Introduction

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We offer a wide range of surgical services, all designed to provide the best possible results for our patients. 

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By using the latest techniques and technologies, including minimally invasive procedures, we are able to provide superior surgical care with reduced risk and speedy recovery.

No matter what type of heart surgery you need, we will work with you to develop a personalized treatment plan that meets your unique needs.

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No matter what type of heart surgery you need, we will work with you to develop a personalized treatment plan that meets your unique needs.

Coronary artery disease

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Coronary artery disease occurs when one or more of the heart's arteries or their branches become narrowed.

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The cardiac surgeon uses grafts (medial thoracic arteries and venous grafts from the lower extremities) to bypass the sites of stenosis.  One end of the graft is sutured to the aorta and the other is anastomosed at a point immediately following the stenosis, which the cardiac surgeon deems appropriate for the fullest perfusion of the patient's myocardium.

Open heart surgery is performed using general anesthesia.  Extracorporeal circulation is usually used. The extracorporeal circulation machine performs the functions of the heart and lungs.  During surgery, blood is diverted to the extracorporeal circulation machine, where it is oxygenated and returned to the patient, feeding the brain and body.

In some cases, coronary artery bypasses can be done without using extracorporeal circulation, allowing surgery on a beating heart.  This technique uses special surgical equipment that keeps parts of the heart immobilized, enabling the cardiac surgeon to perform the coronary artery bypass while the heart is beating.

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Coronary artery bypasses are a routine operation and patients return home after six days of hospitalization.

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Aortic valve

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AORTIC VALVE REPLACEMENT WITH A MECHANICAL OR BIOLOGICAL PROSTHETIC VALVE

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The surgeon replaces the diseased valve, which may be narrowed, deficient, or a mix of both, with either a durable mechanical valve (made of metal) or a biologic one (derived from pig or cow tissue, with a lifespan exceeding 15 years).  After the surgical replacement of the native aortic valve by a prosthetic mechanical or biologic one, its proper placement and function are confirmed using a transesophageal ultrasound.

Surgical replacement of the aortic valve is performed using general anesthesia, with extracorporeal circulation.  The extracorporeal circulation machine performs the functions of the heart and lungs.  During surgery, blood is diverted to the extracorporeal circulation machine, where it is oxygenated and returned to the patient, feeding the brain and body.

Surgical replacement of the aortic valve is now considered a routine operation with very low complication rates.

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After surgery, patients are hospitalized in the clinic for about six days.

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TAVI – AORTIC VALVE REPLACEMENT

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This kind of treatment can only be performed for stenoses of the aortic valve.

Transcatheter aortic valve replacement (TAVI) treatment is recommended for elderly patients and patients with a severe medical history, due to the high risk of open-heart surgery.

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This operation is performed only by a specialized team of cardiac surgeons in collaboration with interventional cardiologists.

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Through the innominate artery and with a small 5 cm incision above the sternum (Suprasternal TAVI) or percutaneously through a femoral artery if feasible, a catheter on which the biologic valve is placed is advanced to the position of the narrowed aortic valve.  This procedure is performed under general anesthesia, usually lasts 2 hours and requires hospitalization in the clinic from 3 to 6 days.

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Mitral valve

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MITRAL VALVE REPLACEMENT WITH A MECHANICAL OR BIOLOGICAL PROSTHETIC VALVE

Mitral valve replacement is mainly applied to valves with stenosis.  This surgical approach is preferred for mitral valve insufficiency when it is the best long-term treatment, either anatomically or functionally, for the patient.

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The cardiac surgeon removes the diseased valve and replaces it with either a durable mechanical valve (made of metal) or a biologic one (derived from pig or cow tissue, with a lifespan exceeding 15 years).  After the surgical replacement of the native mitral valve by a prosthetic mechanical or biologic one, its proper placement and function are confirmed using a transesophageal heart ultrasound.

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MITRAL VALVE REPAIR

In mitral valve repair, the patient's valve is preserved and, depending on the lesion, a valvuloplasty ring is placed, in combination with appropriate repair manipulations at the level of the leaflets or tendinous cords to achieve the best possible result.

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After repairing the mitral valve intraoperatively, confirmation of the proper functioning of the valve follows with a transesophageal ultrasound.

With mitral valve repair, patients do not need to take anticoagulants for life postoperatively and the risk of strokes or valve infections is much lower.

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For mitral valve replacement and repair, general anesthesia and extracorporeal circulation are employed.  The extracorporeal circulation machine performs the functions of the heart and lungs.  During surgery, blood is diverted to the extracorporeal circulation machine, where it is oxygenated and returned to the patient, feeding the brain and body.

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After surgery, patients are hospitalized in the clinic for about six days.

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PERCUTANEOUS MITRAL VALVE FAILURE REPAIR – MITRACLIP 

Percutaneous mitral valve repair (MITRACLIP) treatment is recommended for elderly patients and patients with a severe medical history, due to the high risk of open-heart surgery. This treatment is only applicable in cases of mitral valve functional insufficiency.

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Percutaneous mitral valve repair is performed by specialized interventional cardiologists. It involves inserting a clip guided through a vein in your leg using a catheter to significantly reduce mitral valve insufficiency.

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Thoracic aorta

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Where the aortic valve functions properly and the aneurysm is located in the ascending aorta, the diseased area is excised and replaced by a straight synthetic graft.

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If the aneurysm is located in the aortic root, which includes the orifices of the coronary arteries, the entire aortic root is excised and replaced, the coronary vessels are reimplanted in the synthetic graft and the aortic valve is repaired and spared (Tirone David surgery).

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‍Another option is the placement of a synthetic graft with a valve inside it.  In this case, the ascending aorta and aortic valve are replaced, and the coronary vessels are reimplanted into the synthetic graft (Bentall de Buono surgery).

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‍The aortic root exhibits better hemodynamic behavior when the native aortic valve is spared, reducing the risk of complications from prosthetic valves for the patient.

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‍The technique used for aortic arch aneurysms involves replacing half or the entire aortic arch with or without Elephant Trunk surgery peripherally in the descending aorta.

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The operation is performed using general anesthesia and extracorporeal circulation.  The extracorporeal circulation machine performs the functions of the heart and lungs.  During surgery, blood is diverted to the extracorporeal circulation machine, where it is oxygenated and returned to the patient, feeding the brain and body.

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‍After surgery, patients are hospitalized in the clinic for about six days.

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Tricuspid Valve

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‍In tricuspid valve repair, the patient's native valve is spared, a valvuloplasty ring is placed on the periphery of the valve and, depending on the damage, synthetic cords are placed, the folds are reconnected or excess tissue is excised from the valve.

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The surgical repair of the tricuspid valve is followed by confirmation of the proper functioning of the valve with a transesophageal ultrasound.

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‍Tricuspid valve repair stands as the primary choice for surgical treatment among cardiac surgeons.  With this method, postoperatively patients do not need to take anticoagulants for the rest of their lives, have a lower risk of strokes or tricuspid valve infections and maintain better heart function.

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‍For tricuspid valve replacement and repair, general anesthesia and extracorporeal circulation are employed.  The extracorporeal circulation machine performs the functions of the heart and lungs.  During surgery, blood is diverted to the extracorporeal circulation machine, where it is oxygenated and returned to the patient, feeding the brain and body.

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‍After surgery, patients are hospitalized in the clinic for about six days.

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By focusing on dignity in doctor-patient relationships and employing advanced cardiac surgery methods, we ensure ongoing success in our work.