Coronary Artery Surgery
Coronary artery surgery is performed at Deborah utilizing the latest techniques to perform either an arterial bypass or mixed arterial and reversed saphenous vein grafting as indicated. Deborah’s cardiac surgery team uses the most advanced techniques of myocardial protection, surgical technique, extracorporeal perfusion, anesthetic management, blood conservation, and perioperative care.
Deborah surgeons also offer videoscopic saphenous vein harvesting, a minimally invasive technique to remove the saphenous vein for bypass surgery.
The cardiac surgery service has successfully treated numerous patients who are Jehovah’s Witnesses and cannot receive blood products.
Valve Repair or Replacement
Deborah offers the latest and safest refined surgical techniques for cardiac valve reconstruction. Many valve conditions result in valvular dysfunction, manifested by stenosis, incompetence or both. Generally, valve reconstruction surgery is more suited (or applicable) for correction of mitral and/or tricuspid valve dysfunction. In a smaller patient population of selected cases, the aortic valve may be amenable to valve repair.
Deborah has used cardiac valve substitutes since 1963, and utilizes various state-of-the-art cardiac valve prostheses, designed to suit every individual’s need, disease process or patient’s age. These cardiac valve substitutes come singly, for isolated valve replacement, or attached to a graft conduit for treatment of aortic disease associated with ascending aortic aneurysm.
All aspects of aortic surgery are performed at Deborah including repair of aneurysms of the ascending, descending and abdominal aorta, correction of aortic dissection, replacement of the aortic root and replacement of the aortic arch. Many of these procedures have been successfully performed with the aid of circulatory arrest and retrocerebral protection of the brain.
Minimally Invasive Procedures
Direct Coronary Artery Bypass (MIDCAB)
Cardiac surgeons perform Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) surgery. This exciting new procedure allows coronary revascularization to be performed in select cases with a limited sternotomy incision and without the use of the heart-lung machine. This eliminates most morbidity associated with traditional coronary artery surgery, while maintaining the impressive durability seen when the internal mammary artery is used as a bypass conduit.
Minimally Invasive Valve Surgery
Surgeons at Deborah can repair or replace both the mitral and aortic valves by applying a minimally invasive technique. Instead of a sternotomy, a smaller incision is used to expose and access the heart. Once the heart is exposed, the surgeon performs a valve replacement or repair, using the standard method for repairing or replacing a dysfunctional valve.
Endoscopic Radial Artery/Saphenous Vein Harvesting
Deborah surgeons offer endoscopic radial artery and saphenous vein harvesting, a minimally invasive technique for removal to be used as a conduit in coronary artery bypass surgery.
Adult Congenital Heart Surgery
The cardiac surgery service at Deborah has performed hundreds of surgeries on adult patients with congenital heart anomalies. Previous cardiac surgery had been performed in approximately 25 percent of these patients. The complex operative procedures that were required were performed with approximately a two percent operative mortality. Congenital heart disease may not be detected until adulthood, but early diagnosis and surgical repair of symptomatic patients is recommended, as satisfactory outcomes can be anticipated.
Although the demographics of pulmonary disease have changed dramatically over the years from tuberculosis to neoplastic and degenerative diseases of the lung, diagnosis of pulmonary disease by clinical evaluation and sophisticated testing is offered and performed on a daily basis.
Anesthetic techniques, the use of a variety of stapler devices and thoracoscopic lung surgery (to name a few) have allowed Deborah surgeons to perform lung wedge resections, lobectomies, pneumonectomies, even lung resections with chest wall excision in cases of tumor extending to the chest wall, with an operative mortality among the lowest in the country.
The excellent long-term results for lung cancer patients are comparable to other well recognized centers. Lung Volume Reduction Surgery is also performed at Deborah for treatment of diffuse emphysema.
Vascular surgery is performed at Deborah. After evaluation in the Vascular Clinic in Deborah’s Ambulatory Care Services, a patient may be referred for surgery. Elective surgical procedures at Deborah include: carotid endarterectomy, abdominal aortic aneurysm resection, and lower extremity revascularization.
Deborah’s Anesthesiology Department
The Department of Anesthesiology provides evaluation and consultation for all patients requiring operative intervention. A full range of anesthesia services is provided by a group of highly qualified, board certified anesthesiologists and CRNA’s.
Anesthesia consultative services provide input into pain relief and sedation for performance of a variety of medical procedures. Postoperative care in the critical care units is included in these activities. State of the art equipment and medication are used and active clinical research is performed to constantly improve the anesthetic care provided.
Beating Heart Bypass Surgery
Beating Heart Bypass Surgery is performed while the heart is still beating—a major advancement now available to Deborah patients. With “off-pump” technology, heart and lungs continue to function during the surgery, reducing the risk of stroke, lung and kidney dysfunction and memory loss.
Benefits of Off-Pump Surgery:
- Shortens the average hospital stay
- No longer requires the need for heart-lung machine during surgery
- Lowers the needs of dialysis, encephalopathy, and chest wound infections
- Procedure lowers the need for red blood cell transfusions