Dr. Bhaskar B V is one of the finest Heart Specialist in India. He is an experienced Cardiac Surgeon in the India. The Medical practitioner has been associated with various reputed hospitals in the India. The physician is currently working as a Sr. Consultant & Head, BGS Gleneagles Global Hospitals, India. The doctor is a well-reputed and sought after medical expert and is
qualified. Dr. Bhaskar B V has been associated with many hospitals over the course of his illustrious and experienced career.
The hospitals include:
Dr. Bhaskar B V has more than 10 Years of clinic experience. The Clinician specializes in and performs the following surgeries:
Most physicians advise their patients to undergo the angiogram procedure (also known as angiography and arteriogram) when certain symptoms such as a heart attack or chest pain become a source of worry. A stress test is performed on patients who report chest pain, which is then followed by an angiogram test.
Angiography procedure aims at testing the blockages in the coronary arteries apart from any other cardiovascular-related ailments. Angiography and angiogram procedure can both locate narrowing arteries or blockages that may exist in different parts of the body.
Angiography is recommended for patients with coronary heart diseases (CHD), which can cause the heartbeat to stop suddenly and abruptly. The patient may also suffer from severe chest pain. Angiography can also be performed on patients on an emergency basis when they experience a heart attack. If the blockage is not treated immediately, then healthy tissues around the heart start perishing and turn into scar tissue. It can give rise to several long-lasting problems. Angiography may also be required in the case of a patient with aortic stenosis or those who have had an abnormal heart stress test.
Coronary artery disease (CAD) is one of the most common heart diseases reported across the world. It results due to blood clot formation and plaque accumulation in the major blood vessels of the heart.
Balloon angioplasty is the most common endovascular procedure (procedure performed inside the blood vessel) carried out to treat coronary artery disease. In this procedure, the blood clots in the major arteries of the heart are detected and cleared by inserting a catheter into an artery of the hand (radial artery) or leg (femoral artery). This catheter consists of a balloon at its tip, which dislodges the clot to the periphery of the blood vessel after inflation.
Angioplasty may or may not be followed by coronary stent placement, depending on the angiography findings. This procedure is performed in patients with fewer blood clots in the vessels and those who do not respond to medications. It may also be carried out as an emergency procedure to treat a heart attack.
A Bentall procedure is a surgery conducted to correct problems associated with the largest artery in the body, the aorta. The aorta carries oxygenated blood from the heart to the rest of the body. Thus, any problem with this important artery may affect the rest of the body and cause serious complications.
A Bentall operation is conducted to correct problems associated with the aorta. Some of the problems that are resolved with the help of a Bentall surgery include the following:
In the United States Coronary artery bypass graft which is a common kind of an open heart surgery if found to be executed in good numbers. Cardiothoracic surgeons are the doctors who are involved in performing the procedure on the concerned patients. This kind of procedure is very appropriate for coronary heart diseases which can become a life-threatening issue later.
When the heart gets deprived of rich oxygenated blood there is chest pain and discomfort felt by the patient. This pain is referred to as angina. Breathlessness and fatigue are some of the other kinds of problems that are associated with coronary heart disease. In worse case scenario a heart attack which can be life-threatening may affect the patient severely
Coronary artery bypass surgery aims at improving the general blood circulation to the heart. A healthy artery or vein is taken the body and is grafted or connected to the blocked coronary artery for the purpose of bypassing. This artery or vein goes around the blocked portion of the coronary artery and establishes a new path for the blood to flow to the heart thus reducing the chance of a heart attack. In one surgery surgeons can bypass multiple coronary arteries. Severe blockages can be treated with this procedure.
Heart valve diseases occur due to improper functioning of the valves. Sometimes a valve does not open or does not close proper. In this condition, the blood does not flow properly and requires valve replacement. The important valves present in human body are aortic valve, mitral valve, tricuspid valve and pulmonary valve. If a valve cannot be repaired, then a heart valve replacement surgery is performed.
Heart valve replacement surgery is the replacement of heart valves with artificial valves or bioprosthesis. It is an alternative treatment to valve repair.
Valve replacement includes four procedures:
The aortic valve and the mitral valve replacements are the most common. Pulmonary and tricuspid valve replacements are uncommon in adults.
Aortic valve replacement (AVR)
It is a procedure in which a diseased aortic valve is replaced with an artificial heart valve. Many diseases affect the aortic valve; the valve can either become leaky or partially blocked. Recent aortic valve replacement procedures include open-heart surgery via a sternotomy, minimally invasive cardiac surgery (MICS) and transcatheter aortic valve replacement (TAVR).
Coronary artery bypass grafting (CABG) is a type of an open heart surgery that intends to improve the flow of blood to the heart. It involves the placement of a coronary artery bypass graft, which is retrieved from a healthy artery in the body, and placed in the position of the blocked portion of the artery that supplies blood to the heart. CABG surgery is a complex, yet common procedure.
A waxy substance called plaque may deposit in good amount in the coronary arteries of the heart over a period of time. As time advances, the plaque starts hardening and eventually ruptures and breaks open. The plaque interferes with blood flow as arteries grow narrow at the affected region. A blood clot develops when the plaque ruptures. The artery may get blocked completely is the size of the clot is big enough to stop the flow of blood to the heart. This may eventually lead to serious events such as heart attack and also put the individual at the risk of death.
The person may experience chest pain and discomfort when the heart is deprived of rich oxygenated blood This pain is referred to as angina. Breathlessness and fatigue are some of the other problems associated with coronary heart disease.
Coronary artery bypass surgery aims at improving the overall blood circulation to the heart. A part of healthy artery or vein from another part of the body is taken and is grafted or connected to the blocked coronary artery for bypass. This artery or vein goes around the blocked portion of the coronary artery and establishes a new path for the blood to flow to the heart, thus reducing the chance of a heart attack. In a single surgery, surgeons can bypass multiple coronary arteries. Severe blockages can be treated with this procedure.
CABG is conducted when there are one or two blockages in the artery. High risk CABG is conducted when there are multiple blockages in the artery and the blood flow to the heart is severely restricted.
There are four types of valves in the human heart – the mitral, aortic, tricuspid, and pulmonary valve. The mitral and the tricuspid valve are present between the upper and the lower chambers of the heart. On the other hand, the aortic and the pulmonary valve are present in the two arteries that leave the heart.
Most often, it is the mitral and the aortic valve that undergoes certain pathologic changes due to degenerative valve diseases, rheumatic heart diseases, or infective endocarditis. This may result in problems associated with the valve opening and closure.
These dysfunctions can be treated with either valve repair or valve replacement surgery. Aortic valve replacement or mitral valve replacement is carried out when just one of the valve is diseased or damaged. However, when both the valves are diseased or damaged, a double valve replacement surgery is conducted.
The heart valves present in the heart are responsible for permitting the flow of nutrient-laden blood through the heart chambers. After allowing the ushering of blood, each valve is expected to close completely. The diseased or damaged valves are not able to open and close properly, thus allowing the mixing and backflow of blood (regurgitation).
A double valve replacement surgery mainly aims at correcting the problem of valvular heart disease and involves both aortic valve replacement and mitral valve replacement. The mitral valve is situated between the left atrium and the left ventricle while the aortic valve is located in between the aorta and the left ventricle.
Some of the causes of heart valve disease include the following:
Some of the symptoms of valvular heart disease include the following:
Double valve replacement surgery is a complicated procedure as compared to single valve replacement surgery. Aortic valve replacement and mitral valve replacement involves the replacement of just one valve but during double valve replacement surgery, both the diseased valves are removed at the same time and replaced with a synthetic (mechanical) or a biological valve.
In the case of mechanical valves, the components used are not of organic or natural origin. They are created from a combination of polyester and carbon material that the human body can tolerate and accept. Blood-thinning medications are given to patients who get mechanical valves to prevent blood clot formation.
Bioprosthetic valves or the biologic valves are either created from animal or human tissues and can be of the following types:
The choice of a particular type of valve depends on the age, overall fitness, and the ability to metabolize anticoagulant medications. The only problem associated with a bioprosthetic valve is that it may not last a lifetime and one may have to undergo a replacement again later.
Heart Port surgery is a minimally invasive technique used to conduct major heart surgeries, including heart valve replacement and cardiac bypass. During this surgery, instead of cutting through the sternum of the rib cage to access the heart, the surgeons make several small incisions between the ribs of the patients.
Heart port procedure was initially performed under direct vision. However, with advancements in medical technology, it is now possible to conduct a heart port surgery with the help of robotic or self-possessed technology. This minimally invasive heart surgery technique has several advantages over open surgery, For example, it results in quicker recovery, fewer complications and bleeding, and the incisions heal fairly quickly.
Heart port surgery may or may not involve the placement of a port that includes different catheters and cannulae components. Such advanced medical port allows for single-step cannulation and arterial return. It also provides right heart decompression, retrograde cardioplegia delivery, and percutaneous venous drainage without affecting the view of the surgical field.
Heart port surgery cannot be used to conduct all types of cardiac procedures. However, it has been most extensively used to conduct valve replacement and atrial septal defect closure.
A heart transplantation is required in patients with a diseased heart. It is often recommended to patients whose heart function does not improve even after surgeries and continuous and prolonged use of medications. During the heart transplant procedure, the diseased heart is replaced with a fully functional heart. The heart used for replacement is retrieved from a patient who is brain-dead but is still on a life support system.
Because of the unavailability of a sufficient number of brain-dead donors, heart transplant surgery is still a rare procedure, even though it is a life-saving procedure. Moreover, there are just a handful of families who agree to donate the heart of their close ones because of aesthetic reasons. Even though heart transplant procedure is a major one, the chances of survival after the surgery is generally good. However, heart transplant survival rate largely depends on how well the patient has been taken care of after the surgery. Heart transplant surgery is mostly performed in patients with heart failure, which may happen because of any of the following conditions:
Heart transplantation surgery is often coupled with the transplant of some other organ in patients with specific conditions. These organs may include kidney, liver, or lung, depending on the condition of the patient and the ailment he or she is suffering from. Not every heart patients, however, is eligible to undergo the heart transplant surgery. Patients with a previous history of cancer, a major illness that would anyway shorten their lifespan, active infection, advanced age, or unhealthy lifestyle habits are not recommended to undergo heart transplant surgery.
Pacemaker implantation is a common surgery and it significantly improves the quality of life led by the patient. The blood-pumping organ, heart, is essentially made of a few groups of muscles. These muscles are controlled by electrical signals to ensure that the heart beats naturally and effectively to circulate blood to all parts of the body. When this electrical signal gets disrupted due to some reason, then an individual may experience tachycardia (where hear beats abnormally slow), heart block, arrhythmia (irregular heartbeat), or a cardiac arrest (abrupt and sudden stopping of the heartbeat).
The contractions happen as a result of triggered electrical pulses generated by sinoatrial node or the SA node. It acts like a pacemaker of the heart. This electrical pulse is then sent to the atrioventricular node or the AV node for relaying the pulse to the ventricles. Pacemaker implantation is suggested when this electrical signaling network is disrupted.The faulty functioning of the natural pacemaker of the heart may lead to the following:
Sick sinus syndrome: It is characterized by a slow heartbeat (bradycardia) or fast heartbeat (tachycardia) or a combination of both. It can happen due to age, a previous history heart attack, and thyroid problem, too much of potassium accumulation in blood, heart surgery, or sleep apnea.
In this case, the impulse is either delayed or absent.
The heart can stop beating. It may result because of the presence of coronary artery disease and muscle problems in the heart, which can happen after the age of 35.
Some of the symptoms observed in patients requiring pacemaker implantation are:
A pacemaker implant is a small device that weighs around 20 g to 50 g and is the size of a matchbox. It has a pulse generator with a battery, a tiny computer circuit and a few wires called pacing leads. This system is attached to the heart and it emits signals through the wires. The pacing rate or the rate of electrical impulses can be adjusted as per the requirement of the body and be accordingly programmed. It can sense if a heartbeat is missed or if the heart is beating too slow. Accordingly, it starts sending a steady signal to normalize the beating of the heart. If the beats are normal, then it simply does not send any signal.
Holes in the heart are considered to be congenital heart diseases or defects. These are considered to be a problem in the structure formation of the heart right at the time when a foetus is deriving its nutrition in the womb. With latest procedural technologies these problems can be mended right after birth. The holes in the heart disrupt the normal blood through the heart thus causing a general problem in blood circulation in the entire body.
In order to understand the holes in heart we must briefly understand the working of the heart. The heart works like a pump beating on an average of 100,000 times in a day. It has two sides which is divided by a wall called septum. The right side of the valve pumps blood to the lungs and picks up oxygen. The oxygen rich blood then returns to the left side of the heart from the lungs and then the left side pumps it to the rest of the body.
These two sides are divided into 4 chambers having four valves connecting them to various blood vessels. For carrying blood from the body to the heart, veins are responsible while arteries carry the blood away from the heart to be circulated to the body. The atria are two upper chambers that collect blood while ventricles are the two lower chambers pumping the blood to the lungs and other parts of the body.
The valves act like doors allowing flow of blood through the next chamber to arteries and then they close to keep the blood from again returning back to the previous chamber from where it came. In a systolic contraction ventricle pump blood from the heart and in a diastolic contraction the ventricles relax to receive blood pumped by the atria while aortic and pulmonary valves close at the beginning of the diastole to prevent the chances of backflow.
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