Welcome to the Cardio-Thoracic Critical Care Program at MGM Healthcare
The Cardio-thoracic Critical Care or Intensive Care Unit at MGM Healthcare, takes care of postoperative cardiac and thoracic surgery patients. This highly specialized team carefully monitors and treats patients who have undergone complex cardiothoracic surgeries. It provides services for the surgical treatment of cardiac, pulmonary and oesophageal diseases. We offer a full complement of cardiac services for acquired heart disease, congenital heart disease and transplantation as well as minimally invasive and robotic surgeries.
Acquired heart diseases are treated by coronary artery bypass grafting, valve repair and replacement, treatment of thoracic aneurysms, and the insertion of pacemakers and electrical defibrillators. We have cardiologists and cardio-thoracic surgeons who have extensive experience in the treatment of adults and children with congenital heart disease. Our transplant programs include heart, heart-lung, heart-liver and lung transplantation as well as cardiac assist devices.
Patients admitted to the cardio-thoracic critical care unit are often recovering from a difficult surgery and are concerned about their recovery. Our compassionate team understand the emotional needs of the caregivers and provide them constant updates and transparent information about the patient’s conditions and line of treatment. We have a multi-disciplinary team of medical intensivists, cardiologists, anaesthesiologists, cardio-thoracic surgeons, clinician dieticians, physical therapists, occupational therapists, pulmonologists, respiratory care specialists, endocrinologists, physiotherapists, rehabilitation care specialists, who work together in providing the patients with best chance for recovery.
Cardiology
- Coronary and Peripheral angiogram
- Simple coronary angioplasty
- Primary, Complex and Peripheral angioplasty
- Bifurcation stenting
- Chronic total occlusion (CTO) antegrade and retrograde techniques
- Chronic total occlusion (CTO) antegrade and retrograde techniques
- Graft vessel PTCA
- Above and below knee PTPA
- Carotid, renal and subclavian artery stenting
- Temporary, single chamber and dual chamber pacemakers
- Cardiac resynchronisation therapy (CRT)
- Implantable cardioverter defibrillator (ICD)
- Electrophysiology and radiofrequency ablation
- Rotablation
- IVC filter, IABP insertion
- Pericardiocentesis
- Intravascular ultrasound (IVUS)
- Instantaneous wave-free ratio (iFR) and fractional flow reserve (FFR)
Cardio-thoracic Surgery
- Coronary artery bypass graft surgery (CABG)
- Beating heart surgery with minimal blood usage
- High risk CABG in patients with multiple comorbidities/severe LV dysfunction
- Emergency CABG surgery for patients with ongoing angina and cardiogenic shock not amenable to angioplasty
- Redo CABG surgery
- Combined CABG with value or miscellaneous surgery
- Heart valve surgery
- Aortic valve replacement (with/without aortic root enlargement)
- Mitral valve replacement and repair
- Tricuspid valve repair and replacement
- Emergency valve surgeries for stuck valve
- Redo valve surgery
- Surgery on the aorta: aneurysm/dissection repair, aortic root replacement, Bentall procedure
- Surgery for cardiac tumours
- Surgery for arrhythmias
- Left ventricular aneurysm repair surgery
- Ruptured sinus of valsalva repair
- Septal myectomy
- Carotid endarterectomy
- Paediatric cardiac surgery
- Thoracic surgery
Cardiac Anaesthesia
- Major surgeries like CABG, valve replacements, aneurysm repairs and minimally invasive surgery
- Major procedure like angioplasty, PPI, TAVI, EPSS, CRT
- Multidisciplinary therapies like ECMO
- Thoracic procedures like VATS, pneumonectomy, lobectomy
- All congenital cardiac surgeries including neonatal arterial switch, TAPVC, TOF
- Hybrid procedures for HLHS, coronary artery disease CAD
- Heart failure therapy including LVAD
PHILIPS INGENUITY CT (128 slice CT scanner)
- Low-dose, low-energy and low-noise imaging
- Ingenuity CT with iDose gives up to 80% less dose while maintaining image quality
- ECG Dose Modulation for up to 53% dose reduction
- Consistent tracking of the physiologic cardiac phase
- Automatic arrhythmia detection and management
- Step and Shoot enables low-dose, high-quality cardiac CT imaging
- Powerful X-ray tube and generator
PHILIPS VOLCANO -CORE MOBILE Intravascular Ultrasound System (IVUS) System
- Fractional flow reserve (FFR), instantaneous wave-free ratio (iFR) system
- Fast and simple image interpretation
- Automated lumen and vessel measurements
- Colourised tissue map of plaque composition
- Automatic border detection
- Enhanced diagnostic confidence
- Integrated with built in virtual histology
PHILIPS AZURION 7 C12 (Monoplane Cath lab)
- Low X-ray dose levels
- Ceiling suspended Azurion Cath Lab
- Manage radiation using small focal spot sizes
- Low contrast usage to the patient benefit
- Motion compensated coronary imaging
- Navigate coronary arteries efficiently and with confidence
- Enhanced live images will be automatically displayed
PHILIPS INGENIA ELITION 3.0T S (3 Tesla MRI machine)
- MRI exams up to 50% faster
- Wide bore for claustrophobic patients with immersive audio-visual experience to calm them
- Up to 40% less noise
GETINGE ROTAFLOW (Extracorporeal membrane oxygenation - ECMO machine)
- High performance of the oxygenator and pump ensures safe and effective patient support and user management
- Low resistance of the PLS-i Oxygenator and the high efficiency of the ROTAFLOW Centrifugal Pump reduce blood damage to a minimum
- HIT Set PLS Plus is specially designed for use on patients who are susceptible to heparin-induced thrombocytopenia
CASE STUDY 1
57-year-old patient presented in the ER after a severe heart attack with low BP. To regain BP on a severely damaged heart, the patient was immediately put on an IABP pump followed with opening of the blocked blood vessel in the heart (primary PTCA). Subsequently, heart circulation improved and the IABP pump was removed on the second day post-PTCA. He was shifted to the ward and discharged on Day 7 with good improvement. As the patient is the head of his family, we not only saved his life but his whole family.
CASE STUDY 2
53 – year- old presented in the ER post myocardial infarction with severe left ventricular dysfunction – Ejection Fraction: 15. The patient came in shock VT with heart rate of 180-200 fluctuating. Multiple shocks were given to revive the patient. Subsequently managed with inotropes support to improve the LV function and also, hypoxic injury of the liver and anuric kidney. seven days post therapy, he required LVAD to improve the LV. Patient is awaiting LVAD (bridging therapy) followed by heart transplant. With med, organs recovered.