At the Clinic, patients can be treated for all heart conditions requiring surgery, using both conventional and modern techniques.
Cardiac surgical procedures performed
- Coronary artery bypass grafting (CABG)
- Performed on a beating heart or with cardiopulmonary bypass
- Using exclusively arterial grafts or a combination of grafts
- Repair or replacement of all heart valves
- Aortic valve
- Mitral valve
- Tricuspid valve
- Thoracic Aorta Surgery
- Aortic root replacement (Bentall procedure)
- Aortic root replacement (Yacoub or David procedures)
- Ascending aorta replacement with straight graft
- Aortic arch replacement with straight graft
- Endovascular treatment (stenting) of descending thoracic aorta diseases
- Management of aortic dissections
- Treatment of cardiac defects
- Closure of all types of atrial septal defects (ASD)
- Treatment of cardiac tumors
- Removal of intracardiac tumors
- Treatment of cardiac arrhythmias
- Surgical cardiac ablation
- Combined surgical procedures
- Combination of the above techniques
Modern management of cardiac surgical diseases increasingly requires minimally invasive approaches.
Minimally invasive cardiac surgery is the result of extensive experience in cardiac and thoracic operations and allows the full spectrum of procedures, from simple coronary artery bypass grafting (CABG) to complex aortic and valve surgeries.
Minimally Invasive Techniques
- Aortic valve disease (stenosis or regurgitation)
- Valve repair or replacement via a small incision (J-sternotomy or thoracotomy)
- Ascending aorta or aortic root aneurysms
- Replacement with a straight graft or composite graft (Bentall procedure)
- Mitral valve disease
- Repair or replacement via right mini-thoracotomy
- Single-vessel coronary artery disease
- Minimally invasive bypass with small thoracotomy (LIMA to LAD)
- Atrial fibrillation
- Thoracoscopic / endoscopic surgical ablation
What is minimally invasive surgery?
The procedure is performed under general anesthesia. The surgical incision is approximately 5–8 cm. In some cases, femoral vessels are used to establish cardiopulmonary bypass, allowing for a smaller chest incision.
The cardiac surgeon opens the aorta, repairs or removes the damaged valve, and implants a new valve.
The operation typically lasts 2–3 hours.
Advantages of minimally invasive aortic valve surgery
- No full sternotomy required
- Reduced blood loss
- Reduced ICU stay by approximately 50%
- Less pain and faster mobilization
- Lower risk of infection
- Reduced risk of paravalvular leakage
- Lower likelihood of permanent pacemaker implantation
- Fewer postoperative complications
- Hospital stay of 4–5 days
- Faster recovery
- Quicker return to normal daily life
- Excellent cosmetic result
For aortic valve stenosis, is it better to undergo surgical treatment or a transcatheter (TAVI) procedure?
The near-zero risks of paravalvular leakage and permanent pacemaker implantation—both associated with reduced survival, along with the ability to select the most appropriate valve (bioprosthetic or mechanical) tailored to each patient, are key advantages of surgical treatment compared to transcatheter aortic valve implantation (TAVI).