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Cost of open heart surgery in india
Cost of Open Heart Surgery in India
Open heart surgery is a critical and often life-saving procedure that many patients with severe heart conditions may need to undergo. However, one of the significant concerns for patients and their families is the cost associated with such an extensive surgical procedure. This blog aims to provide an in-depth understanding of the cost of open heart surgery in India, with a particular focus on the expertise available at Active Heart Clinic, led by Dr. Shridhar G Padagatti.
About Active Heart Clinic and Dr. Shridhar G Padagatti
Active Heart Clinic is renowned for its exceptional cardiac care, led by Dr. Shridhar G Padagatti, a highly respected cardiac and vascular surgeon. Dr. Padagatti has an impressive educational background, beginning with his MBBS from JNMC, Belgaum, affiliated with Karnataka University. He then pursued a specialization in General Surgery, earning his MS degree from Goa Medical College. To further enhance his expertise, he completed a super-specialization in Cardiovascular and Thoracic Surgery (CVTS) from Seth GS Medical College and KEM Hospital, Mumbai, graduating with this prestigious degree in December 2009.
Dr. Padagatti has worked in several reputed hospitals across Mumbai, Maharashtra. His current affiliations include P.D. Hinduja Hospital, Khar (West), Bharatiya Arogya Nidhi Hospital (Juhu), Holy Spirit Hospital (Andheri East), BSES Hospital (Andheri West), Wockhardt Hospital (Mira Road East), and Bhakti Vedanta Hospital (Mira Road East). His extensive experience and dedication to cardiac surgery have made him a trusted name in the field.
What is Open Heart Surgery?
Open heart surgery is a procedure where the surgeon makes an incision through the breastbone (sternum) to access the heart. This method, often referred to as “chest cracking,” involves spreading the ribs to gain direct access to the heart. It is a traditional and reliable method for performing various heart surgeries, such as coronary artery bypass grafting (CABG), heart valve repair or replacement, heart transplantation, and surgery for congenital heart defects.
Despite the term “open heart surgery,” many modern heart surgeries can now be performed using minimally invasive techniques, which involve smaller incisions and less recovery time. However, traditional open heart surgery remains a standard approach for many complex heart conditions.
Conditions Requiring Open Heart Surgery
Several heart conditions may necessitate open heart surgery, including:
Congenital heart defects such as atrial septal defect (heart hole) and hypoplastic left heart syndrome.
Coronary artery disease which may require CABG to bypass blocked arteries.
Heart failure where the heart is unable to pump blood effectively.
Heart valve disease requiring repair or replacement of damaged valves.
Thoracic aortic aneurysm, a bulging of the aorta that can lead to life-threatening complications.
In cases of coronary artery disease, open heart surgery may be needed when the coronary arteries supplying blood to the heart become narrowed or blocked due to plaque buildup. This condition restricts blood flow, increasing the risk of a heart attack.
Techniques Used in Open Heart Surgery
Open heart surgery can be performed using two primary techniques: on-pump and off-pump surgery.
On-pump surgery (CPB): This traditional method involves stopping the heart and using a cardiopulmonary bypass machine (heart-lung machine) to maintain blood circulation and oxygenation during the surgery. The machine takes over the heart and lung functions while the surgeon performs the procedure on a non-beating heart.
Off-pump surgery: Also known as beating-heart surgery, this technique involves performing the surgery while the heart is still beating. Specialized equipment is used to stabilize the part of the heart being operated on, allowing the rest of the heart to continue pumping blood. This approach eliminates the need for a heart-lung machine and can reduce certain risks associated with stopping the heart.
Pre-Surgery Tests
Before undergoing open heart surgery, several tests are typically performed to ensure the patient’s suitability for the procedure and to minimize risks.
Common pre-surgery tests include:
Echocardiogram (Echo): Assesses heart muscle function and valve operation.
Electrocardiogram (ECG or EKG): Records the heart’s electrical signals to check for abnormalities.
Lab tests: Evaluate kidney and liver function, blood count, and other vital parameters.
Chest X-ray: Provides images of the heart, lungs, and chest bones.
Dobutamine stress echocardiogram (DSE): Mimics exercise effects on the heart using medication.
Treadmill test (TMT): Assesses heart function under physical stress.
Complete blood count (CBC): Detects disorders like anemia and infection.
Cardiac MRI: Offers detailed images of the heart’s internal structures.
Angiography: X-ray technique to examine blood vessels and detect blockages.
Performing Open Heart Surgery
Open heart surgery typically requires a hospital stay of 7-10 days.
The procedure involves several steps:
Preparation: The patient is placed under general anesthesia.
Incision: An 6-8 inch incision is made in the chest.
Accessing the Heart: The sternum is cut, and the ribcage is spread to expose the heart.
On-Pump or Off-Pump: Depending on the technique, a heart-lung machine may be used.
Surgery: The specific surgical procedure is performed.
Restoring Heart Function: The heart is restarted, and blood flow is restored.
Closing Incisions: The sternum and skin are sutured.
Post-Surgery Recovery
After surgery, patients spend time in the ICU for close monitoring. Symptoms like pain, swelling, memory issues, and depression are common post-surgery. Follow-up sessions with the doctor are crucial for recovery.
Costs of Open Heart Surgery in India
The cost of open heart surgery in India varies depending on several factors, including the type of surgery, the hospital, the surgeon’s expertise, and the patient’s overall health. On average, open heart surgery in India can cost between INR 1.5 lakhs to INR 5 lakhs. Specific procedures, like CABG, typically cost around INR 2.75 lakhs.
Conclusion:
Open heart surgery is a critical procedure that can address severe heart conditions and save lives. Understanding the costs involved and the procedures can help patients and their families make informed decisions. At Active Heart Clinic, Dr. Shridhar G Padagatti offers exceptional expertise and care, ensuring that patients receive the best possible treatment. If you or a loved one needs open heart surgery, do not delay seeking the necessary medical intervention. Your heart health is invaluable, and timely surgery can make all the difference.
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