Heart Surgery

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Heart surgery should only be done if less invasive treatments have not been effective.  When appropriately implemented surgery can correct problems with the heart if other treatments haven’t worked or can’t be used. The most common type of heart surgery for adults is coronary artery bypass grafting (CABG). During CABG, a healthy artery or vein from the body is connected, or grafted, to a blocked coronary (heart) artery.

ANGIOPLASTY


Angioplasty is the surgical creation of a new blood vessel. But in today’s vernacular it most often means surgically implanting a stent in the area of a coronary artery that is blocked by narrowing secondary to plak or swelling. There are a number of ways to do that. The most common way is to insert a stent through the femoral artery in the groin and fed-up into the coronary artery to the point that needs a clear path.

 

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CORONARY ARTERY BYPASS SURGERY


Coronary artery bypass grafting (CABG) is a type of surgery that improves blood flow to the heart. Surgeons use CABG to treat people who have severe coronary heart disease (CHD). CHD is a disease in which a waxy substance called plaque (plak) builds up inside the coronary arteries.

 

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MINIMALLY INVASIVE DIRECT ARTERY BYPASS


Minimally invasive artery bypass (also called keyhole surgery) is performed through small incisions, sometimes using specialized surgical instruments. The incision used for minimally invasive heart surgery is about 3 to 4 inches instead of the 6- to 8-inch incision required for traditional surgery.

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OFF-PUMP CORONARY ARTERY BYPASS SURGERY


Off-Pump Coronary Artery Bypass Surgery is what is sounds like, performing a coronary artery bypass operation without the assistance of the cardiopulmonary pump. There are many arguments for and against the decision to consider using it to address your needs. We found this article to be very good at explaining some of the benefits and risks associated with this procedure.

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VALVULOPLASTY


In simple terminology, valvuloplasty is a surgical procedure to repair a faulty heart valve. It is a complex procedure yet widely performed around the world including here in Thailand. As with all other medical procedures, it is important to talk with healthcare professionals to determine if this procedure is right for you.

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AORTA REPAIR


The decision to surgically repair a known aortic aneurysm is critical and can only be made upon weighing all of the risks with the probably benefits. In general there are two kinds of surgical repair procedures; one is called endovascular and the other is open surgical repair. Which one is right for you depend upon variables such as size and location of the aneurysm. Here is a helpful link to an article that explains it further.

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IMPLANTABLE CARDIOVERTER DEFRIBILLATOR


From “The American Heart Association” website: CDs are useful in preventing sudden death in patients with known, sustained ventricular tachycardia or fibrillation (View an animation of an ICD). Studies have shown ICDs to have a role in preventing cardiac arrest in high-risk patients who haven’t had, but are at risk for, life-threatening ventricular arrhythmias.

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PACEMAKER


A pacemaker is a small device that’s placed in the chest or abdomen to help control abnormal heart rhythms. This device uses electrical pulses to prompt the heart to beat at a normal rate.

 

Pacemakers are used to treat arrhythmias (ah-RITH-me-ahs). Arrhythmias are problems with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slow, or with an irregular rhythm.

A heartbeat that’s too fast is called tachycardia (TAK-ih-KAR-de-ah). A heartbeat that’s too slow is called bradycardia (bray-de-KAR-de-ah).

 
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