Our cardiac surgery team has accumulated rich experience and has great achievements. We have an average 208 cardiac surgery cases per month. Special achievements include successful 45 type A aortic dissection surgery cases, 50-60 coronary artery bypass surgery, 80 Yeke membrane placements, and 30 aortic stent placements.
Coronary artery bypass surgery
Coronary arteries supply blood and oxygen to the heart.
Coronary artery bypass graft (CABG) is the most common type of open heart surgery. The traditional way is to take a segment of lower extremity veins, then connect one end to the aorta and the other end around the coronary artery stenosis to coronary artery
As science and technology progress, we tend to use beating heart coronary artery bypass surgery and mini-invasive coronary artery bypass surgery. For blood vessels choices, the left or right intermammary arteries are also good.
Coronary artery bypass surgery is quite effective. Most patients’ angina has improved post surgery. Some patients may still show some symptoms, but they are within tolerable level. A small number of patients may need to undergo a second surgery.
Valve replacement surgery
The heart must have valvular structures to prevent backflow of blood that has been squeezed out.
When the valve shows signs of adhesion, calcification or aging, there may be problems of "regurgitation," "atresia," or "stenosis."
As life expectancy grows in Taiwan, more aged patients have valvular cardiac problems. Surgery is still an effective and safe solution to such disease.
Congenital heart defect surgery
Congenital heart defects can be divided into cyanotic, non-cyanotic and obstructive heart disease.
Ventricular Septal Defect (VSD) is one of the most common congenital heart diseases. Clinically, there is a clear relationship between the patient's symptoms and the size of the cardiac septal defect. For about 60% of the patients, VSD may gradually shrink or close within 6-12 months. Therefore, we will make overall assessments about whether surgery is necessary or when to carry it out based on the size of the VSD, the age of the child and clinical symptoms.
Emergency cardiovascular surgery (aortic aneurysm, aortic dissection, peripheral arterial embolism)
Treatment of aortic dissection is very challenging because aortic dissection can lead directly to death due to rupture, and it is possible the blood in the false lumen puts too much pressure on the flood flow in the true cavity, resulting in various organ ischemia.
The surgery either replaces aorta ascendens or aortic arch, or removes intimal tear.
Acute aorta dissection has high rates of fatality and complications, but if we make quick and accurate diagnosis as well as a treatment plan, the cure rate is still good.
Peripheral arterial occlusive disease (PAOD) is often seen in cigarette smokers or people with diabetes.
Alopecia often occurs at the junction of the femoral artery and popliteus in the knee. Patients tend to suffer from intermittent claudication, which eases with rest.
The deciding factors for angioplasty or reconstructive surgery: 1) the site of vascular obstruction and 2) the availability of appropriate blood vessels. There are many options in surgery, and the surgeon’s experience is the key to success.
Peripheral vascular reconstruction (with AV fistula)
The AV fistula surgery puts a wire through the blood vessels to the lesion point, and then sends the catheter balloon to the lesion stenosis, and then inflate the baloon.
Varicose veins surgery
Most varicose veins occur in the lower limbs due to incomplete venous valve atresia that causes increased venous pressure, resulting in venous wall dilation and varicose.
The treatment of varicose veins include: traditional phlebectomy, endoscopic rotation curettage, sclerotherapy, and laser treatment.
The endovenous laser therapy (EVLT) is the use of moving laser optical fiber in the venous cavity to cause endometrial heat injury and contraction, which damages the varicose veins and makes them close, Through gradual fibrosis and absorption the varicose is gone.
We combine two minimally invasive procedures for better treatment of varicose veins.
Most vascular diseases are not just treated surgically. We have comprehensive and supportive therapies with other medical units in our hospital. These include: 1) reducing obesity, 2) improving anemia or hyperlipidemia, 3) improving hyperlipidemia, 4) treatment of diabetes, 5) improvement of other systemic diseases such as hypertension and heart failure, 6) no smoking, 7) moderate exercise, so as to provide patients with the best treatment and quality of life.