The department of Cardiothoracic and Vascular Surgery was established in January 1996. Since then over 2500 operations including complicated coronary artery bypass operations, surgery for all types of valvular heart disease and infant and neonatal heart surgery have been done. Apart from this all types of thoracic and extracranial cerebrovascular operations have also been conducted. The success rate of the surgeries performed, stands at 99%.
Cardiac Treatment Facilities
CABG technique on the beating heart without the use of a heart lung machine coronary artery bypass, with mammary artery and redo bypass surgeries.
Total artificial heart and left ventricular assist devices.
Cardiothoracic Vascular Surgery ICU
The twenty-three bedded CTVS ICU has a one to one nursing ratio, round the clock. It is equipped with :-
Bedside colour Doppler.
Echocardiography system.
Continuous Oxygen supply.
Infusion pumps.
Defibrillator.
Ventilators.
Invasive as well as non-invasive pressure monitoring systems.
Temporary Pace maker (transdermal as well as transvenous).
Intra aortic balloon pump.
ABG (Blood Gas machine).
Electrolytes analysis machine.
[ Radio Frequency Ablation sites for Accessory pathways ]
Electrophysiological
Electrophysiological studies have been used for decades to evaluate cardiac arrhythmias and to have basic understanding of their mechanisms. Insight helped the electrophysiologists to treat various arrhythmias and obtain permanent cure. Supraventricular tachycardia with accessory pathway or dual AV nodal pathway can be treated with over 90% success. Atrial flutter can be cured by ablation of isthmus between IVC and tricuspid valve with relative freedom from systemic embolization.
Indraprastha Apollo Hospitals has conducted two workshops with international luminaries who have demonstrated various technical details of electophysiological studies and Radio frequency ablations.
Venticular tacharrhythmias are the commonest cause of sudden cardiac death (SCD). It has been seen that more than 50 % patients are unable to reach hospital alive after myocardial infarction (heart attack) due to fatal ventricular tachycardias. Many patients with poor heart functioning (Ejection fraction < 40 % ) are at high risk of SCD. The patients are investigated by EP study and if required then provided with implantable cardioverter defibrillator (ICD) as a life saving device.
Indraprastha Apollo Hospital has a tie up with passaic General Hospital, New Jersey and able to provide these expensive devices at much lower cost for Indian patients. We have capabilities for multisite pacing for the patients of heart failure and Dilated Cardiomypathy. Recently a bilateral pacing was performed for intermittent Atrial Fibrillation.
Interventional Cardiology
The Cardiology Department is manned by senior Cardiologists trained in India and abroad. Coronary stenting is routine and performed by most of the invasive cardiologists. Patients with high risk and multi vessel involvement are also undertaken. Primary angioplasty, an approach of opening blocked coronary artery during acute myocardial infarction, in place of thrombolysis is practised in suitable cases.
The cardiologists have performed over 15000 angiographies and nearly 3000 coronary angioplasties since the establishment of the department in January '96. Non-coronary intervention deals with variety of cardiovascular abnormalities. Subclavean, iliac, femoral and carotid artery balloon angioplasty and stenting are being performed. Vascular dissection and aneurysm repair are also conducted with covered stents.
Cardiac Treatment Facility
Non Surgical closure of Heart Defects : -
Patients with a hole in their heart, whether Atrial septal defect, small ventricular septal defect or Patent ductus Arteriosus can be closed effectively by Button or Amplatzer's device or Coils. A young boy of four years having Patent ductus Atreriosus was taken for non surgical repair. Patent ductus was 4mm in diameter and was closed by coils by a modified arterial and venous approach. The abnormal communication was sealed off by placing three coils. The patient was discharged with no complications within three days. His progress is satisfactory after three years of this procedure.
Non Invasive Cardiology
The Department of Non-Invasive Cardiology is one of the busiest departments of the hospital and has state-of-the-art facilities. An average of 1400-1500 echoes are done monthly with a daily average of 50 echoes and total of 700-900 TMTs per month with an average of 25-30/ day. On a peak day there are as many as 50 TMTs & 75-80 echoes. The echoes include stress echoes, dobutamine stress echoes, vascular dopplers, transoesophageal echoes, intraoperative TEE and foetal echoes.
The department constitutes of 2 divisions : -
Catering to the indoor patients
Outpatient Officies of Doctors.
The Non-Invasive Cardiac Laboratory is run by Dr. P.K. Ghosh & Dr. K.K. Kapoor the two senior consultants, Cardiologists who are whole time dedicated to the work in the Non-Invasive Cardiac Laboratory. Besides them the staff includes Registrars & Jr.Consultants practicing non-invasive cardiology and technicians & stenos.
The indoor facility provides for echoes done in the echo room. Echoes are also done on an emergency basis round the clock indoors.
The out door department remains extemly busy with 25-30 echoes and a similar number of TMTs done daily and on a peak day these number could be 50 and 50 respectively. It may be pointed out that about 30-40% of the echoes are Vascular Dopplers and between 8-10 Stress & Dobutamine stress echoes are done daily. The policy is not to give appointments which makes the patient come back to the hospital again, but to do the echoes as they come. The waiting time is not more than half an hour and the department also gives typed reports within 15 minutes to half an hour of the procedure.
The department follows an active involvment in hands on training in echocardiography. These doctors come from all over India to learn and then subsequently go back and practice what they have learned.
Cardiothoracic Surgery
The department of Cardiothoracic and Vascular Surgery was established in January 1996. Since then over 2500 operations including complicated coronary artery bypass operations, surgery for all types of valvular heart disease and infant and neonatal heart surgery have been done. Apart from this all types of thoracic and extracranial cerebrovascular operations have also been conducted. The success rate of the surgeries performed, stands at 99%.
Cardiac Treatment Facilities
CABG technique on the beating heart without the use of a heart lung machine coronary artery bypass, with mammary artery and redo bypass surgeries.
Valve repair/ replacement procedures.
Closed cardiac and thoracic operations.
PDA
ASD
VSD
TOF
Repair of adult coarctation.
Redo Tetralogy.
Fontan type of operations.
DTGA
Tricuspid atresia.
Coronary arteriovenouus fistula.
Facilities Available
3 dedicated cardiac theatres, (computerized monitoring systems, centrifugal pumps, etc.
23 bedded intensive care unit
50 specially trained nurses
4 experienced physiotherapists
Future Programmes
Heart transplant and heart lung transplant
Homograft programme
Newer methods of revascularization
Total artificial heart and left ventricular assist devices
Cardiothoracic Vascular Surgery ICU
The twenty-three bedded CTVS ICU has a one to one nursing ratio, round the clock. It is equipped with : -
Bedside colour Doppler
Echocardiography system
Continuous Oxygen supply
Infusion pumps
Defibrillator
Ventilators
Invasive as well as non-invasive pressure monitoring systems
Temporary Pace maker (transdermal as well as transvenous)
For more information, medical assessment and medical quote
send your detailed medical history and medical reports
as email attachment to
Email : - info@wecareindia.com
Call: +91 9029304141 (10 am. To 8 pm. IST)
(Only for international patients seeking treatment in India)
For a detailed evaluation send patient’s medical reports / X rays / doctors notes to info@wecareindia.com
Patient Storys
Successful heart surgery at We Care India partner hospital allows Robert Clarke to live a normal life despite a rare genetic disorder We Care india helped Robert find best super specialised surgeon for his rare conditions.
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