Angioplasty and Stenting
Blood flow to a narrowed area of your artery may be improved by stretching open the narrowing with a small cylindrical balloon. The balloon is position across the narrowed area of the artery, and when inflated the balloon stretches the artery wall and compresses the fatty plaque/ cholesterol.
Once the narrowing has been widened, a stent is usually inserted. A stent is a very fine mesh cylinder usually composed of stainless steel or cobalt. The stent then acts as a metal scaffolding to support that section or artery. Once the stent has been positioned, it cannot be moved or removed and over time the stent will become embedded in the artery wall.
Following a PTCA/stenting procedure, it is current practice for most patients to remain monitored in hospital overnight.
At all times, please do not hesitate to ask questions about your procedure or your hospitalization. Not all coronary artery narrowings are suitable for angioplasty. Some lesions (narrowings) diagnosed during angiography may best be treated medically and others may best be treated surgically, that is, by coronary artery bypass grafting. Your doctor will discuss treatment options with you and explain the reasons for his/her recommendations.
Patients receive expert medical care to evaluate, diagnose and treat all types of cardiothoracic and cardiovascular diseases and conditions. Our specialists perform a full spectrum of diagnostic, therapeutic and interventional services utilizing non-invasive and invasive procedures. Advanced testing and treatments are available using current technologies that are exclusive to John Flynn Private Hospital.
Coronary Artery Bypass Graft (CABG)
Coronary artery bypass graft surgery (CABG) is a procedure used to treat coronary artery disease, which is the narrowing of the coronary arteries – the blood vessels that supply oxygen and nutrients to the heart muscle. Coronary Artery Disease is caused by a build-up of fatty material within the walls of the arteries. This build-up narrows the inside of the arteries, limiting the supply of oxygen-rich blood to the heart muscle.
One way to treat the blocked or narrowed arteries is to bypass the blocked portion of the coronary artery with a piece of a healthy blood vessel, usually a vein from your leg or an artery in your chest. An artery from your wrist may also be used. Your doctor attaches one end of the graft above the blockage and the other end below the blockage. Blood bypasses the blockage by going through the new graft to reach the heart
There is 0% mortality rate for this procedure in years 2015-17.
Mitral Valve Surgery
Mitral valve surgery is to either repair or replace the mitral valve in your heart. Blood flows from the lungs and enters called the left atrium in the heart, and then flows into the left ventricle. The mitral valve is located between these two chambers to ensure the blood keeps flowing through the heart.
You may need surgery on your mitral valve if:
- The mitral valve is hardened (calcified). This prevents blood flowing through the valve.
- The mitral valve is too loose. Blood tends to flows backward when this occurs.
Mini mitral valve surgery is done in 50% of appropriate cases with a 90% success of repair rate.
Aortic Valve Surgery
Surgery to replace an aortic valve is performed for aortic valve stenosis and aortic valve regurgitation. During the surgery, the damaged valve is removed and replaced with an artificial valve.
The mini aortic valve surgery approach is performed in all cases, with a 0.5% mortality rate in patients with mean age of 80 years.
Aortic Surgery (Hybrid Aortic Surgery)
Hybrid surgery is a treatment used to repair aneurysms or more complex aortic disease in patients considered too high risk for conventional surgery who do not have an endovascular alternative. The procedure often involves the part of the aorta that contains critical blood vessels extending to the head, arms or abdominal organs such as the kidneys, intestine and liver.
A combined approach will first restore blood flow to critical blood vessels away from an aneurysm in an open surgical procedure. The repair is completed repair of the damaged part of the aorta using a minimally invasive endovascular technique.
Pectus Excavatum Surgery using NUSS procedure
The procedure for Pectus Excavatum Surgery is minimally invasive whereby two small incisions are made to the side of the chest and an introducer is pushed along posterior to the sternum and ribs and anterior to the heart & lungs. A concave bar is then positioned under the sternum using a thoracoscope. A metal plate stabliliser is then inserted to secure the sternum.
Video Assisted Thoracic Surgery (VATS)
Video Assisted Thoracic Surgery (VATS) is minimally invasive thoracic surgery that does not use a formal thoracotomy incision, and allows for a shorter operating time, reduces morbidity rates and faster recovery.
98% of all thoracic proceduers are performed via the thoracoscopic approach.