Heart Surgery

Heart Diseases and Surgeries

Cardiovascular surgery is surgical procedures performed on the heart and four major vessels by surgeons specialized in this field. Cardiovascular diseases are among the important causes of death in Turkey and in the world. With advances in medicine, these diseases can now be diagnosed early in anyone who has regular checkups. If you suffer from cardiovascular diseases that require surgical treatment, you can have your examination and treatment done in the cardiovascular surgery departments of health institutions, accompanied by specialist doctors.

The hospital's experienced cardiac anesthesia team and intensive care units equipped with advanced life support devices contribute significantly to the success rate of surgeries and allow patients to have a more comfortable post-operative period.

CGM TEST

The CGM Test or cardiogoniometry is a computer-assisted test that measures and displays the three-dimensional electrical activity of the heart and vessels leading to the heart. In the method also known as 3D-ECG, it is performed in a short period of 4-5 minutes while the patient is at rest with the help of 5 electrodes attached to the chest and back. Patients are not exposed to radiation or any other chemical substance during the application. With this test, it is possible to predict the risk of heart attack faster than the classical EKG.

SISTER TEST

The ABI test is a measurement method primarily used in the diagnosis of peripheral artery disease. It consists of the initials of the words ankle-brachial index in English and can be translated into Turkish as "ankle-arm index". In peripheral arterial disease, there is narrowing of the arteries supplying the arms or legs, and therefore circulatory disorders in the affected limbs. The ABI test is performed by attaching a blood pressure cuff to the arms and legs. However, Doppler sonography is used to measure pressure values instead of a stethoscope. Doppler sonography, a procedure that is part of ultrasound examinations, in which the blood flow in the arteries can be determined and made visible or audible.

ANGIO FROM THE WRIST

In the past, almost every cardiac catheterization was performed through arteries located in the right or left groin, called the femoral arteries. But now the wrist is also preferred. Because, unlike the inguinal vein, the wrist vein is very close to the skin surface and can be easily found even in obese patients, and bleeding control is easier in this vein. For wrist angiography, the operation area is anesthetized with local anesthesia. A small incision is made and the vein is entered and the procedure is performed.

CORONARY ANGIOGRAPHY

Coronary angiography is the process of imaging the vessels that feed the heart and called the coronary arteries by giving dyed fluid. The procedure is performed by entering the inguinal or wrist veins with the help of special catheters.

CORONARY BY-PASS

When there is narrowing or occlusion in the coronary vessels that feed the heart, the heart cannot be fed adequately. If the blood flow in the veins falls below a certain level, a heart attack occurs and the heart muscle is damaged. In order to prevent heart muscle damage, a procedure called coronary bypass is applied with open heart surgery to the relevant vessel. Bypass procedure is applied by connecting the vein taken from another part of the body as a bridge to the blocked vein.

HEART VALVE (AORT, MITRAL, TRICUSPIT AND PULMONARY) REPAIR AND REPLACEMENT SURGERY

In case of insufficiency or stenosis of the heart valves, it may be necessary to perform repair or replacement surgeries on the relevant valve. In the replacement process, artificial or animal-derived biological heart valves are used. Artificial valves are more durable but require lifelong use of anticoagulants as they can cause clots. These drugs may pose a risk of bleeding. Biological valves do not require the use of drugs, but the valve has a shorter lifespan and needs to be replaced with a new surgery after 7-8 years.

HEART VALVE SURGERY

These are surgical procedures applied to the valves located between the heart chambers. Heart valve surgery is performed by cardiovascular surgeons under general anesthesia. It is a difficult operation and is performed by opening the thorax. During surgery, the damaged heart valve is repaired or replaced.

AORTIC ANEURYSM SURGERY (ASENDEN, ARCUS AORTIC ANEURYSM REPAIRS)

The aorta is the main artery that comes out of the heart and distributes clean blood to the body. All of the blood going to the body is pumped from the heart to the body through this vein. The part where the aorta emerges from the heart is called the ascending aorta, and the part where it curves right after is called the aortic arch. Abnormal enlargements in the form of pouches, called aneurysms, are common in these regions of the aorta. Aneurysms need to be treated surgically because of the danger of rupture.

LEFT VENTRICLE ANEURYSM REPAIRS

Left Ventricular Aneurysm is a balloon-shaped sac in a part of the left ventricular muscle, which is the lower left chamber of the heart. The sac-like heart muscle cannot contract and cannot contribute to the pumping function of the heart. In addition, clots may form here and rhythm disturbances may occur in the heart. Left ventricular aneurysm repairs are performed with different surgical techniques, depending on the size and characteristics of the aneurysm.

VESSEL REMOVAL FOR BY-PASS WITH SMALL INCHES

Coronary vessels (vessels feeding the heart) that cannot be opened using treatment methods such as stent and balloon are treated with a method called by-pass. In the bypass method, veins taken from other body parts such as arms and legs are used. In the classical vein removal procedure, large incisions must be made in the arms and legs of the person. On the other hand, it is possible to remove veins with the help of small incisions with the endoscopic method. With the endoscopic method, both the scar is smaller and the healing process is faster.

HEART SURGERY WITH SMALL INCHES

With the advances in medicine, heart surgeries can be performed through small incisions on invisible parts of the body. This type of surgery is called minimally invasive surgery. In classical open heart surgeries, the breastbone called the sternum is cut and this can cause many negative complications. Since this bone is not cut in surgery performed with small incisions, the negative effects are less. Since the incision wounds are small, recovery and return to daily life are faster.

REMOVING HEART TUMORS

Heart tumors are benign or malignant mass structures originating from the heart or spreading from organs other than the heart. The most common benign heart tumors in adults are myxoma, while malignant heart tumors are angiosarcoma and rhabdomyosarcoma.

Surgical treatment of these is done by surgically removing the tumoral tissue. Apart from the classical method, the surgical procedure is also performed through small incisions made under the breast, which is called minimally invasive surgery, especially in women.

KVC PERIPHERAL VESSEL SURGERY

Peripheral artery is the name given to the arteries that feed all other tissues and organs in the body except the heart and brain. Peripheral vascular diseases are diseases that occur as a result of stenosis or occlusion in these vessels and are generally used for leg vascular disease. Surgical methods called peripheral bypass or endarterectomy are used in the treatment of peripheral vascular disease. In bypass surgery, blood flow is restored by bridging the clogged vein taken from other parts of the body or with an artificial vein. In endarterectomy, the plaque layer that causes the obstruction in the related vessel is removed.

MINIMALLY INVASIVE CARDIOVASCULAR SURGERY

Minimally invasive cardiovascular surgery is performed using small incisions, causing the least damage to the patient, the least tiring of the heart, and the fastest recovery of the patient.