Advanced Cardiac Care for a Healthier Heart
Cardiovascular Surgery
World-class cardiac surgical care with cutting-edge technology and internationally trained surgeons. Our cardiovascular surgery department specializes in complex heart procedures with exceptional outcomes and comprehensive patient support.
Cardiac Surgeries
Successfully performed
Success Rate
Coronary artery bypass
Cardiac Specialists
Multidisciplinary team
Cardiac ICU
Specialized intensive care
Cardiovascular Surgical Procedures
We perform a comprehensive range of cardiac surgeries using advanced techniques for optimal patient outcomes.
Coronary Artery Bypass Grafting (CABG)
Restores blood flow to the heart muscle by bypassing blocked coronary arteries using arteries or veins from other parts of the body.
- Off-pump (beating heart) technique available
- Minimally invasive options
- Multi-vessel disease treatment
- Combined with valve surgery when needed
Heart Valve Repair/Replacement
Surgical correction of damaged heart valves through repair or replacement with mechanical or biological prostheses.
- Mitral valve repair (95% success)
- Aortic valve replacement
- Minimally invasive approaches
- Ross procedure for young patients
Aortic Aneurysm Repair
Surgical treatment of aortic aneurysms and dissections using traditional open surgery or endovascular techniques.
- Thoracic aortic aneurysm repair
- Abdominal aortic aneurysm repair
- Endovascular stent grafting (EVAR/TEVAR)
- Complex aortic arch reconstruction
Maze Procedure
Surgical treatment for atrial fibrillation creating controlled scars in heart tissue to block abnormal electrical signals.
- Cox-Maze IV procedure
- Concomitant with other cardiac surgery
- Minimally invasive options
- 80-90% success rate for AFib cure
Ventricular Assist Devices (VAD)
Mechanical circulatory support for advanced heart failure as bridge to transplant or destination therapy.
- Left ventricular assist devices (LVAD)
- Right ventricular assist devices (RVAD)
- Biventricular assist devices (BiVAD)
- Bridge to transplant or recovery
Congenital Heart Defect Repair
Surgical correction of congenital heart abnormalities in adults and children with specialized techniques.
- Atrial/ventricular septal defect closure
- Tetralogy of Fallot repair
- Fontan procedure completion
- Adult congenital heart disease
Advanced Cardiac Technology & Techniques
We utilize state-of-the-art technology to ensure precision, safety, and optimal outcomes in cardiac surgery.
Robotic Cardiac Surgery
Da Vinci robotic system for minimally invasive procedures with enhanced precision, smaller incisions, and faster recovery.
- Mitral valve repair
- CABG (left IMA harvest)
- Atrial septal defect closure
- Tumor resection
Beating Heart Surgery
Off-pump coronary artery bypass (OPCAB) performed on beating heart without cardiopulmonary bypass.
- Reduced neurological complications
- Less blood transfusion needed
- Faster recovery time
- Ideal for high-risk patients
Minimally Invasive Techniques
Small incisions, endoscopic cameras, and specialized instruments for reduced trauma and faster recovery.
- Mini-thoracotomy approaches
- Endoscopic vein harvesting
- Port-access surgery
- Transcatheter valves (TAVR)
Intraoperative Monitoring
Advanced monitoring including transesophageal echocardiography (TEE), cerebral oximetry, and neuromonitoring.
- Real-time 3D TEE imaging
- Cerebral oximetry for stroke prevention
- Neuromonitoring during aortic surgery
- Continuous cardiac output monitoring
Advanced Perfusion
State-of-the-art cardiopulmonary bypass machines with integrated safety features and cell-saving technology.
- Minimized priming volumes
- Integrated cell salvage systems
- Leukocyte-depleting filters
- Near-infrared spectroscopy monitoring
Hybrid Operating Rooms
Integrated surgical and interventional suites allowing combined procedures and real-time imaging.
- Combined surgical/cath procedures
- Real-time angiography
- Hybrid coronary revascularization
- Complex aortic procedures
Your Cardiac Surgery Journey
Comprehensive care from initial consultation through long-term recovery and follow-up.
Comprehensive Evaluation
Thorough cardiac assessment including advanced imaging, coronary angiography, and multidisciplinary consultation.
- Cardiac catheterization and angiography
- Echocardiography (TTE/TEE)
- Cardiac CT/MRI when indicated
- Cardiopulmonary exercise testing
- Multidisciplinary team review
Pre-Operative Optimization
Medical optimization and preparation to ensure best possible surgical outcomes and reduce complications.
- Medication adjustment and optimization
- Smoking cessation support
- Nutritional optimization
- Pre-habilitation exercise program
- Anesthesia and pain management planning
Surgical Procedure
Expert surgical intervention using most appropriate technique for individual patient needs and condition.
- Personalized surgical approach selection
- Advanced intraoperative monitoring
- Meticulous surgical technique
- Enhanced recovery protocols
- Immediate post-operative care in Cardiac ICU
Hospital Recovery
Specialized cardiac recovery with multidisciplinary team in dedicated cardiac surgical unit.
- Cardiac ICU: 1-2 days average
- Step-down unit: 2-3 days
- Early mobilization and breathing exercises
- Pain management and wound care
- Discharge planning and education
Long-Term Follow-up
Comprehensive cardiac rehabilitation and long-term monitoring for optimal recovery and prevention.
- Structured cardiac rehabilitation program
- Medication management and adjustment
- Lifestyle modification counseling
- Regular follow-up appointments
- Long-term surveillance and prevention
Expected Recovery Timeline
Understanding the recovery process helps set realistic expectations and optimize outcomes.
Hospital Stay (5-7 days)
Cardiac ICU: 1-2 days with continuous monitoring, ventilator support (usually 4-24 hours), pain management.
Step-down Unit: 3-5 days with increasing activity, chest tube removal (day 2-3), beginning cardiac rehab education.
First 2 Weeks at Home
Activity: Short walks around house, no driving, limited stair climbing.
Care: Incision care, pain management, medication adherence, follow-up appointments.
Restrictions: No lifting >5-10 lbs, avoid strenuous activity.
Weeks 3-6
Cardiac Rehabilitation: Begin formal program, gradual increase in exercise tolerance.
Activity: Longer walks, light household activities, may return to desk work at 4-6 weeks.
Medical: Follow-up with surgeon, medication adjustments, wound check.
Months 2-3
Increasing Activity: Return to most normal activities, driving usually permitted, light exercise.
Medical: Follow-up with cardiologist, possible stress testing, medication optimization.
Recovery: Most sternal healing complete, energy levels improve significantly.
Months 3-6
Full Recovery: Return to work (including physical jobs), resume all normal activities including sexual activity.
Cardiac Rehab Completion: 36 sessions typically completed, independent exercise program established.
Long-term Management: Lifestyle modifications, medication regimen, regular cardiology follow-up.
Risks, Complications & Outcomes
Informed consent requires understanding potential risks and expected outcomes.
Potential Complications
While modern cardiac surgery is very safe, potential risks include:
- Bleeding: 2-5% require reoperation
- Infection: 1-2% sternal wound infection
- Stroke: 1-3% overall (higher in certain procedures)
- Atrial fibrillation: 20-40% post-op (usually temporary)
- Renal dysfunction: 5-10% (usually temporary)
- Death: 1-3% overall (varies by procedure and patient)
Risk Reduction Strategies
Our protocols to minimize surgical risks:
- Pre-operative optimization: Comprehensive assessment and preparation
- Advanced monitoring: Cerebral oximetry, TEE, neuromonitoring
- Meticulous technique: Experienced surgical teams
- Enhanced recovery: ERAS protocols implementation
- Infection prevention: Antibiotic protocols, MRSA screening
- Complication management: Rapid response protocols
Expected Outcomes
Typical results from cardiac surgical procedures:
- CABG: 98% 30-day survival, 95% 1-year survival
- Valve surgery: 96-98% 30-day survival
- Symptom relief: 90-95% experience significant improvement
- Graft patency: 90-95% at 1 year for arterial grafts
- Quality of life: Significant improvement in 85-90%
- Long-term survival: Increased compared to medical therapy alone
Patient Selection Criteria
Factors considered in surgical decision-making:
- Surgical risk scores: STS, EuroSCORE II assessment
- Coronary anatomy: Extent and location of disease
- Ventricular function: Ejection fraction assessment
- Comorbidities: Diabetes, renal function, lung disease
- Age and frailty: Comprehensive geriatric assessment
- Patient preferences: Shared decision-making process
Comprehensive Care for International Patients
We provide seamless cardiac surgical care for patients traveling to Istanbul, with dedicated support at every step.
Medical Coordination
- Medical record review prior to arrival
- Virtual consultation with cardiac surgeon
- Pre-operative testing scheduling
- Treatment plan and cost estimate upfront
- Coordination with referring physicians
- Multilingual medical reports and instructions
Logistical & Recovery Support
- Visa assistance and medical invitation letters
- Airport transfers with medical escort if needed
- Accommodation for patient and companion
- 24/7 multilingual patient coordinators
- Recovery facility or hotel with nursing support
- Follow-up care coordination upon return home
Cost Comparison: Turkey vs Other Countries
| Procedure | United States | Germany | Turkey (Medestanbul) |
|---|---|---|---|
| Coronary Bypass (CABG) | $75,000 – $150,000 | €40,000 – €80,000 | $15,000 – $25,000 |
| Heart Valve Replacement | $100,000 – $200,000 | €50,000 – €100,000 | $18,000 – $30,000 |
| Aortic Aneurysm Repair | $80,000 – $160,000 | €45,000 – €90,000 | $20,000 – $35,000 |
| Minimally Invasive Valve | $120,000 – $250,000 | €60,000 – €120,000 | $25,000 – $40,000 |
Save 70-85% compared to Western countries with equivalent or higher quality care and technology.
Frequently Asked Questions
Important information for patients considering cardiac surgery at Medestanbul.
Surgery duration varies by procedure: Coronary artery bypass (CABG): 3-6 hours for 2-4 bypasses, Valve replacement: 2-4 hours for single valve, longer for multiple valves, Aortic surgery: 4-8 hours depending on complexity, Minimally invasive/robotic: May be longer initially but recovery is faster. These times include: anesthesia induction (30-60 minutes), surgical procedure, and transfer to Cardiac ICU. The actual “bypass time” (time on heart-lung machine) is typically 60-120 minutes for CABG, 90-150 minutes for valve surgery. Our experienced teams work efficiently while maintaining meticulous attention to detail for optimal outcomes.
Open Heart Surgery: Traditional approach through sternotomy (breastbone division), provides excellent exposure for complex procedures, typically used for multi-vessel CABG, multiple valve surgery, complex aortic procedures. Minimally Invasive: Smaller incisions (between ribs, partial sternotomy), uses specialized instruments and cameras, benefits include less pain, reduced blood loss, shorter hospital stay, faster recovery, better cosmetic result. Suitable for single valve surgery, single vessel CABG, certain congenital repairs. Robotic Surgery: Most advanced minimally invasive approach using Da Vinci system, 3D visualization, wristed instruments for enhanced precision. Choice depends on: procedure needed, patient anatomy, surgeon expertise, and patient preferences. Our surgeons are experts in all approaches and recommend the best option for each patient.
Typical hospital stays: Cardiac ICU: 1-2 days for close monitoring, ventilator support (usually weaned within 24 hours), pain management, Step-down Unit: 3-5 days for continued recovery, chest tube removal (usually day 2-3), beginning mobilization, Total Hospital Stay: 5-7 days for uncomplicated cases. Factors affecting length of stay: Shorter stays: Minimally invasive approaches, younger patients, no complications, Longer stays: Complex procedures, older patients, complications develop, comorbid conditions. Our enhanced recovery protocols aim to optimize recovery and safely reduce hospital stay when appropriate. International patients typically stay 2-4 weeks total in Turkey including recovery before travel.
Recovery timeline varies: First 2 weeks: Light walking at home, no driving, no lifting >5-10 lbs, Weeks 3-6: Gradually increase walking distance, may return to desk work at 4-6 weeks, begin cardiac rehab, Months 2-3: Return to most normal activities, driving usually permitted (check with surgeon), light exercise, Months 3-6: Return to work (including physical jobs), resume all normal activities including sexual activity, most recreational sports, Specific restrictions: No heavy lifting (>20-30 lbs) for 3 months to allow sternal healing, contact sports avoided for 6 months. Cardiac rehabilitation is crucial for optimal recovery and typically involves 36 sessions over 3 months. Full recovery to peak condition may take 6-12 months.
Turkey offers world-class cardiac surgical care with distinct advantages: 1) Cost-Effectiveness: 70-85% lower costs than Western countries with equivalent quality, 2) Advanced Technology: State-of-the-art equipment often newer than many Western hospitals, 3) High Volume Expertise: Turkish cardiac surgeons perform high volumes of complex procedures (3-5 weekly vs 1-2 monthly elsewhere), 4) International Training: Surgeons trained in Europe and USA with ongoing international collaboration, 5) Comprehensive Care: Integrated cardiac centers with all specialists in one facility, 6) Excellent Outcomes: Success rates matching or exceeding international standards, 7) Tourism Integration: Combine recovery with Istanbul’s cultural and historical attractions, 8) International Patient Services: Dedicated coordinators, multilingual staff, seamless care coordination. Turkey has become a global destination for cardiac surgery with outcomes published in international journals.
Urgent Cardiac Consultation
If you have been diagnosed with severe coronary artery disease, valve problems, or aortic conditions requiring surgery, we offer expedited evaluations and rapid treatment scheduling.
24/7 Cardiac Surgical Team
Ready for emergent and urgent cardiac cases
Take the First Step Toward Heart Health
Schedule a comprehensive cardiac evaluation with our world-class surgical team for personalized treatment planning and expert care.
All consultations include: Comprehensive cardiac assessment, surgical options review, risk evaluation, and detailed cost estimate.
