| Adult Cardiac and Vascular Surgery |
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The Adult Cardiac and Vascular Surgery Programme
at AIMS is one of the busiest programmes in the country.
Over 1500 cardiac surgical operations are performed annually.
The operations performed include coronary artery bypass
grafting, heart valve reconstruction and replacement,
minimally invasive cardiac surgical procedures and complex
arch reconstructions.. |
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Special features of this programme include emphasis
on total arterial revascularization and use of minimal
access techniques for coronary artery bypass grafting
on a beating heart. The program has acquired a reputation
for coronary artery bypass grafting on high-risk patients
with poor heart muscle function.. |
| Valve Replacement and Repair |
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Valve replacement prevents problems
related to heart valves which have become too tight
with deposits of calcium (bone) or which leak blood
backwards. These problems can be associated with
a history of rheumatic fever or may be the result
of a valve that was abnormal at birth which has
stiffened over time. Valve repair is possible for
certain patients. The valve most commonly repaired
is the mitral valve. If the mitral valve is leaking,
it can often be repaired by a combination of tailoring
the valve leaflets themselves and usually reducing
the size of the valve opening by sewing a metal
ring to the tissue around the valve. |
| Aortic Surgery (Aneurysm Repair) |
| The aorta is the main blood vessel coming out
of the heart carrying blood to the rest of the body.
Portions of it can stretch to cause a balloon-like
area that can leak or rupture, causing death. These
balloon-like dilations, oraneurysms, can develop
slowly and silently or quickly and painfully.
An acute dissection, which is a break in a layer
of the aorta, causes severe pain and is often
mistaken for a heart attack. Parts of the aorta
can be replaced with tubes of Dacron graft material
to reduce the risk of rupture or blockage of blood
vessels that can be associated with aneurysms
and dissections. Sometimes, this is required as
an emergency to prevent imminent rupture and death.
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| Vascular Surgery |
| Arterial disorders are very common
in Kerala due to various factors such as a higher
incidence of diabetes and hypertension. AIMS diagnostic
services include: MR Angio, Spiral CT with 3D reconstruction,
conventional angiography, Digital Subtraction Angiography(DSA)
and Doppler study.
The following surgeries are routinely performed:
Repair of aortic aneurysms
Emergency operations for aortic dissection
Aorto-femoral bypass
Femoro-poplitial bypass
Pseudo-aneurysm repair
Carotid endarterectomy for occlusion of the carotid
artery (the main vessel supplying the brain)
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