07 5699 8258 [email protected]

HOW CAN WE HELP

Dr Sylvio Provenzano is an exam-qualified Cardiothoracic Surgeon by the Royal Australasian College of Surgeons (RACS). He specialises in cardiac, thoracic and congenital cardiac surgery.

Aortic Valve Replacement

Can be indicated in some circumstances:

list_check  In isolation, when there is severe damage to the valve, either obstruction (also called ‘stenosis’) or leakage (‘regurgitation’ or ‘insufficiency’)

list_check  When there is moderate damage to the valve and another cardiac surgery is necessary (e.g. CABG, repair of aneurysm in the ascending aorta)

list_check  Infection of the aortic valve

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Coronary Artery Bypass Graft

CABG (pronounced ‘cabbage’) is the most commonly performed cardiac operation.

list_check  It is indicated for severe obstructions of the coronary arteries. It aims to decrease symptoms, increase survival or both.

list_check  CABG was introduced worldwide in the late 60’s. Since then, many techniques and equipment have been refined. Today it is understood as a well established operation.

list_check  The goal of the technique is to use the patients own vessels (grafts) to bypass coronary artery obstructions, therefore feeding the heart muscle with blood.

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Cardiac Preservation

During cardiac operations, the surgeon needs a bloodless field so she/he can see the heart structures clearly. 

list_check  This means that for a period of time, the heart muscle (also called ‘myocardium’) will not receive blood – known as ‘ischaemic time’.

list_check  To prevent/minimise injury to the myocardium, various techniques were developed along the decades.

list_check  They are the ‘Myocardial (cardiac) Preservation” strategies.

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Feelings (Mood Swings and Depressed)


list_check  Feeling Mood swings are very common after any large operation. Good news is: IT IS JUST TEMPORARY!

list_check  Feeling Depressed is also common. Remember: IT IS JUST TEMPORARY! and talk to someone about it.

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Cardiopulmonary Bypass and the Heart-Lung Machine


The Heart-Lung Machine is needed to perform any open heart surgery:

list_check  for instance, conventional CABG (Coronary Artery Bypass Graft), valve repair/replacement, aortic surgery, congenital defects etc., and rarely some airway operations.

list_check  It has three components: an oxygenator, a pump and a heater-cooler.

list_check  Its job is to temporarily replace the functions of the heart and lungs, whilst the surgeon operates on the bloodless heart.

list_check  Blood bypasses the heart and the lungs, and then is returned to the body. Hence the term ‘cardiopulmonary bypass’ (CPB).

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Mitral Valve Replacement

Mitral valve replacement (MVR) can be indicated in some circumstances:

list_check  In isolation, when there is severe damage to the valve, either obstruction (also called ‘stenosis’) or leakage (‘regurgitation’ or ‘insufficiency’)

list_check  When there is moderate damage to the valve and another cardiac surgery is necessary (e.g. CABG, aortic valve replacement)

list_check  Infection of the mitral valve

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Dr Sylvio Provenzano

MD, MSc, FRACS


Dr Sylvio Provenzano is an exam-qualified Cardiothoracic Surgeon by the Royal Australasian College of Surgeons (RACS). He specialises in cardiac, thoracic and congenital cardiac surgery.

Opening Hours

Gold Coast Private Specialist Suites


14 Hill Street, Southport 4215
9:00 – 16:00
 
Phone: (07) 5699 8258
Fax: (07) 5676 6784
 
Correspondence:
PO Box 809, Southport BC, Qld 4215