Cost of Cardiac Bypass Surgery in India : Best Heart Hospitals in the World

Heart Surgery in India with the Best Heart surgeons in India is what medical tourists coming to India look for and is delivered at best cardiac hospitals in India. No other destination in the world can match the unparalleled clinical excellence, technology infrastructure and cost advantage offered by MedWorld India affiliated heart hospitals in India to deliver 99 percent and above successful outcomes for heart surgery.

Popularly known as the Bypass Surgery, Cardiac bypass implanting a healthy or working blood vessel from any other part of the body to bypass the blocked vessel. The heart surgeons in India are highly experienced to perform a CABG or heart bypass surgery. India offers great value proposition to patients looking for affordable Heart surgery or Cardiac surgery abroad as not only the cost of cardiac bypass surgery in India is very low, the facilities and infrastructure is most modern and is counted among the best heart hospitals in the world. The blockages in the arteries grow with the deposition of fat. This process is called as Artherosclerosis. These blockages obstruct the free flow of the blood to the various parts of the heart leading to severe chest pain (known as angina) or a heart attack in the later stages.

Today Cardiology treatment in India has come up as a suitable option in order to get rid of any of the heart defects as the cost in India of any of the treatments is the best and that too at rates which are absolutely affordable. Because of these benefits of choosing in India, any of the treatments, many foreigners have come down here in order to solve their trouble of heart diseases.

CABG improves long-term health of the heart in patients who are suffering from stenosis of the left main coronary artery. It is also very helpful for patients who have severe stenosis in multiple arteries and those who are suffering from debilitation of heart-muscle pump function.

A graft, which is a common blood vessel, created to clear a blocked artery, is attached above and below the area within the blocked artery so that the blood flow can be diverted to the new, unblocked path, and hence blood flows freely to the heart. The graft is usually taken from an internal mammary artery of the chest, or the veins of the leg. The traditional operation requires a six to eight inch incision down the center of the breastbone so the surgeon can reach the heart directly. During the surgery, the body is connected to a heart-lung bypass machine that keeps the blood flowing so that circulation of blood to other parts of the body is not hampered. The heart is stopped while the doctor conducts the operation and special wires are used to close the chest.

Candidates

Cardiac Bypass Surgery in India is indicated:

• When the number, location, and extent of coronary artery stenosis (occlusions) present a significant risk of heart attack to the patient.
• During or immediately after a heart attack to attempt to salvage damaged heart muscle. 

Expected Results

• CABG surgery quite is helpful in relieving angina
• The surgery improves long-term survival of patients suffering from low heart muscle pump function or stenosis of left main coronary or multiple arteries.  

Recovery

The patient recovers in a surgical intensive care unit for one to two days after the surgery. Drugs are prescribed to control pain and to prevent unwanted blood clotting. One can resume a normal routine on the third day, including eating regular food, sitting up, and walking around a bit. Full recovery from coronary artery bypass graft surgery takes about 6 to 8 weeks.

Time & Cost

A stay of 7-9 days in the hospital, including 2 days stay at Intensive Care Unit (ICU) of close monitoring, immediately after the surgery is required. A stay of two weeks in India is required for Open heart bypass surgery or CABG . Most patients are fully functional in six to eight weeks.

Patient Testimonials

Heart Surgery in India with the Best Heart surgeons in India : Zambian Patients Treatment India

Heart Patient from Zambia : Heart Surgery in India , Best Heart Hospital in India

Cost of Heart or Cardiac Bypass surgery in India

Approximate, all inclusive cost of open heart or cardiac bypass surgery (CABG )in India starts from 330,000 INR (approx.USD 5,500) and varies depending on the facility & city you chose to get the procedure done. 

MedWorld India Affiliated Best Heart Hospitals in India offer: - The ultimate destination for international patients who want World Best, Affordable Heart Surgery

·         Latest and best available techniques globally like Robotic Heart Surgery, Minimally Invasive Valve & coronary Heart Bypass Surgery, Primary and complex Coronary Angioplasties and Stenting. Percutaneous Valvular interventions including aortic valve replacement need a special mention..

·         Many of the world's finest heart hospitals are located in India with 98-99 % success rate for most procedures.

·         Cost of Surgery just 1/6th of cost in USA, UK or Europe with finest quality implants, prosthesis and consumables imported from Leading International Companies.

·         The highly trained team of Electrophysiologists have tremendous experience in doing all kind of radiofrequency ablations, device implantations, electrophysiology studies, and pacemaker and resynchronization therapy.

·         Computer Navigation Surgery System for excellent outcomes and use of finest quality implants, prosthesis and consumables imported from Leading International Companies.

·         Specialized Physiotherapy and Rehabilitation services for quick rehabilitation after cardiac surgery in India.

·         India’s leading hospital for children’s heart surgeries performs almost 3 times as many surgeries as Children’s Hospital, Boston, the leading children’s hospital in the USA

Am I a candidate for Angioplasty and Stenting?

You may be a candidate for angioplasty and stenting if you have moderate to severe narrowing or blockage in one or more of your blood vessels. Usually, you will also have symptoms of artery disease, such as pain or ulceration, in one of your limbs.

If you have extremely hard plaque deposits, blockages that contain blood clots or a large amount of calcium, extensive or particularly long blockages, blood vessel spasms that don't go away, or complete blockages that cannot be crossed with the catheter, you probably are not a good candidate for angioplasty.

Am I at risk for complications during Angioplasty and Stenting?

Complications to angioplasty and stenting may include reactions to the contrast dye, weakening of the artery wall, bleeding at the access puncture site in the vessel or the angioplasty site, re-blocking of the treated artery, and kidney problems. Additionally, blockages can develop in the arteries downstream from the plaque if plaque particles break free during the angioplasty procedure. If severe, these can lead to worsening of the blood flow.

If you have diabetes or kidney disease, you may have a higher risk of complications from the contrast dye, such as kidney failure. In the case of kidney disease, sometimes pre-treatment with medications or fluids may decrease the impact on your kidneys.

People with blood clotting disorders also may have a higher risk of complications from the procedure. If the plaque deposits in your arteries are especially long, you may have a greater chance of your artery closing up again after angioplasty and stenting.

What happens during Angioplasty and Stenting?

Your physician will usually insert the angioplasty catheter through a small puncture point over an artery in your groin, your wrist, or your elbow. Before the insertion, he or she will clean your skin and shave any hair in the immediate area. This is done to reduce your risk of infection. Your physician numbs your skin and then makes a small cut or puncture to reach the artery below. Although you may be given some mild sedation, your vascular surgeon will usually want you to stay reasonably alert to follow instructions and describe your sensations during the procedure.

Your vascular surgeon then inserts a guide wire or a guide catheter into your artery. Using a type of x ray that projects moving pictures on a screen, your physician guides the catheter through your blood vessels. Because you have no nerve endings in your arteries, you will not feel the catheters as they move through your body.

Next, your vascular surgeon will insert a balloon catheter over the guide wire or through the guide catheter. The balloon catheter carries a deflated and folded balloon on its tip. Your vascular surgeon guides the balloon catheter to the narrowed section of your artery. He or she partially inflates the balloon by sending fluid through the balloon catheter.

Your vascular surgeon watches the x ray screen for signs of a pinch in the balloon. Then, your vascular surgeon will inflate the balloon more, until the pinch caused by your artery flattens out. When the balloon is full, your vascular surgeon may deflate and re-inflate it repeatedly to press the plaque against your artery walls. Usually, this process takes a few minutes. Sometimes, if you have a severe blockage, your physician may need to inflate and deflate the balloon longer.

Your artery may stretch and your blood flow through the artery stops when the balloon is pushing your artery open. This may cause pain. However, the pain should go away when your vascular surgeon deflates the balloon and normal blood flow resumes. Make sure to tell your physician if you experience any symptoms during angioplasty.

There is a risk that your artery will re-narrow or become blocked again at the site where the balloon was inflated. This can happen soon after the procedure, or months to years later. Re-narrowing of your artery is called restenosis, and if your artery suddenly becomes blocked again it is called re-occlusion. Restenosis can happen when scar tissue builds up inside your arteries where the balloon compressed your plaque deposits.

After angioplasty, your vascular surgeon will sometimes need to use a stent to brace the artery open to prevent re-occlusion. A stent is a tiny mesh tube that looks like a small spring, and comes in a variety of sizes. To place a stent, your physician removes the angioplasty balloon catheter and inserts a new catheter. On this catheter, a closed stent surrounds a deflated balloon. Your vascular surgeon guides the stent through your blood vessels to the place where the angioplasty balloon widened your artery. Your physician inflates the balloon inside of the stent. This expands the stent. Your physician then deflates and removes the balloon. The stent remains in place to support the walls of your artery. Your artery walls grow over the stent, preventing it from moving. Although stents help prop open your arteries, scar tissue sometimes can eventually form around stents and cause restenosis.

A new type of stent is coated with drugs. These drugs may help prevent scar tissue from forming inside a stent. Studies have shown that these new stents may be more likely to prevent restenosis than ordinary, non-coated stents. In the United States, physicians currently use drug-coated stents in coronary arteries (the arteries supplying the heart). Experts are still testing drug-coated stents for use in other arteries.

Once your vascular surgeon finishes angioplasty and stenting, he or she removes all of the catheters from your body. If blood-thinning medications have been used, your physician may leave a short tube, called a sheath, in your artery for a short time until the medications have worn off sufficiently to allow the puncture site to seal over when the sheath is removed.

Eventually, your physician removes the sheath and presses on the puncture area for 15 to 30 minutes to prevent bleeding. Sometimes, instead of pressing, your physician may close the area with a device that functions like a tiny cork, or he or she may use stitches.

Angioplasty and stenting usually takes between 45 minutes and 3 hours, but sometimes longer depending upon the particular circumstances.

What can I expect after Angioplasty and Stenting?

Usually, you will stay in bed for six hours after your angioplasty. During this time, your vascular surgeon and the hospital staff closely monitor you for any complications. If your physician inserted the catheters through an artery in your groin, you may have to hold your leg straight for several hours. Similarly, if your arm was used, then you will need to hold it still to minimize the risk of bleeding.

If you notice any unusual symptoms after your procedure, you should tell your vascular surgeon immediately. These symptoms include leg pain that lingers or gets worse, a fever, shortness of breath, an arm or a leg that turns blue or feels cold, and problems around your access site, such as bleeding, swelling, pain, or numbness.

After you return home, your vascular surgeon will give you instructions about everyday tasks. For example, you should not lift more than about 10 pounds for the first few days after your procedure. You should drink plenty of water for 2 days to help flush the contrast dye out of your body. You can usually shower 24 hours after your procedure, but you should avoid baths for a few days.

Your physician may prescribe aspirin or other medications that thin your blood. These medications will help prevent clots from forming on your stent. Your physician may also ask you to follow an easy exercise program, like walking.

You will be asked to schedule a time to see your physician after the procedure. At this appointment, your physician may check your blood to make sure your medications are at the right dosage. He or she may also use tests to see how blood is flowing through your treated artery.

Heart Surgery in India with the Best Heart surgeons in India : Minimally Invasive Heart Valve Surgery

Blood is pumped through your heart in only one direction. Heart valves play a key role in this one-way blood flow, opening and closing with each heartbeat. Pressure changes on either side of the valves cause them to open their flap-like "doors" (called cusps or leaflets) at just the right time, then close tightly to prevent a backflow of blood.

There are 4 valves in the heart:

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

Nearly all of these operations are done to repair or replace the mitral or aortic valves. These valves are on the left side of the heart, which works harder than the right. They control the flow of oxygen-rich blood from the lungs to the rest of the body.

Valve Disease

If valve damage is mild, doctors may be able to treat it with medicines. If damage to the valve is severe, surgery to repair or replace the valve may be needed.

What is valve repair?

Valve repair can usually be done on congenital valve defects (defects you are born with) and has a good success record with treating mitral valve defects.

Here are some procedures surgeons may use to repair a valve:

• Commissurotomy, which is used for narrowed valves, where the leaflets are thickened and perhaps stuck together. The surgeon opens the valve by cutting the points where the leaflets meet.
• Valvuloplasty, which strengthens the leaflets to provide more support and to let the valve close tightly. This support comes from a ring-like device that surgeons attach around the outside of the valve opening.
• Reshaping, where the surgeon cuts out a section of a leaflet. Once the leaflet is sewn back together, the valve can close properly.
• Decalcification, which removes calcium buildup from the leaflets. Once the calcium is removed, the leaflets can close properly.
• Repair of structural support, which replaces or shortens the cords that give the valves support (these cords are called the chordae tendineae and the papillary muscles). When the cords are the right length, the valve can close properly.
• Patching, where the surgeon covers holes or tears in the leaflets with a tissue patch.

What is valve replacement?

Severe valve damage means that the valve will need to be replaced. Valve replacement is most often used to treat aortic valves and severely damaged mitral valves. It is also used to treat any valve disease that is life-threatening. Sometimes, more than one valve may be damaged in the heart, so patients may need more than one repair or replacement.

There are 2 kinds of valves used for valve replacement:

• Mechanical valves, which are usually made from materials such as plastic, carbon, or metal. Mechanical valves are strong, and they last a long time. Because blood tends to stick to mechanical valves and create blood clots, patients with these valves will need to take blood-thinning medicines for the rest of their lives.
• Biological valves, which are made from animal tissue (called a xenograft) or taken from the human tissue of a donated heart (called an allograft or homograft). Sometimes, a patient's own tissue can be used for valve replacement (called an autograft). Patients with biological valves usually do not need to take blood-thinning medicines. These valves are not as strong as mechanical valves, though, and they may need to be replaced every 10 years or so. Biological valves break down even faster in children and young adults, so these valves are used most often in elderly patients.

You and your doctor will decide which type of valve is best for you.

During valve repair or replacement surgery, the breastbone is divided, the heart is stopped, and blood is sent through a heart-lung machine. Because the heart or the aorta must be opened, heart valve surgery is open heart surgery.

What to Expect

The operation will usually be scheduled at a time that is best for you and your surgeon, except in urgent cases. As the date of your surgery gets closer, be sure to tell your surgeon and cardiologist about any changes in your health. If you have a cold or the flu, this can lead to infections that may affect your recovery. Be aware of fever, chills, coughing, or a runny nose. Tell the doctor if you have any of these symptoms.

Also, remind your cardiologist and surgeon about all of the medicines you are taking, especially any over-the-counter medicines such as aspirin or those that might contain aspirin. You should make a list of the medicines and bring it with you to the hospital.

It is always best to get complete instructions from your cardiologist and surgeon about the procedure, but here are some basics you can expect when you have valve repair or replacement surgery.

Before the Hospital Stay

Most patients are admitted to the hospital the day before surgery or, in some cases, on the morning of surgery.

The night before surgery, you will be asked to bathe to reduce the amount of germs on your skin. After you are admitted to the hospital, the area to be operated on will be washed, scrubbed with antiseptic, and, if needed, shaved.

A medicine (anesthetic) will make you sleep during the operation. This is called "anesthesia." Because anesthesia is safest on an empty stomach, you will be asked not to eat or drink after midnight the night before surgery. If you do eat or drink anything after midnight, it is important that you tell your anesthesiologist and surgeon.

If you smoke, you should stop at least 2 weeks before your surgery. Smoking before surgery can lead to problems with blood clotting and breathing.

Day of Surgery

Before surgery, you may have an electrocardiogram (ECG or EKG), blood tests, urine tests, and a chest x-ray to give your surgeon the latest information about your health. You will be given something to help you relax (a mild tranquilizer) before you are taken into the operating room.

Small metal disks called electrodes will be attached to your chest. These electrodes are connected to an electrocardiogram machine, which will monitor your heart's rhythm and electrical activity. You will receive a local anesthetic to numb the area where a plastic tube (called a line) will be inserted in an artery in your wrist. An intravenous (IV) line will be inserted in a vein. The IV line will be used to give you the anesthesia before and during the operation.

After you are completely asleep, a tube will be inserted down your windpipe and connected to a machine called a respirator, which will take over your breathing. Another tube will be inserted through your nose and down your throat, into your stomach. This tube will stop liquid and air from collecting in your stomach, so you will not feel sick and bloated when you wake up. A thin tube called a catheter will be inserted into your bladder to collect any urine produced during the operation.

A heart-lung machine is used for all valve repair or replacement surgeries. This will keep oxygen-rich blood flowing through your body while your heart is stopped. A perfusion technologist or blood-flow specialist operates the heart-lung machine. Before you are hooked up to this machine, a blood-thinning medicine called an anticoagulant will be given to prevent your blood from clotting. The surgical team is led by the cardiovascular surgeon and includes other assisting surgeons, an anesthesiologist, and surgical nurses.

After you are hooked up to the heart-lung machine, your heart is stopped and cooled. Next, a cut is made into the heart or aorta, depending on which valve is being repaired or replaced. Once the surgeon has finished the repair or replacement, the heart is then started again, and you are disconnected from the heart-lung machine.\

The surgery can take anywhere from 2 to 4 hours or more, depending on the number of valves that need to be repaired or replaced.

Recovery Time

You can expect to stay in the hospital for about a week, including at least 1 to 3 days in the Intensive Care Unit (ICU).

Recovery after valve surgery may take a long time, depending on how healthy you were before the operation. You will have to rest and limit your activities. Your doctor may want you to begin an exercise program or to join a cardiac rehabilitation program.

If you have an office job, you can usually go back to work in 4 to 6 weeks. Those who have more physically demanding jobs may need to wait longer.

Life after Valve Replacement

Most valve repair and replacement operations are successful. In some rare cases, a valve repair may fail and another operation may be needed.

Patients with a biological valve may need to have the valve replaced in 10 to 15 years. Mechanical valves may also fail, so patients should alert their doctor if they are having any symptoms of valve failure.

Patients with a mechanical valve will need to take a blood-thinning medicine for the rest of their lives. Because these medicines increase the risk of bleeding within the body, you should always wear a medical alert bracelet and tell your doctor or dentist that you are taking a blood-thinning medicine.

Even if you are not taking a blood-thinning medicine, you must always tell your doctor and dentist that you have had valve surgery. If you are having a surgical or dental procedure, you should take an antibiotic before the procedure. Bacteria can enter the bloodstream during these procedures. If bacteria get into a repaired or artificial valve, it can lead to a serious condition called bacterial endocarditis. Antibiotics can prevent bacterial endocarditis.

Patients with mechanical valves say they sometimes hear a quiet clicking sound in their chest. This is just the sound of the new valve opening and closing, and it is nothing to be worried about. In fact, it is a sign that the new valve is working the way it should.

Minimally Invasive ValveSurgery

Minimally invasive heart valve surgery is a technique that uses smaller incisions to repair or replace heart valves. This means there is less pain. Minimally invasive surgery also reduces the length of the hospital stay and the recovery time.

Minimally invasive valve surgery can only be done in certain patients. This type of surgery cannot be done in patients

• With severe valve damage
• Who need more than one valve repaired or replaced
• Who have clogged arteries (atherosclerosis)
• Who are obese

In some cases, minimally invasive valve surgery can be done using a robot. Robotic surgery does not require a large incision in the chest. It is not available at all hospitals, and patients with severe valve damage cannot have the procedure. The Texas Heart Institute has a robot.

With robotic surgery, the surgeon has a control console, a side cart with 3 robotic arms, a special vision system, and instruments. A computer translates the surgeon's natural hand and wrist movements made on the control console to instruments that have been placed inside the patient through small incisions. The robot's controls can read even the tiniest of movements the surgeon makes.

Robotic surgery can reduce the time it takes to do valve surgery, as well as shorten the hospital stay and recovery time. 

Heart Surgery in India with the Best Heart surgeons in India is what medical tourists coming to India look for and is delivered atbest cardiac hospitals in India . No other destination in the world can match the unparalleled clinical excellence, technology infrastructure and cost advantage offered by MedWorld India affiliated heart hospitals in India to deliver 99 percent and above successful outcomes for heart surgery.

Our aim is to reduce the deadly consequences of cardiovascular diseases through innovative therapies for patient care. Our healthcare professionals at state of the art, heart specialty hospitals have a dedicated team of Cardiac surgeons and cardiologists who work in tandem to provide comprehensive, multidisciplinary care to patients suffering from heart ailments.

MedWorld India Affiliated Best Heart Hospitals in India offer: - The ultimate destination for international patients who want World Best, Affordable Heart Surgery

• Latest and best available techniques globally like Robotic Heart Surgery, Minimally Invasive Valve & coronary Heart Bypass Surgery, Primary and complex Coronary Angioplasties and Stenting. Percutaneous Valvular interventions including aortic valve replacement need a special mention.
• Many of the world's finest heart hospitals are located in India with 98-99 % success rate for most procedures.
• Cost of Surgery just 1/6th of cost in USA, UK or Europe with finest quality implants, prosthesis and consumables imported from Leading International Companies.
• The highly trained team of Electrophysiologists have tremendous experience in doing all kind of radiofrequency ablations, device implantations, electrophysiology studies, and pacemaker and resynchronization therapy.
• Computer Navigation Surgery System for excellent outcomes and use of finest quality implants, prosthesis and consumables imported from Leading International Companies.
• Specialized Physiotherapy and Rehabilitation services for quick rehabilitation after cardiac surgery in India.
• India’s leading hospital for children’s heart surgeries performs almost 3 times as many surgeries as Children’s Hospital, Boston, the leading children’s hospital in the USA
  
  
  
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Major Facts about Coarctation of the Aorta : Best Heart Surgery Hospital in India

Coarctation of the aorta is a birth defect in which a part of the aorta is narrower than usual.If the narrowing is severe enough and if it is not diagnosed, the baby may have serious problems and may need surgery or other procedures soon after birth. For this reason, coarctation of the aorta is often considered a critical congenital heart defect. The defect occurs when a baby’s aorta does not form correctly as the baby grows and develops during pregnancy. The narrowing of the aorta usually happens in the part of the blood vessel just after the arteries branch off to take blood to the head and arms, near the ductus arteriosus, although sometimes the narrowing occurs before or after the ductus arteriosus. In some babies with coarctation, it is thought that some tissue from the wall of ductus arteriosus blends into the tissue of the aorta. When the tissue tightens and allows the ductus arteriosus to close normally after birth, this extra tissue may also tighten and narrow the aorta.

The narrowing, or coarctation, blocks normal blood flow to the body. This can back up flow into the left ventricle of the heart, making the muscles in this ventricle work harder to get blood out of the heart. Since the narrowing of the aorta is usually located after arteries branch to the upper body, coarctation in this region can lead to normal or high blood pressure and pulsing of blood in the head and arms and low blood pressure and weak pulses in the legs and lower body.

If the condition is very severe, enough blood may not be able to get through to the lower body. The extra work on the heart can cause the walls of the heart to become thicker in order to pump harder. This eventually weakens the heart muscle. If the aorta is not widened, the heart may weaken enough that it leads to heart failure. Coarctation of the aorta often occurs with other congenital heart defects.

In a recent study in Atlanta, CDC has estimated that about 4 out of every 10,000 babies born have coarctation of the aorta 1.

Causes and Risk Factors

The causes of heart defects, including coarctation of the aorta, among most babies are unknown. Some babies have heart defects because of changes in their genes or chromosomes. Heart defects, like coarctation of the aorta, are also thought to be caused by a combination of genes and other risk factors, such as things the mother comes in contact with in the environment, what the mother eats or drinks, or medicines the mother uses.

Diagnosis

Coarctation of the aorta is usually diagnosed after the baby is born. How early in life the defect is diagnosed usually depends on how mild or severe the symptoms are.  Those with severe narrowing will have symptoms early in life, while babies with mild narrowing may never have problems, or signs may not be detected until later in life.

In babies with a more serious condition, early signs usually include:

• pale skin
• irritability
• heavy sweating
• difficulty breathing

Detection of the defect is often made during a physical exam. In infants and older individuals, the pulse will be noticeably weaker in the legs or groin than it is in the arms or neck, and a heart murmur—an abnormal whooshing sound caused by disrupted blood flow—may be heard through a doctor’s stethoscope. Older children and adults with coarctation of the aorta often have high blood pressure in the arms.

Once suspected, an echocardiogram is the most commonly used test to confirm the diagnosis. An echocardiogram is an ultrasound of the heart that can show problems with the structure of the heart and the blood flow through it, and how well the heart is working. It will show the location and severity of the coarctation and whether any other heart defects are present. Other tests to measure the function of the heart may be used including chest x-ray,electrocardiogram (EKG), magnetic resonance imaging (MRI), and cardiac catheterization.

Coarctation of the aorta is often considered a critical congenital heart defect (CCHD) because if the narrowing is severe enough and it is not diagnosed, the baby may have serious problems soon after birth. CCHDs also can be detected with newborn pulse oximetry screening. Pulse oximetry is a simple bedside test to determine the amount of oxygen in a baby’s blood. Low levels of oxygen in the blood can be a sign of a CCHD. Newborn screening using pulse oximetry can identify some infants with a CCHD, like coarctation of the aorta, before they show any symptoms.

Treatment

No matter what age the defect is diagnosed, the narrow aorta will need to be widened once symptoms are present. This can be done with surgery or a procedure called balloon angioplasty. A balloon angioplasty is a procedure that uses a thin, flexible tube, called a catheter, which is inserted into a blood vessel and directed to the aorta. When the catheter reaches the narrow area of the aorta, a balloon at the tip is inflated to expand the blood vessel. Sometimes a mesh-covered tube (stent) is inserted to keep the vessel open. The stent is used more often to initially widen the aorta or re-widen it if the aorta narrows again after surgery has been performed. During surgery to correct a coarctation, the narrow portion is removed and the aorta is reconstructed or patched to allow blood to flow normally through the aorta.

Even after surgery, children with a coarctation of the aorta often have high blood pressure that is treated with medicine. It is important for children and adults with coarctation of the aorta to follow up regularly with a cardiologist (a heart doctor) to monitor their progress and check for other health conditions that might develop as they get older.

Most Advanced Minimally Invasive Heart Valve Replacement or Repair Surgery Techniques in India

The four valves inside the heart must swing open easily and then click shut tightly—about 60 times per minute—to keep blood pumping smoothly in the proper direction. But these hard-working, one-way valves often break down. The most common problems are leaks (regurgitation) and narrowing (stenosis).

Heart disease can produce these valve problems. For example, patients with an aortic aneurysm, a heart attack, or high blood pressure may develop aortic valve regurgitation. In this condition, also called insufficiency, the valve flaps (leaflets) do not close completely. This allows leakage of blood backward into the left ventricle after each heartbeat. Infection, inherited conditions, or other problems may also cause valve problems. 

If untreated, a faulty heart valve can trigger serious problems elsewhere in the heart. For example, patients who have mitral valve regurgitation (where the leaflets leak blood backward into the atrium) are at risk of arrhythmias, heart failure, or stroke. Mitral valve stenosis can cause heart failure or lung problems due to the backflow pressure.

Surgery is often the best solution for valve problems.|

Common Types of Valve Surgery

Your surgeon may recommend surgery to repair a damaged or diseased valve. Surgery is most often needed for the mitral valve or aortic valve on the more powerful left side of the heart. But some people need surgery on the tricuspid valve or pulmonary valve. Many valve procedures can be done with minimally invasive or robotic-assisted techniques that may limit pain and speed recovery.

we offer a full range of minimally invasive approaches (totally endovascular, mini-thoracotomy, port access, keyhole, and robotic-assisted) as well as standard open surgical procedures. All these terms describe how the surgeon reaches the heart valve to make the necessary repair—not the exact surgical repair itself. Learn more about robotic and minimally invasive 

Aortic Valve Surgery or Mitral Valve Surgery.

The purpose of valve surgery is to help your existing valve work better—either opening more fully or closing more completely. The most common valve surgeries performed include:

Valve Repair andRreshaping

·     Your surgeon can use a variety of tools and methods to repair, reshape, trim, or otherwise modify the valve flaps to create a tighter seal or to enlarge the opening.

·     Any tears or holes in your valve can be patched or sewn back together to prevent leakage.

·     In another common technique to improve valve function, your surgeon may shorten or repair the cords or tendons inside the heart that attach to the valves. These cords, called papillary muscles and chordae tendineae, are sometimes ruptured or weakened by a heart attack or infection.

·         One or more of these repair procedures might be used to limit stenosis or regurgitation.

Annuloplasty

·         If the base of a mitral or tricuspid valve becomes enlarged, dilated, or damaged, your surgeon can strengthen this ring of tissue (called the annulus) by sewing in an O- or C-shaped annuloplasty ring at the valve base.

·         This synthetic ring provides a firmer foundation for the valve.

·         It also cinches up the loose opening, allowing the valve to seal more tightly and prevent regurgitation of blood into the atria. 

·         Annuloplasty can now be accomplished using minimally invasive techniques.

Mitral Prolapse Repair

·      

   If your mitral leaflets are weak or thickened, they may bulge backward with every heartbeat. In some cases, blood spills backward through the ballooning valve into the left atrium.

·         If prolapse is starting to cause symptoms, or if tests indicate future risks, your surgeon can remove a section of one or more leaflets to "tighten up" the leaflet(s) and prevent mitral regurgitation.

·         Another option for a floppy mitral valve is to insert an annuloplasty ring to strengthen the valve's base.

Mitral Balloon Valvuloplasty

·         If you have a certain type of mitral stenosis, your surgeon can guide a balloon-tipped catheter into the mitral valve and gently inflate it to force open the valve and improve blood flow.

·         The catheter is a wire-like tube that can be inserted through a leg artery and guided up to the heart, thus avoiding open surgery.

·         This procedure, called balloon valvotomy or valvuloplasty, is usually for milder stenosis with no regurgitation or calcification.

·         A valve replacement is often needed for more severe stenosis.

Repair or Replacement ofBicuspid Aortic Valve

·         About 1% to 2% of the population is born with two of their three aortic valve leaflets (cusps) fused together.

·         For many people this "bicuspid" aortic valve is no problem. But if your bicuspid valve is causing stenosis, your surgeon may recommend repair to separate the fused cusps.

·         If the problem is severe, you may need a valve replacement.

Aortic, Mitral,Pulmonary, or Tricuspid Valve Replacement

·         In severely diseased or damaged valves, replacement with a new mechanical or tissue (from pig, cow, or human donor) valve is sometimes recommended.

·         Your surgeon will provide details about the benefits of repair versus replacement and the trade offs between mechanical and tissue (biologic or bioprosthetic) valves.

·         Some valves can be replaced using minimally invasive techniques.

MedWorld India Affiliated Best Heart Hospitals in India offer: - The ultimate destination for international patients who want World Best, Affordable Heart Surgery

• Latest and best available techniques globally like Robotic Heart Surgery, Minimally Invasive Valve & coronary Heart Bypass Surgery, Primary and complex Coronary Angioplasties and Stenting. Percutaneous Valvular interventions including aortic valve replacement need a special mention..
• Many of the world's finest heart hospitals are located in India with 98-99 % success rate for most procedures.
• Cost of Surgery just 1/6th of cost in USA, UK or Europe with finest quality implants, prosthesis and consumables imported from Leading International Companies.
• The highly trained team of Electrophysiologists have tremendous experience in doing all kind of radiofrequency ablations, device implantations, electrophysiology studies, and pacemaker and resynchronization therapy.
• Computer Navigation Surgery System for excellent outcomes and use of finest quality implants, prosthesis and consumables imported from Leading International Companies.
• Specialized Physiotherapy and Rehabilitation services for quick rehabilitation after cardiac surgery in India.
• India’s leading hospital for children’s heart surgeries performs almost 3 times as many surgeries as Children’s Hospital, Boston, the leading children’s hospital in the USA

India offers great value proposition to patients looking for affordable Heart surgery or Cardiac surgery abroad as not only the cost of valve replacement in India is very low, the facilities and infrastructure is most modern and is counted among the best heart hospitals in the world. Cardiac surgeons now use most advanced minimally invasive heart valve replacement or repair surgery techniques for eligible patients.

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