Re-do or Repeat Cardiac Surgery | Dr. Saify Arsiwala скачать в хорошем качестве

Re-do or Repeat Cardiac Surgery | Dr. Saify Arsiwala

Re-do cardiac surgery is an essential part of cardiac care but is relatively rare. It is typically considered when a patient experiences recurring symptoms even after undergoing initial surgeries like bypass surgery or stenting. Dr. Saify Arsiwala, Senior Consultant in Cardiac Surgery at Narayana Multispeciality Hospital, Jaipur, provides an in-depth discussion on repeat cardiac surgery, its causes, symptoms, and the treatment options available. He explains when and why re-do surgeries are necessary, how they are performed, and what alternatives exist. What is Re-do Cardiac Surgery? Re-do cardiac surgery refers to the second or subsequent heart surgeries performed on a patient who has already had one or more heart surgeries previously. This type of surgery is generally recommended when heart conditions worsen or when blockages appear again after bypass surgery, or when stenting or other interventions are no longer effective. These surgeries are not common, and the goal is always to improve the patient’s quality of life and heart function. Dr. Arsiwala shares that in most cases, patients who have undergone bypass surgery or stenting earlier will experience collateral circulation. Collateral circulation is the natural development of additional blood vessels around blocked arteries, which helps to keep the heart functioning even when there are blockages in the main arteries. This process can significantly reduce the need for re-do surgeries, as the body has a backup system in place to maintain heart health. When Should Re-do Cardiac Surgery Be Considered? Although repeat cardiac surgery is relatively rare, it becomes a consideration when patients experience recurring symptoms after several years. This is often seen in patients who had bypass surgery or stenting over 8-10 years ago. Over time, the heart’s condition may change, and the initial surgery might not be as effective as it once was. Symptoms such as shortness of breath, chest pain, or other cardiac issues may reappear, signaling the need for further intervention. However, before jumping to conclusions about a second surgery, angiography is often performed. Angiography is a diagnostic procedure that helps doctors visualize the blood vessels and see if there are any new blockages or changes in the heart’s blood supply. In many cases, angiography can reveal that stenting or medication may be enough to manage the condition, and repeat surgery can be avoided. Therefore, angiography is a key tool in determining whether a re-do surgery is necessary. When is Re-do Surgery Absolutely Required? Dr. Arsiwala highlights that re-do cardiac surgery becomes an essential option only when less invasive methods like stenting or medication are not sufficient. In certain cases, when new blockages form or if the arteries become increasingly narrow or blocked, re-do surgery may be the best option. This is especially true for patients who cannot benefit from other treatments due to the location or nature of the blockages. The main goal of repeat surgery is to improve blood flow to the heart and alleviate the symptoms of heart disease. Dr. Arsiwala points out that although re-do surgeries are more complex than the initial procedure, modern techniques and technologies have made it possible to conduct these surgeries with high levels of safety and efficacy. Why is Angiography Important Before Considering Repeat Surgery? Before opting for re-do cardiac surgery, angiography is always recommended as the first step. Angiography helps doctors understand the current state of the blood vessels by showing the location and severity of blockages. This procedure is minimally invasive and provides crucial information that can guide the treatment plan. In some cases, it may reveal that stenting or medication can alleviate symptoms, avoiding the need for a repeat surgery. Dr. Arsiwala emphasizes that the decision to perform repeat surgery is made after careful consideration of all factors, including the patient’s age, overall health, the severity of the heart disease, and the likelihood of success with other treatments. The primary goal is always to improve the patient's heart health in the safest way possible. For more information or consultation with Dr. Saify Arsiwala, visit Narayana Health: https://www.narayanahealth.org For More Information: For consultations with Dr. Saify Arsiwala, log on to: https://bit.ly/2z7Y0Bd Connect with us: Facebook:   / narayanahealth   Instagram:   / narayanahealthindia   Twitter:   / narayanahealth   Blog: https://www.narayanahealth.org/blog/ LinkedIn:   / narayanahealth