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Treatment & Procedures
In traditional open heart surgery, the heart is reached by cutting open the chest and dividing the breast bone. This median sternotomy approach requires a 10-12 inch incision through the sternal bone. In minimally invasive heart surgery, major incisions are no longer needed and the breastbone does not need to be divided, dramatically reducing the traumatic impact of the operation.
Most patients are candidates for minimally invasive heart surgery which has become the preferred approach at NYU for the majority of our heart surgery patients.
Severe leakage or narrowing of the mitral valve can affect the pumping action of the heart by causing excess blood volume and requiring the atrium and ventricle to work harder. Eventually, this can lead to heart failure and atrial fibrillation if left untreated. Mitral Valve Repair surgery involves intricate removal of damaged leaflet tissue, detailed reconstruction of overstretched chordae and placement of a stabilizing device around the mitral valve repair, thus allowing restoration of normal heart function.
Repairing the patient's natural mitral valve can avoid the problems associated with mitral valve replacement which include - lifelong blood thinners and reoperations within fifteen years.
In CABG surgery, blood vessels taken from another part of the patient's body (the chest, arm, or leg) are used to reroute, or "bypass," blood around the clogged arteries, thereby improving the flow of blood and oxygen to the heart. Studies show that arterial grafts last longer and improve long-term survival, compared to vein grafts.
How a thoracic aortic aneurysm is treated depends on its size and location, as well as on the patient's age, symptoms, and general health. Most thoracic aortic aneurysms arenow treated with a minimally invasive approach called endovascular stent-graftrepair, instead of conventional surgery. In this approach, a catheter is usedto insert and guide a stent-graft (a polyester tube covered by a tubular metalweb) into the aorta to the site of the aneurysm. With the stent-graft in place, blood flows through the stent-graft instead of through the aneurysm, eliminating the risk of rupture.
The most common arrhythmia surgery is the Modified Maze procedure. This minimally invasive procedure is performed by making a small incision is made in the left chest and the left atrial appendage is closed off so blood cannot stagnate inside of it and become clotted.
- Coronary Revascularization
- Septal Myotomy
- Surgical Ventricular Restoration
- Ventricular Assist Devices
- Thoracic Aortic Dissection Repair