Cardiovascular Surgery

The Cardiovascular Surgery Department has been established by obtaining the newest technologies and carefully selected specialists who provide services within the area of cardiovascular diseases. The department was established when the hospital was first founded in 2005. It provides routine services such as bypass surgery, cardiac valve, aortic surgery, atrial ablation, minimally invasive (keyhole surgery), congenital cardiac surgeries and also operates on complex and risky cases with perfect clinical results. Approximately 1100 heart surgeries are performed and 9000 patients are examined and treated in a year. The mortality rate of the last 10 years is 1,36 % and for coronary artery bypass grafting, it is 0,4%. The clinic has made headlines worldwide for off-pump coronary artery bypass surgery, minimally invasive heart surgery, endoscopic heart surgery, and heart valve repair surgery.

SERVICE AREAS/ SERVICE HOURS:

Specialized staff is present 7/24 in the Cardiovascular Surgery Clinic.

Outpatient Hours:

Examination 09:00 am – 06:00 pm

Control 10:00 am – 01:00 pm

The Cardiovascular Surgery Department of Private TOBB ETU Hospital consists of an internationally renowned team. The team possesses the experience and infrastructure required to perform any and all types of surgeries in Adult Heart Surgery.

Assoc. Prof. Tayfun Aybek completed his career as academician at Frankfurt University in Germany. He performs heart surgery with a robot without opening the chest wall. He is the head of the team, which closely follows new methods and new technologies regarding the Cardiovascular Surgery. The team performs heart surgeries through 3-5 cm. incisions and they welcome colleagues from around the world as well; they have invited guests who are recognized by the International Cardiovascular Surgery Community.

Our hospital provides all these quality services in Cardiovascular Surgery in areas such as:

• Coronary "Bypass" Surgery (Off-pump)

• Cardiac Valve Surgery

• Minimally Invasive Cardiac Surgery

• Cardiac Arrhythmia Surgery

• Surgery for Congenital Heart Disease

• Major Blood Vessel Surgery (Aortic Surgery)

• High-Risk Patient Surgery


Coronary Bypass Surgery:

If the "Coronary Artery Disease" which manifests itself with stenosis or complete obstruction of heart vessels does not respond to medication or cannot be opened with balloon, surgical intervention would be necessary. In Standard Bypass Surgery, the chest wall is opened from the front side. Using vessels obtained from other parts of the body (like arteries or veins) to bridge the stenotic heart vessels, the blood flow to the heart is improved. Thus the heart receives oxygen again and a possible heart attack is prevented. During this procedure, normally a heart and lung machine is used. During the surgery, this machine directs the blood in the body to an external pump system and pumps the oxygenated blood back to the body and organs. In other words, it undertakes the functions of the heart and lungs and enables inactivating said organs. Afterwards, the surgeon sutures the obstructed vessels on the surface of the heart individually. This surgery is generally known as “vessel replacement”. In Private TOBB ETU Hospital, Cardiovascular Surgery team performs the above mentioned bypass surgery on a beating heart without a heart and lung machine.

Thus, it is not necessary to stop the heart during the surgery. Furthermore, potential damages caused by a heart and lung machine, which can affect several organs (especially in old patients), are eliminated. Veins taken from the leg are not preferred by our team due to short duration of use. Only arteries are used for Bypass operations.

This technique, which is known as "Full Arterial off-pump Coronary Revascularization", has been adopted and used by the Cardiovascular Surgery team of our hospital for years. It has aroused great interest among other surgeons at an international level. The technique of bypass operation on the beating heart has minimized the surgical risk and in addition, it has been understood that the inserted bypass vessels protect the operated hearts for a long time.

Cardiac Valve Surgery:

Valve repair is presented as the most ideal method for the patients with the heart valve disease. Thanks to newly developed techniques and progress in technology, many heart valves can be repaired now. Therefore, the patients can maintain their lives with their original valves and do not need blood diluents to be used for lifetime. Each heart valve coming to surgery is evaluated in the most detailed way with Transesophageal Echocardiography, which uses three-dimensional technology. Thus certain reasons for the defect in the valve are found shortly before the surgery and the surgical method to be used is planned in accordance with this. The quality of surgical treatment is checked immediately after the repair with the same technique. Thanks to these technologies, valve patients are treated through a small wound of 5 cm, body esthetic is preserved and also he recovery period in the postoperative course becomes shorter. In the female patient shown in the picture below, two valves were repaired by opening the rib cage through a small wound which is named as "Keyhole" method. The cut can be made on the frontal side or under the breast according to the position of the valve.

While aortic valve repair is regarded as one of the difficult and rare surgeries; repair methods are routinely applied in our clinic particularly in aortic valve disorders in which aortic root repair and aneurism exist together. Also leaflet extension techniques and pericardial patch repairs for the aortic valve can be performed routinely. These repair techniques enable the young female patients to be pregnant after surgery, since they may not use lifetime medication (especially warfarin).

Cardiac Arrhythmia Surgery:

Pathology of the heart valve patients do not remain only in the valves; it leads to several damages by affecting surrounding tissues as well. Heart arrhythmia disorders can be resolved by utilizing the most modem devices. The patients who have had palpitation for years can return to their homes with a normal heart beat after the surgery. In the same way, growing heart is scaled back through surgical methods, thus stroke or embolism risk after the surgery is minimized.

Surgery for Congenital Heart Disease:

Our team also performs the surgical treatments for heart diseases of children. Atrial Septal Defect, Ventricular Septal Defect, Fallot, Patent Ductus, Coronary fistula, etc. can be counted among the most important ones. Small wound treatment is used in these patients as well.

Major Vessel Surgery (Aortic Surgery):

This surgery, which is regarded as one of the biggest surgeries in heart surgery, is applied in cases that main artery (Aortic), which carries blood to the whole body, is grown and burst risk increased. Normally, the patients are cooled down to I 8°C by using a heart and lung machine during the surgery. In this way, preservation of brain tissue and organs is enabled during the surgical intervention for a certain period. The diseased and grown artery is replaced and artificial vessel is inserted into the place of it. The patients are operated on without cooling because it is found as a result of the scientific studies of our team that the cooling process leads to several side effects (stroke, bleeding, heart and lung failure, etc.) in the patients. Prof. Tayfun Aybek, MD. and his team, perform major aortic surgeries 30-32°C (Celcius) without cooling down patients to 18°C. In this way, with hot perfusion technique, surgery durations become shorter and brain circulation becomes safe. Prof. Tayfun Aybek, MD. and his team use this technique for 18 years and they performed hundreds of surgeries with this concept. Many other hospitals and clinics started to use this method as the neurological results are better. The most important benefits of this warm surgery is that it significantly reduces the operation length and many complications such as clotting disorder, blood clot flowing in the blood and obstruction of brain vessels is prevented.

High-Risk Patient Surgery:

The average age in Turkey gradually increases due to new developments resulted from progress in medicine and in particularly, implementation of technological innovations in medicine. While the new developments especially in the field of cardiology (Stent, Balloon Dilatation, Valvuloplasty, etc.) have become widespread, the patients coming for heart surgery have become older with additional diseases (diabetes, peripheral vascular impairment, an excessive heart failure EF< 25%, etc.). All these factors increase surgical risk. In order to accept the high-risk cases for surgical intervention, not only surgeons but also all team members and especially postoperative intensive care unit staff must possess the required knowledge and skills. The teams of operating room and intensive care unit as well as doctors and nurses are working hand-in-hand, so that such patients can be examined 24 hours a day. In parallel with developing technologies, regular updates for knowledge and staff training is necessary in intensive care unit as well.

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