STATE-OF-THE-ART SURGICAL TREATMENT FOR PATIENTS WITH HEART AND LUNG FAILURE

Information

 

Patient Care

 

It's normal to wonder what your life will be like after heart or lung surgery. How will things change? Will you be able to do the things you enjoyed before your operation? Here you will find answers to frequently asked questions, and tips to maintaining your post operative well being.

 

It is important to remember that each person is different. Every person has an individual disease process, has had a specific surgery to fit their needs, and therefore responds differently to surgery and post operative activity. Please use this page as a general guideline for post operative care.

 

Please also remember that we are happy to answer any questions that aren't covered here, and know that we are here for you to help you through this stressful time.

Coronary Artery Bypass Graft (CABG)

 

The CABG procedure is used for the revascularization of heart muscle. When a patient's coronary arteries are blocked or narrowed, adequate blood and oxygen cannot reach the heart muscle, and damage occurs. The CABG procedure uses patent arteries and/or veins as a conduit to bypass the blocked or narrowed artery and reperfuse the heart muscle with oxygenated blood.

 

The CABG procedure is used for the revascularization of heart muscle. When a patient's coronary arteries are blocked or narrowed, adequate blood and oxygen cannot reach the heart muscle, and damage occurs. The CABG procedure uses patent arteries and/or veins as a conduit to bypass the blocked or narrowed artery and reperfuse the heart muscle with oxygenated blood.

 

FACT Surgery is experienced in performing this procedure both on and off Cardiopulmonary Bypass. Bypassing the heart and lungs during surgery, using a Cardiopulmonary Bypass system, is often necessary in order to obtain a still and bloodless field, while maintaining adequate hemodynamics. However, there are many cases where we can perform this surgery off Cardiopulmonary Bypass (Off Pump), decreasing the patient's risk of postoperative complications.

 

We are skilled in endoscopic vein harvesting, vastly decreasing the size of the graft site incision and risk for infection. Common vessels used as grafts during the CABG procedure are the bilateral internal mammary arteries, radial arteries, and saphenous veins.

Valve Repair and Replacement

 

Valvular heart disease often requires surgical intervention in order to prevent ventricular dysfunction and heart failure.

 

Aortic, Mitral and Tricuspid valves become hardened or stenotic and make it difficult for blood to pass through the valve. The valve leaflets can also separate, causing regurgitation, or backflow of blood. These are all valvular pathologies that require repair or replacement. A valve replacement can be done using a bioprosthetic (tissue) or mechanical valve. Valve repair involves surgically repairing the leaflets and/or annulus of the valve to achieve physiologic function.

 

Tampa FACT Heart Surgery has mastered minimally invasive valve repair and replacement. This is a technique that reduces the surgical scar and potentially post operative pain, resulting in a shorter recovery period.

 

 

Carbo-Metics Standard Mechanical Aortic Valve

 

 

 

Carbo-Medics Orbis Mitral Mechanical Valve

 

 

 

Freestyle Stentless Tissue Valve

 

 

 

Mitroflow Aortic Pericardial Heart Valve (Stented)

 

 

Ventricular Assist Devices (VADs)

 

As technological advancements continue to create options for heart patients, so does our commitment to heart failure therapy.

 

The Ventricular Assist Device is an implanted mechanical pump that functions as the patient's right or left ventricle. The VAD can be utilized as a permanent device (destination therapy), or as a bridge to transplant or recovery. Commonly used VADs for left ventricular support are the Thoratec HeartMate II and HeartWare device. The Thoratec Paracorporeal VAD and Intracorporeal VAD are used for biventricular support.

 

 

Thoratec HeartMate II

 

 

HeartWare

 

 

Thoratec PVAD

 

 

 

HeartWare HVAD

 

 

 

Thoratec HeartMate II

 

 

Surgical Treatment of Atrial Fibrillation

 

Atrial Fibrillation is caused by aberrant conduction pathways that originate in the upper chambers of the heart and the pulmonary veins.

 

We use radio frequency and a cryo probe to create lesions that interrupt abnormal electrical conduction, and direct it in a predetermined physiologic pathway.

 

Our program performs this procedure both thoracoscopically and using the classic Cox MAZE III approach. We work in conjunction with experienced electrophysiology physicians, and have success rates as high as 95%.

Aortic Root Replacement

 

This procedure involves replacing a section of the aorta with a prosthetic graft.

 

This allows for the diseased aorta (aortic dissection or aortic aneurysm) to be resected, and adequate blood flow to be restored. Acute aortic dissections can be detrimental to the patient if not operated on immediately. Our operating rooms, staff, and Aeromed flight team are available 24/7, allowing us to rapidly diagnose and treat emergencies such as these.

 

 

Mechanical Valve Conduit

 

 

 

Bioprosthetic Aortic Root

 

 

Transcatheter Aortic Valve Replacement (TAVR)

 

Transcatheter Aortic Valve Replacement (TAVR) is a procedure for select patients with severe symptomatic aortic stenosis (narrowing of the aortic valve opening) who are not candidates for traditional open chest surgery or are high-risk operable candidates.

 

All patients are carefully evaluated to see if they are candidates for traditional surgical aortic valve replacement and then TAVR can be considered for treatment. The goal is to provide the best treatment for each individual patient.

Left Ventricular Reconstruction

(Dor Procedure)

 

Left Ventricular Reconstruction is the surgical remodeling of the dilated heart to a more physiologic shape.

 

This allows for an increase in performance of the weak heart, providing more blood and oxygen to all of the body's tissues, and improving the patient's quality of life.

Lung Transplantation

 

Patients that are eligible for a lung transplant have end stage lung failure, with unsuccessful results from medical and surgical therapies.

 

Lung Transplantation involves removing the diseased lungs and replacing them with healthier donor lungs. One or both lungs are transplanted depending on the patient's condition, and donor availability.

 

We are skilled in transplanting patients with conditions such as cystic fibrosis and pulmonary fibrosis. F.A.C.T. Surgery and supporting practices form a well developed and skilled transplant program. The transplant patient will be supported through education and follow up on vital transplant related topics such as immunosuppression medications, infection control, and post operative care.

heart Transplantation

 

F.A.C.T. Surgery and supporting practices form a well developed and skilled transplant program.

 

The transplant patient will be supported through education and follow up on vital transplant related topics such as immunosuppression medications, infection control, and post operative care.

 

Patients that are eligible for a heart transplant have end stage heart failure, with unsuccessful results from conventional medical and surgical therapies. Our Heart Transplant procedure involves removing the patient's failing heart, and replacing it with a healthier donor heart. This is called Orthotopic Heart Transplantation.

THE HEART OF WHAT WE DO.

At FACT Surgery, we provide comprehensive surgical treatment for patients with heart and lung disease. We are experienced in complex surgeries on high risk patients and pride ourselves on our expertise and knowledge of our advanced cardiothoracic procedures.

 

© 2013-2017 FLORIDA ADVANCED CARDIOTHORACIC SURGERY. ALL RIGHTS RESERVED.

 

The information contained this web site is provided for your general information only. FACT Surgery does not give medical advice or engage in the practice of medicine. FACT Surgery under no circumstances recommends particular treatment for specific individuals and in all cases recommends that you consult your physician or local treatment center before pursuing any course of treatment.

 

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procedures

procedures

 

what we do

 

At FACT Surgery, we provide comprehensive surgical treatment for patients with heart and lung disease. We are experienced in complex surgeries on high risk patients and pride ourselves on our expertise and knowledge of our advanced cardiothoracic procedures.

Coronary Artery Bypass Graft

Valve Repair and Replacement

Left Ventricular Reconstruction

Transcatheter Aortic Valve Replacement (TAVR)

Ventricular Assist Devices (VADS)

Surgical Treatment of Atrial Fibrillation

Aortic Root Replacement

Lung Transplantation

Heart Transplantation