Conventional Heart Surgery - Dr. Kishor Deore

Conventional heart surgery, also known as open-heart surgery, involves making an incision in the chest to access the heart. It is used to treat various heart conditions, including coronary artery disease, valvular heart disease, congenital heart defects, and more. During the surgery, the heart is temporarily stopped, and a heart-lung machine is used to circulate blood and oxygen throughout the body.

There are several types of conventional heart surgeries, each designed to address specific heart conditions:

• Coronary Artery Bypass Grafting (CABG): This procedure is commonly referred to as bypass surgery. It involves using a blood vessel graft to bypass blocked or narrowed coronary arteries, restoring blood flow to the heart muscle.
• Valve Replacement or Repair: Conventional surgery can be used to replace or repair heart valves that are damaged or malfunctioning. Valves can be mechanical (made of materials like metal) or biological (taken from human or animal tissues).
• Aortic Aneurysm Repair: This surgery involves repairing an enlarged section of the aorta, the main blood vessel that carries blood from the heart to the rest of the body. Aneurysms can be repaired using open surgery or minimally invasive techniques.
• Atrial Septal Defect (ASD) and Ventricular Septal Defect (VSD) Repair: These surgeries are performed to close abnormal openings between the chambers of the heart. ASDs are openings between the atria (upper chambers), and VSDs are openings between the ventricles (lower chambers).
• Myectomy and Myotomy: These surgeries are used to treat hypertrophic cardiomyopathy, a condition where the heart muscle becomes abnormally thick, potentially obstructing blood flow. Myectomy involves removing a portion of the thickened muscle, while myotomy involves making an incision in the muscle to relieve the obstruction.
• Maze Procedure: This surgical technique is used to treat atrial fibrillation, a type of irregular heart rhythm. The surgeon creates a pattern of scars on the heart's atria to redirect the electrical signals and restore a normal rhythm.
• Transmyocardial Laser Revascularization (TMR): TMR is used to improve blood flow to the heart muscle in cases where traditional methods like bypass surgery are not feasible. A laser is used to create small channels in the heart muscle, promoting new blood vessel growth.