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ASTER CARDIAC SCIENCES

A CENTRE OF EXCELLENCE IN CARDIOVASCULAR DISEASESKOCHI, KERALA,INDIA

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ASTER CARDIAC SCIENCES

• ADULT CARDIOLOGY---CLINICAL CARDIOLOGY --- INTERVENTIONAL CARDIOLOGY --- EMERGENCY CARDIAC CARE (primary angioplasty) --- CARDIAC ELECTROPHYSIOLOGYPEDIATRIC CARDIOLOGY– CLINICAL & INTERVENTIONALADVANCED CARDIAC IMAGING• FULL SPECTRUM OF ADULT AND PEDIATRIC CARDIOTHORACIC AND VASCULAR SURGERY• HYBRID CARDIAC SURGERY ADULT AND PEDIATRIC• ROBOTIC SURGERY• ECMO Services• PREVENTIVE CARDIOLOGY AND REHABILITATION

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ASTER CARDIAC SCIENCES• 24 bedded Cardiac Intensive care manned by Cardiologists /

Intensivists.• 19 bedded dedicated pediatric Cardiac Surgical ICU • 12 bedded adult Cardiac Surgical ICU• State of the art Cardiac Cath. labs –3, low radiation, HYBRID biplane

cath lab with the largest FLEX monitors• IVUS, FFR, Primary angioplasty 24 x 7 with door to balloon time of less

than 60 min

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• Arrhythmia management:-

Holter monitoring Pacemaker and device implantations,Electrophysiology (EP) facilities offering RF ablations • Advanced HYBRID Operating Suite with TEE facility

• Extra Corporeal Membrane Oxygenation (ECMO) Services

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Allura Clarity Industry leading image quality at a fraction of the dose with FLEX monitors

First in India

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PHILLIPS HYBRID CATH LAB

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ASTER CARDIAC IMAGING

• 3 D Echocardiography with Trans-esophageal ECHO (PHILLIPS EPIC PLATFORM)

• 256 slice CT (PHILLIPS BRILLIANCE)

• Cardiac MR (3 T)

• Nuclear Imaging—SPECT – CT and PET SCANS

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PHILIPS EPIQ 3 D ECHO MACHINE

WORLD’S FIRST PANORAMIC VOLUME ORGAN SCAN WITH ANATOMICAL INTELLIGENCE

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256 SLICE CT CORONARY ANGIO

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Ingenia 3.0T

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Cardiac Surgery procedures offered:• On pump and off pump bypass surgeries, including Total arterial

revascularization

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Valve replacement and Valve repair

• Mitral valve replacement\ Repair• Aortic valve replacement\ Repair• Tricuspid valve replacement\ Repair• Pulmonary valve replacement\ Repair• Double valve replacement

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ROBOTIC SURGERY

• Valve repair• Robotic thoracic surgery

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Correction of Complex birth defects

• ASD • VSD• TOF• TGA• TAPVC• ALCAPA• HLHS

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HYBRID CARDIAC SURGERY

• HYBRID coronary artery surgeryLIMA to LADDES to non LAD targets

• HYBRID CABG+Valve surgery• Minimally invasive valve surgery + CABG

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Advantages of HYBRID cardiac surgery

• Hybrid surgery minimizes hurt to patient from more invasive procedures• Maximizes treatment spectrum• For complex heart disorders, maximizes the advantages of catheter and surgery• Accelerates recovery time• Reduces hospital stay• Improves patient satisfaction

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HYBRID Aortic arch aneurysm repair

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It is a challenge…

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Previous elephant trunk

Replaced proximal aorta

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NECKLACE GRAFT

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HYBRID TYPE 2 –NECKLACE GRAFTING THROUGH STERNOTOMY

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HYBRID Vascular surgery

• Abdominal Aortic Aneurysm

• TAA

• Thoraco Abdominal Aneurysm

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THORACIC SURGERIES

• Lobectomy• Pneumonectomy• Tracheal resection • VATS

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ECMO

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VASCULAR SURGERIES

• Peripheral vascular surgery• Acute vascular occlusion• Embolectomy

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Ensuring Quality cardiac care

• ACLS certified Doctors and ICU nurses BLS certified paramedics• Evidence based management of cardiac conditions• Regular in house audit • CMEs to ensure all members of the cardiac team are in sync• The heart team approach to patient management

DR MANOJ P NAIRLead Consultant Cardiothoracic and Vascular Surgeon

• MBBS 1986,Kerala University, India• MS General Surgery,1991 • MCH Cardiothoracic and Vascular Surgery,1994• Associate Professor at SVIMS ,TIRUPATI,INDIA• Professor of Cardiac Surgery at Amrita Institute of Medical

Sciences.• 22 years of teaching experience

Dr R ANIL KUMARLead Consultant Cardiologist

• MBBS(1986), MD (1991)-JIPMER, PONDICHERRY• DM 1994-GB Pant Hospital ,New Delhi• Commonwealth scholar in Cardiac Electrophysiology 1996• MRCP(UK) 1997,FRCP(Edinburgh) 2005• Professor of Cardiology, JIPMER, Pondicherry, India • Fellow of the American College of Cardiology (FACC) 2010• International Examiner for the MRCP(UK) examinations

Dr Sajan KoshySenior Consultant Pediatric Cardiac Surgeon• MBBS 1987 University of Kerala• MS General surgery 1994 University of Kerala• MCh Cardiac surgery 1999 University of Kerala• Specialist in Pediatric Cardiac Surgery- Amrita Institute

of Medical Sciences, Kochi, Kerala 1999-2006• Consultant Pediatric Cardiac Surgeon- Malabar

Institute of Medical Sciences , Calicut,Kerala 2006- 2014• Fellow of the Indian Association of Cardiovascular

thoracic surgeons

Thank you