Cardiology & Cardiothoracic Surgery

Our heart centre delivers the best, most advanced cardiac care and treatment in Mauritius and throughout the region. We offer advanced and integrated, cardiac care programmes, ranging from comprehensive preventive cardiac checkups (link to packages) to major interventional surgeries.

Our highly skilled team of Cardiologists and Cardiothoracic surgeons use a multi-disciplinary approach that monitors the patient at every stage before treatment.

The department is equipped with the latest innovations and advances in cardiology, which assist in accurate diagnosis and treatment planning: A 64-slice dual source CT scanner, a flat-panel cardiac catheterisation laboratory (Cath Lab), a 3-D eco-cardiograph and a 1.5 T MRI. A highly well equipped cardiothoracic Intensive Care Unit with skilled and trained staff is available for post-operative patient care.

The combination of state-of-the-art technology, cardiologists and cardiothoracic surgeons enables us to provide broad treatment options, including recommendations for lifestyle modification.

24/7 Chest Pain Clinic:

This is located at the emergency department of Wellkin Hospital. Here, further tests are performed to evaluate the chest pains and to check whether they are heart related or not. The centre has formal protocols in place to evaluate patients quickly and a senior cardiologist is on standby to treat heart attack patients more effectively and for a better outcome. Emergency heart attacks require an angiography procedure followed by balloon angioplasty or stenting in a catherisation lab. A patient’s heart disease may be so severe that they require bypass surgery. Chest pain is a medical emergency and should not be ignored. Time is of the essence. Please dial the Wellkin ambulance hotline ‘132’ for advanced a cardiac life support ambulance.

Cardiac treatments

Invasive cardiology:
Coronary Angiography is used to observe blood flow in the coronary arteries. A long, thin tube called a catheter is inserted into an artery in the groin area or forearm, then lead up to the heart and into the coronary artery. An X-ray dye is injected through the tube and the blood flow is examined on an X-ray monitor.
When this procedure is required: If a patient has symptoms of coronary heart disease, such as chest pain, or if the screening test reveals some abnormalities

Coronary Angioplasty Is a procedure that removes any obstruction or blockages caused by plaque or “fatty streaks”, and will help improve blood flow to the heart muscle. Before the angioplasty, the doctor will know exactly which arteries are blocked using angiography. During the angioplasty, a thin tube with a balloon on its tip (a balloon catheter) is inserted into the blocked/narrowed artery through the groin or forearm. The balloon is then inflated to compress the plaque against the inner artery wall. In most cases, a small mesh tube called a stent is placed in the artery to keep it open. The stent is wrapped around the deflated balloon catheter before it is inserted into the blocked artery. The stents are coated with medicine to ensure that the artery is not blocked again.

When this procedure is required: If a person has an angiography and it reveals that there are blocked arteries

Fractional Flow Reserve (FFR) Is a technique used to measure the extent to which the arteries are blocked. This test is performed by placing a wire into the affected artery and has a pressure transducer on the tip. After administering medicine (adenosine) to dilate and increase the blood flow to the heart, pressures are measured in the normal part of the artery and in the section of the artery where there is a blockage. A ratio is then calculated and if it falls below 0.75, then there is very high chance that the blockage can lead to ischemia. If the ratio is greater than 0.8, then optimal medical therapy is used instead of coronary angioplasty.

When this procedure is required:  When the angiography reveals that patients have blocked arteries, FFR is used to check how badly the artery is blocked

Pacemaker insertion
A healthy heart has its own pacemaker. Some hearts do not beat regularly, however, and a pacemaker is used to regulate the problem. A pacemaker sends electrical impulses to the heart to maintain a suitable heart rate and rhythm. The lead(s) and the pacemaker are inserted through the incision and into the vein, then guided to the heart with the aid of the fluoroscopy machine.

Who needs it: Individuals who experience episodes of dizziness and loss of consciousness

Cardiac Surgeries offered:

CABG (Coronary Artery Bypass Grafting)
CABG is a type of surgery that improves blood flow to the heart. During CABG, a healthy artery or vein from the body is connected or grafted to the blocked coronary artery. The grafted artery or vein bypasses the blocked portion of the coronary artery. This creates a new path for oxygen-rich blood to flow to the heart muscle. Surgeons can bypass multiple coronary arteries during one surgery.

Who needs it: Patients with multiple blockages in the blood vessels that supply blood to the heart

Heart Valve Surgery
Heart valve surgery is used to repair or replace diseased heart valves. Blood that flows between different chambers of your heart must flow through a heart valve. During heart valve surgery, one or more valves are repaired or replaced. Repair means that the valve is mended, while replacement means the diseased valve is removed and a new valve is inserted in its place.

Who needs it:  Patients suffering from mitral valve regurgitation or mitral valve stenosis

Doctors

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