Open heart surgery

Definition:

Any surgery where the chest is opened and surgery is performed on the heart is called open heart surgery. The term "open" refers to the chest, not the heart itself (which may or may not be opened, depending on the type of surgery).

Open heart surgery includes surgery on the heart muscle, valves, arteries, or other structures. The definition becomes confusing in light of new procedures being performed on the hearth through smaller incisions. Minimally invasive surgery and robotic-assisted heart surgery are still referred to as open heart surgery.

A heart-lung machine (also called cardiopulmonary bypass) is usually used to help provide oxygen-rich blood to the brain and other vital organs. It pumps, supplies oxygen to, and removes carbon dioxide from the blood and also provides anesthesia to keep the patient asleep during surgery.

There are some new surgical procedures being performed that are done with the heart still beating. These procedures are referred to as minimally invasive heart surgery or limited access coronary artery surgery. These procedures are being evaluated in several medical centers as an alternative to the standard methods using the heart-lung machine.

Related topics:



Alternative Names:
Heart surgery - open


Review Date: 5/3/2002
Reviewed By: Allan S. Stewart, M.D., Department of Surgery, University of Pennsylvania Medical Center, Philadelphia, PA. Review Provided by VeriMed Healthcare Network.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. A.D.A.M. is also a founding member of Hi-Ethics (www.hiethics.com) and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2003 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.