Dr Gokhale explains about different Surgical Treatments to treat Heart failure.

1. SURGICAL TREATMENT PROCEDURES by Dr
Gokhale
http://www.drgokhale.com

2. http://www.drgokhale.com
Heart Pumps
• These mechanical devices, called left
ventricular assist devices (LVADs), are
implanted into the abdomen and attached to
a weakened heart to help it pump blood
throughout the body. Implanted heart pumps
can significantly extend and improve the
lives of some people with end-stage Heart
Failure who are waiting for a new heart or
who aren't qualified for a heart transplant.

3. http://www.drgokhale.com
Pacemakers & ICDs
• Implanted devices can control arrhythmias
(abnormal heart rhythms) that may result from
Heart Failure. Devices include pacemakers to
treat a too-slow heart rate and implantable
cardioverter defibrillators (ICDs) to stop a too-
rapid heart rate that could be life threatening.
Sometimes a biventricular pacemaker is
combined with an ICD for people with severe
Heart Failure.

4. http://www.drgokhale.com
Coronary Artery Bypass Grafting Surgery
• The most common surgery
for Heart Failure is bypass
surgery, if Heart Failure is
caused by coronary artery
disease and there are
blockages that can be
"grafted" or bypassed.

5. http://www.drgokhale.com
Coronary Stenting
• This refers to the insertion of a wire
mesh metal tube called a stent into a
clogged vessel to help keep it open.
This usually occurs in conjunction
with balloon angioplasty. Balloon
angioplasty is a catheter-based
procedure in which plaque is pressed
back against artery walls to make
more room for blood to flow through
the artery.

6. Infarct Exclusion Surgery (Modified Dor or
Dor Procedure)
• When a heart attack occurs in the left ventricle (left lower
pumping chamber of the heart), a scar forms. The scarred area is
thin and can bulge out with each beat. The bulging thin area is
called an aneurysm. When Heart Failure occurs after a heart
attack, the surgeon may choose to combine bypass surgery and/or
valve repair, with removal of the infarcted (dead) area of heart
tissue or the aneurysm. Infarct exclusion surgery allows the
surgeon to return the left ventricle to a more normal shape.
Reducing the size of and reshaping the left ventricle help restore
normal function to the pumping mechanism.
http://www.drgokhale.com

7. Heart Valve Surgery
• Diseased heart valves can be treated both surgically (traditional heart
valve surgery) and non-surgically (balloon valvuloplasty).
http://www.drgokhale.com

8. Cardiac Resynchronization
• Cardiac resynchronization is designed to correct a condition called
ventricular dysynchrony in which the two lower chambers of the
heart (known as the left and right ventricles) do not beat at the same
time. The surgery helps the two sides of the heart beat together again
and improve the heart’s efficiency. In this procedure, a biventricular
pacemaker is implanted to coordinate, or synchronize, muscle
contractions in the ventricles.
http://www.drgokhale.com

9. Heart Transplant
• A heart transplant is considered when
Heart Failure is so severe that it does
not respond to all other therapies.
Heart transplants have dramatically
improved the survival and quality of
life of people with severe Heart Failure.
But the availability of a donor heart is a
big problem.
http://www.drgokhale.com

10. Cardiac Wrap Surgery
• Researchers are studying a technique that wraps
a failing heart in a mesh bag, to prevent its
further failure. A surgeon pulls the mesh wrap
over the base of the heart and attaches it with
stitches. The goal is to prevent a weakened heart
from enlarging (dilating) and failing further.
http://www.drgokhale.com

11. Enhanced External Counterpulsation (EECP)
• This noninvasive technique has been used as a
treatment for heart-related chest pain, and
researchers are studying whether it is beneficial
for people with Heart Failure. Inflatable pressure
cuffs are placed on the calves, thighs and
buttocks. These cuffs are inflated and deflated in
sync with the heartbeat. The theory is that EECP
increases blood flow back to the heart.
http://www.drgokhale.com

12. http://www.drgokhale.com

13. http://www.drgokhale.com