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Cardio Vascular Thoracic Surgical Team
Open Heart Surgery
Valve Replacement
Minimally Invasive or Off Pump Cardiac Surgery
Endoscopic Vein Harvest
TransMyocardial Laser Revascularization
Vagal Nerve Stimulator Implantation
Subfascial Endoscopic Perforator Surgery
Endoscopic Graft Placement for Aortic Aneurysm
Open Heart Surgery: A healthy blood vessel is taken from another part of the body (usually the leg or inside the chest wall) and is used to construct a detour around the blocked coronary artery. One end of the vessel is grafted (attached) right below the blockage while the other end is grafted right above the blockage. As a result, blood can flow to the heart muscle again. In a double bypass surgery, two grafts are performed. In a triple bypass, three grafts. In a quadruple, four grafts.
Valve Replacement: Heart valve disease occurs when a valve doesn't work right. A valve may not open all the way. Or, a valve may have problems closing. If this happens, blood doesn't move through the heart's chambers the way it should. During heart valve surgery, one or more valves are repaired or replaced. Repair means that the valve is mended to help it work better. Replacement means the diseased valve is removed and a new valve is inserted in its place.
Minimally Invasive or Off Pump Cardiac Surgery: Off-pump surgery lets patients receive coronary bypass grafts without using the heart-lung machine. This is a minimally invasive technique that lets surgeons operate on multiple heart vessels while the heart continues to beat.
Endoscopic Vein Harvest: An endoscopic vein harvest allows a portion of vein from the inside of the leg to be removed through small incisions and be used for coronary bypass grafts. This reduces the length of the incision by several inches. An endoscope, or video camera, is used to view the vein and remove the needed length. Possible benefits of this procedure include decreased pain, fewer wound healing problems, minimal scarring and quicker recovery time.
TransMyocardial Laser Revascularization: Used for patients that suffer from chronic angina. TMR is a cardiac revascularization procedure, whereby small holes or "channels" are created in an area of the left ventricle of the heart where aninal pain occurs. A special Holmium laser is used to create the channels. These channels are thought to improve the flow of oxygenated blood into the cardiac muscle and so lessen pain.
Vagal Nerve Stimulator Implantation: VNS is a treatment for a patient with uncontrolled seizures. The device is a pacemaker-like device that works by intermittently sending a small electrical current to a nerve in the neck called the Vagus Nerve. The electrical impulse travels back to the brain where it helps to reduce and possibly stop seizures.
Subfascial Endoscopic Perforator Surgery: When the perforator veins (the veins that connect the superficial and the deep veins in the lower leg) do not work properly, the flow of blood can back up and not get back to heart as it normally does. This places the skin of the lower leg at risk for developing ulcers. The SEPS procedure uses an endoscope through two tiny incisions that cuts these perforator veins to prevent back up of blood and ulcers.
Endoscopic Graft Placement for Aortic Aneurysm: Less invasive than traditional surgery it involves excluding an aortic aneurysm by placing an endovascular graft inside the diseased aorta making a new path for the blood to flow. The endovascular graft remains inside the aorta permanently by the use of small prongs or anchors.
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