Bypass (CABG)

Coronary artery bypass grafting is a surgical procedure which aims to improve blood flow to heart muscle. It can relieve symptoms such as angina as well as reduce cardiac breathlessness and reduce the chance of a heart attack. The coronary arteries are vessels that supply blood directly to the heart muscle. If these vessels…

Aortic Aneurysms

The aorta is the body’s largest artery (a blood vessel that carries oxygen-rich blood). Roughly the diameter of a garden hose, this artery extends from the heart down through the chest and abdominal region, where it divides into a blood vessel that supplies each leg. An aneurysm is a balloon-like bulge in the aortic artery that occurs when the wall of the vessel becomes weakened. Blood pressure forces it to bulge outward, forming something similar to a blister.

Aortic Root

The aorta is a large vessel (artery) which supplies blood from the heart to the rest of the body. The aortic root is the initial portion of this vessel that stems from the heart and is attached to the aortic valve. If the both the aortic root and the aortic valve are diseased then both are replaced simultaneously with a plastic tube that already has a biological (pork or cow valve) attached on to it.

Aortic Valve

Heart valves open and close to allow the blood to flow in and out of the four chambers of the heart in the right direction. If they are damaged (through infection or disease) they will either not open properly or not close tightly enough and leak. Both problems mean the heart has to pump harder. A new aortic valve relieves the strain on the heart and aims to ease symptoms such as breathlessness and chest pain.

Mitral Valve

Heart valves open and close to allow the blood to flow in and out of the four chambers of the heart in the right direction. If they are damaged (through infection or disease) they will either not open properly or not close tightly enough and leak. Both problems mean the heart has to pump harder. A repair of your valve or a new valve relieves the strain on the heart and aims to ease symptoms such as breathlessness and chest pain.

Tricuspid Valve

Heart valves open and close to allow the blood to flow in and out of the four chambers of the heart in the right direction. If they are damaged (through infection or disease) they will either not open properly or not close tightly enough and leak. Both problems mean the heart has to pump harder. A repair of your valve or a new valve relieves the strain on the heart and aims to ease symptoms such as breathlessness and chest pain.

Arrhythmia

Normally, the heartbeat is triggered by electrical impulses which start in a special area of the heart tissue called the Sinoatrial (SA) node. From the SA node, these impulses flow down and across special electrical conduction pathways (cells) which cover the whole heart. These electrical impulses result in your heart squeezing (beating) regularly like a clock; diseases within the electrical pathways of the heart cause an abnormal irregular heart rhythm to occur and these are called arrhythmias. Atrial fibrillation is theAtrial fibrilation. pic 1most common heart arrhythmia and is sometimes referred to as A.F.

Philosophy

Cardiac surgery is changing. Modern innovative approaches have now replaced older, more traditional techniques for the surgical treatment of heart disease. As a result we can offer more successful and longer-lasting repair of cardiac disease, as well as cosmetically pleasing results and a faster recovery. Whilst the new approaches offer better results, the values of old remain; patient safety, satisfaction and improved quality of life.

My team and I are committed to providing peerless service and insist on the highest standards of clinical practice before, during, and after any cardiac procedure. Members of the team are amongst the most qualified, skilled, and experienced in the field of cardiac surgery and have been specifically selected for their professional and caring manner, in addition to their technical expertise.

TREATMENT GUIDE

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BYPASS (CABG)

Coronary artery bypass grafting is a surgical procedure which aims to improve blood supply to the heart muscle. It can relieve symptoms of chest pain (angina), cardiac breathlessness and protect against future heart attacks.

AORTIC VALVE

The aortic valve can be damaged leading to either, not opening properly (stenosis) or not closing tightly enough and leaking (regurgitation). The aortic valve can be replaced or repaired. Aortic valve disease is the commonest valve disease.

AORTIC ROOT

The aortic root is the initial portion of the aorta that contains the aortic valve and joins the heart and the aorta together. When the aortic root grows in dimension (aneurysm) it might need to be replaced or repaired. 

Aortic Aneurysms

The aorta is the body’s largest artery and extends from the heart through the chest to the abdomen. When the dimensions of the aorta increase (aneurysm), parts or the majority of the aorta might need to be replaced.

Mitral Valve

The mitral valve can be damaged leading to either not closing properly (regurgitation – most common problem) or not opening properly (stenosis). The mitral valve is often repaired and sometimes replaced.

Tricuspid Valve

The tricuspid valve can be damaged.  When this happens it primarily affects its ability to close properly (regurgitation). The tricuspid valve is repaired most of the time but sometimes it might need to be replaced.

Arrhythmia

The heartbeat is triggered by electrical impulses generated within the heart, which are usually regular. Arrhythmia is when he heart beat becomes too fast or too slow. Atrial fibrillation is the most common type of arrhythmia.

Pericardial Deseases

The pericardium is a thin sac that surrounds, protects and lubricates your heart, allowing it to move and work efficiently. Problems can occur when it becomes inflamed (pericarditis) or becomes thick and rigid (constriction).

Hypertension

Hypertension (high blood pressure, HTN) is defined as a condition in which blood pressure measurements are greater than the commonly accepted normal levels for age (systolic blood pressure = 135-140 mm Hg and / or diastolic blood pressure = 85-90 mm Hg).

Heart failure

The heart has 4 chambers into which blood flows and is pumped around the body. Two of the chambers  the right and left ventricles are muscular. When the heart muscle become weak or damaged, it can not push the blood forwards.

Pulmonary Hypertension

Pulmonary hypertension is a serious clinical condition that should not be confused with arterial hypertension. It can be caused by problems within the lungs or as a consequence of heart diseases.

Congenital Heart

Congenital heart disease(s) usually affect the way the heart is constructed (built) & functions. The patients are born with the problem(s). Some of them can be diagnosed before birth and can have a genetic component. 

THE SURGERY

TESTIMONIALS

Special thanks to George for putting me back together again.

P&J. T., Aug. 2021

Thank you for sorting my heart issues out and for doing such a good job on me

S.D., May 2021

You operated on me on my 61st birthday and, as the anniversary of your life saving work approaches, I want to thank you for the first year of new life you and your brilliant team at John Radcliffe have given me.

M. H., May 2021

Covid-19 Pandemic and Cardiac Surgery

In response to the rapidly evolving situation with coronavirus (COVID-19) pandemic The Royal College of Surgeons of England and the Society of Cardiothoracic Surgery in Great Britain and Ireland have produced a series of special Updates to collate high-level guidance...

Symbiotic machines

The first symbiotic pacemaker could be reality in just a few years but the this is only going to be the start to a number of potential symbiotic machines that will help to deliver medical therapies contributing towards a new era of medical therapies.

12 innovations that will revolutionize the future of medicine

The future of medicine is fast approaching and it will change the way medics are practicing but also the way patients are treated. In this article you could read about new and exciting technologies that are not far for becoming common practice.

Finding Key To Regenerating Blood Vessels

The findings, published in Nature Communications, may improve current strategies to improve blood flow in ischemic tissue, such as that found in atherosclerosis and peripheral vascular disease associated with diabetes.

Our research: New Heart Imaging Method May Predict Heart Attacks

CT imaging allows detection of those patients with small but inflamed artherosclerotic plaques in thier heart arteries that are prone to rupture, therefore are about to cause a heart attack.

NICE Guidance Recommends HeartFlow FFRct Analysis for Patients With Stable Chest Pain

U.K. committee concludes FFR-CT is safe, highly accurate and cost-effective solution for non-invasive evaluation

The Living Heart Project

The Living Heart Project: 3D and Virtual reality will change the way we threat patients with heart diseases.

ESC webinar on Pericardial diseases

The pericardial diseases spectrum: How the guidelines help us manage this condition? Speakers:Professor Yehuda Adler, Professor Massimo Imazio and Dr. George Krasopoulos European Society of Cardiology...

My latest lecture at the Nuffield Department of Surgical Sciences, University of Oxford.

Landscaping the Future of Coronary Artery By Pass Surgery
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