Paediatric Heart Surgery in India with the Best Paediatric Heart surgeons in India

Paediatric Heart Surgery in India with the Best Paediatric Heart surgeons in India is what you would want if your little one is suffering from any heart ailment. MedWorld India affiliate Paediatric heart surgeons in India are among the top paediatric heart specialists and offer best in paediatric heart care. Affordable Pediatric Heart Surgery in India at Best Cardiac Hospitals with Top Pediatric Cardiac Surgeons in India with MedWorld India.

Sometimes heart surgery in children is required for repairing defects in the heart which a child might have born with (known as congenital heart defects) and heart diseases which he gets after birth, which require surgery. Pediatric Cardiac Surgery deals with operative procedures in the newborn and unborn children and youngsters suffering from cardiac dysfunctions, structural, functional and rhythm-related issues of the heart also.

Major Types of Cardiac Defects in Children :-

ASD- Atrial Septal Defect ASD:-Atrial Septal Defect refers to a hole in the septum that separates the right and left atrium. This results in mixing of pure and impure blood. Depending on the size of the defect, the symptoms may range from no symptoms to bluish discoloration of the body, increase pulmonary blood pressure and irregular cardiac contractions (arrhythmias).

Ventricular Septal Defect :- Ventricular Septal Defect is a hole in the wall between the right and left ventricles of the heart, which usually develops before birth. This defect can lead to right and left ventricles working quite hard leading to their failure. Blood returning to the heart from the blood vessels backs up into the lungs, causing pulmonary congestion, and further backup into the body, causing weight gain and fluid retention. Small VSDs' are symptomless and closed spontaneously as the child grows, but the large VSDs' cause symptoms like difficulty in breathing and feeding, poor growth and pallor.

Fallot's Tetralogy :- It is the most common congenital heart defect in children. The defect results in mixing of pure and impure blood. It comprises a combination of four defects- right ventricular hypertrophy (increase in the size of right lower chamber), ventricular septal defect (whole in the wall between the two ventricles), abnormal position of aorta (aorta is on right side of heart instead of the left) and pulmonary stenosis (narrowing of pulmonary valve opening which prevents outflow of blood from right ventricle).

Following are the different techniques used for fixing congenital defects of the heart in children:

Open heart surgery: It is done under general anesthesia. Firstly an incision is made through the breastbone. Then some tubes are used to re-route the blood through a special pump called a heart-lung bypass machine. This machine keeps the blood warm and adds oxygen to the blood and it keeps on moving through the rest of the body while the surgeon is repairing the heart. Once the procedure is done, the machine is removed, and the heart is started and the breastbone and the skin incisions are closed.

Thoracotomy: This Procedure is used for some type of heart defect repairs, wherein the incision is made on the side of the chest, between the ribs. It is also called a closed-heart surgery. This surgery is done with the help of special instruments and a camera.In one kind of procedure a few small tubes are inserted into an artery in the leg and pass them up to the heart. Only some heart defects can be repaired in this fashion.

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.

 

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

For more information visit:          http://www.medworldindia.com      
                                                          https://www.facebook.com/medworld.india

Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159

Mail Us : care@medworldindia.com

Surgical Treatment of Double Valve Disease - Double Valve Surgery in India

Aortic valve replacement is a procedure in which surgery is used to repair or replace a diseased aortic heart valve.

There are 4 valves in the heart: the Aortic, Mitral, Tricuspid and the Pulmonary valves. These valves are designed to control the direction of blood flow through the heart. The opening and closing of the heart valves produce the sound of the heartbeat.

Aortic valve replacement is open-heart surgery that is done while the patient is under general anesthesia. An incision is made through the breast bone (sternum). Tubes are used to re-route the blood away from the heart to a heart-lung bypass machine to keep the blood oxygenated and circulating while the heart is being operated on.

Heart valve replacement is a surgical procedure during which surgeons remove a damaged valve from the heart and substitute a healthy one.

Purpose

Four valves direct blood to and from the body through the heart: the aortic valve, the pulmonic valve, the tricuspid valve, and the mitral valve. Any of these valves may malfunction because of a birth defect, infection, disease, or trauma. When the malfunction is so severe that it interferes with blood flow, an individual will have heart palpitations, fainting spells, and/or difficulty breathing. These symptoms will progressively worsen and cause death unless the damaged valve is replaced surgically.

Abnormal tricuspid valves usually are not replaced because they do not cause serious symptoms. Mildly or even moderately diseased mitral valves may not need to be replaced because their symptoms are tolerable or they can be treated with such drugs as beta blockers or calcium antagonists, which slow the heart rate. However, a severely diseased mitral valve should be repaired or replaced unless the person is too ill to tolerate the operation because of another condition or illness.

After cutting through and separating the breastbone and ribs, surgeons place the patient on a cardiopulmonary bypass machine, which will perform the functions of the heart and lungs during the operation. They then open the heart and locate the faulty valve. Slicing around the edges of the valve, they loosen it from the tendons that connect it to the rest of the heart and withdraw it. The new valve is inserted and sutured into place. The patient is then taken off the bypass machine and the chest is closed. The surgery takes three to five hours and is covered by most insurance plans.

A patient usually spends one to three days in the hospital intensive care unit (ICU) after heart valve replacement so that the working of his or her heart and circulation can be monitored closely. When first brought to the ICU after surgery, the patient undergoes a neurological examination to be sure he or she has not suffered a stroke. The patient continues to breathe by means of a tube inserted in the trachea at the time of surgery. This mechanical ventilation is not withdrawn until the patient is fully awake from anesthesia, shows signs that he or she can breathe satisfactorily without mechanical support, and has steadfast circulation.

Once stablilized, the patient is transferred to a standard medical/surgical unit where he or she receives drugs that will prevent excess fluid from building up around the heart. As soon as possible, the patient begins walking and exercising to regain strength. He or she is also placed on a diet that is low in salt and cholesterol.

Complications following heart valve replacement are not common, but can be serious. All valves made from animal tissue will develop calcium deposits over time. If these deposits hamper the function of the valve, it must be replaced. Valves may become dislodged. Blood clots may form on the surface of the substitute valve, break off into the general circulation, and become wedged in an artery supplying blood to the brain, kidneys, or legs. These blood clots may cause fainting spells, stroke, kidney failure, or loss of circulation to the legs. These blood clots can be treated with drugs or surgery.

There are three types of replacement valves. One class is made from animal tissue, usually a pig's aortic valve. Another is mechanical and is made of metal and plastic. The third, includes human valves that have been removed from an organ donor or that, rarely, are the patient's own pulmonic valve.

There is no single ideal replacement valve. The choice between an animal valve or a mechanical valve depends largely on the age of the patient. Because valves obtained from animals have a life expectancy of 7-15 years, they usually are given to older patients. Mechanical valves are used in younger patients because they are more durable. Because mechanical valves are made of foreign material, however, blood clots can form on their surface. Therefore, patients who receive these valves must take anticoagulants for the rest of their lives.

Donor or pulmonic valves are given only to those patients who will deteriorate rapidly because of a narrowing of the passageway between the aorta and the left ventrical (aortic stenosis). These valves are limited in their use because of the small supply available from donors and the strain that could be caused by removing and transferring a patient's own pulmonic valve.

Benefits of Heart Valve Replacement Surgery

The most advanced technology for minimally invasive heart surgery is now available in 

India. Robotic da Vinci Surgical System combines superior 3D visualization along with greatly 

enhanced dexterity, precision and control in an intuitive, ergonomic interface with 

breakthrough surgical capabilities.In Robotic Cardiac Surgery, robotic assist the heart 

surgeon in performing surgery through tiny incisions. The surgeon has to sit in an operating 

room where he controls the instruments while looking at 3D images from the camera which 

is inside the patient.

Various procedures can be performed in this case such as mitral valve replacement or repair, 

correction of HOCM etc. Use of Robotic Surgery in Cardiology has benefits as it involves 

less pain, scarring and risk that are otherwise involved. The surgeon can perform surgery 

through tiny openings in the chest, cracking the breastbone and spreading the ribs.

For more information visit:          http://www.medworldindia.com       
                    https://www.facebook.com/medworld.india

Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159

Mail Us : care@medworldindia.com

Want to Know More about Heart Attack, the Risk Factors, Symptoms - Heart Attack FAQ

Heart attacks are a leading killer of both men and women . The good news is that excellent treatments are available for heart attacks. These treatments can save lives and prevent disabilities.

Heart attack treatment works best when it's given right after symptoms occur.

WHATIS A HEART ATTACK?

A heart attack occurs when blood flow to a part of the heart is blocked for a long enough time that part of the heart muscle is damaged or dies. The medical term for this is myocardial infarction.

Most heart attacks are caused by a blood clot that blocks one of the coronary arteries. The coronary arteries bring blood and oxygen to the heart. If the blood flow is blocked, the heart is starved of oxygen and heart muscle dies.

Many risk factors may lead to a heart attack.

WHAT ARE THE SYMPTOMS OF A HEART ATTACK?

A heart attack is a medical emergency.
Chest pain is the most common symptom of a heart attack. You may feel the pain in only one part of your body, or it may move from your chest to your arms, shoulder, neck, teeth, jaw, belly area, or back.
The pain can be severe or mild. 

It can feel like:
* A tight band around the chest
* Bad indigestion
* Something heavy sitting on your chest
* Squeezing or heavy pressure

The pain usually lasts longer than a few minutes. Symptoms may also go away and come back.

Other symptoms of a heart attack can include:
* Anxiety
* Cough
* Fainting
* Light-headedness, dizziness
* Nausea or vomiting
* Palpitations (feeling like your heart is beating too fast or irregularly)
* Shortness of breath
* Sweating, which may be very heavy

Some people (the elderly, people with diabetes, and women) may have little or no chest pain. Or, they may have unusual symptoms (shortness of breath, fatigue, and weakness). A "silent heart attack" is a heart attack with no symptoms.

Not everyone having a heart attack has typical symptoms. If you've already had a heart attack, your symptoms may not be the same for another one. 

Symptoms may include:

* Uncomfortable pressure, squeezing, fullness or pain in the center of your chest. It lasts more than a few minutes, or goes away and comes back.
* Pain or discomfort in one or both arms, the back, neck, jaw or stomach.
* Shortness of breath with or without chest discomfort.
* Other signs such as breaking out in a cold sweat, nausea or lightheadedness.
* As with men, women's most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting and back or jaw pain.

CAN I HAVE EARLY SYMPTOMS BEFORE A HEART ATTACK?

While a heart attack may seem like a sudden event, many patients experience early symptoms days or even weeks before the actual heart attack.

Early symptoms are often similar to symptoms of a heart attack-chest pain, shortness of breath, unusual fatigue or an irregular heart beat-but come and go and may worsen or happen more easily with each episode.

Chest pain or discomfort while you're at rest that lasts more than 5 to 10 minutes needs immediate medical attention. Symptoms may also be different for women, who more often experience dizziness, light-headedness and flu-like symptoms. If you have chest pain or other heart attack symptoms, call 911 and seek medical attention immediately. 

It is important to recognize early symptoms of an impending heart attack and to act quickly. Waiting is a mistake. Coronary artery disease that leads to a heart attack is often treatable. Interventions during these beginnings of a heart attack can help prevent significant damage to the heart muscle or even death. 
Be aware of the following signs and symptoms: 

* Shortness of breath without exertion, difficulty breathing when doing normal activities
* Heartburn can be an early sign of a heart attack, especially if the condition becomes chronic
* Discomfort or pain, everywhere from crushing to squeezing to pressure occurring in the chest and even other areas of the body; the shoulders, neck, and jaw are areas reportedly affected prior to a heart attack
* A feeling of impending doom, anxiety and fear, especially when combined with any of the other symptoms listed above

COMMON TESTS FOR HEART FAILURE

If you suspect you have symptoms of heart failure you should talk to your doctor (normally your primary care physician / GP).

Your doctor will likely perform a thorough examination of your body and will ask you about your symptoms, your medical history and your lifestyle. It is important that you answer any questions as honestly and accurately as possible so that your doctor can make an accurate diagnosis and can work with you to find the best treatment.

If your doctor suspects you have heart failure he or she will probably suggest you have certain tests. These tests will help to show whether your heart is working properly and, if not, where the problem lies.

This section explains the tests your doctor may want you to have and what the test can show. Click on any of the tests to learn more.

Themost common tests are:

·         Medical history and physical examination

·         Electrocardiogram (ECG)

·         Blood tests

·         Chest x-ray

·         Echocardiogram

Additional tests may be able to find out more about your heart failure or identify the cause. These include:

·         Lung function tests

·         Exercise testing

·         Cardiac Magnetic Resonance Imaging (MRI)

·         Cardiac catheterisation and angiography

·         Nuclear medicines techniques

·         Multi-slice Computer Tomography (MSCT)

As the symptoms presented to the doctor may vary widely between patients you may only receive a few of these tests, and it is very unlikely you will receive all of them. If you have any concerns regarding your tests, you should discuss them with your doctor.

For more information visit:          http://www.medworldindia.com        
                    https://www.facebook.com/medworld.india

Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159

Mail Us : care@medworldindia.com

Heart Defects Treatment Options available in India – Types and Treatment for Holes in the Heart

Ventricular Septal Defect (VSD) 

What Are Holes in the Heart?

Holes in the heart are simple congenital heart defects. Congenital heart defects are problems with the heart's structure that are present at birth. These defects change the normal flow of blood through the heart.

Your heart has two sides, separated by an inner wall called the septum. With each heartbeat, the right side of your heart receives oxygen-poor blood from your body and pumps it to your lungs. The left side of your heart receives oxygen-rich blood from your lungs and pumps it to your body. The septum prevents mixing of blood between the two sides of the heart. However, some babies are born with holes in the upper or lower septum.

A hole in the septum between the heart's two upper chambers is called an atrial septal defect (ASD). A hole in the septum between the heart's two lower chambers is called a ventricular septal defect (VSD).

ASDs and VSDs allow blood to pass from the left side of the heart to the right side. This means that oxygen-rich blood can mix with oxygen-poor blood. As a result, some oxygen-rich blood is pumped to the lungs instead of out to the body.

Over the past few decades, the diagnosis and treatment of ASDs and VSDs have greatly improved. Children who have simple congenital heart defects can survive to adulthood and live normal, active, and productive lives because their heart defects close on their own or have been repaired.

Types of Holesin the Heart

Atrial Septal Defect

An atrial septal defect (ASD) is a hole in the part of the septum that separates the atria (the upper chambers of the heart). This hole allows oxygen-rich blood from the left atrium to flow into the right atrium instead of flowing into the left ventricle as it should. This means that oxygen-rich blood gets pumped back to the lungs, where it has just been, instead of going to the body.

 

Cross-Section of a Normal Heart and a Heart with an Atrial Septal Defect

The normal structure and blood flow in the interior of the heart. Figure B shows a heart with an atrial septal defect. The hole allows oxygen-rich blood from the left atrium to mix with oxygen-poor blood from the right atrium. An ASD can be small or large. Small ASDs allow only a little blood to flow from one atrium to the other. Small ASDs don't affect the way the heart works and don't need any special treatment. Many small ASDs close on their own as the heart grows during childhood.

Medium to large ASDs allow more blood to leak from one atrium to the other, and they're less likely to close on their own. Most children who have ASDs have no symptoms, even if they have large ASDs.
The three major types of ASDs are:

• Secundum. This defect is in the middle of the atrial septum. It's the most common form of ASD. About 8 out of every 10 babies born with ASDs have secundum defects. At least half of all secundum ASDs close on their own. However, this is less likely if the defect is large.
• Primum. This defect is in the lower part of the atrial septum. It often occurs along with problems in the heart valves that connect the upper and lower heart chambers. Primum defects aren't very common, and they don't close on their own.
• Sinus venosus. This defect is in the upper part of the atrial septum, near where a large vein (the superior vena cava) brings oxygen-poor blood from the upper body to the right atrium. Sinus venosus defects are rare, and they don't close on their own.

AtrialSeptal Defect Complications

Over time, if an ASD isn't repaired, the extra blood flow to the right side of the heart and lungs may cause heart problems. Usually, most of these problems don't show up until adulthood, often around age 30 or later. Complications are rare in infants and children.
Possible complications include:

• Right heart failure. An ASD causes the right side of the heart to work harder because it has to pump extra blood to the lungs. Over time, the heart may become tired from this extra work and not pump well.
• Arrhythmias (ah-RITH-me-ahs). Extra blood flowing into the right atrium through an ASD can cause the atrium to stretch and enlarge. Over time, this can lead to arrhythmias (irregular heartbeats). Arrhythmia symptoms may include palpitations or a rapid heartbeat.
• Stroke. Usually, the lungs filter out small blood clots that can form on the right side of the heart. Sometimes a blood clot can pass from the right atrium to the left atrium through an ASD and be pumped out to the body. This type of clot can travel to an artery in the brain, block blood flow, and cause a stroke.

These problems develop over many years and don't occur in children. They also are rare in adults because most ASDs either close on their own or are repaired in early childhood.

VentricularSeptal Defect

A ventricular septal defect (VSD) is a hole in the part of the septum that separates the ventricles (the lower chambers of the heart). The hole allows oxygen-rich blood to flow from the left ventricle into the right ventricle instead of flowing into the aorta and out to the body as it should.

Cross-Section of a Normal Heart and a Heart With a Ventricular Septal Defect

The normal structure and blood flow in the interior of the heart. two common locations for a ventricular septal defect. The defect allows oxygen-rich blood from the left ventricle to mix with oxygen-poor blood in the right ventricle. An infant who is born with a VSD may have a single hole or more than one hole in the wall that separates the two ventricles. The defect also may occur by itself or with other congenital heart defects.

Doctors classify VSDs based on the:

• Size of the defect.
• Location of the defect.
• Number of defects.
• Presence or absence of a ventricular septal aneurysm-a thin flap of tissue on the septum. This tissue is harmless and can help a VSD close on its own.

VSDs can be small or large. Small VSDs don't cause problems and often may close on their own. Because small VSDs allow only a small amount of blood to flow between the ventricles, they're sometimes called restrictive VSDs. Small VSDs don't cause any symptoms. Medium VSDs are less likely to close on their own. They may require surgery to close and may cause symptoms during infancy and childhood.
Large VSDs allow a large amount of blood to flow from the left ventricle to the right ventricle. They're sometimes called nonrestrictive VSDs. A large VSD is less likely to close completely on its own, but it may get smaller over time. Large VSDs often cause symptoms in infants and children, and surgery usually is needed to close them.
VSDs are found in different parts of the septum.

• Membranous VSDs are located near the heart valves. These VSDs can close at any time.
• Muscular VSDs are found in the lower part of the septum. They're surrounded by muscle, and most close on their own during early childhood.
• Inlet VSDs are located close to where blood enters the ventricles. They're less common than membranous and muscular VSDs.
• Outlet VSDs are found in the part of the ventricle where blood leaves the heart. These are the rarest type of VSD.

For more information visit:          http://www.medworldindia.com        
                    https://www.facebook.com/medworld.india

Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159

Mail Us : care@medworldindia.com