International techniques used in heart surgeries

International techniques used in heart surgeries

International techniques used in heart surgeries

Under the motto ” medical experts in Turkey”

The Cardiothoracic and vascular center for pediatric and adult in Turkey health care group, offers the best surgical techniques in heart surgery.

The center is distinguished by the best doctors and medical staff expertise in their field, and they have achieved remarkable success in Turkey

Our center in Istanbul, Turkey, provides treatment for all patients, in terms of performing routine examinations or performing heart surgeries.

International techniques used in heart surgeries

All operations related to heart diseases and surgery are carried out in our center using the best modern international techniques and advanced technology, as these operations include:

  • Open heart surgeries.
  • Robotic heart surgery.
  • Minimally invasive heart surgeries.
  • Closed cardiac surgeries minimally invasive by catheter.
  • Underarm cardiac operations.
  • Arterial exchange surgery without heart stopping (the operation is performed without linking to a heart-lung artificial machine).
  • Cardiac aortic valve replacement via catheter

What is open heart surgery?

Open heart surgery is a very necessary operation in eliminating the vital problems of blood vessel diseases and blockages that feed the heart. The method of surgery differs from one patient to another. Therefore, the operation is known as open heart surgery. Where the breastbone is cut or opened up to 26-30 cm complete, and blood circulation, lung and heart are connected to an artificial heart device. This technique is considered the most widely used and widespread in the world, in terms of treating coronary artery diseases and the vessels feeding the heart.

Open heart surgery: It is the removal of vessels from another place of the body (the vein of the arms, chest and leg veins), where the removed vessels are cleaned and tied at points,  where there is an imbalance (narrowing or blockage), or the blocked heart vessels are replaced with new vessels as they are treated In this way, it nourishes the heart naturally.

These surgeries are performed by stopping the heart and turning off the lungs. Meanwhile, the body is connected to a system called the heart lung pump and the operation is performed. Heart operations have been safely performed this way for more than 30 years. However, with this method the risk of some complications increases.

In coronary artery disease, narrowing and blockage occurs over time and the blood flow needed by the heart stops. When the condition reaches this position, the heart is not sufficiently nourished and it becomes unable to perform its duties completely. These patients are at great risk of having a heart attack, which leads to death.

Type of anesthesia General anesthesia
The duration of the operation is Between 5-7 hours
Duration of stay in hospital 7-10 days
Duration of time to return to work After two months


What are robotic heart surgery procedures?

Robotic surgeries are performed using the Da Vinci robot system, as the endoscopic operations with the Da Vinci robot, they do not need to open the rib cage or cut the breastbone, and do not need to be connected to the lung industrial heart. As a result of this technique, there is no risk of bleeding during the operation, and the patient does not need a blood transfusion, and there is no infection during follow-up in the hospital, where patients can return to their normal life in the shortest time.

The most important robotic surgeries are as follows:

  • Heart valve repair.
  • Heart bypass surgery (open-heart surgery) transposition of one artery or a maximum of two is performed.
  • Heart tumors.
  • Repair of the hole in the heart.
  • Rhythm disturbance and arrhythmia.
  • As a result of childbirth, the hole (ADS) between the heart atria closes.
  • Mitral valve repair.
  • Transcatheter aortic valve replacement


Surgeons control the robots developed for surgery in the processes that involved in robotic heart surgery.

The main difference between robotic surgery and endoscopic surgery is that the surgeon watches from the screen, rotates the robot’s arms, and is controlled remotely.

Robotic surgery was originally designed by the US Space Agency (NASA) in the late 1980’s in response to treating remote wounded soldiers. Then it began to be used in various fields of medicine.

The first clinical results related to robotic heart surgery were obtained in the 1990s and its use increased rapidly after a year 2000.

Minimally invasive heart surgeries

Minimally invasive heart surgery operations (minimally invasive technique), which is a process that is performed by opening small incisions in the chest area using a special endoscopy device .. During the surgery, all tools and surgical supplies are controlled by the surgeon with the use of the endoscopic camera for the purpose of surgery.

Minimally invasive heart surgeries are:

  • Heart valve repair.
  • Cardiac arterial switch operation (open heart surgery) is performed by transposing one artery or a maximum of two.
  • Heart tumors.
  • Repair of the hole in the heart.
  • Rhythm arrhythmia disorder.
  • As a result of childbirth, the hole (ADS) between the heart atria closes.
  • Mitral valve repair.
  • Repair or replacement of the aortic valve via catheter

Open heart surgery is performed by connecting the patient to an artificial heart lung machine, where the heart vessels taken from the legs area will be replaced. In minimally invasive heart surgeries, we perform the operation without opening the chest, as the operation is performed through a small incision in the chest.

After minimally invasive cardiac surgeries, patients will move more easily and wounds heal faster after surgery compared to open surgeries.

Patients can return to working and active life early in the postoperative period. However, in order to apply the endoscopic technique, the structure of the chest wall and the anatomy of the heart must be adequate.

What are the advantages of minimally invasive heart surgery?

  • The risk of bleeding is low.
  • The risk of infection is low.
  • The recovery time is much faster.
  • The patient cannot see the location of the surgery.
  • From an aesthetic and psychological point of view, it will appear as if the patient did not undergo surgery.
  • It does not create sexual and social problems.
  • After the operation, the patient can lie in the desired position.
  • After surgery, the patient should not avoid blows to the chest.
  • When discharged from the hospital, he can drive a car and wear a seat belt.
  • He can use his arms as if he had never had surgery.
  • The patient can lift any weight.

Underarm cardiac operations

Heart surgeries from under the armpit: the operation starts from the right anterolateral chest, where an incision is made about 4-5 cm parallel to the lower breast line under the right armpit, especially from under the armpit without cutting the muscles and rib bones. This technique is used to repair and replace the heart valve without making any incisions anywhere else on the body.

In many cases, the incision size can be reduced further with endoscopic imaging techniques and instruments, as the procedure can be made easier, more comfortable and safer by using the video-assisted laparoscopic surgery technique.

The only difference between open heart surgery and heart surgery under the armpit is the opening or incision mechanism. The internal procedure is the classic heart surgery.

In underarm heart operations, the breastbone incision is not cut or opened. As for open sur