CABG Plus Valve, Valve Plus Congenital
Steps Involved in IVF:
Procedure Description
CABG (Coronary Artery Bypass Grafting) combined with valve surgery or congenital valve repair is a complex, high-stakes surgical intervention typically performed on individuals who need both coronary artery disease (CAD) management and heart valve repair or replacement. CABG Plus Valve surgery is usually required when a patient suffers from blocked coronary arteries alongside dysfunctional heart valves. These surgeries aim to restore efficient blood flow through bypass grafting around blocked arteries while repairing or replacing damaged heart valves to ensure normal cardiac function.
In a typical CABG surgery, veins or arteries are taken from other parts of the body to create bypass grafts, which redirect blood flow around the blockages in the coronary arteries. Concurrently, valve repair or replacement can be performed to restore optimal function. Valve replacement may involve mechanical or biological valve prosthetics, each with specific attributes and long-term considerations. When the procedure addresses congenital valve abnormalities, it can involve more specialized techniques to reconstruct or replace deformed valves or structural components.
For those with congenital heart conditions, the surgery might include additional corrections beyond valve replacement, such as repairing structural abnormalities present from birth. Congenital valve surgeries are often more intricate, as they may involve reshaping, resizing, or reconstructing specific sections of the heart to improve functionality. The simultaneous performance of CABG and valve surgery minimizes the need for separate operations, reducing cumulative recovery times and overall risk.
Procedure Duration
The duration of a CABG Plus Valve or Valve Plus Congenital procedure varies depending on the individual’s health, the complexity of the condition, and the extent of the surgery required. Typically, these surgeries last between 4 and 8 hours. The process can be divided into key phases: preoperative preparation, the surgical procedure itself, and postoperative recovery.
Preoperative Preparation:
Patients undergo rigorous preoperative evaluations to assess cardiovascular health, lung function, and any potential risks. Pre-surgery imaging and testing, such as echocardiograms and stress tests, guide the surgical team in planning the bypass graft locations and valve approach. The preoperative phase may last several hours, as it includes anesthetic planning, patient preparation, and the setup of necessary surgical equipment.
Surgical Procedure:
During the surgery, patients are placed on a heart-lung machine, which temporarily takes over the heart's pumping function and oxygenates the blood. The surgeon performs the CABG by grafting arteries or veins to bypass the blocked coronary arteries, then moves to repair or replace the malfunctioning valves or congenital defects. This part of the procedure takes up the bulk of the surgical time. The patient is monitored closely throughout to ensure all bypasses and repairs function effectively and that there are no bleeding issues.
Postoperative Recovery:
Following surgery, patients are moved to the intensive care unit (ICU) for monitoring over 24 to 48 hours. Recovery in the hospital typically spans a week or more, depending on the patient's resilience and absence of complications. Long-term recovery and rehabilitation are essential components of the healing process, as patients work to regain strength, adjust to physical limitations, and adopt lifestyle changes.
Benefits
- Simultaneous Treatment: Addresses multiple cardiovascular issues in one operation, reducing the need for separate surgeries.
- Comprehensive Cardiac Restoration: Restores blood flow and corrects valve abnormalities, improving overall heart function.
- Reduced Recovery Time: With one surgical procedure, patients avoid the cumulative recovery period of separate operations.
- Improved Quality of Life: Patients often experience increased energy levels, decreased symptoms, and improved quality of life post-surgery.
- Lower Risk of Future Cardiac Events: CABG Plus Valve procedures lower the risk of heart attacks and other complications associated with untreated CAD and valve disorders.
Potential Destinations
- India
India is renowned for high-quality cardiac care at affordable prices. With a robust network of specialized hospitals equipped with advanced cardiac technology, India attracts patients seeking complex heart surgeries like CABG Plus Valve.
- Turkey
Turkey has a growing reputation in medical tourism for advanced cardiac surgeries. Turkish hospitals are known for their JCI-accredited facilities and experienced cardiac surgeons, making it a reliable destination for combined CABG and valve surgeries.
- Thailand
Thailand’s medical tourism industry is recognized globally, particularly in cardiovascular surgery. Hospitals here offer comprehensive cardiac care packages that are competitively priced, alongside excellent recovery facilities and patient services.
- Mexico
Mexico provides a convenient option for patients from North America, with quality cardiac care at a fraction of the cost in the United States. Hospitals in Mexico’s urban centers offer internationally accredited cardiac programs and experienced surgeons.
- Germany
Germany is known for its cutting-edge technology and highly qualified medical professionals. German cardiac centers often offer sophisticated care and adhere to stringent medical standards, making it a top choice for patients seeking high-quality cardiac surgery.
Risks & Considerations
- Bleeding and Infection: Postoperative bleeding and infection risks are heightened due to the complexity and duration of these surgeries.
- Stroke and Neurological Complications: There is a risk of stroke or other neurological issues due to blood clotting during and after surgery.
- Arrhythmia: Irregular heartbeats can occur post-surgery, often requiring medication or additional treatment.
- Renal Failure: The stress on the body from extended surgical times may lead to temporary or permanent kidney issues.
- Valve Prosthesis Risks: Patients who receive mechanical valves face risks related to blood clotting and require lifelong anticoagulation therapy.
How to Choose the Right Doctor and Hospital
Selecting the right surgeon and hospital is paramount for a successful CABG Plus Valve or Valve Plus Congenital procedure. Patients should consider hospitals with a reputation for cardiac specialties and surgeons with extensive experience in complex cardiac surgeries. It's essential to look for facilities that follow international safety standards and are accredited by reputable healthcare bodies.
Seek specialists with a strong track record in both bypass and valve surgeries, as their experience will be instrumental in managing the intricacies of a combined approach. Transparency in treatment protocols and a thorough understanding of aftercare resources are critical for a smooth recovery, so patients should prioritize hospitals that offer comprehensive support through all stages of treatment and recovery.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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