Cardiothoracic Surgery

Cardiothoracic department of VMCH&RI exists with a motive to provide cardiac treatments thereby fill the lacunae that existed in the southern districts of Tamil Nadu to get the latest technology at affordable rates for cardiac ailments. Ever since its inception the center is cruising in the right direction and growing to its vision of providing the cutting edge technology for any cardiac ailment under one roof.

Students are practically trained as they have visits that are scheduled frequently with the expert clinicians, physicians, and technicians.

The Infrastructure:

The Operating Rooms:

Presently there are two functioning operating rooms, equipped with the state of the art equipment. The rooms are made with laminated steel walls and flooring with the least electrostatic potential to provide dust-free environs. The laminar flow air conditioning with Hepa filter and maximal air exchanges provides the best protection against sepsis. The heart-lung machine, the operating table, the homeotherm, the anesthesia machine, multichannel monitors with slave monitors, the defibrillators, defibrillators, cautery are all state of art ones maintaining the top international standards.

The Intensive Care Unit:

This has an acute care facility and a separate Step down care facility. The acute care area has presently provision to take care of 12 patients and the step-down area can take care of 15 patients.

These intensive care rooms are equipped with the latest ventilators, multichannel monitors, Blood gas machines, facility to do Haemodialysis and Complete Renal replacement therapy when needed, Intra aortic balloon therapy, rewarming blanket and air beds and multifunctional ICU beds.

Milestones :

The cardiothoracic department of VMCH&RI has performed varied procedures catering to a large group of patients all over the world within a short span of time.

The surgeries performed include all varieties of complex surgeries like Redo procedures for valve replacement, Redo Bental procedure, Redo CABGS, Repair of dissecting aneurysms, Repair aneurysm of the arch of aorta, surgery for LV aneurysm, Acute myocardial infarction with the ventricular septal defect.

Regularly do VATS thoracic procedures.

Regularly performs minimally invasive cardiac surgeries.

Surgery for Valvular heart diseases:

• Aortic valve replacement
• Mitral valve replacement
• Mitral valve repair
• Bentalls procedure
• Tricuspid valve repair
• Double valve replacement
• Combined surgeries of valve with other concomitant procedures

Coronary Artery Surgeries :

• Off-pump beating heart surgeries
• On pump coronary artery surgeries
• Arterial revascularization procedures.
• Surgeries for infarction related complications like CABG with myocardial rupture, With acquired Ventricular septal defects, mitral regurgitations

Redo Open Heart Surgeries:

Arrhythmia Surgeries :

• Per operative radiofrequency ablation of aberrant pathways combined with valvular heart surgeries and congenital heart disease surgery.
• Maze operations along with valvular heart surgeries when indicated.

Minimally invasive cardiac surgeries:

For – Atrial septal defects, Mitral and aortic valve replacements, Coronary artery bypass grafting surgeries.

Aneurysm Surgeries:

• All major Aortic aneurysms including those needing cardiopulmonary bypass backing
• Dissecting aneurysms of the aorta
• Aneurysms of peripheral arteries

Extracorporeal Membrane Oxygenation Support:

Facility to support critically ill patients with ECMO

Congenital Heart Disease Correction :

Atrial septal defects, Ventricular septal defect, Tetrology of Fallot, Patent ductus arteriosus, Coarctation of the aorta.

Thoracic Surgeries :

• Decortication, Lobectomies of the lung, Pneumonectomy,
• VIDEO ASSISTED THORACOSCOPIC PROCEDURES
• Pericardiectomy.
• Thymectomy
• Mediastinal and Thoracic tumors

Major vascular surgeries:

• Aneurysms of Ascending arch & descending Thoracic aortic artery repairs.
• Thoracoabdominal aortic aneurysm repair.
• Infra Renal aortic aneurysms & occlusion repair.
• Aneurysms of Intermediate arteries repair.