weeks. Our team of experts offers after surgery program to educate patients about self-care and design exercises to help them improve their overall health and recover faster after heart surgery.

Minimally Invasive Cardiac Surgery

Our team of expert cardiac surgeons, cardiologists, anaesthesiologists and other health care professionals follow a multidisciplinary approach to treat a variety of heart conditions.

The centre is well-equipped with cutting-edge technology to perform minimally invasive heart surgery and thoracoscopic surgery. We follow a patient-centric approach and work with you to provide coordinated, comprehensive care you need.

What is Minimally Invasive Cardiac Surgery? 

Minimally Invasive Heart Surgery is a safe and effective technique that is performed on or inside the heart using small incisions. It is an advanced surgical procedure with lower postoperative patient morbidity when compared with other traditional treatment approaches.

What are the Various Types Of Minimally Invasive Cardiac Surgery?

There are many types of cardiac procedures performed at the centre using Minimally Invasive Cardiac surgery, such as

  • Atrioventricular Septal Defect Surgery
  • Coronary Artery Bypass Grafting
  • Maze procedure for Atrial Fibrillation
  • Patent Foramen Ovale (PFO) repair
  • Removal of Cardiac Tumours (Myxoma, Fibroelastoma)
  • Valve Surgery

How Is Minimally Invasive Cardiac Surgery Performed?

The Minimally Invasive Cardiac surgery involves making one or more small incisions between the ribs. The surgery is then performed using advanced, high-definition endoscopic system that has a tiny camera attached to it, which is inserted into the incision, for providing a better view of the heart on the monitor. Surgeons then use special surgical tools 

What are the benefits of Minimally Invasive Cardiac Surgery Over Open-Heart Surgery?

Minimally Invasive Cardiac surgery comes with many benefits over traditional open-heart surgery. These include:

•    Less pain
•    Lower risk of infection and bleeding
•    Short incision, therefore, less scarring
•    Shorter hospital stays after surgery
•    Shorter recovery time

However, a doctor will first evaluate a patient on the basis of age, general health, medical history, and specific heart concern to decide which type of surgical treatment is best for the patient.

Peripheral Vascular Surgery

The Cardiothoracic and Vascular Surgery Unit at Heart Centre offers the most comprehensive treatment to treat diseases of the vascular system using state-of-the-art technology and leading-edge minimally invasive intervention. Our team of surgeons at the unit is well versed to treat vascular conditions including peripheral artery disease, aortic disease, mesenteric disease and carotid artery disease.

Our experts provide coordinated and comprehensive treatment to people of all ages. They follow a multidisciplinary approach to provide a patient-centric treatment plan tailored to the patient’s unique medical needs.

What is Vascular Surgery?

Vascular surgery is a speciality dealing with diseases affecting abnormal conditions of blood vessels including diseases of arteries, veins and lymphatic vessels. It is an aspect which treats and repairs the network of blood vessels and reroute the supply of blood in a normal way.

What are the Different Types of Vascular Surgery?

Depending upon the vascular condition, the surgeons at the unit offer techniques to repair damaged, tightened or partially-blocked vessels. The techniques we offer include

  • Complex Aortic Aneurysm: Due to infection or weakness the body’s largest artery called aorta can widen, stretch or even burst. This surgery is performed to repair the aorta.
  • Vascular Bypass or Vascular Graft: It is a surgical process used to treat PAD (peripheral arterial blocks).  It involves cleaning of hard, blocked or narrow arteries by placing a graft in the arteries made up of artificial material.
  • Carotid Artery Surgery: When there is calcification in carotid arteries, it can lead to blockage. The surgeons perform this surgery to remove the blockage from the arteries by repairing them through endarterectomy or grafting.

How is Vascular Surgery Performed? 

The vascular surgery procedures are performed with an aim to reconstruct and repair vessels and arteries. This helps in rerouting the blood supply to various parts and organs of the body and helps them in functioning normally.  
Interventional procedures require a small incision for placing a stent-graft or performing Angioplasty (incision-less process) while preserving blood flow to kidneys, intestines, stomach and liver. 

After the surgery, a patient can return to daily activities, such as working, driving and exercise in a few weeks.

Re-do or Re-Operative Heart Surgery

Patients who have undergone operations in the past might develop a need for Re-do or re-operative surgery due to some consequences blocked grafts, valve thrombosis, development of different diseases unrelated to surgery, structural failure of a biologic valve, etc.

The team of highly professional cardiac surgeons at Nanavati Max Super Speciality Hospital offer Re-do or re-operative heart surgery to improve the life expectancy of people who live long enough to require second heart operation. We offer the most comprehensive care to patients requiring the re-operative procedure or require one for the heart to function more efficiently.

What is Re-Do Or Re-Operative Heart Surgery?

As the name suggests re-do heart surgery signifies operating on a patient who has already undergone a heart surgery in the past. It can be due to many factors that a patient might require Re-do  or re-operative heart surgery such as dysfunctional valves, for the bypass surgery, for aneurysm (bulging of blood vessels) repair, for inflammation of inner heart layer due to artificial cardiac valve and other heart failures and other complications.

What are the Different Types of Re-Do Or Re-Operative Heart Surgery?

In order to avoid complications and death, various conditions such as progressive diseases like an aneurysm that usually aggravate over time and require constant management, a re-do or re-operative surgery is recommended. Surgeries may also be repeated to correct or replace a degenerated or dysfunctional prosthetic valve. Some of the re-operative heart surgeries we perform at the centre are for:
Aneurysm (bulging of blood vessels) repairs

  • Bypass surgery
  • Heart valve repair (aortic and mitral)
  • Prosthetic mitral valve endocarditis (infection of artificial cardiac valve)

Benefits of Re-do Heart Surgeries:

  • Longer life expectancy
  • Correction of pathology which has recurred.

A doctor will evaluate a patient’s condition for performing the Re-do or re-operative heart surgery and design a treatment plan accordingly. It is a very demanding and difficult surgery but our experts at Nanavati Max Hospital’s Heart Centre hold world class expertise in performing the surgeries with best outcomes.

Lung Surgery

The Cardiothoracic and Vascular Surgery Unit at Heart Centre is a dedicated unit providing exceptional medical care to people suffering from complex disorders related to lung. Depending upon a patient’s current medical condition our team of highly-experienced health care professionals treats a broad range of lung-related issues.

From treating the infection in the chest cavity or a part of lobe in a lung to removing an entire lung (pneumonectomy); we perform several procedures using state-of-the-art technique available at the unit. We strive to offer quality lung surgical care using innovative surgical procedures to reduce complications, trauma, pain, and recovery time for patients with lung and heart diseases.

What is Lung Surgery?

A lung surgery (called thoracotomy) is a surgical procedure performed to treat the respiratory disease that has curtailed the lung function severely. It allows the surgeon to access the chest cavity to see and reach the lungs or other organs in the chest or thorax. 

What are the Different Types of Lung Surgery?

Doctors at the unit perform a variety of lung surgeries to treat many ailments depending upon a patient’s condition and state of a disease. These include:

  • Decortication
  • Lobectomy (removing one lobe from a lung)
  • Pneumonectomy (to remove a lung)
  • Bronchopleural fistula Treatment (BPF)
  • Hydatid Cyst
  • Lung transplant

How Is Lung Surgery Performed?

The Lung Surgery at the unit is performed in two ways 

  • Thoracotomy:

It is a traditional way of performing lung surgery. The procedure begins with making an incision to open the chest wall for performing the treatment. It is performed on the right or left side of the chest. The affected part is deflated with a special tube so that a surgeon can perform the surgery. Depending upon the condition to be treated, there are four different types of Thoracotomy based on the position of the incision 

  • Posterolateral Thoracotomy (incision is made along the side of the chest towards the back between the ribs)
  • Axillary Thoracotomy (incision is made near the armpit)
  • Anterolateral Thoracotomy (incision is made along the front of the chest)

•    Video-Assisted Thoracoscopic Surgery (VATS): 

It is also called a minimally invasive procedure which involves making small incisions thereby eliminating the need of opening the chest. The process involves the use of a thin, flexible tube with a tiny camera attached to its tip and other specialised tools that are passed through surgical cuts to perform surgery. This procedure is less painful and provides faster recovery as compared to the traditional Thoracotomy. 

Both procedures are performed under general anaesthesia in the operating room. A surgeon will evaluate patient’s condition and design a treatment plan accordingly, thereby, improving the surgical outcomes and quality of life of a patient.

Our Medical Experts

If you are facing any similar signs or symptoms please contact the Nanavati Max team to schedule an appointment at : +91 22 6836 0000

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