Heart
HEART
Specialties
We offer a wide range of treatments cardiovascular with the most advanced techniques, ensuring the best possible care for our patients.
Surgery arrhythmias
It is a surgical minimally invasive and low risk to the patient, and that improves the lives of people who suffer a heart rhythm disorder.
A pacemaker is an electronic device that conducts electrical impulses to stimulate the heart and get a contraction of the area stimulated when a fault occurs in the normal heart rhythm. It consists of a generator of electric pulses (the MCP itself) and one or more cables that carry that momentum through the cavities of heart (cables or electro-catheter).
Using local anesthesia and a small incision in the area of the left clavicle. Guided by Rx, implanted an electrode, or two, to areas to the heart that we want to stimulate. Later, when the cable is in the proper place, is connected to the pacemaker, and it is housed under the skin.
Single chamber
It consists of a generator and a single cable that stimulates and detects a single cavity heart, atrium or ventricle.
Bicameral
In this type of pacemaker, the generator is attached to two wires. One is located in the right atrium and the other in the right ventricle.
Tricameral or re-synchronizer
In this type of pacemaker, through the use of three electrodes, and for selected patients depending on situation, prior clinical and complementary tests, we get a sync on the contraction of the heart chambers.
Defibrillators, implantable
It is a device which has the function of a pacemaker, but adds to it the ability to detect the heart rate and apply a small electric shock to treat cardiac arrhythmias, malignant (ventricular tachycardias or ventricular fibrillation) that could lead to the death of the patient.
Minimally invasive heart surgery
Cardiac surgery minimally invasive is the most important innovation carried out in the field of cardiovascular surgery in recent years.
The goal of this type of intervention, is to perform the same operations from the heart with less surgical invasiveness, but keeping the safety and efficacy of the procedure.
It is necessary to have a specialization technical and instrumental to be able to perform these procedures, as well as to perform an adequate evaluation of patients candidates for a minimally invasive surgery.
The median sternotomy, opening the medial and longitudinal of the sternum (12-14cm) is the traditional way to access the heart. With minimally invasive surgery, we can operate the aortic valve through an incision of 5-7 cm (mini-sternotomy) and the mitral valve through a small incision (4-6 cm) in the right side of the chest.
- Scar smaller
- Lower risk of infection.
- Less blood loss during the
- intervention.
- Less pain after the intervention.
- A shorter hospital stay
- Shorter recovery time
Aortic valve surgery
The passage of the blood of a cardiac chambers to the other is done through the valves of the heart. Its function is to allow the blood to be opened, and to prevent the recoil of the same at the close.
The aortic valve is one of the 4 valves in the heart has. This separates the left ventricle from the aorta. When the operation of the same is not correct, it may be necessary for the surgical intervention on the valve.
When there is a pathology affecting the normal operation of the valve. As congenital conditions such as bicuspid aortic valve, or diseases such as aortic stenosis.
These conditions can interfere with the blood flow and force the heart to work with greater effort to provide the same flow rate into the bloodstream.
Currently, patients who are operated from heart problems in the aortic valve are a result of a congenital abnormality (bicuspid aortic valve) or a degeneration senile valve for the aging.
Severe aortic stenosis in elderly patients is very rare and has poor prognosis with medical treatment. The mortality rate reaches 25% per year and 50% within two years of the onset of symptoms.
The current results of the surgery on the aortic valve in terms of morbidity and mortality are very poor, due to the specialized surgical, to the selection and indication of surgery in an increasingly early, or to the addition of new surgical techniques.
TAVI
In addition to the development of minimally invasive surgery, in recent years it has incorporated a new technique for the treatment of the disease on the aortic valve.
This is the implant of valves transcatheter (TAVIs). Currently presented as a very good option for patients who are considered high risk for surgery or patients of advanced age.
It is a technique in which the diseased valve is not replaced, but the prosthesis is deployed within the same, and brought up there sailing through an artery using a catheter.
What is the advantage of the Implant Valve Transcatheter?
- It is not necessary to stop the heart of the patient to the intervention
- It is not necessary to make an incision through the sternum
- It is not necessary to use extracorporeal circulation during surgery
What results can I expect from an Implant Valve Transcatheter?
The results have been very satisfactory, although it is a technique indicated to patients with certain conditions, such as advanced age or high surgical risk due to some issues that are not resolved completely, as the neurological complications, persistence of leakage paravalvulares significant or vascular complications and high cost of these prostheses.
Valve without suture
It is another alternative to conventional valves, and the valves, transcatheter.
These new valves allow you to operate these patients, high-risk, safely and with long-term results are more contrasted.
Currently, the combination of cardiac surgery, minimally invasive, along with the use of the valves without suture, are likely to be the option with more advantages in the short and medium term in selected patients.
Its main advantage lies in the security of the result in the operation of the valve once implanted, the speed of the implant, significantly decreases the surgical time and the results in general well-contrasting long-term.
Surgery of mitral valve
The mitral valve surgery aims to restore the normal functioning of the healing to avoid that, as a result of a malfunction of it, it will produce more severe complications.
When the mitral valve is unable to close properly, a large part of the volume of blood ejected from the heart in each beat goes backward. This causes congestion in the lungs and exerts a volume overload on the heart itself.
That heart, in the attempt to adapt, they are going to do great (dilation) and you will lose the force of contraction.
The patient will feel more fatigued, with breathing difficulties and can have complications such as arrhythmias, or stroke.
It is very important to restore the normal operation of the valve before the impact on the heart is important.
Until a few years ago, all patients with a serious lack of the mitral valve that is operated, was made a substitution or replacement of the diseased valve with an artificial joint. Today we know that the best option is to replace it, but to preserve and repair the valve itself of the patient.
The advantages are so important that, at present, surgery is recommended early (even before you have symptoms) of all patients with mitral regurgitation severe.
Comprehensive treatment of the thoracic aorta
The aorta is an artery of considerable size which collects the blood from the heart and distributes it to all the organs of the body through their branches. It is divided into five segments:
- The aortic root
- The ascending aorta
- The arch or aortic arch
- The descending thoracic aorta The abdominal aorta.
Is a dilation of a particular area of the aorta. Aneurysms affecting the root, ascending aorta, arch, and the start of the descending aorta are called thoracic aortic aneurysms.
The main danger of this dilation is the risk of breakage in the segments dilated.
The disease is so severe that almost half of the patients who were breaking an aneurysm die before reaching the hospital, and of those who come to be treated, a high percentage passes away.
However, when surgery is performed on a scheduled basis, the mortality is very low. That is why it is so important to make an early diagnosis and adequate follow-up of these patients and improve their prognosis in a meaningful way.
The majority of patients with aortic aneurysm are asymptomatic. It is usually detected by chance when you perform an imaging study for some other reason. On other occasions, due to the location or size can produce any symptoms, or be accompanied by other heart conditions, which facilitates the diagnosis.
When the aneurysm affects, for example, to the ascending aorta and/or root, can distort the aortic valve and cause a malfunction of the same, producing symptoms of failure heart.
Aneurysms in the area of arc, they may compress surrounding structures, causing loss of voice or difficulty swallowing
The most useful tests for the diagnosis of aneurysms of the aorta are the computed tomography (CT) or magnetic resonance imaging (MRI). You are able to in addition to measuring the size of the aneurysm (diameter) and its extension.
It is of vital importance to complete the study with an echocardiogram to check the status of cardiac structures.
It is fundamental to a good blood pressure control and not smoking. We can't prevent or cure with pharmacological treatment.
Surgery is advised when the aneurysm reaches a certain size, or because the growth is very fast and in a short time.
The surgery is on track to replace the segment of aorta dilated by a segment of a tube prosthetic.
Depending on the location of the aneurysm will be used different techniques, being able to opt for treatment, open surgical or endovascular treatments, with a minimally invasive approaches.
Coronary artery Bypass surgery
Cardiovascular disease resulting from atherosclerosis and, more specifically, coronary heart disease remains a leading cause of death which is very common in our environment.
It is a surgical procedure in which we need to do to get blood to those territories in which, due to coronary artery disease, does not come properly by an obstruction prior.
This is used arteries of the body, and veins of the leg, through which diverts the blood beyond the lesions of the coronary arteries. If there is more of a blocked artery, is used in several grafts.
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