The department of Cardiothoracic and Vascular Surgery (CTVS) deals with complicated vascular surgery procedures.
Coronary Bypass, MIDCAB and Beating Heart Surgeries are performed here on a regular basis. Besides regular equipments, the CTVS also has the latest and advanced BP monitors and Defibrillators, Ventilators, Datascope IA Balloon Pumps and Syringe Pumps.
Absolute sterility is another critical aspect of CTVS. Double autoclaving is done for all equipments, linen etc. – a precaution underestimated at other places.
The hospital has consistently maintained over 99% success rate in all types of Open-Heart surgeries including Bypass Heart Surgeries.
The newest technique in Open-Heart surgery – “Beating Heart Bypass Surgery” has been excellently adopted and 100 consecutive such surgeries have been conducted with 100% success rate.
Heart Bypass Surgery (CABG)
Beating Heart Bypass Surgery
ASD / VSD closures
Valve Replacements
Fem-Pop Bypass
A 30 year old young man had been presented with sudden onset of shortness of breath and recurrent fever for one month along with a history of Type II Diabetes mellitus. He had been admitted under the expert care of Dr. Sankhadip Pramanik (Cardiothoracic and Vascular Surgeon) who clinically assessed him and relevant investigations were sent for. Due to the pandemic scenario investigation for COVID – 19 (RT –PCR) had also been advised which resulted negative. In addition two units of Packed Red Blood Cells (PRBC) had also been transfused. CT scan of chest had been done followed by Bronchoscopy. After discussion with the family members and with informed consent the gentleman had been posted for surgery. Decortication of left lung had been done with the help of double lumen tube (Endotracheal tube designed to isolate the lungs anatomically and physiologically). Around 1.5 litres of pus had been evacuated from the chest, the lung was completely collapsed. Decortication is a surgical procedure involving the removal of the surface layer, membrane, or fibrous cover overlying the lung, chest wall and diaphram. The procedure is usually performed when the lung is covered by a thick, inelastic pleural peel restricting lung expansion. Decortication is performed to remove all the fibrinous peel and necrotic tissue, to help the lung reexpand, and, equally important, not to leave any residual air spaces. The two most common problems encountered in performing decortication are pleural-cavity infection and fibrosis. The postoperative period was uneventful and the gentleman had been discharged on the fourth postoperative day.
A 51 year old lady had been admitted under the expert care of Dr. Sankhadip Pramanik (Cardiothoracic and Vascular Surgeon) with complaints of chest pain on exertion for the past six months. After admission, the lady had been clinically evaluated and relevant investigations were done. She also had a history of Type 2 Diabetes Mellitus, Hypertension and Hypothyroidism for more than seven years. After discussion with the family members, and with written consent, the lady had been posted for Coronary Angiography (CAG). The Coronary Angiography (CAG) revealed Multi Vessel Coronary Artery Disease and she had been advised an urgent Coronary Artery Bypass Grafting (CABG). Since, the lady had an acute inferior wall myocardial infarction, uncontrolled Diabetes Mellitus, Hypothyroid and chronic calcific Pancreatitis, the Coronary Artery Bypass Grafting (CABG) had been done in huge comorbid condition. Postoperatively, she was monitored in CTVS ITU with endo tracheal tube in‐situ and on mechanical ventilation. She had been very slowly weaned off ventilator support while the vitals were constantly monitored. The postoperative period had been uneventful and she gradually became stable. The lady had the faintest idea that a chest pain which she had been neglecting could lead to something as severe as this. Her family thanked the Ruby team for curing their family member and also for a speedy recovery.
