Composed of scientists, the honored medical staff of our department of cardiovascular surgery conducts ongoing diagnostics and treatment using advanced medical systems. Our hospital successfully performs operations on the aorta, heart valves, carotid artery, as well as surgical treatment of heart tumors and arterial surgery. Our hospital performs a rare minimally invasive shunt surgery, which is usually performed only in patients with a high degree of risk in very few centers. After surgical procedures, patients are monitored in our intensive care unit of cardiovascular surgery, equipped with modern life support devices. Coronary artery Bypass Grafting Heart Valve Surgery Heart Failure Treatment Aortic Surgery Vascular Surgery Carotid artery Surgery Heart Tumor Treatment Varicose Vein Treatment Angioplasty Stent Placement
BYPASS SURGERY WITH SMALL INCISION tcrat METHOD
The most common disease among cardiovascular diseases is the narrowing or complete occlusion of the heart vessels, which we call coronary artery disease. The arteries that supply the heart are called coronary arteries. Heart attack (myocardial infarction) and heart failure develop as a result of serious stenosis and occlusion in these vessels located around the heart. In those with a family history of coronary artery disease, the quality of life of the patient becomes impaired with coronary artery disease, which develops due to high cholesterol levels and heavy smoking. Those with high blood pressure (hypertension), arteriosclerosis and diabetes mellitus have a high risk of cardiovascular disease. Coronary bypass surgery is the surgical procedure performed to eliminate the malnutrition of the heart and to enable the patient to return to normal life without chest pain.
The purpose of coronary surgery, which constitutes a large part of heart surgeries, is to bypass the occluded part of the vessel (by bridging) and restore blood flow to the non-supplied parts of the heart. In the heart that begins to be supplied again, chest pains due to ischemia are relieved, the risk of heart attack is reduced and the impairment in the contractile function of the heart is prevented. Mostly, grafting is performed using mammary arteries (LIMA-RIMA), located in the inner chest wall, arm artery (radial artery) and veins removed from the leg (saphen vein). The patency rate of the vessel after by-pass surgery with LIMA (internal mammary artery) is over 90% even after 10 years. A heart-lung pump (cardiopulmonary bypass) can be used during surgeries or, in appropriate cases, a by-pass can be performed on the beating heart.
HOW IS MINIMAL INVASIV HEART SURGERY PERFORMED?
Fast-track anesthesia methods and minimally invasive cardiac surgery (small incision) procedures are applied in order to ensure rapid patient recovery, which is the main goal of today's modern heart surgery. While preparing the bypass grafts, the vessels to be taken from the arm and leg can be removed by endoscopic methods, and in this way, surgical incisions are limited to 1-2 cm in most of the patients.
WHAT IS THE TCRAT METHOD IN SMALL INCISION HEART SURGERY AND WHAT ARE THE ADVANTAGES?
TCRAT (total coronary revascularization via a left anterior thoracotomy) procedure is the most prominent technique among minimal invasive cardiac surgeries in recent years. Coronary artery bypass can be performed with an incision of approximately 5-8 cm made under the left breast to the anterior chest wall. In favor of this technique, a heart-lung pump can be used in patients deemed necessary. With the same technique, it is possible to bypass the beating heart. In favor of this procedure, which can be performed in a few limited centers using special tools and equipment, it is possible to perform multi-vessel bypass without cutting the patient's sternum. The majority of patients who do not have any bone incisions can be discharged within 3-4 days with this method, which shortens the duration of intensive care and hospitalization. Patients return to their normal lives in a short time and reach a better quality of life.