Cardiac Surgery in Pune

The department of cardiac surgery at Jupiter Hospital is led by a team of experts who specialise in complex treatments such as bypass surgery, which is used to restore normal blood circulation in the body by bypassing clogged or damaged arteries. To ensure a smooth pre, peri, and post-operative experience, we use cutting-edge facilities and treatment techniques.

What is bypass surgery?
Heart bypass surgery, also known as coronary artery bypass graft (CABG), is a technique that is performed on a totally or partially blocked artery to reroute blood flow by forming a bypass with a healthy blood vessel taken from the patient's leg or arm. CABG does not address the underlying problem that caused the blockage in the first place, but it does help to relieve symptoms, improve heart function, and reduce the risk of cardiac arrest and heart failure.

Who needs bypass surgery? 
Bypass surgery may be recommended to patients with any of the following problems:

• Severe angina (chest pain) triggered by the narrowing of the arteries.
• Two or more damaged arteries and dysfunctional left ventricle.
• Severely diseased or blocked left main coronary artery.
• Stenotic arteries that cannot be treated by simple angioplasty and stent placement.

What are the different types of bypass surgery?

• Conventional bypass surgery- It entails the use of a heart-lung machine and is performed using the traditional open-heart technique.
• Off-pump bypass surgery – The procedure is conducted without the use of a heart-lung bypass machine by stabilising the heart with specialised equipment during surgery.
• Minimally invasive bypass surgery- Through microscopic keyhole incisions on the patient's chest, robotics and video imaging technology are used to perform minimally invasive bypass surgery.

What are the benefits of bypass surgery?
The various benefits of bypass surgery include the following:

• Relief from chest pain and discomfort
• Return to a normal lifestyle
• Reduced risks of cardiac arrest and heart failure.
• Improved survival rates

The department of cardiac surgery provides the most advanced treatment and management for patients with heart failure. The centre provides state-of-the-art facilities and treatment modalities that are complemented by our specialists' knowledge.

What is heart failure?
Commonly referred to as congestive heart failure, this condition is represented by the heart's inability to pump blood efficiently. It may be caused by an underlying heart condition such as coronary artery disease, high blood pressure, a damaged heart valve, cardiomyopathy, myocarditis, arrhythmia, or a congenital heart defect.

How is the condition diagnosed?
evaluation followed by a series of screenings and tests that include:

• Blood tests
• Chest x-rays
• Electrocardiogram (ECG)
• Echocardiogram
• Stress test
• Coronary angiography
• Coronary angiogram
• Myocardial biopsy 
• Magnetic resonance imaging (MRI) scan
• Cardiac computerised tomography (CT) scan

What are the treatment options available?
The numerous available treatments for congestive heart failure include:

• Coronary bypass surgery: Coronary bypass surgery is performed on severely obstructed coronary arteries to restore normal blood flow by constructing a bypass using a healthy blood vessel taken from the arm, leg, or chest of the patient. Repair or replacement of heart valves: The surgical procedure attempts to repair or replace diseased or damaged heart valves. Depending on the patient's preference and overall medical evaluation, this can be performed using either the traditional open-heart technique or the latest minimally invasive technique.
• Heart valve repair or replacement: The surgical procedure attempts to repair or replace diseased or damaged heart valves. Depending on the patient's preference and overall medical evaluation, this can be performed using either the traditional open-heart technique or the latest minimally invasive technique.
• Implantable cardioverter-defibrillators (ICDs): This is an electronic device that is surgically implanted beneath the epidermis in the chest cavity in order to generate electric pulses or shocks that help regulate the heartbeats of a patient with arrhythmia.
• Ventricular assist devices (VADs): Also known as a mechanical circulatory support device, it is a mechanical pump implanted in the abdominal or thoracic cavity to assist the heart in efficiently pumping blood. It is the optimal option for patients awaiting a heart transplant to maintain their heart beating until the right donor is found.
• Heart transplant: Heart transplant is an option for patients with severe heart failure who have failed to respond to other treatments. As the term suggests, the procedure entails replacing a diseased or non-functional heart with a healthy heart from a deceased donor.

Adhering to the most recent medical advancements, the Department of Cardiac Surgery at Jupiter Hospital provides cutting-edge surgical techniques and procedures, such as minimal access surgeries, which have garnered tremendous momentum in recent years.

What are minimally invasive procedures?
Minimal access surgeries is an umbrella term for a variety of minimally invasive surgical procedures performed through a very small incision utilising specialised imaging technology and robotic techniques.

Why is the procedure performed?
Minimal access heart surgeries can be performed for any of the following reasons:

• Mitral valve repair/replacement
• Tricuspid valve repair/replacement
• Aortic valve repair/replacement
• Atrial septal defect repair
• Atrioventricular septal defect 
• Coronary artery bypass surgery
• MAZE procedure for atrial fibrillation 
• Ventricular assist device placement 

What are the benefits of minimally invasive heart surgery?
Various benefits of minimally invasive heart surgeries include:

• Reduced blood loss
• Decreased risks of infection
• Alleviated post-operative trauma and pain
• Shorter convalescence period
• Minimal scarring