DR. RAJENDRA N. Vasaiya,
M.B.M.S., M.Ch.(CTVS) A.I.I.M.S. NEW DELHI,
Cardiac Surgeon,
minimally invasive CABG SPECIALIST
Ahmedabad , Gujarat (India)

Telephone No. : (R) 27461515

Mobile No : +91-9824040978

 
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HOW TO USE THIS GUIDE

Although keyhole heart surgery have not been widely used and popular among present cardiac surgeon. Patient inquires a lot about keyhole cardiac surgery. Very few have been mastered. There are many misconceptions and wrong notion prevailed. Updated guidelines deemed necessary for multiple reasons.

There are new advancement in technique and technology, hence more and more patient can be treated with this new minimally invasive heart surgery(keyhole heart surgery) wThere have been tremendous change in treatment of heart surgery.

Major advances have occurred in technique of heart surgery to aiming at reducing patient”s fear and discomfort towards there heart problem.

This guide will provide you with summery of recommendations for MIDCAB (keyhole) heart surgery. These recommendations are based on more than 300 keyhole cardiac surgery for various cardiac abnormalities.

They reflect experience based consensus of a cardiac surgeon who sought to define practice that meet the needs of most patient in most circumstances.

For more information regarding MIDCAB (Keyhole heart ) surgery or patient testimonials, please visit our website :www.adlifeheart.com

INTRODUCTION
Coronary bypass surgery without cutting sternal bone sound like description of a cardiac surgery of future but at Ahmedabad this ground breaking advances in surgical treatment of heart disease is now reality fracture created on the sternum hurts patient and worries them the most most of the patient can be discharged from the hospital within 48 to 72 hrs, and return to full activity within a week or two
Recommendations for Keyhole(MIDCAB) bypass surgery
  • Keyhole bypass surgery should be perform if any of the below criteria are met.
  • Patient with very old age particularly female because of osteoporotic bone.
  • Patient who is engaged in manual labors.
  • Patient with failed angioplasty with CTO lesions.
  • Patient with double vessel disease.
  • Patient with triple vessel disease.
  • Patient with LMCA with triple vessel disease.
  • Patient with compromise LV with triple vessel disease.
  • Patient with very bad LV function with Tripple vessel disease in whom CABG+stem cell therapy is indicated.
  • Patient with very bad LV function with triple vessel disease in whom CABG+TMR is indicated.
  • Patients with CABG+AVR.
  • Patient with CABG+MVR.
  • Following are NOT contraindication to Keyhole surgery.
  • Very obese patient
  • Very old patient
  • SYNONYMS
  • Keyhole surgery, Minimally invasive cardiac surgery, sternal sparing heart surgery, Video assisted cardiac surgery, port access heart surgery
CONTRA INDICATION TO KEYHOLE BYPASS SURGERY
  • Intramural vessel
  • Hemodynamic instability due to cadiac manipulation or ischemic
  • Preconditioning small distal target(relative contraindication)
  • Poor conduit
  • Cardiogenic shock due to acute mi
ADVANTAGES OF KEYHOLE BYPASS SURGERY
  • No sternal fracture.
  • 2.5 to 3.5 inch size of hole between the ribs.
  • Minimum or almost no pain.
  • Minimum ICU and hospital stay.(patient can be discharge within 48 hrs to 72 hrs)
  • Minimum blood loss , hence minimum requirement of homologous blood transfusion and so less chances of transfusion related complication.
  • Almost 90 % of patients receive total arterial revascularization.
  • Most of neurological complications are due to handling of aorta, keyhole surgery is carried out with NOTOUCH TECHNIQUE to the aorta.
  • Post operative neuro cognitive dysfunction is less.
  • Incidence of post operative renal dysfunction is also less.
  • Incidence of post operative bleeding is less and so, the incidence of reexploration is less.(50% time bleeding source is from sternum)
  • No question of major sternal dehision(major wound complication) because sternum is NOT AT ALL touch.
  • ZERO incidence of heart lung machine related complication because even 5 vessel bypass can be carried out with this technique.
LIST OF HEART SURGERY WHICH CAN BE CARRIED OUT BY KEYHOLE ROUTE
  • KEYHOLE BYPASS SURGERY
  • KEYHOLE MITRAL VALVE REPLACEMENT\REPAIR
  • KEYHOLE AORTIC VALVE REPLACEMENT\REPAIR
  • KEYHOLE DOUBLE VALVE REPLACEMENT\REPAIR
  • KEYHOLE TRICUSPID VALVE REPAIR\REPLACEMENT
  • KEYHOLE ASD CLOSURE
  • KEYHOLE VSD CLOSURE
  • KEYHOLE GLENN SHUNT
  • KEYHOLE PDA CLOSURE
  • KEYHOLE MAZE PROCEDURE FOR ATRIAL FIBRILLATION
  • KEYHOLE BYPASS SURGERY WITH STEM CELL THERAPY
  • KEYHOLE BYPASS SURGERY WITH TMR
About Dr. Rajendra Vasaiya

Dr. Rajendra Vasaiya is dedicated to advancing the practice of cardiac surgery by focusing on reducing the pre operative fear and risk. Along with peri operative and post operative discomfort whenever possible and contributing to successful outcome for every patient. It is Dr. Vasaiya's mission to design and develop surgical operations that puts more control in his hand for superior outcome of most fearsome and dreaded cardiac operations.

Since last 15 yrs keyhole approach is widely in use for single vessel coronary artery disease, But now Dr. Vasaiya have design keyhole approach for multi vessel coronary artery disease.

Dr. Vasaiya have carried out more than 300 keyhole cardiac operation in various cardiac condition

For more information, please visit www.adlifeheart.com

 
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He was appointed as a • consultant cardiac surgeon before 15 yrs and having many “first” in his credit to this region. Dr. Vasaiya is pioneering in various “KEYHOLE” cardiac procedures.
   
 
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  Keyhole Heart Surgery
  Recommendations for Keyhole (MIDCAB)
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  ADVANTAGES OF KEYHOLE BYPASS SURGERY
  LIST OF HEART SURGERY
  About Dr. Rajendra Vasaiya
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