Coronary artery bypass grafting (CABG) surgery is performed by a cardiac surgeon to overcome coronary stenosis or obstruction in one or more of the coronary arteries supplying blood to the heart. In the procedure, the stenosis is bypassed by introducing a vein or artery graft to the coronary artery, beyond the obstruction point, and connecting it the aorta, in order to renew the blood supply to the heart. The most important bypass in any CABG surgery is the LIMA to the LAD anastomosis, which is considered the crown jewelry of the CABG operation.
The heart contains four different valves. The most common intervention of a cardiac surgeon in adult patients is in either the aortic valve, the mitral valve or the tricuspid valve, to either repair or replace the valve affected by valve stenosis or valve regurgitation. The replacement valve will be either a mechanical valve or a biological valve, each associated with its own advantages and disadvantages. In any case, prior to surgery we will discuss the various options suitable for you and we will decide together on the best option for YOU!
The aorta is the largest artery in the human body. It arises from the heart and supplies oxygenated blood to all the organs in the human body. A cardiac surgeon operates on the ascending thoracic aorta. The major risk of an aneurysm of the aorta (aorta enlargement) is a sudden rupture, that can cause massive bleeding, severe aortic regurgitation, severe decline in the ability of the heart to contract or a severe reduction in the blood supply to the heart. Hence, in case of a substantial enlargement of the ascending aorta, the guidelines recommend replacing this part of the aorta with a Dacron graft.
Heart and lung transplantations are considered the “holy grail” of cardiac surgery, being the most delicate and complex operations in the field. Transplant candidates are the most complex patients in the entire medical field, due to the cardiac or respiratory failure that they experience prior to surgery. Hence, surgeons performing these surgeries must receive specialized training to perform these procedures, and must gain experience in a world-renowned transplant centers. These transplants are well planned and are performed at Beilinson Hospital, where we have performed more than 1,300 heart and lung transplants and LVAD implants.