World-Class Heart Surgery Offered at the Best Hospitals in India

 Heart disease remains one of the leading causes of death worldwide, affecting millions of people each year. Fortunately, advancements in medical technology and expertise have significantly improved the outcomes of heart surgeries. India has emerged as a top destination for world-class heart surgery, with some of the best hospitals offering cutting-edge treatments and exceptional medical care. This blog explores the range of heart surgeries available at the finest hospitals in India, where patients can find hope, skillful surgeons, and state-of-the-art facilities for their cardiac care.

1. Coronary Artery Bypass Grafting (CABG)

Coronary Artery Bypass Grafting, commonly known as CABG or bypass surgery, is a well-established procedure used to treat coronary artery disease. The best hospitals in India perform CABG using the latest techniques, such as off-pump and minimally invasive approaches. Highly experienced cardiac surgeons carefully reroute blood flow around blocked or narrowed arteries, restoring blood supply to the heart and alleviating chest pain, and reducing the risk of heart attacks.

2. Angioplasty and Stent Placement

Percutaneous Coronary Intervention (PCI), or angioplasty, is a minimally invasive procedure used to treat coronary artery blockages. India's leading hospitals offer cutting-edge angioplasty techniques, including the use of drug-eluting stents, which release medication to prevent restenosis and improve long-term outcomes. These procedures are performed by skilled interventional cardiologists, ensuring the best possible results for patients with coronary artery disease.

3. Heart Valve Repair or Replacement

Heart valve problems, whether due to stenosis or regurgitation, can significantly impact heart function. The best hospitals in India provide advanced heart valve repair and replacement surgeries using both traditional open-heart techniques and minimally invasive approaches. Skilled cardiac surgeons repair damaged valves whenever possible or replace them with mechanical or bioprosthetic valves to restore normal blood flow and improve the patient's quality of life.

4. Arrhythmia Treatment

Heart rhythm disorders, or arrhythmias, can lead to life-threatening complications if left untreated. India's leading hospitals offer various treatments for arrhythmias, including catheter ablation, implantable cardioverter-defibrillator (ICD) placement, and pacemaker implantation. Expert electrophysiologists use advanced mapping techniques to identify and target the abnormal heart tissue responsible for the arrhythmias, offering patients the best chance for a successful outcome.

5. Congenital Heart Defect Repair

Pediatric cardiac surgeries for congenital heart defects require specialized expertise and state-of-the-art facilities. The best hospitals in India have dedicated pediatric cardiac centers with experienced pediatric cardiac surgeons. These facilities offer comprehensive care for infants and children with congenital heart conditions, including complex open-heart surgeries and less invasive procedures.

6. Aortic Aneurysm Repair

Aortic aneurysms, a potentially life-threatening condition, require urgent treatment. India's top hospitals are equipped to perform aortic aneurysm repair surgeries, such as open repair or endovascular aneurysm repair (EVAR). Highly skilled vascular surgeons use stent grafts to reinforce weakened aortic walls, reducing the risk of rupture and promoting better long-term outcomes.

7. Heart Transplantation

For patients with end-stage heart failure, heart transplantation may be the only option. The best hospitals in India have dedicated heart transplant programs with experienced transplant teams. These facilities adhere to international standards for organ transplantation, ensuring the best chances of success for patients undergoing this life-saving procedure.

8. Ventricular Assist Devices (VAD)

Ventricular Assist Devices, or VADs, are mechanical pumps used to support the heart in patients awaiting heart transplantation or those not eligible for transplantation. India's leading hospitals offer advanced VAD technology and skilled cardiac surgeons experienced in implanting and managing these devices to improve patients' quality of life.

Conclusion

India's best hospitals have gained a reputation for providing world-class heart surgery, offering a comprehensive range of treatments for various cardiac conditions. With highly skilled cardiac surgeons, state-of-the-art facilities, and a commitment to delivering exceptional medical care, these institutions continue to bring hope and healing to patients with heart ailments. As medical technology and research progress, the future holds even greater promise for heart surgery in India, solidifying its position as a global leader in cardiac care.

Risk For Heart Disease Increases Among People Infected With Hepatitis C

People Infected With Hepatitis C

Hepatitis C infected people are not only at increased risk for liver damage, they may also have increased risk for heart disease, says a new study. The findings emerged from an ongoing study among homosexual men, many of whom were infected with HIV and followed over time to track risk of infection and disease progression.

A subset of the study participants had both HIV and hepatitis C. Risk for heart disease is higher among people infected with HIV. However, researchers wanted to emphasize their results offer strong evidence that hepatitis C can increase the cardiovascular damage.

The study participants infected with hepatitis C were more likely to harbour abnormal fat and calcium plaques inside their arteries, which is a condition known as atherosclerosis, a common forerunner of heart attacks and strokes.

The researchers claimed that their evidence is strong enough to warrant vigilant monitoring of cardiac symptoms among people infected with the virus. However, they do not know exactly how the infection with the hepatitis C virus triggers the growth of artery-clogging plaque.

People infected with hepatitis C are already followed regularly for signs of liver disease, but our findings suggest clinicians who care for them should also assess their overall cardiac risk profile regularly . The study involved 994 participants between the ages of 40 and 70 years, without heart disease were followed across several institutions in several US cities.

Of the 994 participants, 613 were infected with HIV, 70 were infected with both viruses and 17 were only infected with hepatitis C.

The study participants underwent cardiac CT scans to detect and measure the amount of fat and calcium deposits in the arteries. Those with hepatitis C, regardless of HIV had 30 percent more plaque in their arteries. People with either hepatitis C or HIV had 42 percent more non-calcified fat deposits.

Those who had higher levels of circulating hepatitis C virus in their blood were 50 percent more likely to have clogged arteries compared to men without hepatitis C. The researchers said that poorly controlled infection may lead to inflammation throughout the body, which can fuel blood vessel damage and contribute to heart disease.

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Most Advanced Angioplasty Procedure in India - Coronary Angioplasty Cost in India

Why is a Angioplasty Done ?

Deposition of fatty substances in the coronary arteries (arteries supplying blood to the heart), develops a blockage. This condition is called as ‘coronary artery disease’ (CAD). This blockage creates a problem in the free flow of the blood to your heart muscle. This situation might lead to a heart attack. Angioplasty is a widely performed procedure that is used to treat heart problems caused by blocked or narrowed coronary arteries (blood vessels that supply blood to the heart muscle). This procedure is performed highly successfully by interventional cardiologists at heart hospitals in India.

 The coronary angioplasty, which normally takes between one to two hours, aims to remove or reduce blockages in the coronary arteries and restore blood flow to the heart muscle. The coronary angioplasty procedure is performed in a Cardiac Catheterisation Lab . All cardiac speciality hospitals in India as well as most of multi-speciality hospitals in India are equipped with Cath Labs

Procedure :

Angioplasty procedure involves insertion of catheter in your groin and hence before the angioplasty procedure you would be given a mild sedative and some pain killers to ensure that you remain relaxed during the procedure. Your doctor will insert a catheter into an artery in your groin and gently manoeuvre it to the heart. This catheter has a balloon at the

tip and once the catheter reaches the site of the blockage, the balloon on the end is inflated. This opens the blockage and restores the proper flow of the blood to the heart. Often the device which is called a stent is also placed at the site of blockage in order to keep the artery open. .

 A stent is a small, mesh like metallic device, which when placed at the site of blockage acts as a support to keep the artery open thus maintaining the blood flow. Two main varieties of stents are used. The first is a non medicated or bare stents and the second is medicated or drug eluting stents. Both the stents serve the function of supporting the open artery. The medicated stent in addition releases drug locally at the treated site to reduce the chances of recurrence of blockage at the same site.    

Balloon Angioplasty - Balloon Angioplasty is a procedure in which a narrowed heart valve is stretched open in a way that does not require open heart surgery.It is a procedure in which a thin tube (catheter) that has a small deflated balloon at the tip is inserted through the skin in the groin area into a blood vessel, and then is threaded up to the opening of the narrowed heart valve. The balloon is inflated, which stretches the valve open. This procedure cures many valve obstructions. It is also called balloon enlargement of a narrowed heart valve.

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  Stents - Approximately 70% of angioplasty procedures also involve stenting, which is the insertion of a small metal cylinder called a stent into a blood vessel. In this procedure, a collapsed stent is placed over the balloon at the tip of the catheter. When the balloon inflates, the stent pops open and reinforces the artery walls. The balloon and catheter are then withdrawn and the stent inside permanently. In a few weeks, tissue from the artery lining grows over the stent.There are two types of stents. Bare-metal stents are plain, untreated metal cylinders. Drug-eluting stents (also called drug-coated stents) are coated with medication before they are placed in the artery.
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  Rotablation (Percutaneous Transluminal Rotational Atherectomy or PTRA) - A special catheter, with an acorn-shaped, diamond-coated tip, is guided to the point of narrowing in the coronary artery. The tip spins around at a high speed and grinds away the plaque on the arterial walls. This process is repeated as needed to treat the blockage and improve blood flow. The microscopic particles are washed safely away in your blood stream and filtered out by your liver and spleen.
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  Drug-Eluting Stents - A drug-eluting stent (DES) is a coronary stent (a scaffold) placed into narrowed, diseased coronary artery. It slowly releases a drug to block cell proliferation. This prevents fibrosis that, together with clots (thrombus), could otherwise block the stented artery, a process called restenosis. The stent is usually placed within the coronary artery by an Interventional cardiologist during an angioplasty procedure.
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MyMedOpinion Affiliated Best Heart Hospitals in India offer Most Advanced Heart Valve Repair or Replacement Surgery

Heart Valve Repair or Replacement Surgery in India

Heart Valve Repair

Heart valve repair is a surgical or minimally invasive procedure that corrects a heart valve that is not functioning properly. Heart valve repair usually involves the heart valve leaflets that open and close to pump blood through the heart.

Your cardiac surgeon shall investigate and advise if repairing your heart valve is the best way to treat your heart valve disease.

Heart Valve Replacement

When valve repair shall not be of help, replacing your damaged heart valve may be the most effective treatment for your condition. Also known as Heart Valve Replacement, Aortic Valve Replacement, is a cardiac surgery procedure in which the damaged heart valve is replaced with a new valve. This valve can be a tissue valve taken from some other body, or may be of animal or an artificial or prosthetic valve.

Heart valve repair or replacement can be done for one single valve or more than one depending upon the condition of your valves.

The procedure used to repair your heart valve depends on which valve is damaged. Tricuspid and mitral valves are the most likely to be repaired. A large percentage of patients with mitral valve damage have successful repair procedures.

  A valve that does not open fully will limit forward blood flow. This is called Stenosis.
 Tests show that the changes in your heart valve are beginning to seriously affect your heart function.
 Your heart valve has been damaged by infection of the heart valve (Endocarditis).
 You have received a new heart valve in the past, and it is not working well, or you have other problems such as blood clots, infection, or bleeding.
  Remove calcium deposits that may have built up around the valve leaflets 
  Repair the cords that control the movement of the valve leaflets
  Reattach the valve to its cords
  Add support to the base of the valve (annulus) by adding tissue or by sewing an annulus band or ring around the outside of the valve
  Maintain an adequate supply of oxygen-rich blood flowing through your heart
  Reduce the possibility of damaging your heart and blood vessels
  Give you the best possible option for returning a healthy and active life

Why is it required?

You may need surgery if your valve does not work properly.

 A valve that does not close all the way will allow blood to leak backwards. This is called Regurgitation.

You may need heart valve surgery for these reasons:

 Defects in your heart valve are causing major heart symptoms, such as chest pain (angina), shortness of breath, fainting spells (syncope), or heart failure.

What is done during CABG/Redo CABG?

During the operation, the surgeon opens your chest to get to your heart and the problem valve. You will be anesthetized for the surgery and will feel no pain. During the procedure, you'll be put on a heart/lung machine that takes over your breathing and blood circulation. One or more of the following procedures are carried out to repair your heart valve:

  Resize the valve by removing extra tissue

MyMedOpinion Affiliated Best Heart Hospitals in India offer: - 

The ultimate destination for international patients who want World's Best, Affordable 

Heart Surgery.

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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• 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.

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

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• 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.

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• 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.

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

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

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• 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

Indian Hospitals Provide a Ray of Hope to Heart Patients

Non Surgical Heart Valve Replacement at MyMedOpinionaffiliated hospitals in India

Medical professionals have recently given a new hope of life to all those heart patients in India, who couldn’t undergo open chest surgery due to aging factors or any other complication. India’s first non-operative procedure to replace the damaged aortic heart valve gives a ray of hope to elderly people unfit to undergo surgery.

Doctors at MyMedOpinion affiliated Heart Institute recently performed the path-breaking procedure— per cutaneous trans catheter aortic valve  implantation (TAVI) — on three people above 70 years of age, with damaged aortic heart valve, who were declared inoperable because of their age and underlying medical conditions such as lung or kidney problem, previous heart surgery etc.

“The conventional valve replacement surgery is a major surgery where the heart is exposed by cutting open the chest, but in this procedure, the artificial valve is mounted on a catheter and inserted thorough the femoral artery with a puncture in the groin. It’s more like an angioplasty that is performed in the cath lab under general anesthesia.

The procedure takes about two hours and the person can go home by the fourth day.

Open heart surgery to replace the heart valve remains the first preference of doctors, but for those who cannot be operated on, this technique is a boon. More than 30 percent people with AS can’t undergo open chest surgery due to old age and other complications. For such patients, TAVI will prove to be a fresh lease of life, without which they wouldn’t have life expectancy of more than one year.

At present, the valve is known to last up to 15 years, and the  surgery costs much less than at similar hospitals in USA. After the age of 75 years, 5% population is at the risk of developing a problem in their heart valve, out of which 35% are not suitable for surgery. If not treated, 50% of them will not survive for more than two years.

“I’m happy that I got it done here, otherwise would have had to go to the United States and get it done at an exorbitant price,” said  an 80 year old  patient  who the doctors say would not have survived for more than a year, if the procedure had not been performed.

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Most Advanced Techniques used for fixing Congenital Defects of the Heart in Children

Common Types of Pediatric Congenital Heart Defects

Septal defects

A septal defect is a hole in the septum, the wall that divides the heart. There are two types of septal defects: atrial septal defects (ASDs) are holes in the septum between the left and the right atria; ventricular septal defects (VSDs) are holes in the septum between the left and right ventricles. Because of this hole, oxygenated blood mixes with non-oxygenated blood.

A septal defect means that blood flows from one chamber of the heart to the other, instead of taking its normal path. For instance, with an atrial septal defect, blood flows from one atrium to the other, instead of going to the ventricle.

Similarly, with a VSD, the blood flows from the left ventricle to the right ventricle, rather than through its normal path to the aorta and the rest of the body. As a result, blood that has picked up oxygen from the lungs mixes with oxygen-poor blood. This can mean that parts of the body aren’t getting enough oxygenated blood.

ASDs and VSDs can be small or large. Some ASDs close up on their own as the child grows older. Others may be repaired using catheters or with open heart surgery.

Although some small VSDs may close on their own, some are so large that the left side of the heart is forced to work much harder. If it is not treated, a VSD can lead to heart failure. These defects have to be repaired with open heart surgery.

Valve defects

Another type of defect involves the heart valves. Defective valves may be caused by:

• Stenosis (narrowing) — the valve is not able to open completely. As a result, the heart has to work harder to pump blood through it.
• Regurgitation — The valve does not close correctly and allows blood to leak backward.
• Atresia — the valve is missing a hole for the blood to pass through. This is considered a more complex defect.

Pulmonary valve stenosis is the most common valve defect. In this defect, the flaps of the pulmonary valve don’t work properly—they are too thick, or they become stiff, or even fuse together, making it difficult for the blood to move to the lung via the pulmonary artery.

Children who have a pulmonary valve stenosis may have a heart murmur, an irregular sound heard during a heartbeat. Children who are born with a severe pulmonary valve stenosis may have such symptoms as fatigue, breathing problems, and trouble eating.

Pulmonary valve stenosis may also be accompanied by other defects, such as an ASD or patent ductus arteriosis (PDA). The ductus arteriosis is a blood vessel in the fetus that connects the aorta and the pulmonary artery. The ductus arteriosis usually closes within minutes or days of birth; if it does not close, it is called a patent (open) ductus arteriosis (PDA).

A PDA lets oxygenated blood and deoxygenated blood mix and puts pressure on lung arteries. In the event of certain heart defects, doctors might choose to keep the PDA open until surgery to correct other blood flow defects can be done.

Stenosis can also affect the aortic valve. If this valve cannot open or close properly, blood may leak or pool. This can increase pressure on the heart and cause heart damage. A balloon catheter procedure might be performed in order to widen the valve and increase the blood flow.

Other types of congenital heart defects

• Coarctation of the aorta — This defect happens when the aorta narrows and prevents blood from flowing freely to the lower part of the body. Coarctation of the aorta can cause hypertension (high blood pressure) and heart damage. Surgery or balloon catheterization in selected cases can be used to correct this problem.
• Complete atrioventricular canal defect (CAVC) — The heart has a hole in all four chambers in the spot where the chambers would normally be divided. Symptoms may not appear until the baby is several weeks old; infants may have trouble breathing, eating, and growing. This defect can be corrected with surgery.
• D-transposition of the great arteries — The positions of the pulmonary artery and the aorta are reversed. The blood flow to either the body or the lungs is interrupted. Surgery is needed to fix this problem.
• Ebstein’s anomaly — The tricuspid valve does not work as it should and allows blood to leak back into the upper chambers of the heart from the lower pumping chambers. This defect often occurs along with an ASD. Ebstein’s anomaly may be mild enough to never require surgery. In some cases, however, it may cause cyanosis (the skin turns blue because of a lack of oxygen) or heart failure.
• Single ventricle defects — These include hypoplastic left heart syndrome, pulmonary atresia/intact ventricular septum, and tricuspid atresia:
  • In hypoplastic left heart syndrome, the left side of the heart is underdeveloped. Without treatment, the baby will usually die. Treatment might include a series of heart operations or a heart transplant.
  • In pulmonary atresia, the pulmonary valve has become narrowed or blocked. Blood can only get to the lungs through openings that usually close as the baby gets older.
  • In tricuspid atresia, there is no tricuspid valve. Blood has to circulate through an ASD. Surgery is necessary to repair these defects.
• Tetralogy of Fallot — This defect combines four problems: a ventricular septal defect; pulmonary stenosis (a blockage between the heart and the lungs); right ventricular hypertrophy (the muscle around the lower right chamber of the heart is enlarged); and the aorta is in the wrong position (over both ventricles, instead of just the left ventricle). Surgery is needed to correct this defect.
• Total anomalous pulmonary venous connection — The veins from the lungs connect to the heart in the wrong place and let oxygenated blood into the wrong heart chamber. This defect requires open heart surgery early in infancy.
• Truncus arteriosis — This defect occurs when there is one large artery instead of the usual two separate ones to carry blood to the body and the lungs. Surgery is needed to close the VSD and to add another tube to act as the second artery.

What are the symptoms of pediatric congenital heart disease?

Often, there are no symptoms associated with these defects. The defects are usually found during routine physical examinations. In cases where there are symptoms, they may include:

• Trouble breathing
• Bluish tones to the skin (cyanosis)
• Poor eating habits
• Fatigue (tiredness)
• Swelling in the abdomen or around the eyes
• Rapid heartbeat

How are pediatric congenital heart defects diagnosed?

Tests to diagnose heart defects might include:

• Physical examination, including listening to the heart with a stethoscope
• Chest X-ray
• Electrocardiogram to test heart rate patterns
• Echocardiogram (takes pictures of the heart using sound waves)
• Cardiac catheterization (a thin tube is inserted through a vein into the heart to obtain details on heart function)

Some defects can be diagnosed while the baby is still developing in the womb.

What causes pediatric congenital heart defects?

In most cases, the reasons defects happen are not known, but some connections have been identified:

• Women who get German measles (rubella) during their first trimester of pregnancy have a higher risk of having a baby with a congenital heart defect.
• The risk may also be higher if the woman has some types of viral infections, is exposed to industrial solvents, takes certain kinds of medications, drinks alcohol, or uses cocaine while pregnant.
• Women who have given birth to a child with a congenital heart defect are at higher risk of giving birth to another child with a heart defect.