Cardiac care has become a specialty in India with institutions like the Manipal Heart Foundations, Bangalore, Indraprastha Apollo Hospital, New Delhi becoming names to reckon with. They combine the latest innovations in medical electronics with unmatched expertise in leading cardiologists and cardio-thoracic surgeons as well as specialists for non - invasive ECP Treatment in India. These centers have the distinction of providing comprehensive cardiac care spanning from basic facilities in preventive cardiology to the most sophisticated curative technology. The technology is contemporary and world class and the volumes handled match global benchmarks. They also specialize in offering surgery to high risk patients with the introduction of innovative techniques like minimally invasive and robotic surgery.

Mediescapes India could arrange the following low cost medical procedures for you.

Heart Procedures routinely done in India

- Aortic Stent Grafting
- Angiography
- Angioplasty with contrast
- Angioplasty
- Angioplasty with Medicated Stent (Cypher / Xience-V or Endeavour)
- Carotid
- Coronary Artery By-pass Surgery (CABG / Redo CABG / Carotid)
- Double Heart Valve Replacement
- Electrophysiology Complex Study (EPS)
- Heart Transplant (subject to brain dead donor availability if any)
- I.C.D. (Single / double / combo chamber) Implantation
- Pacemaker (single / Double Chamber / Biventricular)
- Paediatric Interventional Cardiology
- RF Ablation
- Peripheral Vascular Disease (PVD)
- Padiatric Cardiac Surgery (ASD / VSD)
- Single Heart Valve Replacement
- Thoracic Aortic Aneurysm

P.S.: If the procedure you require is not listed here or if you require further informations then please send medical records with doctors diagnosis reports to mktg@mediescapes.com and we assure you that we will quickly get back to you.

Some cost saving figures at a glance !

The Key to Successful Keyhole Bypass Surgery 

The common problems requiring surgery for the heart are: Coronary artery disease, diseases affecting the valves of the heart, diseases present from birth like holes in the heart or blocks in the valves, mixing of blood inside the heart. 

Normal Method of Surgery
The chest is opened through a cut in the midline. The heart is stopped along with the lungs and the heart lung machine is used to sustain the normal function of the rest of the body. Blood is then cooled. Stopping of the heart is done by injecting cardioplegia which paralyses the heart. Once the operation is over, the heart lung machine is stopped after the heart takes over its function. 

Problems with the use of Heart Lung Machine
+ Excess bleeding – requiring blood transfusion
+ Brain problems like stroke
+ Kidney dysfunction
+ Increased chances of infection
+ Increased hospital stay
+ Increased cost 

Minimally Invasive Cardiac Surgery
Beating Heart Surgery: In this, the heart lung machine is not used to do the operation. The commonest operation done using this technique, is bypass surgery. 

Advantages of Beating Heart Surgery
No requirement of blood transfusion
Upto 30% savings in cost over conventional bypass surgery
Minimal stay in the ICU and in the hospital
Minimized chances of infection
Faster rate of recovery 

Minimally Invasive Valve Surgery
In this procedure, small cuts are made in the chest to see the heart and do the operation. Valve replacement is done after stopping the heart.

+ Robotic Surgery: With the use of robots, bypass surgery can be done with incision as small as 3”.

+ Removal of veins and arteries can be done through endoscopy.

In our institution (MIOT Hospital, Chennai) minimal access surgeries like Aortic valve replacement/Mitral valve replacement through mini sternotomy and ASD closure through posterolateral thoracotomy are performed with good results. Endoscopic conduit harvesting is done in selected cases. Almost 95% of the CABG’s are done without using the heart lung machine with a 99.5% success rate.

Renowned Indian hospital like Manipal Heart Foundation is equipped to handle all phases of heart diseases from the elementary to the latest clinical procedures like interventional cardiac catherisation and surgical cardiac transplants. Their success rate at an average of 98.50% is at par with leading cardiac centers around the world.

Leading heart centers like Indraprastha Apollo Hospital, Wockhardt Hospital have Cardiac Care Units with sophisticated equipment and investigative facilities like Echocardiography with Colored Doppler, Nuclear Scanning and Coronary Angiography. Narayana Hrudayalaya has become synonymous with the best in cardiac care and services for adults and children alike, around the world.

Cardio Vascular Risks
The heart supplies blood to all the organs of the body including itself through its arteries. When there is some damage in one of the arteries of the heart or when the heart itself does not function normally, it could interrupt the blood supply to various parts of the body. This condition is called cardiovascular disease (CVD). Heart attacks and strokes are the two most dreaded CVDs.

Cardiac rehabilitation
The advantage of the cardiac rehabilitation program is that it increases the functional ability of the person, changes the natural history of cardiac diseases and reduces morbidity and mortality.

The program is provided in four stages.

1. As a part of Preventive Cardiology program in which normal persons are assessed for the risk factors of cardiac illness and they are prescribed an exercise program to keep their heart healthy.
2. Acute Cardiac Rehabilitation Program is for the patient admitted in the hospital for a cardiac illness
3. Post Acute Cardiac Rehabilitation Program – This is the most important phase of any cardiac illness. This is a stage of intensive exercise program for a period of 8 weeks after 1 ½ month post Myocardial Infarction (MI) / Heart Attack or post CABG (Bypass graft).

Each patient is assessed for the exercise tolerance test and he is required to attend the rehabilitation OPD twice/ thrice a week for a total duration of 8 weeks. He is trained to do various sets of exercises on a treadmill, bicycle, ergo meter, dumbbells and various functional tasks, which help in his activities of daily living.

Follow Up – The patient has to attend follow ups and get checked for his exercise endurance regularly to ensure his heart is maintaining the improvement in health status done by rehabilitation program.

CARDIOLOGY

- Cardiology
Interventional Cardiology
Our interventional cardiologits strongly believe in primary interventions on an acute heart attack with medicated stent for all victims. They have vast experience in treating the victims of heart attack. We also conduct post-doctor courses in Cardiology, Interventional Cardiology & Paediatric Cardiology in association with National Board of Examinations, Delhi.

Electrophysiology
Our team is one of the most experienced in the field of electro physiology of the heart which treats rhythm disturbances of the heart commonly called as 'palpitation'. Their special interest is AICD implantation for serious rhythm disturbances of the heart and bi-ventricular pacing for terminal heart failure. We conducts training programs for young cardiologists in the field of electro physiology.

Endovascular Interventions
More and more aneurysms of the aorta are getting amendable from endovascular stent grafting rather than a major surgery. Our team is one of the most experienced in the field of treating complex aneurysm of the aorta with endovascular stent grafting. Narayana Hrudayalaya in association with various hospitals conducts joint discussions via telemedicine for individual patient management.

Pediatric Cardiology & Interventions
Narayana Hrudayalaya has a very well rounded, well trained and active Pediatric Cardiac team. Our Pediatric Cardiologists are adept at complex echocardiograms as well as non surgical interventions in the catherterization lab such as ASD, PDA and VSD closures. It is their good clinical acumen and outstanding echo and cath lab skills that have helped build us into a world class referral center for children with heart disease.

- Cardiac Surgery
Coronary Artery Bypass Grafting (CABG) & Redo Coronary Artery Bypass Grafting

Indians are genetically three times more susceptible than Europeans to have an attack on the heart. In India, usually the breadwinner of the family is the victim of attack. At Narayana Hrudayalaya 60% of the surgeries carried out are, coronary artery bypass grafting and redo coronary artery by pass grafting.

Having carried out over 13,000 coronary bypass grafting and redo coronary artery bypass grafting operations, the team of experts at Narayana Hrudyalaya are one of the most experienced in the world when it comes down to performing CABG, redo CABG's and mainly coronary artery bypass grafting without heart lung machine. The team of our cardiac surgeons also have a special interest in complete arterial graft using internal mammary artery and radial arteries.

DOR's Procedure (Left Ventricular Volume Reduction Operation) and Carotid Enderactectomies :

The team of cardiac surgeons at Narayana Hrudayalaya strongly believe that terminal heart failure, mainly due to ischaemic cardiomyopathy, can be corrected by our favourite technic called DOR's Procedure with coronary artery bypass grafting operation. With over 200 Dor's procedures to the team's credit, our team is one of the most experienced in the world in this rare procedure. We also conduct a large series of carotid enderactectomies to improve the blood supply to the brain with bypass grafting operation.

Blue Babies :
India produces the largest number of children in the world. So, going by the incidence of congenital heart disease we produce the largest number of children with heart diseases in the world (approximately 3 lakh children every year). Our team of paediatric cardiac surgeons is one of the most experienced in the world in terms of specializing in operating on children, especially children suffering from this complex heart problem.

Transposition of Great arteries
Heart Surgeries on New Born Babies: Narayana Hrudayalaya gets referrals from 21 countries for surgeries in complex heart diseases especially in newborn babies who are barely few hours old. Our team of neonatal cardiac surgeons are perhaps few in the world who routinely performs switches and double switches for complex heart problem called Transposition of Great Arteries in newborn babies.

The Ross Procedure
The Ross Procedure, also known as Pulmonary valve translocation, was developed by Donald Ross in 1967.This operation uses the patients own pulmonary valve and part of the main pulmonary artery as a unit to replace the aortic valve and ascending aorta. A homograft valve is harvested from a cadaver, is then placed in the pulmonary position. The pulmonary valve is identical in shape, size, and in fact stronger than the aortic valve and is therefore an ideal replacement for the diseased aortic valve. Narayana Hrudayalaya has a full fledge functioning homograft heart valve bank for the benefit of the needy patients. The surgeons of the Narayana Hrudayalaya have a large experience in successful valve replacements using homografts and Ross operations. These operations are being done only in very few centers in our country. Surgeons at Narayana Hrudayalaya have performed about 100 of this procedures with excellent results. They are perhaps one of the most experienced surgeons in the World in performing operations like Bental Procedure for Aortic Aneurysm and Aortic Arch replacement surgery for dissecting Aneurysm of Aorta.

- Paediatric Cardiology

- Critical Cardiac Surgeries
Narayana Hrudayalaya is located close to the Electronics City of Bangalore covering 26 acres of land with a building to accommodate 1000 beds, 26 operation theaters, infrastructures to perform 70 heart surgeries a day. Within the first 5 years of commissioning this institution, currently 25 heart surgeries are done on a daily basis, out of them about 30% are on children with heart problem. Rest of them is adult open-heart surgeries.

Institution is attracting patients from 22 countries primarily because of its expertise in the area of complex heart problems. To enumerate them;

Pulmonary Thrombo Endarterectomy for pulmonary Embolism
Pulmonary embolism is a dreadful conditions and its advanced stage only
Treatment for this is a lung transplant, which carries extremely high risk
And poor prognosis. Narayana Hrudayalaya is one of the very few centers in the World today performing Pulmonary thrombo endarcterectomy (PTE) for pulmonary embolism (PE).

Aneurysms of the Aorta
Surgery for Aneurysms of the Aorta including Aortic Arch Replacement and Replacement of Total Thoraco Abdominal Aorta with Re-implantation of Visceral
Arteries.
Aneurysms are fairly common problem, which are fatal if not treated.
Narayana Hrudayalaya does large number of aneurysm surgeries on a
regular basis.

Dor’s procedure
Remodeling Procedures (Dor’s procedure) for Left Ventricular Aneurysms:
Terminal Heart Failure is a common problem affecting most of the ischaemic
heart patients. Left ventricular remodeling procedure called Dor's procedure
has a really transformed the lives of these patients and over 200 of these
Procedures are done at Narayana Hrudayalaya.

Double Switches Corrected Transposition of Great Arteries
This is a rare heart problem, which can be corrected by performing complex
Procedure called Double Switch to re-route blood through the heart.

Pulmonary Atresia
Pulmonary Atresia is a condition in which blue babies are born with absent
Main pulmonary arteries. Narayana Hrudayalaya is one of the few institutions
in the world where unifocalisation procedures are done to treat this dreadful problem.

One Stage Operation for Swiss Cheese VSDs
Traditionally Swiss Cheese VSDs in which there are multiple holes in the heart are corrected in two stages. However, Narayana Hrudayalaya has performed over over 200 operations on children with Swiss Cheese VSDs in one stage by closing all the holes in the heart.

Mitral Valve Repair in New Born Babies and Infants
Mitral Valve leakage is a dreadful condition affecting small percentage of children suffering from congenital heart disease. Only option for these children is repair of the valve, which is done on a regular basis at Narayana Hrudayalaya.

Ross's Procedure for Aortic Stenosis
Best treatment option for Aortic Stensosis is Ross's Procedure in which the patient's own pulmonary valve is used to replace the aortic valve and in the place of pulmonary valve a homograft taken from a dead body is replaced.

Coronary Artery Neo-Roofing Procedure
There are thousands of patients especially Diabetics, who develop diffuse coronary artery disease, which cannot be grafted surgically. For these patients, Narayana Hrudayalaya perform an innovative procedure called Neo-roofing.

For Detailed Dossier on Cardiac Care & Heart Diseases Treatment, please write to us at  mktg@mediescapes.com