Cardiac Surgery

Coronary Artery Bypass Graft (CABG) Surgery

    – Conventional CABG on-pump
    – Off-pump CABG
    – Minimally-invasive radial & vein harvesting
    – Total arterial CABG

Heart Valve Surgery

    – Mitral valve repair/replacement
    – Aortic valve repair/replacement
    – Tricuspid valve repair/replacement
    – Pulmonary homograft implant
    – Aortic root surgery
    – Tissue valve Bentall procedure
    – Bentall procedure

Heart Failure Surgery

    – Dor procedure
    – Extra Corporeal Membrane Oxygenation (ECMO) implantation for heart/lung failure
    – Left Ventricular Assist Device (LVAD)

      o HeartMate II
      o HeartMate III
      o HeartWare

    Aortic Surgery
    – Aortic aneurysm repair
    – Stanford Type A aortic dissection repair
    – Debranching and endovascular stenting of arch aneurysm
    – Descending aortic replacement
    – Endovascular stenting (TEVAR)

    Congenital Heart Surgery
    – Atrial septal defect repair
    – Ventricular septal defect repair

    (procedures are not limited to the above)

    Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy

    Emergency Cardiac Surgery
    – Repair of ventricular septal rupture
    – Free wall rupture

    Pericardial Surgery
    – Pericardial window
    – Pericardiectomy

    Arrythmia Surgery
    – MAZE procedure

    Cardiac Tumour Surgery
    – IVC tumour resection (renal cell carcinoma) under cardiopulmonary bypass
    – Myxoma resection

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Thoracic Surgery

Thoracic Access

    – Sternotomy
    – Minimally-invasive Video-Assisted Thoracic Surgery (VATS) / Keyhole Surgery
    – Clampshell
    – Posterolateral thoracotomy
    – Partial Sternotomy

The following conditions may be treated with the above access depending on the suitability :-

Lung
Lung Cancer – early stages I / II
– Lobectomy
– Sleeve Lobectomy
– Bilobectomy
– Segmentectomy
– Pneumonectomy
– Extrapleural pneumonectomy
– Wedge resection

Pleura
– Pneumothorax – VATS Pleurodesis
– Pleural Effusion – VATS Pleurodesis
– Chylothorax
– Empyema – decortication

Mediastinum
– Thymoma, thymic tumours
– Myasthenia gravis – thymectomy
– Lymphoma – Chamberlain procedure

Chest Wall
– Tumour resection & reconstruction
– Pectus excavatum (sunken chest) repair (NUSS procedure / Ravitch procedure)

Sweaty Palms
– Endoscopic thoracic sympathectomy

Esophagus
– Repair of esophagus injury
– Esophagectomy for cancer of esophagus

    o Transhiatal
    o 3-stage approach
    o Combined laparotomy and VATS

Chest Trauma
– ER Thoracotomy
– Rib fixation by plating

Lung Failure
– Lung volume reduction surgery
– Veno-venous ECMO
– Lung transplant assessment

Pulmonary Embolism
– Acute pulmonary embolectomy
– Chronic thromboendarterectomy for chronic thromboembolic pulmonary hypertension (CTEPH)

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Vascular Surgery

Peripheral Vascular Surgery

    – Abdominal aortic aneurysm repair
    – Axillo-femoral bypass
    – Femoral-femoral bypass
    – Femoral-popliteal bypass
    – Vascular repair for traumatic injury
    – AV fistula construction for hemo-dialysis

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