Introduction
The primary
mission of this Department is to deliver high quality cardio
vascular care. The department was started way back 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
we use the concept of minimally invasive procedures or hybrid
procedures 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 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 areas including valvular,
coronary and congenital work except transplantations. Approximately
500 OHS procedures are performed each year, in addition to these
a good number of closed cardiac surgical procedures, thoracic and
vascular cases (including aortic aneurysm) are being done.
There is a good cardiological back-up with facilities available
round the clock for invasive hemodynamic monitoring,
echocardiography. Cardiology department is well equipped with an
echocardiography machine having biplane transoesophageal
probe, along with facilities for color flow mapping, several
computerized ECG machines, a computerized tread mill machine and
two siemens cath lab, CT Spiral, 28 slice CT and MRI are other
facilities available in the department of Radiology of this
Institute. Department of Nuclear medicine is armed with
sophisticated Gamma Camera with spect system and radioisotope
dose calibrator. Besides the Institute is backed up with the
Biotechnolog and Bioinformatics department which are involved with
the basic research on stem cells. This institute has several
research projects which are being conducted in collaboration with
Indian Council of Medical Research and the University Grants
Commission
The
Department runs a three years M.Ch. course in Cardiovascular and
thoracic surgery which is recognized by the Medical Council of
India, a two years diploma course of cardiopulmonary perfusion
technology and a two years course in post basic specialized CVT
nursing. 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.
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:
·
Palliative and intra-cardiac surgeries for congenital heart
diseases.
·
Valve reconstruction as well as replacement for valvular heart
diseases.
·
Coronary artery bypass grafting /revascularization surgery through
the beating heart technique as well as on cardiopulmonary bypass.
·
Repair of aortic aneurysms arising from the ascending aorta till
bifurcation of the aorta.
·
Repair of all forms of peripheral arterial aneurysms including the
A-V fistula aneurysms in the chronic renal failure patients.
·
Surgery for aorto- iliac diseases, femoro-popliteal diseases and
the other peripheral arterial occlusive diseases.
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.
·
Chest wall tumors with chest wall reconstructions
·
Decortication for Empyema thoracis irrespective of the etiology
·
Lobectomy / pneumonectomy for all forms of lung diseases whether
infective or malignant.
·
Extended thymectomy for Myasthenia Gravis
·
Surgery for mediastinal tumors both benign and malignant.
·
Tracheal reconstruction
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.