(Most common procedures)
balloon treatment for heart attacks, radiofrequency
ablation (electrical burning) treatment for all
types of rhythm disorders, including atrial
fibrillation, implantation of sophisticated devices,
e.g. ICD's and biventricular pacemakers,
counterpulsation treatment for intractable angina
pectoris, an integrated approach to heart failure (from
drug treatment and day care to heart
transplantation), and more.
and pediatric heart surgery, heart transplantation
coronary by-pass surgery and arterial
valve repairs, mitral reconstruction and aortic
valve repairs - employs the thorascopic assisted
open-heart surgery, the “Heartport” system and
similarly less invasive open heart systems, which
enable to perform a proper open heart operation
through a small (5-8 cm) incision below the right
breast. Correction of congenital cardiac
malformation with better esthetic results.
Repair of congenital heart anomalies in patients of
any age. Hypoplastic Left Heart Syndrome operations
as well as arterial switch operations, Tetrads,
Canals and Rosses.
Cardiac Cathertisation is done to assess the
condition of your coronary arteries. It helps
identify the site and extent of blockage, and
determines what type of procedure (e.g. angioplasty,
stenting, or bypass surgery) will best treat your
To perform Cardiac Catheterisation, a catheter (a
thin flexible tube) is inserted into the artery in
the groin or forearm. The catheter is guided to the
opening of the coronary artery in the aorta.
Contrast “dye” is injected which makes the coronary
arteries visible on an x-ray.
During the procedure, a moving picture is recorded –
this portion of the test is called Coronary
Angiography. The contrast dye is later eliminated
from your body through your urine.
Sometimes physicians immediately treat a problem
such as dissolving a clot or performing an
angioplasty and stenting to open blocked arteries.
This depends on the location and extent of the
determine that bypass surgery is necessary.
Angioplasty & Stenting
(PCI or PCTA)
Angioplasty and Stenting treat the
narrowing of the coronary artery to increase blood
flow to the heart.
Angioplasty is a procedure in which a
narrowed section of the coronary artery is dilated
with a balloon catheter to relieve the blockage and
therefore increase blood flow.
Stenting or stent placement is often
standard procedure and reduces the chance of
reclosure of the artery. Stent implantation involves
an additional step after balloon-only angioplasty.
After the first balloon is inflated and the fatty
plaque is pushed against the artery wall, it is
removed and a second balloon catheter carrying a
stent is inserted. The second balloon is inflated,
expanding the stent and lodging it in the artery
where it remains.
A stent is a small, lattice-shaped, metal tube that
is inserted permanently into an artery. It helps
hold open an artery so that blood can flow through
it. Drug-eluting stents are stents that
contain drugs that potentially reduce the chance the
arteries will become blocked again.
Coronary Artery Bypass Graft
Bypass Surgery is the most common form of
heart surgery and can be performed either as Open
Heart Surgery (using a heart-lung bypass
machine) or Beating Heart Surgery (during
which the heart-lung bypass machine is not used.)
In Bypass Surgery, diseased or blocked arteries are
bypassed, using a section of vein from the leg or
other part of the body to create a new route for
blood to flow around the obstruction to the heart.
Single bypass, double bypass, triple bypass, or
quadruple bypass refer to the number of arteries
that are bypassed. On occasion, an internal artery
in the chest is grafted beyond the obstruction. This
is called an internal mammary bypass graft.
Atrial Septal Defect Repair
Ventricular Septal Defect
Artial and Ventricular Septal Defects are
congenital anomalies of the heart sometimes referred
to as a “hole in the heart”. Treatment for ASD, VSD,
and ASVD can be minimally invasive or require more
complicated surgery depending on the extent of the
Small ASD and VSD can be repaired using a cardiac
catheterization technique similar to that used in an
angioplasty. During the procedure a small implant is
transported via a catheter tube to the ASD or VSD
site. The implant is used to plug the hole. This
technique can sometimes eliminate the need for more
invasive procedures, but on occasion requires
revision. For larger ASD, VSD, or for more complex
ASVD cases, open heart surgery may be required.
Larger ASD, VSD, or more complex ASVD cases may
require open heart surgery.
Valve Repair or Replacement
Valve Repair or Replacement most commonly
treats valves that do not allow enough blood through
(stenosis) or that do not seal properly and allow
blood to leak backward (regurgitation or
Valve Repair or Replacement is performed either as
Open Heart Surgery using the heart lung
bypass machine or as a Beating Heart Procedure
where the heart-lung bypass machine is not used. The
damaged valve is surgically repaired or is replaced
with a biological or a mechanical valve.
Valve Repair or Replacement most commonly treats
valves that do not allow enough blood through (stenosis)
or that do not seal properly and allow blood to leak
backward (regurgitation or insufficiency).
Valve Repair or Replacement is performed either as
Open Heart Surgery using the heart lung bypass
machine or as a Beating Heart Procedure where the
heart-lung bypass machine is not used. The damaged
valve is surgically repaired or is replaced with a
biological or a mechanical valve.
Open Heart Surgery
Beating Heart Procedures
Open Heart Surgery is the term used to
describe surgical procedures to correct problems on
the inside or outside of the heart. “Open” refers to
the opening of the patient’s chest cage – not to the
During Open Heart Surgery, the surgeon opens the
chest cage to expose the heart. The beating of the
heart is temporarily stopped and the body’s oxygen
needs are met by a cardiopulmonary bypass (or
heart-lung) machine. The heart is stopped with a
cold, high potassium solution which protects the
heart muscle from damage; cold saline irrigation
over the heart is also used to protect the heart
while it is stopped and is without its own blood
supply. Once the heart is stopped, the defect can be
repaired in a bloodless environment.
Beating Heart Procedure is the term used to
describe minimally invasive heart surgeries that are
performed through small incisions. During this
approach, the heart is not stopped and therefore, a
heart-lung bypass machine is not used. The most
significant advantage of Beating Heart Surgery is
that it reduces the risks and post-operative
complications that are associated with temporarily
stopping the heart during Open Heart Surgery.
Thoracic Aortic Aneurysm Surgery
Arteriosus (PDA) Ligation
Ablation for Cardiac Arrythmias