1. ASTER CARDIAC SCIENCES
A CENTRE OF EXCELLENCE IN CARDIOVASCULAR DISEASES
KOCHI, KERALA,INDIA
Aster cardiac sciences 1

2. ASTER CARDIAC SCIENCES
• ADULT CARDIOLOGY---CLINICAL CARDIOLOGY
--- INTERVENTIONAL CARDIOLOGY
--- EMERGENCY CARDIAC CARE (primary angioplasty)
--- CARDIAC ELECTROPHYSIOLOGY
PEDIATRIC CARDIOLOGY– CLINICAL & INTERVENTIONAL
ADVANCED CARDIAC IMAGING
• FULL SPECTRUM OF ADULT AND PEDIATRIC CARDIOTHORACIC AND VASCULAR SURGERY
• HYBRID CARDIAC SURGERY ADULT AND PEDIATRIC
• ROBOTIC SURGERY
• ECMO Services
• PREVENTIVE CARDIOLOGY AND REHABILITATION
Aster cardiac sciences 2

3. ASTER CARDIAC SCIENCES
• 24 bedded Cardiac Intensive care manned by Cardiologists /
Intensivists.
• 19 bedded dedicated pediatric Cardiac Surgical ICU
• 12 bedded adult Cardiac Surgical ICU
• State of the art Cardiac Cath. labs –3, low radiation, HYBRID biplane
cath lab with the largest FLEX monitors
• IVUS, FFR, Primary angioplasty 24 x 7 with door to balloon time of
less than 60 min
Aster cardiac sciences 3

4. • Arrhythmia management:-
Holter monitoring
Pacemaker and device implantations,
Electrophysiology (EP) facilities offering RF ablations
• Advanced HYBRID Operating Suite with TEE facility
• Extra Corporeal Membrane Oxygenation (ECMO) Services
Aster cardiac sciences 4

5. Allura Clarity
Industry leading image quality at a fraction of the dose with
FLEX monitors
Aster cardiac sciences 5

6. PHILLIPS HYBRID CATH LAB
Aster cardiac sciences 6

7. ASTER CARDIAC IMAGING
• 3 D Echocardiography with Trans-esophageal ECHO (PHILLIPS EPIC PLATFORM)
• 256 slice CT (PHILLIPS BRILLIANCE)
• Cardiac MR (3 T)
• Nuclear Imaging—SPECT – CT and PET SCANS
Aster cardiac sciences 7

8. PHILIPS EPIQ 3 D ECHO MACHINE
Aster cardiac sciences 8
WORLD’S FIRST PANORAMIC
VOLUME ORGAN SCAN WITH
ANATOMICAL INTELLIGENCE

9. 256 SLICE CT CORONARY ANGIO
Aster cardiac sciences 9

10. Ingenia 3.0T
Aster cardiac sciences 10

11. Cardiac Surgery procedures offered:
• On pump and off pump bypass surgeries, including Total arterial
revascularization
Aster cardiac sciences 11

12. Valve replacement and Valve repair
• Mitral valve replacement Repair
• Aortic valve replacement Repair
• Tricuspid valve replacement Repair
• Pulmonary valve replacement Repair
• Double valve replacement
Aster cardiac sciences 12

13. Aster cardiac sciences 13

14. Aster cardiac sciences 14

15. ROBOTIC SURGERY
• Valve repair
• Robotic thoracic surgery
Aster cardiac sciences 15

16. Correction of Complex birth defects
• ASD
• VSD
• TOF
• TGA
• TAPVC
• ALCAPA
• HLHS
Aster cardiac sciences 16

17. HYBRID CARDIAC SURGERY
• HYBRID coronary artery surgery
LIMA to LAD
DES to non LAD targets
• HYBRID CABG+Valve surgery
• Minimally invasive valve surgery + CABG
Aster cardiac sciences 17

18. Advantages of HYBRID cardiac surgery
• Hybrid surgery minimizes hurt to patient from more
invasive procedures
• Maximizes treatment spectrum
• For complex heart disorders, maximizes the advantages of
catheter and surgery
• Accelerates recovery time
• Reduces hospital stay
• Improves patient satisfaction
Aster cardiac sciences 18

19. HYBRID Aortic arch aneurysm repair
Aster cardiac sciences 19

20. It is a challenge…
Aster cardiac sciences 20

21. Previous elephant
trunk
Replaced
proximal aorta
Aster cardiac sciences 21

22. NECKLACE GRAFT
Aster cardiac sciences 22

23. HYBRID TYPE 2 –NECKLACE GRAFTING
THROUGH STERNOTOMY
Aster cardiac sciences 23

24. Aster cardiac sciences 24

25. HYBRID Vascular surgery
• Abdominal Aortic Aneurysm
• TAA
• Thoraco Abdominal Aneurysm
Aster cardiac sciences 25

26. Aster cardiac sciences 26

27. Aster cardiac sciences 27

28. Aster cardiac sciences 28

29. Aster cardiac sciences 29

30. Aster cardiac sciences 30

31. Aster cardiac sciences 31

32. Aster cardiac sciences 32

33. Aster cardiac sciences 33

34. THORACIC SURGERIES
• Lobectomy
• Pneumonectomy
• Tracheal resection
• VATS
Aster cardiac sciences 34

35. Aster cardiac sciences 35

36. Aster cardiac sciences 36

37. Aster cardiac sciences 37

38. ECMO
Aster cardiac sciences 38

39. VASCULAR SURGERIES
• Peripheral vascular surgery
• Acute vascular occlusion
• Embolectomy
Aster cardiac sciences 39

40. Ensuring Quality cardiac care
• ACLS certified Doctors and ICU nurses BLS certified paramedics
• Evidence based management of cardiac conditions
• Regular in house audit
• CMEs to ensure all members of the cardiac team are in sync
• The heart team approach to patient management
Aster cardiac sciences 40

41. DR MANOJ P NAIR
Lead Consultant Cardiothoracic and
Vascular Surgeon
• MBBS 1986,Kerala University, India
• MS General Surgery,1991
• MCH Cardiothoracic and Vascular Surgery,1994
• Associate Professor at SVIMS ,TIRUPATI,INDIA
• Professor of Cardiac Surgery at Amrita Institute of Medical
Sciences.
• 22 years of teaching experience

42. Dr R ANIL KUMAR
Lead Consultant Cardiologist
• MBBS(1986), MD (1991)-JIPMER, PONDICHERRY
• DM 1994-GB Pant Hospital ,New Delhi
• Commonwealth scholar in Cardiac Electrophysiology 1996
• MRCP(UK) 1997,FRCP(Edinburgh) 2005
• Professor of Cardiology, JIPMER, Pondicherry, India
• Fellow of the American College of Cardiology (FACC) 2010
• International Examiner for the MRCP(UK) examinations

43. Dr Sajan Koshy
Senior Consultant Pediatric Cardiac Surgeon
• MBBS 1987 University of Kerala
• MS General surgery 1994 University of Kerala
• MCh Cardiac surgery 1999 University of Kerala
• Specialist in Pediatric Cardiac Surgery- Amrita Institute
of Medical Sciences, Kochi, Kerala 1999-2006
• Consultant Pediatric Cardiac Surgeon- Malabar
Institute of Medical Sciences , Calicut,Kerala 2006-
2014
• Fellow of the Indian Association of Cardiovascular
thoracic surgeons