Cardiac Surgery in Israel
The experts of Cardiac Surgery Department in Israel at the Ichilov Clinic perform hundreds of operations on the heart and coronary vessels every year. In terms of advanced technologies, this department leaves all the other cardiac surgery centers in Israel behind. It provides beating heart surgery and minimally invasive cardiac surgery to reconstruct heart valves.
The department has a hybrid operating room for simultaneous conventional cardiac surgery and heart catheterization. The department staff includes 7 cardiac surgeons including 1 professor. The department comprises 6 specialized clinics and centers. They include the center of surgical arrhythmia treatment, aortic surgery clinic, mechanical circulatory support service, and other subdivisions.
What Diseases Are Treated at Cardiac Surgery Department?
The Cardiac Surgery Department provides treatment for all existing heart and coronary vessel conditions. The most common ones include:
- Aortic aneurysm
- Coronary bypass surgery
- Heart valve surgery
- Heart transplant
- Aortic dissection
- Aortic valve stenosis
- Stenting, etc.
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Leading Cardiac Surgeons in Israel
Professor Ehud Raanani, cardiac surgeon, professional experience: 45 years. Has performed thousands of cardiac interventions to replace heart valves with artificial or biological implants. Author of over 100 scientific publications.
Doctor Dmitry Pevny, cardiac surgeon with over 35 years of professional experience. Performed over 1,000 surgical procedures on the beating heart while working in Israel. Has worked in the largest clinics of Germany, Belgium, Switzerland, and other Western European countries. Lecturer at Tel Aviv University, author of about 60 scientific publications.
Professor Shmuel Banai, specialist in interventional cardiology with over 40 years of professional experience. Has worked in the leading cardiac centers in Israel and the USA. Author of 170 scientific publications, professor of Tel Aviv University.
Doctor Amir Kramer, cardiac surgeon with 30 years of professional experience. Has worked in the leading clinics of Italy, Germany and Great Britain. Was included into the list of Israel’s best physicians in 2019 according to the Forbes magazine and into the top-5 list of Israel’s best cardiac surgeons according to the Maariv newspaper.
Doctor David Lurie, cardiologist, cardiac surgeon, specialist in arrhythmia treatment. Professional experience: 35 years. Performs minimally invasive procedures for heart rhythm abnormalities. Lecturer at the Faculty of Medicine at the Hebrew University of Jerusalem. Worked in the leading clinics of Israel and the USA.
Doctor Leonid Sternik, cardiac surgeon with over 20 years of professional experience, specialist in surgical arrhythmia treatment. Performs minimally invasive surgery to replace heart valves. Gained experience at the large medical centers in Israel and the USA.
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Innovations in Top Ichilov: New Methods of Diagnosis and Treatment
The CORolla Device for Heart Failure Treatment
This tiny device is a spring implanted into the left ventricle of the heart. The device expands the ventricular walls and stimulates normal blood flow. The implantation of a CORolla device is a minimally invasive procedure performed under local anesthesia. The device has become the world’s first solution to the problem of heart failure with preserved ejection fraction.
Heart Catheterization Instead of Open Surgery
Mitral insufficiency is a heart defect where valve leaflets do not close completely. Historically, this condition was treated with open heart surgery. The new method helps repair the valve with heart catheterization which does not even require general anesthesia: the procedure is carried out under local anesthesia.
During the minimally invasive procedure, the doctors implant the device into the mitral valve to firmly connect its leaflets. According to clinical trials, after the catheter reconstruction of mitral valve leaflets, most patients report improvement in their clinical symptoms.
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Procedures at Cardiac Surgery Department of the Top Ichilov Clinic
Coronary Artery Bypass Grafting: Replacement of the Affected Blood Vessel
This cardiac surgical intervention is indicated for severe coronary artery stenosis, including that of a heart attack. During surgery, the doctors replace the affected part of the coronary artery with a shunt, a part of vein or artery taken from a different body area. The Top Ichilov specialists use arteries (not veins) to create shunts.
The use of arteries to create shunts has several advantages:
- Surgery leads to better short-term and long-term results.
- Surgery guarantees fewer heart attacks in the future.
The procedure may be carried out in 3 ways:
- Conventional, with the cardiopulmonary bypass machine. The doctors stop the heart and restart it after surgery.
- Beating heart surgery. In this case, the doctors do not stop the heart and do not use the cardiopulmonary bypass machine. This method has been proved safe in clinical trials.
- Minimally invasive, without opening up the chest, through a small incision between the ribs. This advanced method is only used for the left anterior descending artery shunt.
Heart Valve Replacement without Open Heart Surgery
During the procedure, the affected valve may be reconstructed or replaced with a prosthesis – either artificial or biological (made from animal tissues). Depending on the patient’s condition, the Top Ichilov specialists perform one of these types of surgery:
- Open surgery using the cardiopulmonary bypass machine.
- Minimally invasive surgery through a small incision under the chest.
- Heart catheterization.
Arrhythmia Treatment with a Bipolar Electrode in 2 Hours
To treat arrhythmia, the doctors use the so-called maze surgical procedure. Usually, it is performed simultaneously with the coronary artery bypass grafting or heart valve replacement. The procedure consists in making incisions on the heart muscle and closing them immediately. This creates a single route for the electric signal, and the heart muscle tissues contract in a specific order.
The Top Ichilov cardiac surgeons perform the minimally invasive variant of the procedure using the Cardioblate Gemini bipolar electrode. The procedure is carried out through 3 small incisions between the ribs and takes about 2 hours. According to medical literature, this method helps reduce the hospital stay and the time needed for recovery.
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A Virtual Tour of Cardiac Surgery Department
Our patients admit that they become sure of the favorable surgical outcome after their very first consultation with a cardiac surgeon.
This is our hybrid operating room where open heart surgery is combined with catheterization. Such operating rooms can be found only in a few clinics in the world.
During the minimally invasive surgery (thoracoscopy), the cardiac surgeon sees the patient’s heart on a large screen.
After surgery, the patient is transferred into Intensive Therapy Department where experienced specialists continuously monitor their condition.
Recovery after surgery is an important part of treatment. Our Cardiac Rehabilitation Department provides patients with all the conditions necessary for swift recovery.
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Дата публикации December 29th, 2022