

OUR SERVICES
Precision & Empathy
Our team of experienced cardiovascular and cardiothoracic surgeons offers comprehensive care for heart and lung conditions. From coronary artery disease and valve disorders to congenital heart defects and thoracic cancers, we provide advanced treatments tailored to your needs. Our services include:
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Coronary artery bypass surgery
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Valve repair and replacement (including minimally invasive options)
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Aortic surgery
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Congenital heart defect repair
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Thoracic surgery for lung cancer and other conditions
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Minimally invasive cardiac surgery (MICS)
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Heart failure management and transplantation evaluation
Using state-of-the-art technology and techniques, we aim to provide excellent outcomes and compassionate care. Our multidisciplinary team works with you to develop a personalized treatment plan, ensuring the best possible results for your heart health

OFF PUMP/MICS TOTAL ARTERIAL CABG
Off-Pump CABG is a surgical technique that allows cardiac surgeons to bypass blocked coronary arteries without using a heart-lung machine. This approach reduces risks associated with cardiopulmonary bypass, such as stroke, kidney injury, and systemic inflammation.
Key Benefits:
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Reduced risk of stroke and neurological complications
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Less blood loss and transfusion requirements
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Shorter ICU and hospital stays
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Less trauma to the heart and surrounding tissues
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Suitable for high-risk patients with comorbidities
Who Benefits:
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High-risk patients with comorbidities (e.g., renal failure, COPD)
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Patients with severe aortic disease
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Those requiring multi-vessel bypass grafting

SINGLE VALVE/DOUBLE VALVE REPLACEMENT
Valve replacement surgery involves replacing damaged heart valves with artificial ones. Single valve replacement treats issues with one valve, while double valve replacement addresses problems with two valves.
SINGLE VALVE REPLACEMENT
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Typically performed for aortic or mitral valve disease
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Less complex procedure with shorter recovery
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Options include mechanical or bioprosthetic valves
DOUBLE VALVE REPLACEMENT
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Addresses issues with both aortic and mitral valves
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More complex procedure with longer recovery
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Often recommended for patients with rheumatic heart disease or severe valve dysfunction
Key Considerations
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Valve choice (mechanical vs bioprosthetic) depends on age, lifestyle, and anticoagulation needs
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Surgical approach (sternotomy or minimally invasive) depends on patient factors and surgeon expertise
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Post-op care involves anticoagulation management and monitoring for complications
Who Benefits
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Patients with severe valve disease and symptoms
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Those with valve dysfunction due to infection, degeneration, or congenital defects

MICS MVR (2 INCHES RIGHT LATERAL THORACOTOMY)
MICS (Minimally Invasive Cardiac Surgery) MVR is a less invasive approach for mitral valve replacement surgery. This technique involves a smaller incision, often on the right side of the chest.
Key Aspects
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Small incision: 5-6 cm incision on the right chest wall
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Endoscopic assistance: Camera and instruments inserted through small ports
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Mitral valve exposure: Surgeon accesses the mitral valve through the left atrium
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Valve replacement: Damaged valve is removed and replaced with a prosthetic one
Benefits
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Less pain and trauma compared to traditional sternotomy
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Shorter hospital stay and recovery time
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Reduced risk of sternal complications
Considerations
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Limited exposure and visibility for the surgeon
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Requires specialized training and equipment
Who's it for?
MICS MVR is often recommended for patients with:
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Isolated mitral valve disease
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Favourable anatomy for minimally invasive approach
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Desire for less invasive surgery

MICS AVR (2 INCHES RIGHT LATERAL THORACOTOMY)
MICS (Minimally Invasive Cardiac Surgery) AVR is a less invasive approach for aortic valve replacement surgery. This technique involves a smaller incision, often on the right side of the chest or upper sternotomy.
Key Aspects
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Small incision: 5-6 cm incision on the right chest wall or upper sternotomy
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Endoscopic assistance: Camera and instruments inserted through small ports
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Aortic valve exposure: Surgeon accesses the aortic valve through the aorta
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Valve replacement: Damaged valve is removed and replaced with a prosthetic one
Benefits
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Less pain and trauma compared to traditional sternotomy
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Shorter hospital stay and recovery time
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Reduced risk of sternal complications
Considerations
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Limited exposure and visibility for the surgeon
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Requires specialized training and equipment
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Not suitable for complex aortic valve disease
Who's it for?
MICS AVR is often recommended for patients with:
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Isolated aortic valve disease
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Favourable anatomy for minimally invasive approach
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Desire for less invasive surgery


MICS DVR (2 INCHES RIGHT LATERAL THORACOTOMY)
MICS (Minimally Invasive Cardiac Surgery) DVR is a less invasive approach for double valve replacement surgery, involving replacement of both aortic and mitral valves. This technique involves a smaller incision, often on the right side of the chest.
Key Aspects:
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Small incision: 5-6 cm incision on the right chest wall
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Endoscopic assistance: Camera and instruments inserted through small ports
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Valve exposure: Surgeon accesses both aortic and mitral valves
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Valve replacement: Damaged valves are removed and replaced with prosthetic ones
Benefits
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Less pain and trauma compared to traditional sternotomy
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Shorter hospital stay and recovery time
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Reduced risk of sternal complications
Considerations
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Limited exposure and visibility for the surgeon
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Requires specialized training and equipment
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Complex procedure, often limited to select patients
Who's it for?
MICS DVR is often recommended for patients with:
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Severe aortic and mitral valve disease
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Favourable anatomy for minimally invasive approach
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Desire for less invasive surgery
MICS ASD CLOSURE (2 INCHES RIGHT LATERAL THORACOTOMY)
MICS (Minimally Invasive Cardiac Surgery) ASD closure is a less invasive approach for closing Atrial Septal Defects (ASDs). This technique involves a smaller incision, often on the right side of the chest.
Key Aspects
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Small incision: 3-4 cm incision on the right chest wall
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Endoscopic assistance: Camera and instruments inserted through small ports
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ASD exposure: Surgeon accesses the right atrium and locates the defect
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Defect closure: ASD is closed with a patch or sutures
Benefits
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Less pain and trauma compared to traditional sternotomy
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Shorter hospital stay and recovery time
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Reduced risk of sternal complications
Considerations
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Limited exposure and visibility for the surgeon
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Requires specialized training and equipment
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Suitable for select patients with simple ASDs
Who's it for?
MICS ASD closure is often recommended for patients with:
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Simple ASDs
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Favourable anatomy for minimally invasive approach
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Desire for less invasive surgery

TOTAL CORRECTION FOR TETRALOGY
Key Aspects:
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Surgical repair of four defects: VSD, pulmonary stenosis, right ventricular hypertrophy, and overriding aorta
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Restores normal blood flow and oxygenation
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Typically performed in infancy (6-12 months) but can be done at older ages
Benefits
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Improves oxygenation and reduces symptoms like cyanosis and breathlessness
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Enhances exercise tolerance and quality of life
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Reduces risk of complications like heart failure and arrhythmias
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High success rate with significant long-term survival
Considerations
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Surgical risks like bleeding, infection, and arrhythmias
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Potential for residual defects or need for re-intervention
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Lifelong follow-up with cardiologist required
Who's it for?
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Patients with symptomatic TOF or those at risk of complications
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Ideal candidates are infants or young children, but adults can also benefit
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Those with severe symptoms or significant right ventricular dysfunction may require urgent surgery
CONE REPAIR FOR EBSTEIN
Key Aspects
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Surgical repair of Ebstein's anomaly, a congenital heart defect affecting the tricuspid valve
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Involves reconstructing the tricuspid valve and right ventricle
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Often performed in childhood or adolescence
Benefits
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Improves tricuspid valve function and reduces regurgitation
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Enhances right ventricular function and exercise tolerance
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Can improve symptoms like fatigue, shortness of breath, and palpitations
Considerations
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Complex surgery with risks like arrhythmias, bleeding, and mortality
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Requires careful patient selection and post-op management
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Lifelong follow-up with cardiologist needed
Who's it for ?
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Patients with symptomatic Ebstein's anomaly
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Those with severe tricuspid regurgitation or right ventricular dysfunction
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Individuals with arrhythmias or cyanosis
ARTERIAL SWITCH FOR TGA
Key Aspects
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Surgical correction of TGA, a congenital heart defect where aorta and pulmonary artery are transposed
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Involves switching the great arteries and reimplanting coronary arteries
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Typically performed in the first few weeks of life
Benefits
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Restores normal blood flow and oxygenation
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Improves survival and quality of life
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Allows for normal growth and development
Considerations
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Complex surgery with risks like mortality, coronary artery issues, and pulmonary stenosis
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Requires careful post-op management and follow-up
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Long-term outcomes generally excellent with timely repair
Who's it for ?
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New-borns with TGA, with or without VSD
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Those with simple or complex TGA anatomy
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Early diagnosis and treatment crucial for best outcomes
VSD CLOSURE VENTRICULAR SEPTAL DEFECT CLOSURE
VSD closure is a surgical procedure to close a hole in the wall (septum) between the heart's ventricles. This defect can be congenital or acquired.
Key Aspects
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Approach: Often done through midline sternotomy or minimally invasive techniques
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Cardiopulmonary bypass: Heart-lung machine supports circulation during surgery
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VSD exposure: Surgeon accesses the defect through the right atrium or ventricle
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Defect closure: VSD is closed with a patch or sutures
Benefits
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Corrects abnormal blood flow and reduces symptoms
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Prevents complications like heart failure and pulmonary hypertension
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Often curative for congenital VSDs
Considerations
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Timing of surgery depends on VSD size and symptoms
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Risks include arrhythmias, heart block, and residual defects
Who's it for?
VSD closure is often recommended for patients with:
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Large or symptomatic VSDs
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Congenital VSDs
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Acquired VSDs due to injury or infection


MICS TOTAL ARTERIAL CABG
(Minimally Invasive Cardiac Surgery Total Arterial Coronary Artery Bypass Grafting)
Key Aspects
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Minimally invasive approach through small incisions (4-5 cm)
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Uses arterial grafts (e.g., radial artery, internal mammary artery) for bypass
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Avoids sternotomy and cardiopulmonary bypass in some cases
Benefits
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Reduced trauma and pain
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Less blood loss and transfusion
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Faster recovery and shorter hospital stay
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Improved cosmetics with smaller scars
Considerations
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Technically demanding procedure requiring expertise
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Limited access and visibility may increase operative time
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Suitable for select patients with specific coronary anatomy
Who's it for ?
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Patients with multivessel coronary disease
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Those seeking minimally invasive options
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Individuals with contraindications for traditional CABG

MICS TOTAL ARTERIAL CABG
Key Aspects
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Surgical removal of the pericardium (heart sac) to relieve constriction
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Often performed for constrictive pericarditis or recurrent pericardial effusion
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Involves complete or partial removal of the pericardium
Benefits
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Relieves symptoms like chest pain, shortness of breath, and fatigue
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Improves cardiac function and exercise tolerance
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Can be curative for constrictive pericarditis
Considerations
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Major surgery with risks like bleeding, infection, and cardiac injury
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Requires careful patient selection and post-op management
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May require cardiopulmonary bypass
Who's it for ?
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Patients with symptomatic constrictive pericarditis
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Those with recurrent pericardial effusion or tamponade
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Individuals with pericardial disease unresponsive to medical therapy
BENTALLS PROCEDURE FOR AORTIC DISSECTION AND ANEURYSM
Key Aspects
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Surgical repair of the aortic root and valve for conditions like aortic dissection and aneurysm
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Involves replacing the aortic valve, aortic root, and ascending aorta with a composite graft
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Often performed for type A aortic dissection or aortic root aneurysms
Benefits
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Life-saving procedure for acute aortic dissection
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Prevents aortic rupture and reduces mortality
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Relieves symptoms like chest pain and shortness of breath
Considerations
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Complex surgery with risks like bleeding, stroke, and mortality
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Requires careful patient selection and post-op management
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Lifelong follow-up with imaging (CT/MRI) needed
Who's it for ?
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Patients with type A aortic dissection
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Those with aortic root aneurysms >5.5 cm or symptomatic
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Individuals with genetic conditions like Marfan syndrome

EVLA (LASER) FOR VARICOSE VEIN
Key Aspects:
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Minimally invasive procedure using laser energy to treat varicose veins
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Performed under local anaesthesia, usually takes 30-60 minutes
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Targets the affected vein, closing it off and redirecting blood flow
Benefits:
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High success rate (up to 98%) with minimal downtime
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Reduced symptoms like pain, swelling, and fatigue
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Improved appearance with minimal scarring
Considerations:
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Mild discomfort, bruising, or numbness post-procedure
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Compression stockings required for 1-2 weeks
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Multiple sessions may be needed for optimal results
Who's it for?
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Patients with symptomatic varicose veins
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Those seeking minimally invasive options
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Individuals with superficial venous insufficiency
Complex pediatric surgery like biventricular conversion, surgery for tetralogy( blue baby), complete avsd, coarctation, Transposition, DORV, complex 3 dimensional re- routing of vsd baffle, single ventricle palliation

