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drrajneesh-blog · 4 years
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A Medical Miracle Called Beating-Heart Surgery by Top heart surgeon in delhi
Tags - top heart surgeons in Delhi
Thousands of people go for Coronary Artery Bypass Graft (CABG) each year. This is referred to as Bypass Surgery or Open-Heart Surgery and is performed by the top heart surgeons in Delhi if the blockage in the coronary arteries is severe. CABG used to be performed with the assistance of the heart lung machine on Cardio Pulmonary Bypass (CPB) traditionally. This medical practice is in trends nowadays as well. This open-heart surgery allows doctors to operate on a surface which is still and blood-free.Unlike CABG, in beating-heart surgery the heart beat is not stopped and the heart lung machine is not used. This treatment is known as Off-Pump Coronary Artery Bypass Surgery (OPCAB). Beating-heart surgery has to be performed in a highly stabilized environment as heart is still functioning to pump blood to the body parts.
Who needs to undergo OPCAB?
OPCAB offers a reliable option for a healthy heart for below mentioned category of high risk patients:
Severe left ventricular dysfunction
Chronic obstructive pulmonary disorder (COPD)
Chronic renal failure
Advanced age
Stroke
when hybrid procedures are required, like, a combination of stenting and bypass surgery or some other surgical correction.
Understanding the Surgical Procedure
Proper anesthesia will be given to you before performing the beating-heart surgery.
Then your cardiac surgeon in India will remove a portion of a healthy vein for grafting from your own body.
This graft will be used to bypass the blockage of the coronary artery. This helps in restoring the blood flow to the heart.
Heart positioner is used for the proper positioning of heart. The plaque is removed from the blocked arteries while the rest of the heart beats normally.
Tissue stabilizer helps to make heart steady and continue its normal beating process during OPCAB.
It is also important to note that at times off-pump surgery may need to be converted to on-pump surgery. This situation arises when there is hemodynamic instability or improper exposure of the vessels that are targeted during operation, or when there is global ventricular ischemia. This condition is a high risk and complicated one.
But, our top heart surgeons in Delhi who are globally trained and have decades of experience in handling most complicated cases, are easily able to handle such cases successfully.
Advantages of OPCAB procedure
Beating-heart surgery allows for a faster recovery of the patient after the surgery at a relatively less cost of treatment than CABG.
This surgery also reduces the need for blood transfusions and the time of hospitalization.
This surgical technique is also free from negative effects like fluid imbalance, inactivation of certain blood cells, damage to the platelets, affecting the function of heart, etc. These complications are otherwise more likely to happen in the traditional CABG technique.
However, it is important to note that OPCAB is not always used as a replacement for CABG. The decision regarding the same is taken by treating doctor, depending upon patient’s medical condition. Moreover, intra myocardial vessels and target vessels that are small and diffusely diseased cannot be operated through beating heart surgery technique.
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drrajneesh-blog · 4 years
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drrajneesh-blog · 4 years
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What is the Cost of Performing an Open Heart Surgery in India?
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India is a country known as a medical hub for International as well as local patients. The cost is always lower than most other country hospitals. The Indian surgeons and doctors deal with high end heart care and services and are highly competitive in terms of experience and expertise.
The Procedure
The procedure will give you a brief understanding on the cost level of the Surgery. It is important to know what you will be going through before actually laying down for the Surgery, better be alert than ignorant.
The patient will be first induced with general anesthesia, this will help the patient feel no pain and remain asleep while the surgery is performed. While you are lying asleep, the surgeons will be busy making 8-10 inch incisions over your chest area. Another surgeon would be giving you a couple of cuts over your breastbone which would then expose your heart. When the heart is exposed, you will be connected to a heart lung bypass machine. This machine helps circulate the blood around the body. Then the surgeon will use a healthy artery vein, to make a clear way out for the blocked artery. Once done, the surgeon will patch up the breastbone while leaving a wire inside the body. The original cut is stitched up. This is how a normal surgery procedure takes place.
These normal surgery procedures are done at affordable costs. There are many new techniques and procedures that are carried out for the open heart surgery. The latest procedures may even avoid the use of the heart lung bypass machine and use alternatives. These may be costly compared to the normal procedures.
Cost of Open Heart Surgery in India
Cost of Open Heart Surgery in India is up to 70 to 80% less when compared to UK and US, this may also include accommodation and travel charges. India offers the most affordable surgery cost even amongst the Asian countries. The quality of healthcare services are easily equated with those found in Western Nations.
The average cost of an Open Heart Surgery in India is 7500 USD Approx. while the same procedure cost in UK maybe around 90,000 USD and in US 55,000 USD. The difference is sky high. Why spend so much when you could achieve the same surgery with similar procedures for a much less cost?
Why Choose India?
India has many cardiac cases coming in at an everyday basis, their recovery and success rate is good too. Cardiac care in India has a special feature for the Global patients. India competes with the developed Nations in a similar way in terms of health infrastructure. Indian medical units are armed with the latest innovations in terms of medical electronics with unmatched expertise in leading cardiologists and heart surgeons.
The Indian cardiac surgeons are known to cater comprehensive type of Cardiac care which spans from basic facilities which offer Affordable Costs of Open Heart Surgeries.
Tags = Best Heart Surgeon In India, Heart surgeon in delhi/ncr, Top heart surgeon in delhi, Best Cardiac Specialists in delhi
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drrajneesh-blog · 5 years
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drrajneesh-blog · 5 years
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Robotic Cardiac Surgery in Delhi is the Latest Development in Cardiac Surgeries
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The latest development in surgery is the robotic cardiac surgery in Delhi which involves advanced computer technology.
Robotic cardiac surgery in Delhi makes cardiac surgery less painful. The patient can return to normal activities in quicker time.
What is Robotic Cardiac Surgery
In robotic cardiac surgery, surgeons conduct surgery involving advanced computer technology combined with their own skills on defective elements of the heart. Robots and other computer aided devices and surgical instruments represent advanced computer technology.
How is Robotic Cardiac Surgery Conducted
Cardiac surgeons use advanced computer technology comprising computer console, video monitor, 3-D images, high magnification, high definition cameras and robots to conduct surgeries. Robots replace surgeons’ hands and surgeons control the robots through the console. Sophisticated technologies drive all the equipment and an expert trained surgeon performs the surgery using these devices.
How is Robotic Cardiac Surgery Better than other Surgeries
Advanced computer technology complements the basic skills of cardiac surgeons. Robots perform intricate tasks better than human hands. They are smaller and more dexterous. They are more maneuverable than hands. The high definition cameras provide high magnification. Surgeons see amplified images of the area requiring surgery. They can conduct complex surgeries with more ease than with their hands and direct vision. With robotic cardiac surgery, surgeons reduce tremors and thus exercise better control on procedures.
What are the Benefits of Robotic Cardiac Surgery
The benefits of robotic cardiac surgery include
Reduced levels of pain
Shorter stay in hospitals
Absence or minimal presence of signs of surgery
Faster return to normal activities post surgery
Lesser incidence of infections
Hardly any blood loss
Reduced trauma
What Diseases are Treated by Robotic Cardiac Surgery
Robotic cardiac surgery can treat various diseases of the heart and blood vessels. The surgery can treat the following defects
Atrial septal defects – the septum is a wall that separates the two upper chambers of the heart. The wall can develop a hole affecting the performance of the chambers. Robotic cardiac surgery can close the hole.
Mitral valve disease – the mitral valve lies between the two left chambers of the heart. It allows blood to flow in one direction and not the other. Robotic cardiac surgery can repair any damage to the valve.
Aortic valve disease – the aortic valve lies between the left ventricle, the main pumping chamber of the heart, and the aorta. It permits the flow of blood from the chamber to the aorta and not in the reverse direction. Robotic cardiac surgery can address any defects found in the valve.
Coronary artery disease – the coronary arteries carry blood to the various parts of the body. The walls of these arteries thicken causing disturbances in flow of blood. Robotic cardiac surgery can help to clear the arteries by inserting stents or balloons.
Robotic Cardiac Surgery in Delhi is Non-invasive Surgery
Robotic Cardiac Surgery in Delhi is non-invasive surgery that can help patients who are elderly or not in a medical condition to undergo other types of surgery.
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drrajneesh-blog · 5 years
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drrajneesh-blog · 5 years
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Why you need the Services of the Best Heart Specialist Doctor in Delhi - Dr. Rajneesh Malhotra
Anybody living in Delhi with a heart condition needs the services of the
best heart surgeon doctor in Delhi.
Best heart specialist doctor in Delhi
is the medical professional who can tell you if you suffer from heart ailments.
What is a Heart
Like other muscles in the body, the heart is also a muscle. While a person controls other muscles in the body, the person cannot control the heart muscle as it beats 72 times in a minute completing a cardiac cycle every minute of its life in an involuntary action.
What are the Functions of a Heart
The heart is among the most vital organs in the body. It functions as a pump to circulate blood through a system of blood vessels. The heart functions throughout its life time. If the heart stops pumping blood then it dies and so does the person.The heart performs its functions of receiving used blood from all over the body through the veins, sending the blood to the lungs for purification and receiving the purified blood from the lungs and finally pumping the purified blood to other parts of the body through the arteries. The heart comprises the heart chamber which is a muscle. The heart chamber comprises four parts and together with the circulatory system performs its assigned tasks.
What is Heart Disease
The heart is the central muscle that controls the function of pumping blood to all parts of the body. The heart supplies blood through the circulatory system consisting of blood vessels. The group comprising the heart and the blood vessels together with the blood that circulates in the body is the cardiovascular group.Any disease that affects the heart and the blood vessels is a heart disease or a cardiovascular disease.
Types of Heart Disease
The various diseases affecting the heart include
Congenital heart defects or the disease a person is born with
Heart rhythm anomalies
Coronary artery disease
Blocked or narrowed blood vessels
Heart attack
Stroke
Angina or chest pain
Valve malfunctions
Heart muscle problems
What are the Symptoms of Heart Disease
Symptoms depend on the disease affecting the specific part of the cardiovascular system. They include
Fainting, shortness of breath, dizziness, fatigue, numbness, fluttering,
Pain in the chest, jaw, neck, abdomen, and throat
Swelling in feet, abdomen,
Irregular heartbeats, rhythmic changes, slow or fast heartbeats
Dry cough, skin rashes, fever
Rhythmic changes, slow or fast heartbeats
Congenital heart defects
are defects that a person is born with. The symptoms for the disease of the heart due to congenital defects showing up at birth include
Poor weight gain, shortness of birth, swelling around the eyes, abdomen, and legs and pale blue or gray skin color
Get Symptoms Checked by the Best Heart Specialist Doctor in Delhi
People showing symptoms of heart disease must immediately seek the services of the best heart specialist doctor in Delhi.
For information visit
http://www.bestheartsurgeoninindia.com
Tags = Best Heart Surgeon In India,  Best Cardiac Surgeon in Delhi, Cardiac Surgeon In Delhi, Best Heart Surgeon in Delhi, Top heart surgeon in Delhi, Heart Transplant Surgery In Delhi, Heart specialist Doctor in Delhi, best heart specialist doctor in Delhi, Heart Transplant Surgery In India, best cardiac surgeon in world
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drrajneesh-blog · 5 years
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Aortic Aneurysm Repair in Delhi, India - Dr. Rajneesh Malhotra
Aortic Aneurysm Repair in delhi
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An aneurysm is an abnormal bulge in the wall of an artery. Normally , the walls of arteries are thick and muscular, allowing them to withstand a large amount of pressure. Occasionally, however a weak area develops in the wall of an artery. This allows the pressure within the artery to push outwards creating a bulge or ballooned area called an aneurysm. Aneurysms can form in any blood vessel, but they occur most commonly in the aorta. The aorta is the largest artery in the body. It carries blood from the heart to the rest of the body. Aortic aneurysms can occur in two main places:
Abdominal aortic aneurysms occur in the part of the aorta that passes through the middle to low abdomen. 2.Thoracic aortic aneurysms occur on the aorta as it passes through the chest cavity. These are less common than abdominal aneurysms.
Risk factors of Aneurysms
Atherosclerotic plaque formation at the site of the aneurysm. This causes further weakening of the artery wall
A blood clot may form at the site and dislodge, increasing the chance of stroke.
Increase in the size of the aneurysm, causing it to press on other organs. This may cause pain.
Aneurysm rupture. Because the artery wall thins at this spot, it is fragile and may burst under stress. The rupture of an aortic aneurysm is a catastrophic, life-threatening event.
Causes
Atherosclerosis, or hardening of the arteries, which weakens arterial walls.
Hypertension (high blood pressure).
Local injury to the artery.
Congenital abnormality. A number of conditions, such as Marfan syndrome or bicuspid aortic valves are present at birth and can cause weakness of the artery walls.
Aging
Syphilis used to be a common cause of thoracic aneurysms, but it is no longer as common.
Tags = Best Heart Surgeon In India, Aortic Aneurysm Repair in Delhi
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drrajneesh-blog · 5 years
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A heart transplant gives a patient with congenital heart disease the opportunity to have a normal heart with normal blood circulation. If the transplant goes well, heart function and blood flow will be better than ever.
A heart transplant replaces the patient's heart with a donor heart. Doctors remove the patient's heart by transecting the aorta, the main pulmonary artery and the superior and inferior vena cavae, and dividing the left atrium, leaving the back wall of the left atrium with the pulmonary vein openings in place. The surgeon connects the donor heart by sewing together the recipient and donor vena cavae, aorta, pulmonary artery and left atrium. In patients with congenital heart disease, the surgeon may simultaneous transplant the lungs and the heart.
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drrajneesh-blog · 5 years
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drrajneesh-blog · 5 years
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Best Heart Surgeon in India  Provide best Cardiac & Bypass Surgery in Delhi
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Coronary artery bypass graft (CABG) surgery is performed to restore blood flow through the vessels that supply blood to the heart. During the surgery, a small part of a blood vessel is taken from another area of the body, usually a vein from the leg, and surgically attached across an area of severe narrowing or blockage, thus bypassing the problem area. The blood is rerouted through the healthy vessel, and blood flow is restored to the heart muscle.
Multi-Vessel CABG is not just a surgical procedure, it is an attitude towards minimally-invasive cardiac surgery, taking a logical,
structured, step-wise approach with patient safety as its paramount concern. In addition to the reduced operating time, faster recovery and overall improved patient outcomes associated with minimally invasive procedures, using the automated connector device allows me to perform multi-vessel cardiac bypass surgery with reliable and consistent anastomoses on patients who benefit tremendously from a minimally-invasive approach.
Tags = Cardiac & Bypass Surgery in delhi
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drrajneesh-blog · 5 years
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Best Heart Surgeon in India Provide Heart Transplant Surgery In Delhi
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A heart transplant gives a patient with congenital heart disease the opportunity to have a normal heart with normal blood circulation. If the transplant goes well, heart function and blood flow will be better than ever.
A heart transplant replaces the patient's heart with a donor heart. Doctors remove the patient's heart by transecting the aorta, the main pulmonary artery and the superior and inferior vena cavae, and dividing the left atrium, leaving the back wall of the left atrium with the pulmonary vein openings in place. The surgeon connects the donor heart by sewing together the recipient and donor vena cavae, aorta, pulmonary artery and left atrium. In patients with congenital heart disease, the surgeon may simultaneous transplant the lungs and the heart.
Why we need heart transplant?
You may require a heart transplant for several reasons. The most common reason is that one or both ventricles have aren't functioning properly and severe heart failure is present. Ventricular failure can happen in many forms of congenital heart disease, but is more common in congenital defects with a single ventricle or if long-standing valve obstruction or leakage has led to irreversible heart failure.
How does it affect the heart?
The donor heart is matched to the recipient by blood type and body size. As the heart transplant recipient, you must take medications to prevent his or her immune system from rejecting the new heart. These drugs are called immunosuppressive medication. Your medical team will balance the amount of immunosuppressive medication you need to prevent rejection of your new heart with the risk of side effects, which include infection or cancer. What will I need in the future?
After your heart transplant, your cardiac team will monitor you closely for heart rejection, which can happen in the heart muscle cells or in the heart's arteries. They will also watch for side effects of the immunosuppressive medications, which include diabetes, infection, kidney disease, cancer or high blood pressure. If any of these problems arise, we will change the medication type or dose. We may also decide to change your immunosuppressive medications as new drugs become available.
Tags = Heart Transplant Surgery In Delhi, Best Heart Transplant Doctor in Delhi,
Heart Transplant Surgery In India
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drrajneesh-blog · 5 years
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drrajneesh-blog · 5 years
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Dr. Rajneesh Malhotra is the Best Heart specialist Doctor in Delhi.
Dr. Rajneesh Malhotra - Heart Specialist Doctor in Delhi
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Chief-CTVS, Max Delhi & NCR Hospital
Dr. Rajneesh Malhotra is the Chief of Cardiac Surgery at Max Super Speciality Hospital, New Delhi. He also offers consultation at Dharm Clinic, Kalkaji, New Delhi. He is an expert in Minimally Invasive Cardiac Surgery, Minimally Invasive Mitral Valve Replacement, and repairs, Coronary Artery Bypass Grafting (CABG), Aortic Valve Replacement and Repair, Atrial Septal Defects (ASD's), Robotic Cardiac Surgery.
Education−
MBBS from King George Medical College, Lucknow
MS(General Surgery) from King George Medical College, Lucknow
M.Ch Cardio Thoracic Surgery from Laxmipat Singhania Institute of Cardiology, Kanpur
Fellowship in Cardiac Surgery from Department of Thoracic and Cardiovascular Surgery, Hospital, Uppsala, Sweden
Minimally Invasive Cardiac Surgery : Medtronic Inc.Minneapolis, USA
Experience−
25 years of rich experience in Cardiac Surgery
Work as Director - Cardiac Surgery, Medanta: The Medicity, Gurgaon 2009-2012
Work as Senior Consultant - Cardiac Surgeon, Escorts Heart Institution and Research Centre, Delhi
Work as Chief Consultant - Cardiac Surgeon, Durdons Heart Surgical Centre, Colombo, Srilanka
Area of Interest−
Expert in Minimally Invasive Cardiac Survey i.e. Minimally Invansive Mitral Valve Replacement, Repairs, Coronary Artery Bypass Grafting(CABG), Aortic Valve Replacement & Repair, Atrial Septal Defects(ASDs)
Robotic Cardiac Surgery
ECMO - Extra corporeal membrane oxygenation
Surgical treatment of heart failure and ventricular assist devices (VAD)
Location and Duration of OPD−
MAX SUPER SPECIALITY HOSPITAL, SAKET Monday to Sunday - 9.00 am - 6.00 pm
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drrajneesh-blog · 5 years
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The ablation of atrial fibrillation is invasive procedure that used to cure of Atrial Fibrillation. Ablation means removal of unwanted tissues or melting away the unwanted structures. It can be perform with surgical via Maze and Non- Surgical via Catheter.
Maze is a surgery for atrial fibrillation that offers the prospect of a permanent cure. Surgery for atrial fibrillation is separated into two different surgical techniques – the Mini-Maze and the Full Maze procedure.
The minimally-invasive atrial fibrillation Maze (Mini-Maze) is used for treatment of paroxysmal A-fib. During the Mini-Maze procedure, the surgeon accesses the heart through small incisions under the arm and between the ribs. Through these small incisions the surgeon places surgical instruments, an ablation device, and a thorascope. The thorascope is a camera that allows the surgeon to see the heart inside of the chest.
This surgery for atrial fibrillation is for patients who are in persistent A-fib and for patients who also need heart surgery for coronary artery disease or valve disease. The chest is opened through a chest incision called a sternotomy. A Full atrial fibrillation Maze procedure involves all the components of the Mini-Maze, including more extensive lesions to ablate and scar the extra pathways involved in persistent A-fib and even atrial flutter. The Full Maze procedure uses a combination of surgical incisions and an energy source to ablate (scar) the problem cells and create scar tissue, creating a “maze” in the heart. Afterward, the electrical impulse of the heart can only travel down one pathway thus restoring a normal rhythm in the heart.
Catheter Ablation is a non-surgical procedure done by the Cardiologist to ablate the scar part of an abnormal electrical pathway of the heart that is causing the heart rhythms problem. It is performed inside the heart with the help of long thin flexible tubes with wires (catheters) into the heart through blood vessels in your arms, upper thigh or neck.
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drrajneesh-blog · 5 years
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Atrial Fibrillation Surgery In Delhi
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The ablation of atrial fibrillation is invasive procedure that used to cure of Atrial Fibrillation. Ablation means removal of unwanted tissues or melting away the unwanted structures. It can be perform with surgical via Maze and Non- Surgical via Catheter.
Maze is a surgery for atrial fibrillation that offers the prospect of a permanent cure. Surgery for atrial fibrillation is separated into two different surgical techniques – the Mini-Maze and the Full Maze procedure.
The minimally-invasive atrial fibrillation Maze (Mini-Maze) is used for treatment of paroxysmal A-fib. During the Mini-Maze procedure, the surgeon accesses the heart through small incisions under the arm and between the ribs. Through these small incisions the surgeon places surgical instruments, an ablation device, and a thorascope. The thorascope is a camera that allows the surgeon to see the heart inside of the chest.
This surgery for atrial fibrillation is for patients who are in persistent A-fib and for patients who also need heart surgery for coronary artery disease or valve disease. The chest is opened through a chest incision called a sternotomy. A Full atrial fibrillation Maze procedure involves all the components of the Mini-Maze, including more extensive lesions to ablate and scar the extra pathways involved in persistent A-fib and even atrial flutter. The Full Maze procedure uses a combination of surgical incisions and an energy source to ablate (scar) the problem cells and create scar tissue, creating a “maze” in the heart. Afterward, the electrical impulse of the heart can only travel down one pathway thus restoring a normal rhythm in the heart.
Catheter Ablation is a non-surgical procedure done by the Cardiologist to ablate the scar part of an abnormal electrical pathway of the heart that is causing the heart rhythms problem. It is performed inside the heart with the help of long thin flexible tubes with wires (catheters) into the heart through blood vessels in your arms, upper thigh or neck.
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drrajneesh-blog · 5 years
Text
Multi-Vessel Coronary Artery Bypass Surgery In India
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Coronary artery bypass graft (CABG) surgery is performed to restore blood flow through the vessels that supply blood to the heart. During the surgery, a small part of a blood vessel is taken from another area of the body, usually a vein from the leg, and surgically attached across an area of severe narrowing or blockage, thus bypassing the problem area. The blood is rerouted through the healthy vessel, and blood flow is restored to the heart muscle.
Multi-Vessel CABG is not just a surgical procedure, it is an attitude towards minimally-invasive cardiac surgery, taking a logical,
structured, step-wise approach with patient safety as its paramount concern. In addition to the reduced operating time, faster recovery and overall improved patient outcomes associated with minimally invasive procedures, using the automated connector device allows me to perform multi-vessel cardiac bypass surgery with reliable and consistent anastomoses on patients who benefit tremendously from a minimally-invasive approach.
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