Prof.Dr.Davit Saba

Coronary artery bypass surgery, Total arterial coronary bypass operations, Surgical treatment of heart failure (Heart transplantation and artificial heart and cardiac support devices), Cardiac valve repair and replacement operations, Carotid artery surgery (jugular vein surgery) Aneurysm and dissection surgery (open and endovascular), Venous thromboembolism (DVT) treatment, varicose vein

Surgical treatment services for adult-type Cardiovascular Diseases (Coronary bypass, Aneurysm of Aorta, Heart Valve Repairs and interventions to carotid artery, Varicose Vein, Peripheral Vessel) and Congenital Heart Diseases.

Coronary By-pass Surgery

Coronary artery implies an arterial structure which supplies blood to heart. Heart attack is secondary to sudden-onset occlusion of these vessels. Coronary arteries are bypasses using vascular grafts obtained from chest cavity, arm or leg and thus, impaired blood flow to heart is corrected and patients are protected against heart attack or heart failure. Duration of operation varies depending on number of vessels to be bypassed and the technique.

Conventional Coronary By-pass Surgery

In this technique, heart is exposed by completely opening rib cage. While blood circulation is maintained with heart - lung machine, heart beat is stopped. Bypass procedure is carried out in non-beating heart. This technique is commonly preferred for bypass surgery in patients who have multi-vessel disease.

Off-Pump Coronary By-pass Surgery (OPCAB)

In this technique, vessels are bypassed while heart is still beating. It is usually preferred for patients, whom heart-lung machine poses risks.

Minimally Invasive Direct Coronary Artery Bypass (MIDCAB)

A small incision is made between two ribs (intercostal space) and bypass surgery is carried out. Although hospital stay is short and recovery is rapid, it is recommended for patients, who require one or two vessels bypassed, since it provides a limited field of view.

Heart Valve Operations

There are 4 heart valves (Mitral, Aortic, Tricuspid and Pulmonary Valves). These valves allows blood flow only at one direction due to its structure. In this case, impaired heart valves are repaired and treated. However, native valve is replaced with prosthetic valve, if valve is heavily damaged such that a repair procedure is not possible.

Open (Surgical) and Closed (Endovascular) Treatment of Aortic Aneurysms:

Aorta is the largest artery that carries oxygenated blood to body. Aneurysm is defined as a bulging or a balloon formation on wall of artery, resulting with more than 50% enlargement in diameter of the vessel. In general population, principal cause of aortic aneurysm includes genetic factors. Hypercholesterolemia, hypertension and atherosclerosis can also lead to aneurysm.

Open (Surgical) or closed (Endovascular) methods are used for treatment. Endovascular methods are preferred especially in selected vases, since duration of operation and hospital stay is short and complications are scarce.

Carotid Surgeries

Prevalence of stenotic carotid artery is 8-12% in persons with coronary artery disease. Therefore, it is of vital importance to evaluate carotid artery with Color Doppler Ultrasound in patients who should undergo coronary artery bypass.