Vascular Surgery:
- Patients with blocks in the peripheral vessels may require Bypass grafting to bypass the blocks. We can use veins or artificial conduits
- Aneurysms
- Aortic aneurysms
- Peripheral artery aneurysms
Three types of Aneurysms in the Abdomen and Thorax:
- Suprarenal Abdominal aortic aneurysm
- Infra renal Abdominal aortic aneurysms
- Thoracic Abdominal aortic aneurysm
Aneurysms in the chest:
- Ascending aortic aneurysm
- Aortic arch aneurysm
- Descending thoracic aneurysm
These are complex operations with a slightly higher mortality rates of approx. 5-10%
May have to be done as an Emergency operation
May require multiple blood transfusions
Thoracic Surgeries:
This includes:
- Lung Surgeries [a. Lobectomies b. Pneumonectomies(whole lung)]
- Decortication – Removal of the covering of the lungs called pleura
- Bullectomies – Removal of balloon dilation of the lung spaces
Safe surgeries. May require hospital stay upto 1 week or 10 days
Valve Repair:
The common valve which is repaired inside the heart is the mitral valve.
Usually mitral valve repair is attempted in non-rheumatic mitral valve disease.
Aortic valve repair is a complex procedure and the failure rate is slightly higher than that of mitral valves.
Tricuspid valve repair or Annuloplasty is a common procedure done for Tricuspid regurgitation.
Usually rings are used to do Tricuspid valve repairs.
The advantages of valve repair are no need for anticoagulation, less incidence of thromboembolic phenomenon.
The God given valve can be preserved and when the repair fails you can go in for a valve replacement at a later age group.
Usually the success of a valve repair depends on assessment on the operation table by a Trans-oesophageal echo cardiography.
If the valve repair is found to be not successful then the valve is replaced with either a mechanical or bioprosthetic valve.
Valve repairs are so beneficial to the patient because you are able to preserve the native valve of the patient.
Myxomatous valves are the valves most suited for valve repairs.
