Cardiovascular Surgery

The most common disease among cardiovascular diseases is coronary artery disease, which is the narrowing or complete blockage of the heart vessels. With Adult Cardiovascular Surgery, all modern medical treatment methods, endovascular interventions and surgical procedures are safely applied in our hospital.

Coronary Bypass Surgery

The arteries that feed the heart are called coronary arteries. Heart attack (myocardial infarction) and heart failure may develop as a result of serious narrowing and blockages in these vessels located around the heart. Coronary artery disease may develop in people with a family history of coronary artery disease, due to high cholesterol levels and heavy smoking. This situation seriously impairs the patient's quality of life.

The aim of coronary surgery, which constitutes a large part of heart surgeries, is to bypass the blocked section of the artery (bridging) and re-establish blood flow to the unfed areas of the heart. In the heart that begins to be fed again, chest pain due to ischemia disappears, the risk of heart attack decreases and deterioration in the contractile function of the heart is prevented.

Granulation is usually performed using the mammary arteries (LIMA&RIMA) located in the inner chest wall, the arm artery (radial artery) and the veins removed from the leg (saphenous vein). After bypass surgery with LIMA (internal mammary artery), the rate of the vessel remaining open is over 90% even after 10 years. During the surgeries, a heart-lung pump (cardiopulmonary bypass) can be used or, in appropriate cases, bypass can be performed with a beating heart.

In order to ensure rapid patient recovery, which is the main goal of modern cardiac surgery, fast-track anesthesia methods and minimally invasive cardiac surgery procedures are applied. While preparing bypass grafts, the vessels to be taken from the arm and leg can be removed with endoscopic methods and thus the surgical incisions are limited to 1-2 cm. Most patients are discharged within 4-5 days and return to their normal lives in a short time and achieve a better quality of life.

Heart Valve Surgeries

There are heart valves between the ventricles of the heart and the atrium and between the ventricles and the main vessels leaving the heart. The mitral, aortic, trichidiac and pulmonary valves have important functions for the normal functioning of the heart. In cases of advanced stenosis or insufficiency of these valves in the heart, the diseased heart valve must be repaired or replaced in cases that are not suitable for repair.

In our clinic, repair methods aimed at protecting the existing heart valve are primarily applied. Most heart valve surgeries are performed through a thoracotomy or a small incision made under the armpit. Minimally invasive surgical techniques are applied in cases deemed appropriate. As a result of this procedure, patients can quickly complete their recovery process and return to normal life.

ASD Closure

ASD (Atrial Septal Defect) means a congenital hole in the membrane (septum) between the atria of the heart. When this hole is small, it can be repaired with only stitches. If there is a large hole, it can be closed with a patch prepared by taking a piece from the pericardium, the layer around the heart. These surgeries are mostly performed with minimally invasive methods (mini-thoracotomy, mini-sternotomy incisions) in our clinic. Patients are discharged in a very short time with very small incisions and can return to their normal lives in a short time.

Heart Tumor (Myxoma) Surgeries

Myxomas constitute more than half of benign heart tumors. Cardiac myxomas are often located in the left atrium. They are less frequently located in the right atrium (ear). The tumor may be associated with the heart valves or the heart conduction system. Surgery should be performed as soon as the diagnosis is made due to the risk of thromboembolism (clot). The aim of surgery is to remove the entire tumor from the heart while preserving the heart valves and conduction system. Minimally invasive techniques are applied with very small incisions for this surgical procedure.

Arm and Leg Arteries Surgeries

(Peripheral Vascular Surgery)

Peripheral vascular surgery means performing a surgical procedure on the arteries that carry blood to an extremity (limb).

Peripheral vascular surgery is usually performed for vascular occlusions, vascular injuries and vascular dilatations (aneurysms). It is performed through small incisions using blood vessels taken from the patient or artificial vessels. As a result of surgery performed on the vein, more blood flow is provided to the area fed by the vein. If there is pain in the tissue that has more blood, it decreases, wounds heal faster, and as a result, the risk of serious infection and limb loss is reduced. When performed on an enlarged vein, the risk of rupture of the vein and damage to surrounding tissue is prevented. In the event of a vascular injury, the aim is to restore normal blood flow.

Carotid Artery Surgeries

(Carotid artery surgery)

Carotid artery occlusions have very serious consequences and are the biggest reason for the formation of the condition called stroke (CVA). The fragments that break off as a result of the narrowing of the carotid arteries and the rupture of the atherosclerotic plaque (cerebral embolism) can cause a mild stroke that can progress within hours, temporary vision problems and other symptoms. If the stenosis is not treated, there is a risk of severe stroke (stroke). The removal of these blockages can be done with the help of small incisions, completely anesthetizing the patient or with local anesthesia, which is when the patient is not asleep. During the operation, an incision is made in the neck area, the atheroma (calcified tissue that narrows the vessel) causing the stenosis is cleaned and the vessel is repaired.

Aortic Aneurysm (Ballooning) Surgery

The dilated parts of the dilated abdominal, thoracic or thoracoabdominal aorta are surgically replaced using a synthetic vessel graft.

In recent years, these procedures have mostly been performed from the groin with the help of angiography (endovascular method) and without the need for open surgery. Patients who are not suitable for this method undergo surgical intervention and aneurysm repairs. The aim is to prevent fatal complications that may develop as a result of rupture of the vessel by replacing the diseased vessel segment with an artificial vessel.

Endovascular Aortic Surgery (EVAR-TEVAR) and Percutaneous Endovascular Treatments

Peripheral endovascular interventions mean percutaneous (through the skin) catheter-mediated and endovascular (through the vessel) intervention for blockage or injury in the main artery carrying blood to a limb or organ.

In most cases of vascular occlusion, the blockage is eliminated by applying a balloon or stent through angiography from the groin without the need for surgery. Endovascular treatments are performed under general or regional anesthesia. By entering through the artery in the groin or arm, without making a large incision, the aneurysmatic/ballooned vascular region is corrected with one or more strong synthetic tubes or artificial vascular grafts in the form of pants, or the narrowing of the vessel is opened with special balloons and stents used. As a result of the intervention made on the vessel, more blood flow is provided to the area fed by the vessel. Wounds heal more quickly in tissue with more blood, and as a result, the risk of serious infection and limb loss is reduced. The aim is to prevent loss of function in an organ with impaired nutrition.

In endovascular surgeries (EVAR-TEVAR) performed for aneurysms, the artery is opened with small incisions usually made in the groin and a graft prepared ac