Cardiac Surgery Dr. S. Krishna Kishor M.S., DNB, FIACSConsultant
Cardiothoracic Surgeonwww.heartconsult.in
IntroductionApril 2013
55 cases till date
CABG,
Valve replacements
Surgery for congenital heart disease
Lung surgery
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Sternotomy
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Pericardiotomy
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Pursetrings
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Heart lung machine
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Arterial cannulation
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Cannulation
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Venous Cannulation
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Oxygenator
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Arterial filter
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Isolation
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Surface cooling
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Complications of CPBCognitive disorders
Haemodilution
Platelet activation & aggregation
Immune mediated reactions
Air and particulate emboli
Micro infarcts
Stroke
Renal dysfunction
Resp. dysfunction
Hypothyroidism, Hyperglycaemia ..
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Mitral valve
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MVR 30 yrs female
Class III dyspnoea
PND
Echo Severe Mitral stenosis, MVA 0.7 cmsq, Moderate MR, Mild
PAH
Chest X-ray Mitralised LHB, Cardiomegaly
ECG LAE, AF
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MV excision
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Excised MV
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MV sutures
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Mitral prosthesis
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Valve Seated
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AVR 22 yrs male
Dyspnoea class III
Fever on and off ? Endocarditis
LVF
Optimised Medically
Taken up for AVR
Echo Dilated LV, EF 38%, Normal MV, Severe AR, Mild PAH
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AVR
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Aortic valve sutures
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Annular sutures
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Prosthetic valve
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Valve seated
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CABG 63 yrs Male
Angina and dyspnoea Class II
Recent IWMI
Echo IW,septum hypokinetic, EF 40%
CAG TVD
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IMA harvest
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IMA
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SVG harvest
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LIMA anastamosis
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OM graft
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Inferior wall graft
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Proximal anastamosis
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OPCAB
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Endoscopic Vein Harvest
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SVG by EVH
Harvested Vein
EVH
Closure
Closure
ComplicationsInfection
Endocarditis
Embolism
Renal dysfunction
Stroke
Pulmonary complications
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Our Results Wound infection Nil
Prolonged ventilationNil
Sepsis / Neurological eventsNil
Prolonged Hospital Stay Nil
Mortality One
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ACC guidelineswww.heartconsult.in
6 C from accCommunication
Co-operation
Coordination
Cognition
Conflict resolution
Coaching
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FutureTotal arterial grafting with composite grafts
Minimally invasive procedures
Surgery for heart failure
ECMO
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www.heartconsult.inThank you for your patience !
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