Introduction
The primary mission of this Department is
to deliver high quality cardio vascular care. The foundation of the
department was laid in 1992 and it formally started in 1993, when
this super-specialty hospital came into existence, under the banner
of Tirumala Tirupati Devasthanams. Our mission has been to provide
the most advanced technology to the poor and needy, extending as a
life line to every patient through innovative ways of management
including the surgical procedures with positive results. This is
flanged by a continued dedicated follow-up in a patients friendly
approach.
The last few decades have seen medical
science, including cardiac science advance like never before in the
history of mankind. On the other hand, modern life has brought about
an increase in the life style diseases. At present, patients would
be presenting with multi-system involvement and co-morbid conditions
like chronic obstructive airway diseases, Diabetes mellitus,
hypertension, and many more which may make this group of patients
unfit to undertake major surgeries. Here the concept of minimally
invasive procedures or hybrid procedures could be undertaken to
decrease the mortality, this involves a combination of medical
/surgical skills and technology.
The staff in the Department of
Cardiovascular and Thoracic Surgery have a patient centric approach
to clinical practice and aim to bring advance form of medical health
care to our patients, through high quality facilities ensuring the
best outcome to patient care. We value all our staff and team work
is what determines our future. There is an open communication
between the patients and relatives and this results in effective and
timely action which benefits our patient.
The Department of Cardiovascular and
Thoracic Surgery (CVTS) has an independent bed strength of 40
beds which are dedicated to preoperative ward, a well equipped
postoperative intensive care unit and intermediate care facility. It
runs an active cardiovascular and thoracic vascular surgical
program which entertains both routine and emergency procedures.
Cardiac work comprises of both congenital and acquired diseases
including valvular, coronary and congenital except the
transplantations. Approximately 500 Open heart Surgeries (OHS) are
performed each year, in addition to these a good number of closed
cardiac procedures, thoracic and vascular cases (including
aortic aneurysm) are being done. There is a good cardiological
back-up with facilities available for round the clock invasive
hemodynamic monitoring, echocardiography and also for coronary
angiography, primary PTCA (per cutaneous coronary angioplasty),
temporary pacing for complete heart block, Percutaneous mitral
commissurotomy (PTMC). Cardiology department is well equipped with
the latest version of echocardiography machine having biplane
transoesophageal probe, along with facilities for color flow
mapping, several computerized ECG machines, computerized tread
mill machine and two siemens cath lab.
The Department of Radiology and Nuclear
Medicine are the ancillary departments which aid in clinical
diagnosis of the patient. The Department of Radiology is well
equipped with the state-of-art equipments such as 128 multislice CT
scanner, Spiral CT scanner, MRI (1.5 Tesla). Besides the diagnostic
work the department is carrying out routinely interventional work
under CT and ultra sound guidance like biopsies, drainages, PCN,
embolisation of tumour vessels as well as balloon dilatation
The Radiology department is equipped
with a number of fixed High Frequency Radiography machines
incorporated with Computed Radiography (CR) system and Digital
Radiography (DR) unit.
Department is the Nuclear medicine
which deals with functional and molecular
imaging with radio nuclide therapies using radio isotopes. There is
a PET-CT Unit and High Dose Radionuclide Therapy facility.
To carry out the basic molecular research
the Institute is backed up with the Department of Biotechnology.
SERVICES AVAILABLE:
1.
Daily OPD
from 8.00 am to 2.00 pm
Unit I : Days : Monday,
Wednesday and Friday
Unit II: Days: Tuesday,
Thursday and Saturday
2.
Daily Operation Theatre
a.
Unit I ; Tuesday, Thursday and Saturday
b.
Unit II: Monday, Wednesday and Friday
3.
In-patient services and 24 x 7 emergency services and
consultations.
4.
Surgeries both (elective and emergency) in the field of
cardiac, Thoracic and Vascular diseases.
5.
Community outreach services in rural areas through camps.
6.
Teaching of Undergraduates, postgraduates, for students of
Allied health sciences, Physiotherapy and Nursing.
Academic Activities in the Department
:Courses, teaching and training:
1.
The Department runs a three years M.Ch. course in
Cardiovascular and thoracic surgery which is recognized by the
Medical Council of India. The basic qualification is M.S. (gen.
surgery). There is permission for take in of four students per year.
2.
The Department of CVTS has the B.Sc. course in Allied health
sciences: B.Sc. Cardiopulmonary Perfusion Technology, which is a
four year course. The basic requirement is intermediate.
3.
From this year 2021 -22 the Department of CVTS shall be
starting the M.Sc. Cardiopulmonary Perfusion Technology; The basic
requirement is B.Sc in CPPT.
4.
The Department also has the post basic specialized CVT
nursing course of one year.
5.
Ph.D in allied health sciences, Physiotherapy and
Nursing.
6.
Besides the department Faculty are also involved with the
teaching and training of the students of the seventh semester of the
Bachelors of Physiotherapy and Bachelors of Nursing course.
Interventional Procedures:
1.
Tracheostomy elective and emergency.
2.
Intercostal tube placement for trauma, pneumothorax, pleural
effusions.
3.
Fibreoptic and rigid bronchoscopy for diagnostic and
therapeutic purposes ( also rigid bronchoscopy for Foreign body
aspiration)
4.
Pleural and lung open lung biopsy procedure.
5.
Thromboembolectomy
Surgeries Being Performed:
Surgeries:
The Department of Cardiovascular and
Thoracic Surgery provides surgical solution to a wide spectrum of
heart, vascular and lung ailments. The cardiac procedure involves
the following:
Ø
Palliative and intra-cardiac
surgeries for congenital heart diseases.
Ø
Valve reconstruction as well
as replacement for valvular heart diseases.
Ø
Coronary artery bypass
grafting /revascularization surgery through the beating heart
technique as well as on cardiopulmonary bypass.
Ø
Repair of aortic aneurysms
arising from the ascending aorta till bifurcation of the aorta.
Ø
Repair of all forms of
peripheral arterial aneurysms including the A-V fistula aneurysms in
the chronic renal failure patients.
Ø
Surgery for aorto- iliac
diseases, femoro-popliteal diseases and the other peripheral
arterial occlusive diseases.
Ø
Cardiac and vascular
trauma
With the increasing incidence of the
pleural and the pulmonary diseases, there has been an increase in
their interventions. Thoracic surgery involves the surgery which are
done through the open technique as well as with the use of the video
assisted thoracoscope where ever indicated.
Ø
Chest wall tumors with chest
wall reconstructions
Ø
Decortication for Empyema
thoracis irrespective of the etiology
Ø
Lobectomy / pneumonectomy
for all forms of lung diseases whether infective or malignant.
Ø
Extended thymectomy for
Myasthenia Gravis
Ø
Surgery for mediastinal
tumors both benign and malignant.
Ø
Tracheal reconstruction
Ø
Surgeries for chest trauma
Ø
Video assisted thoracoscopic
surgery (VATS) for simple disease condition.
Ever since the inception of the Department
of Cardiovascular and Thoracic department the major achievements
have been the versatility of the operative procedures being done
here. Most of the cases which visit our outpatient department are
very sick and have either had a surgery done earlier or the ones
which have been denied surgery at the peer institutions.
Services not available
1.
Surgeries for complex congenital cardiac defects in infants
and neonates
2.
Extracorporeal membrane oxygenation (ECMO)
3.
Surgery for heart failure ( right and left ventricular assist
devices).
4.
Heart and lung transplantation and combined heart and lung
transplantation.
