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Advanced TreatmentWith Utmost Care

Nanavati Heart Centre is a part of Nanavati Super Speciality Hospital – one of India’s largest, private sector, tertiary care hospitals. The Centre was conceived to provide state-of-the-art comprehensive cardiac care to the patients.

At the Heart Centre we have adopted a 'Heart Team' approach to care for patients with Cardiovascular diseases. As there have been many advances in surgery and cardiology, it is very important to maintain a rational approach. To plan the management of patients and deliver the best of care, the Heart Team comprising of Cardiac Surgeons, Cardiologists, Intensivists, Physicians, Cardiac Anaesthesiologists and Intensive Care Experts work in synergy providing the best possible outcomes.

The Centre’s team of experts is internationally recognized for their pioneering work in the field of Total Arterial Grafting, Minimally Invasive Cardiac Surgery, Coronary Bypass Surgery, Complex Congenital Cardiac Surgery, Surgery for Aneurysm including Endovascular and Hybrid procedures, Interventional Cardiac procedures of all kinds - from Electrophysiology and Coronary Angioplasty to Interventions for correction of congenital anomalies.

One of the Centres of Excellence of Nanavati Super Speciality Hospital, the Nanavati Heart Centre was conceived to provide a state of art fully equipped cardiac care centre to provide comprehensive services to our patients. The entire gamut of services from diagnostic non invasive services, nuclear scans, and CT imaging is available under one roof, as are top class Interventional cardiology, Interventional radiology and Neuro interventional services. A full range of Cardiac surgery and Vascular surgery hospital services complete the therapeutic armamentarium for providing patients with the best in class treatment that is their right.

Treatment & Surgeries

The full range of both diagnostic and therapeutic interventional cardiology procedures is available at the Nanavati Heart Centre, with top of the line equipment such as Innova 2100 GE Cath Lab, Bard EP (Electrophysiology) system, St Jude FFR (Fractional flow reserve) system, IABP systems, to enable the highly qualified and experienced team of Interventional cardiologists deliver world class results keeping patient safety at the forefront.

Diagnostic procedures such as coronary angiography, heart catheterization to study congenital heart defects, aortography, peripheral and renal angiography are being done routinely. Angiography via the radial route (wrist) is also offered for patient comfort and same day discharge.

Therapeutic interventions such as coronary angioplasty (PTCA) and stenting, valvuloplasty, closure of heart defects are routinely done. The cath lab is operational 24x7 to cater to any cardiac emergency, especially heart attacks. We have one of the best door to balloon times in the city ensuring fast effective and safe opening of 100% blocked coronary arteries causing the heart attack, (termed as Primary PTCA), and our heart attack treatment program has been awarded recognition for excellence in execution by International forums.

In addition therapeutic interventions in other areas of the vascular tree, such as renal angioplasty, iliac, and femoral angioplasty, carotid and vertebral angioplasty are being done at the Nanavati Heart Centre. Interventions on the aorta for congenital narrowing (coarctation), endovascular treatment of aneurysms of aorta and aortic dissection is also being done.

Nanavati Super Specialty Hospital has a full fledged and thriving Cardio Thoracic and Vascular Surgery programme. We do the full spectrum of operations from the routine to the most challenging. Some highlights of the programme are:

Coronary Artery Disease

  • Beating Heart Bypass Surgery (OPCAB)
  • CABG in patients with low EF (<30%)
  • CABG in the settings of Acute MI
  • CABG with valve repair/replacement (AVR, MVR)
  • CABG with Carotid Endarterectomy
  • CABG in octogenarians and patients with co-morbidities like renal failure, Dialysis dependent, previous stroke, obstructive & restrictive pulmonary disease
  • Minimally Invasive (small incision) bypass surgery in selected patients

Rheumatic Heart Disease

  • Mitral Valve Repair/ Replacement
  • Aortic Valve Surgeries
  • Combined Aortic & Mitral valve surgery with or without Tricuspid valve surgery
  • Minimally Invasive Valve Surgery

Surgery for Congenital cardiac anomalies in Infants and older children Closure of Holes in the Heart

  • Ventricular Septal defects
  • Atrial Septal defects

Repair of Complex Congenital Defects

  • Tetralogy of Fallots
  • Single Ventricle Palliation:
  • BT Shunt
  • Glenn Shunt i
  • Fontan Operation
  • AV Canal Defect
  • ALCAPA Repair
  • Excision of Sub - Aortic Membrane
  • Total Anomalous Pulmonary Venous Drainage

Central and Peripheral Vascular Diseases

  • Aorto-.Bi-Femoral Bypass
  • Femoro Popliteal Bypass
  • Femoro-Femoral bypass
  • Axillo - femoral bypass
  • Carotid-axillary bypass
  • Vascular trauma (Stab injury, RTA)

Aortic Surgery

  • Aortic Aneurysms
  • Aortic Root Replacement - Bentall’s Operations
  • Aortic Arch Replacement

Thoracic Surgery

  • Lung resection surgeries (Lobectomy, pneumonectomy, segmental resection)
  • Hydatid cyst excision, pericystectomy
  • Lung cancer surgeries, Pancoast tumor excision
  • Mediastinal tumors
  • Thymectomy
  • Thoracic outlet syndrome, cervical rib
  • Chest wall tumors, chest wall reconstruction

The success rate in even high risk surgeries has been excellent and comparable to international standards in Nanavati heart centre. We have a large inflow of foreign patients. Morbidity is uniformly low and early discharge is the rule in a majority of cases.

What is Angioplasty?
Angioplasty is a non-surgical interventional cardiac procedure to open the blocked arteries of the heart.

Can Coronary Artery Disease be cured by Angioplasty?
A coronary angioplasty can open a blocked artery, but it will not cure coronary artery disease. You will still need to modify lifestyle factors that can worsen coronary artery disease such as Smoking, an Irregular Diet, Hypertension, Diabetes, etc. An exercise programme may also be prescribed to improve your cardiac health. In addition, you may need to take medications for heart disease for the rest of your life.

What to expect during an Angioplasty?
Heart centre in india, Before a cardiac catheterization procedure is performed, medication for relaxation is administered, and local anaesthesia is given where the catheter is inserted.

Next, a sheath (a thin plastic tube) is inserted into an artery usually in the groin and sometimes in the arm. A narrow hollow tube called a catheter is passed through the sheath and guided up the blood vessel to the arteries surrounding the heart.

Then, a small amount of contrast material is injected through the catheter and photographed via X-ray. By examining the digital photographs of the contrast material, the doctors can tell if the coronary arteries are narrowed and blockages can be quantified. The report is then discussed with the patient or the attendants to make a final decision. If an angioplasty is required, then the doctor will move the catheter, into the artery with the blockage and perform one of the interventional procedures described overleaf.

The procedure itself takes only about 1 to 2 hours. But for a perfect treatment ample preparation and recovery time is required. Additionally, you may be required to stay overnight for observation.

Rotablation
In this procedure a specially designed catheter, with a diamond-coated burr, is guided to the point of narrowing in your coronary artery. As the tip spins at a high speed, it grinds away the calcified blockage in your artery walls. The microscopic particles are washed away in your blood stream and filtered out by your liver and spleen.

The other techniques that are used in Percutaneous Transluminal Coronary Angioplasty (PTCA) are Artherectomy and Cutting Balloon.

Biodegradable / Bio-absorbable Scaffold
Biodegradable / Bio-absorbable Scaffolds are a major breakthrough in interventional cardiology. These scaffolds are made of a special polymer that dissolves in a few months, hence leaving no permanent implant. One major advantage of these scaffolds is that they provide reduced clot formation and also reduced duration of intake of anti-platelet drugs like aspirin

What to expect after an Angioplasty?
If your angioplasty was performed by inserting the catheter via the artery in your groin, you will have to lie flat (without bending your legs) while the groin sheath is still in place.

In 3 to 4 hours the groin sheath is removed, after which you must lie flat for about six hours to prevent bleeding. Then your nurse can raise your head (about two pillows high). She will let you know when you can get out of bed with assistance, six hours after the groin sheath is removed.

You should not consume anything, except clear liquids, until the groin sheath is removed as nausea can occur during this period. Once you are advised to eat, you will have to follow a healthy diet for your heart.

You may also be admitted to the hospital overnight for observation, after the procedure. Notify your doctor immediately if you develop a fever or experience chest pain, swelling, pain or numbness in your groin or leg.

What to expect before an Angioplasty?
Before an angioplasty, you will require routine blood tests and an electrocardiogram. These tests may require separate appointments and you will be required to fast before the procedure.

Please inform your doctor or nurse if you are taking Diuretics, Anti-diabetic medicines. Also, let them know if you are allergic to anything, especially X-ray dye, iodine, shellfish, latex or rubber products (e.g. rubber gloves or balloons)

Before the procedure you will be required to take blood thinners. During angioplasty you will remain awake but you will be given medication to help you relax.
What are the different Interventional Procedures used in Angioplasty?
Depending on your personal condition, your Nanavati doctors may employ any one of the several interventional procedures, while performing angioplasty, including:

Balloon Angioplasty
A specially designed catheter, with a small balloon tip, is guided to the point where the artery has a significant blockage. Once in place, the balloon is inflated to compress plaque against the artery wall and stretch the artery open to increase blood flow to the heart.

Stent
A stent is a small metal mesh tube which provides support inside your coronary artery. A balloon catheter placed over a guide wire, is used to insert the stent into the narrowed coronary artery. Once in place, the balloon tip is inflated and the stent expands to the size of the artery and holds it open. The balloon is then deflated and removed while the stent stays in place permanently. Your doctor will determine the type of stent which is appropriate for your type of blockage.

Post Angioplasty Workouts Do’s and Don’ts

Do's

  • Make sure you warm up before the exercise and cool down after you finish
  • Preferably exercise on an empty stomach
  • You can start with very low intensity exercises like:
a. Walking
b. Climbing stairs
c. Any other light exercise that you enjoy

Preferably exercise at the same time everyday and make it a part of your daily routine

Don'ts
  • Exercise after having meals or alcohol
  • Start with heavy exercises right away. Gradually increase the intensity
  • Exercise in extreme heat or cold
  • Overexert yourself. If you feel low or tired, stop immediately. If you are getting breathless, experiencing chest pain or sweating heavily, call your doctor immediately

There have been many new developments in treating heart failure. If medication and lifestyle changes are not enough to control your symptoms, your doctor may suggest:

Cardiac Resynchronization Therapy (CRT)
A normal heart sends electrical signals to both lower chambers or "ventricles" of the heart to make them pump at the same time. Sometimes in heart failure patients, the two chambers do not pump together. A special pacemaker called CRT (a small battery-powered device) is placed under the skin that helps make the two sides of the heart beat in a coordinated manner. CRT is a pacemaker that tells both ventricles to pump at the same time, thus reducing your heart failure symptoms and increasing your ability to exercise and be more active.

Implantable Cardioverter Defibrillator (ICD)
Some patients with heart failure have dangerously fast heartbeats called "Ventricular Tachycardia" or "Ventricular Fibrillation” which can cause serious symptoms such as fainting or even death. An ICD is like a pacemaker that can be inserted under your skin, with an aim to recognise a dangerous heartbeat. The ICD then returns it to a normal beat through an electrical signal. If your heart needs both CRT and ICD; they can be placed at the same time using one device.

Heart Pumps
A Ventricular Assist Device (VAD) is a mechanical pump inserted into your body to improve blood flow. When your heart is unable to pump enough blood to the various organs of your body, an open heart surgery is required to implant the mechanical pump. The VAD works together with your own heart to pump more effectively. VADs can stabilize your heart condition, thereby allowing you to become stronger and feel better. VADs are also used as an alternative to heart transplantation for patients who are waiting for a new heart.

Heart Transplantation
Heart Transplantation is an operation to replace a diseased heart with a healthy donor heart. Heart Transplantation is a treatment used for severe heart failure, when medication or surgery is ineffective. Heart Transplant can dramatically improve the survival and quality of life of patients with severe heart failure. However, transplant candidates often have to wait for a long time before a suitable donor heart is available.

Our team ofCardiology

 

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Dr. Salil Shirodkar
Consultant Cardiology

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Dr. Sushant C Patil
Consultant Cardiology

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Dr. Rohit Shahapurkar
Consultant Cardiovascular & Thoracic Surgeon

Patient Success Story - Video

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Centre for Liver & Digestive Diseases and Day Care

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Critical Care Unit 1

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Deluxe Hospital Room

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About Nanavati Hospital

The iconic healthcare institution of Mumbai, Dr. Balabhai Nanavati Hospital, blessed by Mahatma Gandhi and inaugurated in 1950 by India’s first Prime Minister Jawaharlal Nehru, is now reintroduced as Nanavati Super Speciality Hospital.

Nanavati Super Speciality Hospital has been at the forefront of healthcare for 65 years. Today the 350 bed facility housing 55 speciality departments offers a plethora of services in practically every field of modern medicine and health care. Our well-equipped hospital rooms, state-of-the-art departments and technologically advanced systems are all backed by the expertise and reputation of over 350 consultants, 100 resident doctors, 475 nursing staff and 1500 employees.

The hospital’s state-of-the-art Imaging Centre, spanning over 10,000 sq. ft, houses 3 Tesla 32 channel wide bore Magnetic Resonance Imaging (MRI) scanner with MR guided Focused Ultrasound Surgery (MRgFUS) and High-Intensity-Focused-Ultrasound, 64 slice Positron Emission Tomography–Computed Tomography (PET CT) with cardiac capability. The Catheterization Lab at Nanavati Heart Centre which is the first of its kind in Mumbai, has a team of highly experienced and qualified faculty providing 24x7 Interventional Cardiac Services.

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