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Cardiac Surgery Hospital | Thoracic Surgery Hospital InCoimbatore, India

sriramakrishnahospital.com/majordepartment/cardiovascular-and-thoracic-surgery

Cardiovascular and Thoracic Surgery

6 Specialists

cardiovascular and thoracic surgery

The Department of Cardiovascular and Thoracic Surgery comprises of the Best

Cardiothoracic surgeons in Coimbatore with decades of collective experience behind

them. With more than 13,000+ open-heart surgeries under our belt, we are the

leading cardiovascular surgical programme in the region. Here, coronary artery bypass

surgery is routinely performed, both on and off pump, with great success. The team also

has extensive experience with minimally invasive procedures such as the MIDCAB

(minimally invasive direct coronary artery bypass), valve repairs, valve sparing

aortic root replacement and many others.

Our expertise also includes Paediatric surgeries for congenital heart diseases such as

repairs of ASD (atrial septal defect), VSD (ventricular septal defect) and TOF (tetralogy

of fallot) and correction of TAPVR (total anomalous pulmonary venous return).

In fact, our hospital was the first in the region to perform complex surgery on a six-day-

old infant with congenital heart disease.

Your heart is in safe hands!

Medical Conditions

Coronary Artery Disease (CAD) or Ischemic Heart Disease (IHD)

CAD occurs when the arteries supplying blood to the heart get hardened and are

narrowed. This is caused by the buildup (on the inner walls) of cholesterol and

other material known as plaque. As plaque grows the flow of blood is inhibited which

in turn means the heart and the rest of the body doesn’t get the blood it requires to

function or survive. Over time this leads to angina (chest pain) and eventually to

heart attacks. The majority of heart attacks occur when a blood clot cuts off the blood

supply to the heart thereby causing permanent damage to it. CAD can also cause

heart failure and arrhythmias.

There are a host of treatments for CAD, some of which are surgical. We at Sri

Ramakrishna Hospital have extensive experience in both.

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Treatments & Procedures

Off pump and On pump coronary artery bypass surgery

When a coronary artery is blocked (partially or completely), it can cause

Ischemic Heart Disease (IHD), Coronary Artery Disease (CAD) as

manifested by chest pain (angina). In such a situation it is necessary to carry out

coronary artery bypass surgery. Most people have heard of ‘a bypass’ but aren’t

too sure what it is.

In short, surgeons use a vein or artery from another part of the body to create a

‘bypass’ so that the blood may flow to the blocked coronary artery. The patient is put

under general anesthesia and the surgeons begin by making an incision in the middle

of the chest. The breastbone is separated in order to create an opening through which

the heart region may be accessed.

At this point, most patients are put on a bypass pump or heart-lung bypass machine.

This is known as an on-pump coronary artery bypass. Essentially, all the

work of the heart and lungs is then done by the machine, for the duration of the

procedure. It adds oxygen to the blood before circulation to the body and then

removes carbon dioxide from the blood as it returns.

The surgeon then takes a vein or artery from another part of the body. This is

fashioned into a bypass wherein one end is connected to the coronary artery while the

other connects to the aorta. This allows blood to flow around the blocked section so

normal circulation is restored. Some of the common veins and arteries used as a graft

in the procedure are the saphenous vein (from the leg), the radial artery (from the

wrist), and the internal mammary artery or IMA (which lies in the chest and is

already connected to a branch of the aorta).

When the procedure is complete, the breastbone is closed with steel wires (which will

remain in the body) and the chest with stitches.

In some cases a patient may not be put on a bypass machine. In these instances, the

procedure is done while the heart is still beating. This procedure is known as an off-

pump coronary artery bypass (OPCAB). This is a far more complex and

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technically challenging procedure. But, the benefits to the patient can be quicker

recovery, fewer blood transfusions, a shorter stay in the hospital, and even fewer

complications in terms of the response of the immune system.

At Sri Ramakrishna Hospital, our surgeons are well equipped with the technical

expertise to perform both procedures and a vast number of patients have benefitted

from our expertise.

Speciality Doctors

Dr. G. OM PRAKASHAMMBBS, MS, M.Ch, FACS (Singapore)

Consultant Cardiac Surgeon

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Dr. NARENDRAN MENONMD, MD(Anaes), PDCC

Cardiac Anaesthesiologist

Dr. ASHOK HARIHARANMD, FRCA

Cardiac Anaesthesiologist

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Dr. S. MANIKANDANMD, FCA, FIACTA

Cardiac Anaesthesiologist

Dr.S. THIAGARAJA MURTHYMS., FRCS – (General Surgery)., FRCS – (Cardiothoracic Surgery)

Chief Consultant Cardiothoracic Surgeon

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Dr. S.VIJAYMS (General Surgery) MCH (Cardio Thoracic Surgery) DNB (General Surgery) Fellow in Pediatric

Cardiac Surgery (Boston Children Hospital, Harvard Medical School) Fellow in Cardiac Surgery

(Cleveland Clinic)

Consultant Paediatric Cardiothoracic Surgeon

Dr. G. OM PRAKASHAMMBBS, MS, M.Ch, FACS (Singapore)

Consultant Cardiac Surgeon

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Dr. NARENDRAN MENONMD, MD(Anaes), PDCC

Cardiac Anaesthesiologist

Dr. ASHOK HARIHARANMD, FRCA

Cardiac Anaesthesiologist

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Dr. S. MANIKANDANMD, FCA, FIACTA

Cardiac Anaesthesiologist

Dr.S. THIAGARAJA MURTHYMS., FRCS – (General Surgery)., FRCS – (Cardiothoracic Surgery)

Chief Consultant Cardiothoracic Surgeon

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Dr. S.VIJAYMS (General Surgery) MCH (Cardio Thoracic Surgery) DNB (General Surgery) Fellow in Pediatric

Cardiac Surgery (Boston Children Hospital, Harvard Medical School) Fellow in Cardiac Surgery

(Cleveland Clinic)

Consultant Paediatric Cardiothoracic Surgeon

Dr. G. OM PRAKASHAMMBBS, MS, M.Ch, FACS (Singapore)

Consultant Cardiac Surgeon

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Dr. NARENDRAN MENONMD, MD(Anaes), PDCC

Cardiac Anaesthesiologist

Frequently Asked Questions

What are the 4 stages of heart failure? How are you preparing yourself for Thoracic

Surgery? Is thoracic back pain serious? Is heart disease curable? Can an ECG detect a

blocked artery?

Sri Ramakrishna Hospital

Treated 10,00,000+ Patients

Counting on state of the art infrastructure and medical equipment

We are here to serve you for all your healthcare needs

Address

No: 395, Sarojini Naidu Road, Sidhapudur, Coimbatore.

Email

info@sriramakrishnahospital.com

Phone

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+91 422 4500 000

Opening Hours

We are available

24*7

Get in Touch

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