Gleneagles Global Health City, is the best cardiology (heart) hospital in Chennai, with the expertise to treat a wide range of complex cardiac conditions. The expert team in cardiology and cardiothoracic surgery department are capable of successfully treating complex cardiac conditions with a multidisciplinary approach, advanced diagnostic tools and techniques and world class infrastructure to deliver the best possible patient outcomes.
As a part of Gleneagles Global Group, we have more than a decade of experience in delivering high quality cardiac care to thousands of patients with the best possible patient outcomes. Our protocols and standards are governed by the clinical leadership of IHH healthcare which is the 2nd largest healthcare group in the world.
Our world class medical infrastructure, cardiac interventional & surgical proficiency, and high quality patient care, make us the best heart hospital in Chennai, India.
Comprehensive care and multi-specialty approach for various cardiac & thoracic ailments.
World-class treatment of Coronary artery disease, Myocardial Infarction (heart attack) – Coronory stenting (Angioplasties including Primary PTCA/Angioplasties) and Coronary Arterty Bypass surgeries (CABG).
Clinical outcomes at par with international standards.
Expert management of congenital heart disease including paediatric interventions & complex paediatric heart surgeries.
Minimally invasive cardiac surgery (MICS – keyhole surgeries) that aids in quick recovery and shorter hospital stay for valve replacements, ASD/VSD closures, and Single/Double vessel Coronary Artery Diseases.
Robust heart failure program, having performed highest number of heart & lung transplants and advanced procedures like ECMO & LVAD in the country.
Taking Care of Your Heart
Heart Care – Simple guidelines to keep your heart healthy
Heart disease is a leading cause of death, especially in urban populations. Keeping cardiac care should be a priority for you and your family.
Quit smoking and get away from second-hand smoke
Smoking can cause permanent damage to the heart, lungs, and blood vessels. It can cause constriction and hardening of blood vessels over time and lead to atherosclerosis.
Maintain a healthy weight
This reduces your risk of other lifestyle diseases like diabetes, high cholesterol, and high blood pressure. These conditions put a strain on your heart health.
A heart-healthy diet includes high-fiber foods (whole grains and vegetables) and healthy fats (olive oil and fish). Be sure to cut out excess trans fats, sodium (salt), and added sugars. It is also advisable to eat more organic and whole foods and fewer processed meals and snacks.
Study your family medical history
This will allow you to take preventive measures to counteract your hereditary risk factors. When asked for, give your doctor more detailed information to help provide a more accurate diagnosis.
Limit alcohol intake
Drink alcohol in moderation.
Meditation and deep breathing are acceptable practices to promote heart care. Other techniques that relieve stress, such as art, music, and dance, are also recommended for a healthy and happy heart.
The GGHC Cardiac Sciences Department has state-of-the-art diagnostic tools and surgical infrastructure. Our labs, examination rooms, clinical suites, operating rooms, ECHO, Treadmill testing facility (TMT), Critical Care Units (CCU) and comfortable wards are well-designed, healing environments.
An Echocardiogram is an ultrasound scan of the heart. This test result can help in assessing the heart function, different valvular heart diseases and congenital defects. We have the best expertise and world class equipment for transthoracic echocardiography, transoesophageal echocardiography, fetal echocardiography, 3D echocardiography and stress echocardiography.
Catheterisation procedures are performed to detect blockages in the blood vessels of the heart (Coronory artery disease) by injecting specialised dyes into the vessels through a catheter and observing the dye’s path. Our expert interventional cardiologists also perform multiple high end interventional cardiac procedures such as complex angioplasties including primary PTCA (Angioplasties), balloon mitral valvotomy, TAVR/TAVI through “pin-hole” procedures in the Cath Lab.
Cardiac Critical Care Unit (CCCU)
Our dedicated Cardiac Crital Care Unit (CCCU) with 15 beds has state-of-the-art medical equipment, highly trained critical care nurses who work under the guidance of our cardiologists, monitoring and managing critical cardiac ailments 24×7. With this infrastructure which serves as a perfect healing space, we are the best at treating Myocardial Infarctions (heart attack) & Congestive cardiac failure (heart failure).
Cardiac Surgery Operating Rooms (OR)
Cardiac Surgery Operating Rooms (OR) have the most advanced medical equipments such as multi-channel patient haemodynamic monitors, transoesophageal echocardiography, cardio-pulmonary bypass machines, defibrillators & pacemakers. Fitted with the most advanced HEPA filters, our Operating Rooms/Surgical suites provide the perfect and sterile environment for the conduct of complex open heart surgeries in children and adults by our expert cardiac surgeons.
Extra-Corporeal Membrane Oxygenation (ECMO)
ECMO machine treats patients with severe lung and heart failure. The machine oxygenates the patient’s blood, removes carbon dioxide, and helps maintain stable blood pressure. Equipped with 2 advanced ECMO machines, our ECMO services have supported huge number of failing hearts and lungs in both paediatric and adult patients, giving the best opportunity for their heart and lung function to improve.
Common Cardiac Ailments
Adult Cardiac Conditions
Hypertension, commonly known as “high blood pressure”, is a condition in which the pressure exerted in the arteries is excessive leading to arterial damage to all organs. Hypertension develops slowly over the years and doesn’t exhibit any symptoms until a major event like a stroke, heart attack or heart failure occurs. Less extreme cases may experience pounding headaches and blurry vision. Frequent screening is the key to the early detection of hypertension.
Coronary Artery Disease
Coronary artery disease is the narrowing and obstruction of the arteries which supply blood to the heart muscles. This condition is usually caused by atherosclerosis, which is the build-up of cholesterol and fatty deposits (plaque) inside the arteries, blocking them and preventing blood flow to the target organ or muscle. This causes chest pain (angina) and heart attack. Other symptoms include shortness of breath, pain in the neck, back, shoulder, or jaw, heart palpitations, abnormal heartbeat, dizziness, and nausea.
Myocardial Infarction (Heart Attack)
A myocardial infarction, commonly known as a heart attack, occurs when blood flow to the heart muscles seizes ubruptly. Myocardial infarction is characterized by chest-pain, the intensity of which can vary from a mild intermittent sensation that feels like heartburn to a giant fist squeezing the heart. Other symptoms of a heart attack include shortness of breath, dizziness, fainting, and nausea. Most heart attacks occur over several hours. And so if you think you are experiencing a heart attack, get help immediately as with every passing moment, muscle cells die. Early treatment, would contain the muscle damage and increase the chances of survival.
Valvular Heart Disease
Valvular heart diseases are cardiac ailments affecting the four major valves Aortic, Mitral, Tricuspid, and Pulmonory Valves.Valvular heart diseases can be due to various causes such as rheumatic fever, congenital defects, degeneration due to old age, etc. This leads to various valvular heart conditions such as –
Aortic Stenosis – Aortic Stenosis occurs when the aortic valve orifice is narrowed. This makes it difficult for the heart to pump through the norrowed aortic valve orifice. The additional effort causes stress on the heart and can lead to heart failure and sudden death. Aortic stenosis usually presents as chest pain, heart murmur or abnormal heart sounds, fatigue, shortness of breath, and dizziness.
Aortic Regurgitation – Aortic valve regurgitation is a condition in which the aortic valve is leaky, allowing some blood to flow back into the left ventricle. This can cause a lot of stress on the heart with time. Aortic regurgitation usually tends to develop gradually and causes shortness of breath, abnormal fatigue, light-headedness, heart murmur and palpitations as it worsens.
Mitral Stenosis – Mitral Stenosis occurs when the mitral valve orifice is narrowed, commonly due to rheumatic heart disease. This makes it difficult for the blood to flow to the main pumping chamber of the heart, the left ventricle. Pressure builds up in the left atrial chamber of the heart and consequently consequently causes fluid build-up in the lungs. This condition is characterised by tiredness and shortness of breath, coughing up blood and chest pain. Mitral stenosis is usually caused by rheumatic heart disease and degenerative valvular disease.
Mitral Regurgitation – Mitral valve regurgitation is a condition in which the mitral valve is leaky, allowing some blood to flow back into the left atrium from the left ventricle when the heart pumps. This causes a rise of pressure in the left atrial chamber of the heart and consequently fluid build-up in the lungs. Mild mitral regurgitation maybe asymptomatic. As the severity increases, patients may experience shortness of breath, chest pains, palpitations, coughing, and swelling of the feet.
Cardiomyopathy (Disease of the heart muscle)
Cardiomyopathy diminishes the heart muscle’s capacity to effectively pump blood to the whole body. The main types of Cardiomyopathy are – dilated, hypertrophic, and restrictive Cardiomyopathy. There may not be apparent symptoms initially, but as the disease advances, patients usually experiences breathlessness, ankle swelling, rapid heartbeats, chest discomfort and fatigue. This may also be accompanied by coughing, dizziness and light-headedness.
Congestive Heart Failure (CHF)
Congestive Heart Failure is a chronic progressive condition due to inability of the heart to pump blood effectively. This leads to build up of fluid in the lungs and the whole body. CHF starts with mild symptoms such as ankle swelling, weight gain, and fatigue. It progresses into marked shortness of breath, wheezing, cough and congestion in the lungs, and an irregular heartbeat. In severe cases, it could lead to rapid breathing, skin turning blue due to lack of oxygen and fainting. Hypertension, coronary artery disease, valvular heart disease and cardiomyopathy are conditions that increase the risk of CHF.
Arrhythmias (Irregular Heartbeat)
Arrhythmia refers to an irregular heartbeat – It could be too fast, too slow, skip beats, or follow an irregular rhythm. Arrhythmias occur when the electrical signals that cause the heart to beat. Arrhythmias can be benign or symptomatic. Cause of arrhythmia in every patient needs to be investigated to ascertain its seriousness. Arthythmias can lead to an increased risk of stroke, cardiac arrest and even cardiac failure. Cardiac arrhythmias can also be caused by substance abuse, stress, hyperthyroidism, congestive heart failure, and certain medications.
Congenital Heart Disease
Congenital Heart Disease
Congenital Heart Disease include a wide spectrum of structural malformations of the heart at birth. These defects can involve the walls of the heart or the valves between the chambers of the heart and adjacent arteries and veins. Severe congenital heart defects are detected during pregnancy or soon after birth. Signs of congenital heart disease in infants include rapid breathing, poor weight gain, fatigue, and sometimes cyanosis (blue skin and lips).
Acynaotic Heart Defects
Acynaotic heart defects affect the walls between atrial or ventricular chambers, heart valves or major blood vessels. They are characterised by the mixing of pink blood with the blue blood. This leads to increased blood flow and higher blood pressure in the pulmonary artery. These patients do not turn blue till the disease is very advanced.
ASD & VSD (Hole in the heart)
Atrial and Ventricular Septal Defects are congenital conditions in which a child is born with a hole in the wall (septum) that divides the two upper or lower chambers of the heart. The hole in the septum causes oxygenated blood to mix with de-oxygenated blood, altering the blood flow dynamics in the heart, lungs and the body. The defect can vary in size and sometimes minor defects can close on their own. If the defect is large and causes significant altered blood flow, it needs closure by interventional procedures (pin hole) or by surgery.
Patent Ductus Arteriosis (PDA)
Abnormal persistence of ductus arteriosis (normally closes within a week of birth)leading to flow of pink blood from the aorta (artery of the body) to the pulmonary (lung) artery. This can lead to increased flow of blood to the lungs, high lung artery pressure, rapid breathing, failure to thrive and even heart failure. This is treated by interventional procedures (pin hole) or by surgery.
Coarctation of the aorta is a congenital heart condition in which the aorta (artery to the body) is severely narrowed. This leads to high blood pressure in the upper part of the body and lower blood pressure in the lower half of the body. This is corrected by surgery in children or by interventional procedures (balloon dilatation and stenting) in the adults.
Cyanotic Heart Defects ( Blue baby)
Cyanotic heart defects are a category of congenital heart defects in which the blue blood (deoxygenated) mixes with the pink blood (oxygenated) going to the body. This leads to low blood oxygen levels in the body of the infant, causing the baby to develop a bluish appearance.
Tetralogy of Fallot (Blue baby)
Tetralogy of Fallot is a combination of four major structural malformations of the heart. Depending on the amount of blood flow to the lungs, the baby can have very low oxygen levels in the body requiring urgent surgery or may be pink if the pulmonary blood flow is adequate. The correction is by surgery which involves opening up the pathway of blood to the lungs and closure of a large hole in the heart (VSD).
Truncus Arteriosis is a congenital cardiac defect in which a single blood vessel (truncus) exits from the heart and divides into pulmonary (lung) artery and aorta (body artery). Correction of this defect is by surgery to separate the pulmonary artery along with the aorta and closure of the hole in the heart (VSD).
Total Anomalous Pulmonary Venous Connection (TAPVC)
Normally the pulmonary veins bring back the oxygenated (pink) blood back to the left atrial chamber of the heart. TAPVC is a congenital heart condition in which the pulmonary vein connects wrongly to the right atrial chamber of the heart. The correction involves surgery to reroute the pulmonary veins to the left atrial chamber and closure of the hole in the heart (ASD).
Pulmonary atresia is a congenital heart condition in which the pathway and valves allowing blood to flow from the right ventricle chamber of the heart to the lungs is not formed. Blood flow to the lungs is through abnormal connections flowing from the aorta to the pulmonary artery. Repair is by surgical reconstruction of the pathway between right ventricular chamber of the heart and the lungs (using a conduit/homograft) and closure of the hole in the heart (VSD).
Ebstein’s anomaly is a congenital condition in which the tricuspid valve is malformed. This leads to leakage of blood from the right ventricular chamber back to the right atrial chamber of the heart. The heart enlarges and the patient can even end up in a heart failure. The surgical repair of this malformation is performed using latest techniques (cone repair of the tricuspid valve).
Univentricular heart disease
Tricuspid atresia is one of the commonest univentricular heart disease in our country. In this condition the tricuspid valve (connecting the right atrial and right ventricular chambers) is not formed. The right ventricle is too small to support the pulmonary (lung) circulation. Only the left ventricle (single ventricle) is good enough to support blood circulation. These children are managed by Fontan palliation which is achieved by staged surgery (2-3 surgeries).
Common Thoracic Ailments
Bronchiectasis is the condition in which the walls of the bronchial tubes in the lungs are permanently damaged and are widened. Bacteria and phlegm pool in these widened bronchial tubes, leading to frequent infections and blockages of the airways. Bronchiectasis can be caused by cystic fibrosis (genetic condition) or lung infections like tuberculosis, allergies, HIV, auto-immune conditions, or chronic obstructive pulmonary disease (COPD). Bronchiectasis requires a multi-disciplinary approach to manage it medically. If despite medical management, the bronchiectasis is severe and confined to a specific lobe, surgical removal of that portion of the lung is performed.
A variety of benign and cancerous tumors can occur in the chest. They can arise from one of the visceral organs (oesophagus, the lungs), other structures in the chest (nerves, lymph nodes, thymus) and the chest walls. Successful management of these tumors requires a multi-disciplinary approach involving pulmonologists, radiologists, thoracic surgeons, spine surgeons and onco-surgeons. The doctors at GGHC are specialists at dealing with these tumors and mediastinal masses with excellent patient outcomes.
Cardiology & Cardiothoracic surgical department includes the following services –
Adult Cardiology Services
GGHC has a renowned Cardiology department with some of the best cardiologists in Chennai, India. As one of the best cardiology hospitals in Chennai, our doctors are committed to the prevention and treatment of heart diseases. With great expertise and a large body of experience on their side, our team of cardiologists at GGHC is well-versed in handling complicated and critical conditions to provide the best heart treatment in Chennai.
General Cardiology Clinic
The GGHC General Cardiology Clinic specialises in the diagnosis and treatment of cardiac illnesses. Our doctors are equipped with effective diagnostic tools to identify and treat various common and rare heart conditions with high degree of precision. Our vision and comprehensive health plans extend beyond diagnosis and treatment to recovery and complete rehabilitation.
The Hypertension Clinic is a special clinic within our cardiac department devoted to diagnosing and managing hypertension, an increasingly common condition. Our doctors specialise in treating the various forms of hypertension. We provide advanced and personalised treatment options for various forms of hypertension based on latest medical research.
Heart Failure Clinic
‘Heart Failure’ is a silent epidemic with an estimated prevelance of 1.5 to 4.5 million patients in our country. The predominant causes includes Coronary Heart Disease, Hypertension and Rheumatic Fever. The GGHC Heart Failure Clinic works towards improving patient quality of life by controlling the risk factors and providing the patients with the best treatment for heart failure. We also focus on after-care and post-hospitalisation follow-up to lessen the chances of repeat heart failure.
An Echocardiogram is a scan that uses high frequency sound waves to provide real time imaging of the heart’s structures as it continues to beat through the cardiac cycle. It shows the condition of the chambers of the heart, heart valves and thickness and function of the heart muscle. GGHC has highly equipped Echo cardiogram suite with the latest equipments to perform varions types of cardiac scan such as transthoracic echocardiogram test, stress echocardiogram, 3D echocardiogram, fetal echocardiogram and transoesophageal echocardiogram.
Diagnostic Catheterization studies
Cardiac Catheterization studies are tests performed on a heart patient by catheterization (a procedure in which a catheter is threaded into the heart). It is a diagnostic test used to identify or confirm diseases in the heart muscle, arteries, and veins. Diagnostic Cath Studies can be used for various purposes, such as congenital heart disease and haemodynamic assessment.
A coronary angiography is a special type of X-ray scan of the heart. A special dye (a high-contrast substance) is injected into the heart, and then X-ray scans are taken to observe how the dye moves through the heart muscle. This helps detect blockages in the coronary arteries.
Critical Care Services
Cardiac Care Unit (CCU)
Our specialised Cardiac Care Unit, Coronary Care Unit is designed to treat patients with serious heart conditions such as myocardial infarction (heart attack), cardiac arrhythmia (irregular heart beat) and congesive cardiac failure (heart failure). Our staff at GGHC are well trained to promptly diagnose critical conditions, provide effective treatment, stabilize the patients, allowing them to recover to complete health. Our critical care units are equipped with latest and cutting edge technologies allowing continuous monitoring of critically ill patients.
Our expert interventional cardiologists have immense experience in performing the latest interventional cardiology procedures ranging from angioplasties to TAVI/TAVR.
An angioplasty, or Percutaneous Coronary Intervention, is a procedure used to restore blood flow through a blocked artery. This is performed using a catheter threaded to the heart, into the blocked Coronary Artery. The interventional cardiologists then inflates the balloon to push back the obstructing plaque and deploys a stent to open up the blocked coronary artery. GGHC interventional cardiologists use the latest drug eluting stents to offer the best possible long term outcomes for the patients.
Trans-Aortic Valve Replacement or Trans-Aortic Valve Implantation, is a percutaneous (key hole) heart valve procedure in which a new artificial aortic valve is threaded through the groin artery to the heart and positioned to replace a severely diseased aortic valve (main valve of the heart leading to the body).
Balloon Mitral Valvotomy (BMV)
Mitral Stenosis occurs when the mitral valve orifice is narrowed, commonly due to rheumatic heart disease. A BMV is a procedure in which a balloon cathether is threaded to the groin blood vessel across the narrowed mitral valve and inflated to widen the mitral valve opening. BMV is recommended for severe mitral stenosis and our cardiologists at GGHC are highly skilled at performing this procedure.
Electro Physiology & Radio Frequency Ablation (EP & RFA)
A range of cardiac arrhythmias occur in patients leading to irregular fast heart beat, some of which can even have life threatening consequences. An Electrophysiology study is a test used to assess how electric signals move through the heart. It can be used to treat cardiac arrhythmias by radio frequency ablation (RFA). During this procedure, a thin wire selectively targets abnormal electrical circuits in the heart, and ablates them using radio frequency pulses, correcting the arrhythmia.
Cardiac Pacemaker Implantation
Significant heart block occurs in patients when electrical signals that stimulates the heart is unable to pass from the upper chambers (atria) to the lower chambers of the heart (ventricles). This is treated by the implantation of a pacemaker – a small device placed just beneath the collar bone and connected to the heart. They generate electrical impulses to stimulate the heart and make it beat.
Implantable Cardioverter Defibrillator (ICD)
Advanced pacemakers can sense the heart rhythm, detect life threatening arrhythmias and even treat them by giving a shock (defibrillation). This shock restarts the heart back in normal rhythm. Our expert team of interventional cardiologists have one of the largest experiences in a variety of cardiac pacemakers, CRT devices and in ICD implantation.
The division of paediatric cardiology at GGHC has treated thousands of children with a wide range of congenital heart disease. From foetal echocardiography, antenatal diagnosis of birth defects of the heart to the advanced diagnostic and interventional paediatric cardiology procedures, our expert paediatric cardiologists have provide a wide gamut of services to children with heart disease.
GGHC runs a specialist cardiology clinic focusing on initial evaluation, diagnosis and management of heart diseases in new borns, infants and children. This is well complimented by the advanced diagnostic facilities available at GGHC including the latest echocardiography machines to scan the heart and cutting edge catheterization facilities.
Our paediatric cardiologists are well versed in performing advanced catheter based interventional cardiac procedures. These include
Device closure of ASD
Device closure of PDA
Pulmonary artery stenting
Adult Cardiac Surgery
GGHC has a team of cardiothoracic surgeons who have great expertise in the diagnosis and surgical treatment of a wide range of heart diseases and thoracic ailments. Equipped with latest innovations in heart surgery, GGHC offers the very best and advanced treatments for adult cardiac conditions.
Every type of cardiac surgery from emergency to elective cardiac surgeries are performed in GGHC. Our cardiac surgeons have considerable expertise in performing complex coronary artery bypass surgeries (CABG), heart valve surgeries, aortic aneurysm, heart tumours and other rare conditions.
Our expert team has accrued substantial expertise in performing complex re-do heart surgeries (2nd, 3rd heart surgeries) with excellent outcomes. The common surgeries performed are:
Coronary Artery Bypass Graft Surgery (CABG)
Commonly known as bypass surgery, CABG is the most commonly performed cardiac surgery and is used to treat coronary artery disease. The blockage in the coronary artery is bypassed by creating an alternate path or “By-Pass” for the blood to flow beyond the block. While the traditional open-heart surgery approach requires the heart to be stopped temporarily for the duration of the procedure, Off-Pump CABG (a procedure that does not involve stopping the heart) is the technique employed at GGHC.
Heart Valve Surgery
Heart valve surgery, commonly done to treat stenosis or regurgitation, can be performed to either repair or replace the valve, depending on the extent of the damage. Cardiac Valve Replacement involves removal of patient’s damaged heart valve and replacement with mechanical valve with a mechanical valve or a tissue valve.
Surgery for infective endocarditis of heart valves is performed with the disease process is severe and cannot be managed with antibiotic treatments. Our cardiac surgeons are well qualified in performing complex heart valve procedures in this difficult clinical scenario.
Repair of Aortic Aneurysms
An aortic aneurysm is a balloon-like bulge in the wall of the aorta, the main blood vessel of the body. Some times a tear in the wall of the aorta leads to sudden dilatation of aorta (aortic dissection). The repair of aortic aneurysms (emergency or elective) is performed when they reach a critical size to prevent their rupture and a fatal outcome. The diseased aneurysmal segment of aorta is replaced within artificial graft.
A variety of cardiac tumours malignant or benign can arise in the heart. The commonest of these is the cardiac myxoma, a growth that resembles gelatinous bunch of grapes in the heart. The surgical removal of these cardiac tumours usually involves an open-heart procedure where the surgeon diverts the blood to a heart-lung machine, stops the heart and removes the tumour in toto. GGHC has a large experience in the surgical removal and successful management of these cardiac tumours.
Minimally Invasive Cardiac Surgeries (MICS)
Minimally Invasive Cardiac Surgery involves making small incisions on the sides of the chest (thoracotomy) to reach the heart instead of cutting through the breast bone (sternotomy). This approach has proven to be less painful, has a quicker recovery time and is aesthetic. GGHC offers MICS for a wide range of cardiac diseases such as heart valve replacements and ASD closure.
Paediatric Cardiac Surgery
Paediatric cardiac care at Gleneagles Global Health City is by a multidisciplinary team comprising of paediatric cardiologists, cardiac anaesthetists and paediatric cardiac intensivists focusing to provide the best care for the entire spectrum of heart diseases in children – from new-born babies to adults with congenital heart disease.
Paediatric cardiology service is by a team of experts comprising of high skilled paediatric cardiothoracic surgeon, dedicated paediatric anesthesists and intensivists. Drawing from their combined expertise, the paediatric cardiac team at GGHC delivers excellent clinical outcomes for a wide range of heart surgery in children – from the simpler surgery to closing of ‘hole’ in the heart to life-saving complex heart surgeries and challenging cardiac re-operations.
Some of the cardiac lesions treated and surgeries perfomed include:
Atrial septal defect (ASD) – Minimally invasive cardiac surgery (MICS)
Ventricular septal defect (VSD) – ‘Hole in the heart’
Atrial Septal Defects, and Ventricular Septal Defects (ASDs & VSDs) are among the most common congenital heart defects. Depending on the defect’s size, hemodynamic significance, these ‘holes’ may require closure during infancy or an early childhood or our doctors may choose to allow the defect to close on its own as the child grows.
Common AV canal (AVSD)
Tetralogy of Fallot (TOF) – ‘Blue baby’ total correction
Tetralogy of Fallot is a combination of 4 congenital cardiac defects, leading to a decrease in blood flow to the lungs. This leads to decreased oxygen in the body and the child turns blue (blue baby). Tetralogy of Fallot requires surgical correction to open up the pathway to the lungs and close the hole in the heart.
Neonatal cardiac surgery like Arterial switch operation for Transposition of great arteries (TGA)
Transposition of great arteries (TGA) is a congenital heart defect in which the two major arteries (aorta and pulmonary artery) are connected to the wrong ventricles. This condition is corrected by arterial switch operation in which the aorta and pulmonary artery are switched back and connected to their appropriate ventricles.
Total anomalous pulmonary venous connection (TAPVC)
The pulmonary veins bring back the oxygenated (pink) blood back to the left atrial chamber of the heart. TAPVC is a congenital heart condition in which the pulmonary vein connects wrongly to the right atrial chamber of the heart. The correction involves surgery to reroute the pulmonary veins to the left atrial chamber and closure of the hole in the heart (ASD).
Truncus arterious, Aorto-pulmonary window (AP window)
Heart valve surgery – mitral stenosis, mitral regurgitation
Aortic regurgitation, aortic stenosis – Supravalvar, sub aortic membrane resection
Ebstein’s anomaly of the tricuspid valve
Pulmonary atresia, unifocalisation of MAPCAs
Norwood operation for Hypoplastic left heart syndrome
Modified BT shunt, central shunt
A shunt is a small tube surgically inserted between the aorta or the subclavian artery and the pulmonary artery. It is a palliative measure to increase the blood flow to the lungs in infants with cyanotic heart defects. It may be used as a temporary measure before total correction of the underlying condition.
Equipped with the latest medical facilities at GGHC, the paediatric cardiac surgical team offers leading-edge cardiac surgery for a variety of congenital heart diseases with excellent results, on par with the top medical centres across the world.
Thoracic Surgery refers to surgical procedures that corrects a variety of conditions in the organs of the thoracic cavity, mainly the lungs, wind pipe and chest wall.
A lobectomy is the surgical removal of a diseased lobe of the lung. A lobectomy can be useful in deterring the spread of an infection or a cancerous. Depending on the nature of the disease, lobectomy can be performed by minimally invasive technique (VATS) or by an incision through the side of the chest (thoracotomy). Once the diseased lobe of the lung is removed, the remaining healthy lung tissue expands to fill the space.
A pneumonectomy is a surgical procedure involving the removal of one lung. Pneumonectomy is commonly perfomed for a badly destroyed lung or for tumours.
Tracheal surgery is performed to address a variety of disorders affecting the wind-pipe. It ranges from procedures as simple as a tracheostomy, to procedures as complex as a laryngotracheal reconstruction. Tracheal surgery may be recommended to treat fistulas, tracheal stenosis, subglottic stenosis or any tumours (cancerous or otherwise) in the trachea.
Resection of thoracic tumors
Thoracic tumours can arise from various organs from the lungs to the chest wall. The tumour is initially assessed by CT or MRI of the chest and subsequently surgical plan is deviced. The resection of thoracic tumours can be achieved by an incision through the side of the chest (thoracotomy) or minimally invasive VATS.
Video-Assisted Thoracoscopic Surgery (VATS)
VATS is a minimally invasive surgical technique used to diagnose and treat various conditions in the chest cavity. A thoracoscope, a small video-camera, and other surgical instruments are inserted through small incisions on the side of the chest. This avoids large incision (thoracotomy). VATS is commonly used for performing surgeries such as biopsies, decortication and lobectomies.
Heart & Lung Transplantation
Progressive heart failure and decompensation of the lung can lead to incapacitation of the patients to carry on their daily activities. Major advances have occurred in the field of management of congestive heart and lung failure. However, mortality and morbidity in these subsets of patients remain high despite optimal medical management. Heart & Lung transplantation is an option for these patients who have end stage heart/lung failure.
The organ transplantation process in India is controlled and regulated by the National Organ & Tissue Transplant Organisation, which authorises and co-ordinates organ donation and transplantation. At GGHC, heart & lung transplant team works in tandem with NOTTO to have evolved one of the largest and best transplant centres in the country.
Heart transplantation is a procedure used to treat cardiomyopathy (disease of the heart muscle) due to various causes e.g: Coronary artery disease. When the control of the symtems and general condition of the patient deterioriates due to end stage heart failure despite optimal medical treatment, heart transplantation is given as a option to eligible patients. During heart transplantation, the diseased heart is replaced with a matched donor (brain dead patient).
A lung transplant surgery is an option in the case of terminal lung condition commonly caused by different diseases such as idiopathic interstitial lung fibrosis,cystic fibrosis, chronic obstructive pulmonary disease (COPD). GGHC transplant team has a large experience in lung transplantation in the country.
Combined Heart & Lung Transplantion
Heart and lung transplants is an option with patients with a combination of both end stage cardiac disease and severe lung disease. This is reserved for patients in whom other medical management options have failed.
The GGHC Cardiac Team consists of the best cardiologists, cardiac surgeons, cardiac anesthetics , intensivists in Chennai. They possess a breadth of expertise in all sub-specialties such as adult cardiology, paediatric cardiology, heart and lung transplantation and thoracic diseases. Our doctors are well supported by our excellent cardiac radiologists, rehabilitation therapists, intensive care nurses and nutritionists.
Dr Murugu Sundara Pandian
M.S (General Surgery), MBBS, M.Ch. Cardiovascular and Thoracic Surgery
A consultation with our panel of doctors, specialists and surgeons will help you determine what kind of services you may need to help diagnose and treat your condition. If you or someone in your family or friend’s circle are facing any health issues, please get in touch with us, we are here for you.