Cardiothoracic & Vascular Surgery (CTVS)
The department of Cardiothoracic and vascular surgery (CTVS) at Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly has made rapid progress over last 2 years. Under the able leadership of Dr. Vikas Deep Goyal (Cardiothoracic & vascular surgeon), cardiac surgeries are being performed routinely with high rate of success. Apart from CTVS surgeon, a dedicated and experienced team of Cardiac Anesthetists, Perfusionist, technicians and nursing staff is working at the SRMS, IMS.
World class infrastructure of SRMS, IMS along with advanced diagnostic facilities under one roof are available to, evaluate, assess and diagnose the case with precision and deliver best surgical outcome to patients.
Patients of Bareilly region, Uttarakhand and Nepal are regularly approaching at SRMS, IMS for such surgeries. Even major surgeries are being performed free of cost under AB-PMJAY scheme. ESIC, Railways, Insurance / TPAs, IVRI, CARI, CGHS beneficiaries can also avail cashless facility. The hospital is being run by SRMS Trust, and all CTVS surgeries are being performed on very low cost as compared to other centers.
- World class dedicated Modular Laminar Flow Cardiac O.T
- State of Art Cardiac ICU
- World class Cath Lab with DSA facility
- Diagnostic facilities like ECG, TMT, ECHO, Holter, CATH Angiography
- 128 Slice Dual Source CT Scan for Cardiac CT Angiography
- 3 Tesla MRI for Cardiac MR
- Nuclear Medicine facility for SPECT (Gamma Camera) / PET Scan
- Dr Vikas Deep Goyal, MS, MCh (CTVS)
- Dr Gaurav Misra, (MD,PDCC)Cardiac Anesthetist
- Dr Akhilesh Pahade,(MD,PDCC) Cardiac Anesthetist
- Trained perfusionist and technicians
- Dedicated and experienced team of nursing staff
- Dr Amresh Aggarwal, MD, DM
- Dr Deep C Pant, MD, DM
CABG (Coronary Artery Bypass Grafting)
Usually done in cases of Triple Vessel disease, Left main disease, Double Vessel disease with 100 % block. This procedure can be done ON Pump as well as OFF Pump (Beating Heart Surgery)
MVR (Mitral Valve Replacement)
Done in case of severe Mitral stenosis or severe Mitral regurgitation where valve repair or Balloon Valvotomy is not feasible.
AVR (Aortic Valve Replacement)
This procedure is usually done in case of severe Aortic stenosis or severe Aortic regurgitation or both.
LA Myxoma (Left Atrial Myxoma ) Excision
In this condition patient has a tumor in the left atrium which is usually attached to inter-atrial septum. During surgery the tumor is excised and defect in the atrial septum is closed with a pericardial patch.
This procedure is done in cases where pericardium gets thickened and impedes the normal contractility of the heart. The thickened pericardium is excised in this procedure.
ASD Closure ( Atrial Septal Defect Closure)
Atrial Septal Defect is an acyanotic congenital heart disease. In this disease the septal defect is closed either with open surgery or device closure.
VSD Closure ( Ventricle Septal Defect Closure)
Ventricle Septal Defect is an acyanotic congenital heart disease. Treatment involves surgical repair or device closure. This procedure is usually done in early childhood.
PDA Ligation (Patent Ductus Arteriosus)
In this condition there is a persistent connection between the Aorta and pulmonary artery. It is also an acyanotic congenital heart disease. Treatment options are surgical closure or device closure.
In this procedure whole of the lung on one side is removed. This procedure is usually done for cases with malignancies, destroyed lungs, bronchopleural fistula, etc.
Procedure is done usually for the cases of malignancy, bronchiectasis etc in which lobe of the lung is removed.
Bronchopleural Fistula Closure
It is a condition in which there is communication of bronchus with pleural space. Initial management is done with chest tube drainage but in cases of large BPF, surgical closure is required.
This surgical procedure is usually done for cases of Emphyema thoracis in which thickened and infected pleural peels is excised that helps in re-expansion of the collapsed or compressed lung.
Surgery of Emphysematous bullae
In COPD patients, sometimes large air filled spaces known as emphysematous bullae develop which compress the normal lung. In this procedure emphysematous bullae is excised which helps in re-expansion of the normal lung.
Excision of Cysts and masses from lung
Variety of cysts and masses in lung like hydatid cyst, bronchogenic cyst, thymic cysts and masses, pericardial cysts, solitary pulmonary nodules require excision.
Aorto – Bifemoral Bypass
This procedure is done for the cases with aorto –iliac occlusive disease involving the infra –renal aorta and bilateral Iliac vessels in which prosthetic graft (Dacron or PTFE) is usually placed between aorta and bilateral femoral arteries.
Femoro – Popliteal Bypass
This procedure is usually done for cases with occlusion of middle or distal part of femoral artery. In this procedure either a reversed saphenous vein graft or PTFE graft is used for the bypass. This procedure is commonly required in patients of peripheral vascular disease who develop rest pain or claudicationin the lower limb.
Aneurysm formation occurs when the involved artery dilates to more than twice of its normal diameter. Aneurysm can be true or false. Majority of them can be treated with surgery.
It is usually required when there is arterial injury commonly seen in cases trauma with multiple fractures in lung bones. The artery is either directly repaired or an interposition graft is used.
In cases with acute thrombosis or embolism in one of the limb vessels, patient develops sudden onset severe pain in the involved limb. Early intervention within 6 to 8 hours before development of gangrene gives good results and prevents amputation of the limb.
Varicose vein is a common condition in which the leg veins get dilated and patients develop pigmentation or ulcer in the involved limb with dilated veins. Surgical treatment gives long lasting results.
A-V Fistula Creation
A-V Fistula is usually created for dialysis access in case of chronic kidney disease. It is created at wrist, forearm or elbow. Procedure can also be done in patients where the previous one has got thrombosed or is not working.