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“Less invasive surgery means smaller holes hence faster recovery.”

— Dr. David Khoo Sin Keat

Centre for Less Invasive Cardiovascular & Thoracic Surgery

We are the leading medical centre in Malaysia offering minimally invasive cardiothoracic surgery and  vascular surgery.

At iHEAL, most heart bypass operations are performed without stopping the heart.

Yesterday and Today. Technology advancement makes its safer, less painful and less expensive.

Beating heart bypass surgery or off pump coronary artery bypass (OPCAB) is a safe and proven option to conventional bypass surgery. Both Off Pump Coronary Artery Bypass (OPCAB) and traditional bypass surgery offer beneficial results.

Doing surgery on a beating heart eliminates the need for the heart-lung machine. This can result in fewer side effects.

Some of the potential benefits of beating heart surgery include:

  • A lower risk of stroke
  • Fewer problems with memory loss and thinking skills
  • Lower death rate – especially among women and “high risk” patients
  • Less need for transfusion
  • Reduced injury to the heart
  • Shorter hospital stay
  • Fewer heart rhythm problems

Cardiothoracic Surgery

  • Off-pump Beating Heart Coronary Artery Bypass Graft Surgery
  • Heart Valve Surgery
  • Thoracic Surgery

Vascular Surgery

Vascular Surgery is a surgical subspecialty in which diseases of the vascular system, or arteries, veins and lymphatic circulation, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. Vascular surgeons are trained in the diagnosis and management of conditions affecting the circulation, including disease of the arteries, veins and lymphatic vessels.

Signature Treatments:

Treatments

 SURGICAL SERVICES:

Off-Pump Beating Heart Coronary Artery Bypass Graft Surgery – Learn More
Anaesthesiology – Learn More

Useful info

Conventional bypass surgery essentially encompasses 2 prominent facets:

  • Long incisions to allow access
  • Cardiopulmonary bypass and cardioplegia to achieve cardiac standstill, enabling surgery to be performed accurately.

These 2 prerequisites put strains upon the patient and essentially being the only way to do it, tailors the patient to the operation, regardless of the patient’s physical and mental states.

The aim of less invasive coronary artery bypass surgery is to achieve all the desired objectives of conventional bypass surgery with the least possible injury to the patient. It is expected that this can be achieved by applying the following principles:

  • Avoiding cardioplumonary bypass
  • Minimising the size of incisions
  • Avoiding sternotomy if possible

It is with these objective in mind that this sub-branch of cardiac surgery is being developed the world over. It obviously require new skills and techniques but it finally allows the operation to be tailored to the patient’s needs.

Dr David Khoo Sin Keat – Consultant Cardiovascular and Thoracic Surgeon

Our progress in this field had been achieved gradually and purposefully as can be seen in the growth of surgeries. With the experience of 400 cases of Offpump Coronary Artery Bypass (OPCAB) and 3 cases of Redo OPCAB via a Left Thoracotomy behind us, a slow progress in sternal sparing surgery ie Thoracotomy OPCAB took place in Nov 2006 following a stint at Bristol Heart Centre.

Today, with the experience gained, we have 5 options of conducting Coronary Artery Bypass operations:

  • Onpump, beating heart CABG via a sternotomy
    • used in situations of cardiopulmonary instability, tight Left Main Stem Disease, poor Left Ventricular function or situations where following a sternotomy, off pump CABG is deemed not possible.
  • Conventional CABG (on pump, arrested heart)
    • hardly needed, only in situations where concomitant surgery eg valve surgery, hole in heart, aneurysm is required.
  • Offpump via a left thoracotomy
    • my method of choice except in situations that favour a sternotomy.
  • Onpump beating heart CABG via a left thoracotomy
    • in situations where following a thoracotomy, off pump surgery is deemed not possible.
  • Offpump CABG via a sternotomy
    • used in emergent situations or in which the coronary anatomy, heart size or physical shape of the patient dictates a sternotomy.

Lead Doctors

  • Dr. David Khoo Sin Keat

    Dr. David Khoo Sin Keat

    Consultant Cardiothoracic & Vascular  Surgeon
    MD (UKM), FRCS (Edinburgh), FCTS (Mayo Clinic, USA)

  • Dr. Adrian Ooi Seng Wae

    Dr. Adrian Ooi Seng Wae

    Consultant Cardiothoracic Surgeon
    MB, BCh, BAO, LRCS&SI (NUI), MRCSEd, FRCSEd(C-Th), CCT(UK)

  • Dato’ Dr. Ho Teik Kok

    Dato’ Dr. Ho Teik Kok

    Consultant Vascular & General Surgeon
    CCT (London), PhD in Vascular Surgery (UCL), FRCS (General & Vascular) in (RCS England)

+ 6016 261 5297

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