We are proud to offer you access to state of the art cardiac surgery and heart check-up at affordable prices. We have initiated a partnership with the Bangkok Heart Hospital to offer world class cardiac surgery to international patients. The expertise of Bangkok Heart Hospital is among the best in the world in the field of cardialogy. All equipment is state of the art and the best and most modern cardiac surgery equipment and techniques are used. As an example Bangkok Heart Hospital applied minimal invasive cardiac surgery techniques with only small incision. No more one foot long incisions! Furthermore, we must emphasize that Bangkok Heart Hospital is pioneering the use of stem cells in cardiac surgery. Follow the link below to read an article about Bangkok Hospital's expertise in the use of stem cells in cardiac surgery:
Robot-assisted stem cell therapy a first in Thailand
We offer the cardiac surgeries or diagnostic procedures listed below. However, if you are in need of a treatment that is not listed here, please contact us and we will find out if your treatment is available.
- Coronary Artery Bypass Graft
- Coronary Angioplasty
- Heart Valve Replacement
- Heart Check-up Programmes
Bangkok Heart Hospital
The Bangkok Heart Hospital was established in 1989 as one of the institute of The Bangkok Hospital. The Bangkok Heart Hospital is the first private Heart Hospital in Thailand. It aims to provide excellent care for all types of heart disease.
The Bangkok Heart Hospital has ten departments; the Heart Clinic, Non-invasive Investigation Laboratory, the Cardiac Rehabilitation Clinic, Cardiac Catheterization Lab. Cardiac CT (Multi-slice CT Scan), Cardiovascular MRI (CMR0, the Cardiac Care Unit and cardiac ward, the Operating Theaters and CCU Ambulance (Mobile CCU). All are well equipped with state-of-the-art technology.
The Bangkok Heart Hospital has treated more than 40,000 cardiac outpatients and has done more than 1,100 cardiac surgeries to date. Furthermore, the Catheterization Lab. has performed more than 5,000 cardio angiogram procedures and 2,000 PCI to date.
Specialist
Dr.Kit Arom, MD,PhD in Surgery, a world renown cardiac surgeon who spent over 30 years at the Minneapolis Heart Institute in Minnesota USA, leads the cardiac surgeon team of the Bangkok Heart Institute. A large group of experienced adult & pediatric cardiologists, cardiac surgeons, cardiac anesthesiologists, cardiac rehabilitation physicians and radiologists had their subspecialty training and working experiences from oversea including the US, Australia and Japan. The well-trained and experienced nurses, technicians and paramedical personnel provide 24-hour care of all heart diseases.
Procedures
Coronary Artery Bypass Graft
Coronary Artery Bypass Graft (CABG) surgery is advised for selected groups of patients with significant narrowings and blockages of the heart arteries (coronary artery disease). Coronary artery bypass surgery creates new routes around narrowed and blocked arteries, allowing sufficient blood flow to deliver oxygen and nutrients to the heart muscles. The Bangkok Heart Hospital adopts new technology and technique in order to provide the patients most satisfaction as following:
1. Off-Pump CABG (Coronary Artery Bypass Graft)
Off-Pump coronary artery bypass (OPCAB) technique or bypass graft surgery without the use of heart-lung machine but with local cardiac stabilizer (Picture I) has been re-introduced in the last six years, and now comprising approximately 24% of all coronary artery bypass surgery worldwide. One of the goals of beating heart surgery is to eliminate the complications associated with the use of cardiopulmonary bypass (heart-lung machine). These complications even are small and occurred only about 2-3% could be serious problem. These include pulmonary (lung) insufficiency, transient renal failure (kidney), stroke and the failure of appropriate blood clotting.
Off-Pump surgery requires less blood transfusion, shorter operating time, less time on the breathing machine, ICU time and length of hospital stay. The elderly, high risk patients or patients with multiple co-morbidity can do much better when the bypass procedures are carried out without the heart-lung machine.
2. Robotic Cardiac Surgery (The Da Vinci Surgical System)
 The benefits of minimally invasive surgery have led to a new era in surgical technology enabling surgeons to perform surgery in a manner never before experienced. By placing robotic technology between the surgeon and patient, the da Vinci Surgical System can be used to perform minimally invasive cardiotomy procedure. The da Vinci Surgical System seamlessly translates surgeon's natural hand movements into corresponding micro-movements of the instruments positioned inside the patient.
At the Bangkok Heart Hospital, the first hospital in Thailand and in the region, the first robotic heart surgery had been successfully performed on the 22nd of October 2004. A comprehensive da Vinci cardiac surgery robotics program enables the surgeons to perform better surgery while providing patients with the benefits of a minimally invasive approach.
 With US FDA clearance in cardiotomy surgery, the da Vinci system will provide value in large scale management of patients with heart disease. The da Vinci Cardiac Surgery brings great benefits in mitral valve repair, atrial septal defect repair, multi-vessel small thoracotomy and epicardial lead placement.
3. Use of all arterial grafts as the conduits
 The use of all arterial conduits for coronary artery bypass graft has become more acceptable after gaining experiences and reports of better long-term results. The most common utilized conduits are the left internal mammary artery (LIMA) from chest wall, the right internal mammary artery (RIMA), the left or right radial artery (RA) from forearm and gastro-epiploic artery (GEA) from the stomach. The use of LIMA to the left anterior descending artery (LAD) has been shown to significantly improve long-term survival results. Also, the evidence shows that both mammary arteries could provide better long-term outcomes as well.
The long-term results have shown that the 10 year patency rates of the internal mammary artery are about 90-95% comparing to the 10 year patency rate of the vein graft which is about 60-65%. The 10 year patency rate of the radial artery and gastro-epiploic arteries are about 85% and 80% respectively. In our practice, the saphenous veins (veins from leg) are rarely used unless the arterial conduits are not readily available.
4. Small Incisions
At the Bangkok Heart Institute, the surgeons are no longer making one-foot long incision and spreading ten inches wide, like the old day surgery (Picture I).
The surgeons do not need a big opening. With less invasive approach, the less pain occurred after surgery (Picture II). Long-term sternal discomfort from chest wall stretches; nerve and soft tissue damages are nearly eliminated with small incision. Avoiding the use of the leg incision allows the patients to get up and mobilize much sooner than after. Also 3 short (2 cm. long) skip incisions in the forearm used to harvest the radial artery (Picture III); instead of a full forearm length incision, helping to eliminate the arm pain.
5. Rehabilitation
Successful recovery from bypass surgery requires that the patient and the family approach the operation and recovery period wit confidence based on a thorough understanding of the process. Yet recovery may at times be limited by the extent of damage already caused by the coronary artery disease and by the heart's ability to heal. The cardiac surgery rehabilitation team will support the body's efforts to heal its damaged tissues. After the stay in the CCU,the patient will be moved to cardiac ward. Here the patient will begin a cardiac rehabilitation program with progressive, safe exercise. The cardiac rehabilitation program at Bangkok Heart Institute is well equipped with state of the art technology and US trained physician and full time cardiologist. Patient and family education is also a part of cardiac rehabilitation program. This will help the patient to understand how the heart works and what the patient can do to improve and maintain an excellent health.
Stem Cell
Progenitor or Stem cells are “master cells” found in all vertebrate animals including humans. These cells can either divided into cells identical to themselves or differentiate into a specific cell type. They play an important role in the processes of normal development, regeneration and repair of damaged tissues. Vescell contains a certain type of progenitor cells called “Angiogenic Cell Precursors (ACPs). ACPs possess the ability to differentiate into a variety of cells involved in the formation of blood vessels.
New blood vessels originate from angiogenic cell precursors by a process called Vasculogenesis (the formation of new blood vessels where there are no pre-existing ones), or from pre-existing blood vessels by Angiogenesis.
ACPs can be used in conjunction with surgical vascularization techniques like coronary artery bypass and angioplasty. They promote microvascularization – the formation of natural bypass blood vessels within the ischemic, not yet scarred tissue – thus alleviating the clinical condition of patients.
Heart Check-Up Program
State-of-the-art technology:
Heart disease, especially coronary disease is a leading cause of morbidity and mortality. Bangkok Heart Hospital has long been a leader in the development of innovative diagnostic tools and therapies for heart disease. Facilities and medical technology are continually upgraded. Here, most of the initial medical services for those at risk or suspected of having a heart disease can be done via any of these simple and painless yet sophisticated technologies:-
- Cardiovascular Magnetic Resonance Imaging (CMR)
Cardiovascular Magnetic Resonance Imaging uses powerful magnets that cause hydrogen nuclei in the body’s molecules to vibrate or resonate and emitting radiofrequency energy. CMR machine detects these energy emissions and converts them into images, which allows clinicians to see and evaluate many cardiac conditions. Importantly, some diseases and conditions were previously difficult to determine but this technology improves the diagnostic capabilities.
 Clinical applications of CMR include the assessment of myocardial function, diagnosis of valvular and pericardial disease, myocardial viability, myocardial perfusion myocardial ischemia during stress testing, congenital heart disease, atherosclerosis and plaque composition. CMR offers significant advantages over other imaging methods because it produces excellently clear, complete and detailed three-dimensional images of the cardiac anatomy without any distracting images caused by adjacent bone or air. Most importantly, it doesn’t not expose patients to potentially harmful radiation.
- 64-slice Multidetector CT Scanner
The Bangkok Heart Hospital’s 64-slice Multidetector CT scanner is a sophisticated, agile multislice computed tomography platform that has the power to freeze a beating heart and is effective in the early diagnosis of heart diseases, calcium scoring volume. It delivers complete accuracy and non-invasive cardiac solutions, including detailed function assessment, anatomic evaluation, lesion characterization and evolving one-touch workflow solutions for quick results.
- Electrocardiography/ ECG
Electrocardiography/ ECG is the basic method used to examine the heart for disease associated with rhythm of the heart.
- Exercise Stress Test/ EST
Exercise Stress Test is used to monitor the ECG and blood pressure during exercise and determine the possible cause of chest pain.
- Echocardiography/ Echo
Echocardiography/ Echo is used to monitor the heart and the condition of the cardiac muscles before and after exercising.
- Dobutamine Stress Echo
Dobutamine Stress Echo uses the drug “Dobutamine” to make heart faster as if during exercise.
- Ankle Brachial Index (ABI)
Ankle Brachial Index (ABI) is a simple non-invasive vascular screening test to assess arteriosclerosis by measuring the blood pressure on the arms and legs.
Cardiac surgery, heart surgery, coronary artery bypass, heart valve replacement, angioplasty, heart bypass, heart bypass surgery |
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