Heart Surgery Treatment Methods of New Age.

Cardiac surgery or heart surgeries have seen changes akin to a revolution since the last 50 years. From the use of cardiopulmonary bypass (CPB) in 1953, medical science has taken a large leap in breeding innovations. It helped in improvements in the techniques and technologies for cardiac surgeries. Heart surgery treatment methods of a new age.

These robust procedures have made cardiac surgery safer and cost-effective. Now we use advancements like Robotic surgeries, off-pump surgery, use of artificial hearts, video-assisted surgery, surgical treatment for heart failure, and prostheses.

The progress has been a consistent phenomenon that has dotted the shape of a heart- related surgeries and continues to vie for new creations that make the medical procedures less invasive and more patient-friendly. Let us take a look at some of the important Heart surgery treatment methods of a new age.

 Heart Regeneration

HEART SURGERY TREATMENT METHODS

When a person suffers a heart attack, a blood clot is formed which hinders the coronary arteries to supply blood to the heart. The part of the heart which is not able to supply blood becomes dead and eventually changes into scar tissue.

This scar tissues blocks heartbeats and thus impairs proper breathing and leads to weakness as well as increases intolerance towards exercise. Stem cells are used in heart regeneration.

Stem cells are taken from an unaffected part of the patient’s heart. This stem cell is multiplied artificially in the laboratory and introduced on the injured site in the heart and repair the damage.

However, researchers at Cedars-Sinai Heart Institute in Los Angeles have worked out a method which pumps in life into the dead scar tissue which enables it to function properly. The researchers have developed a procedure which entails the injection of a patient’s stem cells into the scar tissue. This injection will revive it into a living heart muscle.

The European Heart Journal published a study in 2017 in which the physicians of the institute tried and tested the procedure of injection of stem cells on a few heart patients.

The results evinced as much as a 50% reduction in the formation of scar tissue and its regeneration within three months of having a cardiac arrest.

3-D Printing

3 D printing anatomy has already been in use in most of the medical schools of the USA. It is being used from a computed tomography data set to teach the medical students.

This technology is used in complex heart surgeries on a wide scale. To replace the damaged structures such as heart valves with a befitting part.

A report on the Diagnostic and Interventional Cardiology explained that this new and emerging heart surgery involving the use of a 3-D computer software portends a decrease in post-operative complications. It aids virtual device implantations for better patient selection also allows the development of transcatheter devices and procedures.

Left Ventricular Reconstructive Surgery (DOR Procedure)

Left ventricle reconstructive surgery is used for treating heart failure. The surgery improves the conditions of heart failure or angina symptoms and thus improves the ability of the heart to pump blood.

During a heart attack, a scar develops in the left ventricle or left lower pumping chamber of the heart. As and when the heartbeats, the scared area can bugle out and shrink with each heartbeat.

The bulging of this thin area is termed as an aneurysm. This condition of an aneurysm, coupled with a damaged myocardium makes it difficult for the heart to pump blood throughout the body.

In the beginning, the heart may do this additional hard work but over time, it may enlarge and pump blood inefficiently. In essence, the Left ventricular reconstructive surgery removes the scarred and dead area of the heart tissue; and normalizes the left ventricle into its original shape.

Minimally-Invasive-Direct-Coronary Artery Bypass Graft Surgery (Midcab)

Heart surgery treatment methods of a new age.

MIDCAB or ‘limited access to coronary artery bypass’ is usually is a limited surgery. It can be performed only on patients with lesions in one or two coronary arteries. Mainly the Left Anterior Descending Artery (LAD) and the Right Coronary Artery (RCA).

In this process, long incisions are not made. Splitting of the breast bone leads to the development of instability of the sternum, infection of the bone, cartilages, and also the development of ugly scars (keloid). This is more susceptible in this location and in dark-skinned people.

Unlike the traditional CABG, in this procedure, a small incision is made on the sides of the patient’s chest in the fourth left intercostal space. Through the incision, it enters the pericardium via the bed of the excised cartilage.

Thoracotomy Off-Pump Coronary Artery Bypass Surgery (Topcab)

This is a procedure which entails a left Antero-Lateral thoracotomy approach. Asian Heart Institute has pioneered the procedures of LESS, TOP CAB, and OPCAB. 

They are performing these surgeries with amazing results over the last three years. Asian Heart Institute is touted to be one of the best centers in the world which performs more than ninety-nine percent of the CABGs on beating heart (OPCAB).

Google Glass

Google Glass is a wearable pair of specs based on computing technology. The device is akin to a minicomputer which can take pictures, record videos, as well as transfer data to another device. But how does this help the surgeons?

When doctors perform medical procedures on the human body, they can wear these glasses and record as well as transfer images and videos viewed. A coronary angiography doctor inserts dye into the arteries to enable a clearer image

Final Thoughts

These are some of the most important and the latest advancements in the field of heart health. Researchers are beavering away day and night in medical development. More novel surgeries which presage an evolution in cardiac evaluation and treatment.

Please give a review on this article “Heart surgery treatment methods of a new age”.

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