Minimally invasive cardiac surgery(MICS)

Ram Mangal Heart Foundation provides the best minimally invasive cardiac surgery in Pune.

In ‘Minimally Invasive Cardiac Surgery’ the cardiac surgeon makes a small incision on the right side of the chest to reach the heart instead of cutting through the breastbone as it is done in open-heart surgery.

Why Minimally Invasive Cardiac Surgery?

Minimally invasive cardiac surgery helps people to recover quickly and has also been evident that it gives lesser pain in comparison to open-heart surgery. This type of surgery can be performed to treat various kind of heart conditions.

Perks of Minimally invasive cardiac surgery

For those who can have the Minimally invasive cardiac surgery, the potential benefits if compared with open-heart surgery includes:

Less blood loss

Lower risk of infection

Reduced trauma and pain

Shorter time in the hospital, faster recovery and quicker return to normal activities

Smaller, less noticeable scars

Heart Valve Repair Surgery

As Ram Mangal Heart Foundation provides treatment for all types of heart-related problems, Heart valve surgery is one of them.

Heart valve surgery is a procedure to treat heart valve disease. Heart valve disease involves at least one of the four heart valves which does not work properly.

How does heart valves work?

There are four valves in the heart viz. the mitral valve, tricuspid valve, pulmonary valve and aortic valve. Each valve has flaps — called leaflets for the mitral and tricuspid valves and cusps for the aortic and pulmonary valves. These flaps open and close once during each heartbeat. Heart valves keep blood flowing in the correct direction through the heart.

Several factors in which the ‘Heart Valve Repair Surgery’ rely on :


Condition of the affected heart valve


The severity of one’s condition

Coronary Artery Bypass Grafting Surgery (CABG)

Ram Mangal Heart Foundation is where one should go for Coronary Artery Bypass Grafting Surgery also known as CABG surgery. CABG is the most usual kind of heart surgery. CABG increases blood flow to the heart. Surgeons use CABG to treat patients who have coronary artery disease (CAD).

CAD is a disease in which a waxy material called plaque builds up inside the coronary arteries.These arteries provide oxygen-rich blood to your heart.

Over time, plaque can harden or rupture. Chronic plaque narrows the coronary arteries and reduces the flow of oxygen-rich blood to the heart. If the plaque ruptures, a blood clot can form on its cover. A large blood clot can often or completely prevent blood flow through a coronary artery. This is the most common cause of a heart attack

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 (goes around) the blocked portion of the coronary artery. This creates a new path for oxygen-rich blood to flow to the heart muscle. A Surgeon can bypass multiple blocked coronary arteries during one surgery.

Signs of coronary artery disease may include:

Chest pain




Abnormal heart rhythms

Shortness of breath

Swelling in the hands and feet

Aneurysm Repair Surgery

Why Ram Mangal Heart Foundation for Aneurysm Repair Surgery? Because we have the BEST CARDIAC SURGEON, The GOLD MEDALIST who has done more than 30000 cardiac surgeries and he is also one of the best Aneurysm Repair Surgeon in India, Dr Ranjit Jagtap

An aneurysm is a balloon-like bulge in the wall of an artery or the heart muscle. The balloon-like bulge growth happens when the artery wall weakens. The force of blood, flowing through the artery or the heart muscle causes the weak area to bulge.

Over time, an aneurysm can grow and split, causing serious and fatal bleeding inside the body. Aneurysms also can produce a split in one or more sheets of the artery wall. The crack causes bleeding leading it to the layers of the artery wall.

Aneurysms in the heart mostly happen in the heart’s deep left chamber. Fixing an aneurysm includes surgery to repair the weak section of the artery or heart wall with a patch.

There are various methods to treat different types of aneurysms.

An operation to treat aortic aneurysms that occur in the body’s central artery depends on the area and location of the aneurysm and on the overall health of the patient.

Aortic aneurysms in the top part of the chest can be treated right away. However, Aneurysms in the lower chest and the area below your abdomen may not be life-threatening but in these places, if they grow 5 cm and still continue to develop or start showing symptoms, the patient will need an operation to repair the artery before the aneurysm bursts.

Patent Ductus Arteriosus Surgery

Performing all types of cardiac surgeries, all under one roof. Ram Mangal also performs Patent ductus arteriosus (PDA) surgery. PDA is a heart problem that occurs soon after birth in some babies. In PDA, abnormal blood flow occurs between two of the major arteries connected to the heart.

Before birth, the two major arteries-the aortae and the pulmonary artery are connected by a blood vessel called the ductus arteriosus. This vessel is an essential part of fetal blood circulation

Within minutes or up to a few days after birth, the vessel is supposed to close as part of the normal changes occurring in the baby's circulation.

In some babies, however, the ductus arteriosus remains open. This opening allows oxygen-rich blood from the aorta to mix with oxygen-poor blood from the pulmonary artery. This can put a strain on the heart and increase blood pressure in the lung arteries.

In most cases, the doctor will try to close the opening using medicines but if the opening still doesn’t close the surgeon will make a small surgical cut on the left side of the baby’s chest. This way he can find the PDA and then he can tie off or clips the ductus arteriosus closing the opening.

Coarctation Of The Aorta Repair Surgery (CABG)

Ram Mangal Heart Foundation is known for providing the best cardiac surgeries and Coarctation of the Aorta Repair surgery is one of them. The Coarctation of the Aorta happens when a part of the aorta has a really thin section. The pattern looks like an hourglass timer. The reduction makes it hard for blood to get through to the lower limbs. Over time, it can lead to difficulties such as high blood pressure. To repair this, a cut is most usually made on the left side of the chest, between the ribs.

There are various ways to repair coarctation of the aorta:

1st Method

The most common method to repair it is to cut a small section and make it larger with a patch made of Gore-tex, a man-made material.

2nd Method

The second method is, it can be repaired by removing the small part of the aorta and stitch the remaining ends together. This can most usually be done in older kids.

3rd Method

The third way to repair this problem is called the subclavian flap. First, a cut is made in the thin part of the aorta. Then, a patch is taken from the left subclavian artery to increase the small section of the aorta.

4th Method

The fourth way to repair is a bit difficult. The surgeon has to attach a tube to the normal parts of the aorta, on either side of the small section. Blood moves through the tube and bypasses the narrow section.

Atrial Septal Defect Surgery

Ram Mangal Heat Foundation has been working for years in the cardiac vicinity and Atrial Septal Defect Surgery is a part of that vicinity. The Atrial Septum is the wall between the left and right atria (upper chambers) of the heart. A hole in that wall is called an Atrial Septal Defect (ASD). In the presence of this defect, pure and impure blood can mix together over time, cause medical problems and arrhythmias.

Sometimes, an ASD can be closed without open-heart surgery. First, the surgeon makes a tiny cut in the groin. Then the surgeon inserts a wire into a blood vessel that goes to the heart. Next, two small umbrella-shaped “clamshell” devices are placed on the right and left sides of the septum. These two devices are attached to each other which closes the hole in the heart.

Open-heart surgery can also be done to repair ASD. In this operation, the septum can be closed using stitches. Another way to cover the hole is with a patch.

Ventricular Septal Defect Surgery

Ram Mangal Heart Foundation is very precise in their work and it is evident enough in the surgeries they perform and ventricular septal defect surgery(hole in the heart) is one such evidence

A ventricular septal defect (VSD), a hole in the heart, is a common heart defect that's present at birth (congenital). The hole (defect) occurs in the wall (septum) that separates the heart's lower chambers (ventricles) and allows blood to pass from the left to the right side of the heart. The oxygen-rich blood then gets pumped back to the lungs instead of out to the body, causing the heart to work harder.

A small ventricular septal defect may cause no problems, and many small VSDs close on their own. Medium or larger VSDs may need surgical repair early in life to prevent complications


Signs and symptoms of serious heart defects often appear during the first few days, weeks or months of a child's life.

Ventricular septal defect (VSD) symptoms in a baby may include:

Poor eating, failure to thrive

Fast breathing or breathlessness

Easy tiring

You and your doctor may not notice signs of a ventricular septal defect at birth. If the defect is small, symptoms may not appear until later in childhood — if at all. Signs and symptoms vary depending on the size of the hole and other associated heart defects.

Your doctor may first suspect a heart defect during a regular checkup if he or she hears a murmur while listening to your baby's heart with a stethoscope. Sometimes VSDs can be detected by ultrasound before the baby is born.

Sometimes a VSD isn't detected until a person reaches adulthood. Symptoms and signs can include shortness of breath or a heart murmur your doctor hears when listening to your heart with a stethoscope.

When to see a doctor?

Call your doctor if your baby or child:

Tires easily when eating or playing

Is not gaining weight

Becomes breathless when eating or crying

Breathes rapidly or is short of breath

Call your doctor if you develop:

Shortness of breath when you exert yourself or when you lie down

Rapid or irregular heartbeat

Fatigue or weakness

Tetralogy of Fallot Repair Surgery

When it is about heart, the surgeries are always critical but Ram Mangal Heart Foundation excels in that genre. Tetralogy of Fallot is a heart defect that exists from birth (congenital). It usually includes four defects in the heart and causes the baby to turn bluish in colour (cyanosis).

Open-heart surgery is needed, and it is often done when the child is between 6 months to 2 years old.

The surgery involves :

Closing the ventricular septal defect with a patch.

Opening the pulmonary valve and removing the thickened muscle (stenosis).

Placing a patch on the right ventricle and main pulmonary artery to improve blood flow to the lungs.

The child should undergo shunt procedure first. A shunt moves blood from one area to another. This is done if the open-heart surgery needs to be delayed because the child is too sick to go through surgery.

During a shunt procedure, the surgeon makes a surgical cut on the left side of the chest.

Once the child is older, the shunt is closed and the main repair in the heart is performed.

Tricuspid Atresia Repair Surgery

Ram Mangal Heart Foundation’s dexterous team has trained themselves to perform any kind of heart-related surgery and Tricuspid Atresia Repair Surgery is one amongst them.

The Tricuspid Valve is found between the upper and lower chambers on the right side of the heart. Tricuspid atresia occurs when this valve is deformed, narrowed or is missing. Babies born with tricuspid atresia turns blue in colour because the blood does not flow to the lungs to pick up oxygen.

To get to the lungs, blood must cross an atrial septal defect (ASD), ventricular septal defect (VSD), or a patent ductus arteriosus (PDA). This condition severely restricts blood to flow to the lungs.

Soon after birth, the baby may be given a medicine called prostaglandin E. This medicine helps to keep the patent ductus arteriosus open so that blood can continue to flow to the lungs. However, this will only work for a while. The child will eventually need surgery.

The child may need a series of shunts and surgeries to correct this defect. The goal of this surgery is to allow blood from the body to flow into the lungs. The surgeon may have to repair the tricuspid valve, replace the valve, or put in a shunt so that blood can get to the lungs.

Truncus Arteriosus Surgery

Ram Mangal Heart Foundation is meticulous when it is about surgeries be it Truncus Arteriosus Repair Surgery or any other cardiac-related surgeries.

Truncus arteriosus is a birth defect of the heart. It occurs when the blood vessel coming out of the heart in the developing baby fails to separate completely during development, leaving a connection between the aorta and pulmonary artery.

Repair is normally done in the first few days or weeks after birth. The pulmonary arteries are isolated from the aortic trunk, and any holes are patched. Normally, babies have a ventricular septal defect, and which remains closed. A link is then placed between the right ventricle and the pulmonary arteries. Most of the babies need 2 or more operations as they grow.

Transposition of The Great Vessels Repair Surgery

Dr Ranjit Jagtap is the Leading Name in Treating truncus arteriosus In Pune, he provides the best treatment for Truncus Arteriosus at Ram Mangal Heart Foundation.

In a normal heart, the aorta comes from the left side of the heart, and the pulmonary artery comes from the right side. In transposition of the great vessels, these arteries come from the opposite sides of the heart. The child may also have other birth defects.

Correcting transposition of the great vessels requires open-heart surgery. This surgery is done shortly after birth.

The most common repair is called an arterial switch. The aorta and pulmonary artery are divided. The pulmonary artery is connected to the right ventricle, where it belongs. Then, the aorta and coronary arteries are connected to the left ventricle, where they belong.

Symptoms/ Signs which occurs in the first few days after birth:

Blue colouring of the skin (cyanosis)

Less appetite

Pulsating heart

Extreme sleepiness

Reduced growth

Shortness of breath

Rapid breathing

TAPVR Correction

Ram Mangal Heart Foundation is one of the best Heart Hospital in Pune for TAPVR problems Total Anomalous Pulmonary Venous Return (TAPVR) occurs when the pulmonary veins bring oxygen-rich blood from the lungs back to the right side of the heart, instead of the left side of the heart, where it most commonly gets delivered in healthy individuals. This condition must be corrected with surgery. The surgery may be done in the newborn period if the infant has severe symptoms. If it is not done right after birth, it is done in the first 6 months of the baby’s life.

TAPVR repair requires open-heart surgery. The pulmonary veins are routed back to the left side of the heart, where they belong, and any abnormal connections are closed. If a PDA is present, it is tied off and divided.

TAPVR Symptoms:

Cases with obstructed TAPVR often get sick after birth.

The infants are seriously cyanotic.

They have respiratory difficulties, with fast breathing, grunting, and contradictions of the rib cage muscles. Usually, such children may be originally thought to have a disease of the newborn until an accurate cardiac diagnosis is made.

If obstruction to pulmonary venous return is not present, infants with total abnormal lobar venous return may not have many signs. There may be some fast or difficult breathing. There is often cyanosis, but it may be easy and hard to detect.

Some infants with this more general type of total anomalous pulmonary venous return are first discovered when a doctor hears a heart murmur during a physical exam.