Surgery for Adult Congenital Heart Disease
Closed Heart Surgery
Closed heart surgery is most often performed to repair defects that occur on the outside of the heart, such as coarctation of the aorta. Because the heart is not surgically opened, the heart and lungs do not need to be stopped during the procedure. This means that a heart–lung bypass machine, which pumps blood to the body during surgery, is not necessary.
Performed using general anesthesia, this type of heart surgery involves an incision between the ribs or in the chest. It may be the first of several surgeries to repair a heart defect.
Closed heart surgery can take two to three hours and typically requires recovery in the intensive care unit.
Open Heart Surgery
Your surgeon may use open heart surgery to repair heart defects that occur inside the heart. In this type of surgery, which is performed using general anesthesia, your surgeon makes a large incision in the chest and opens the sternum, or breastbone, using surgical tools. A heart–lung bypass machine performs the work of these organs during the procedure, pumping blood to the body.
After this surgery, you remain in the intensive care unit for several days for monitoring. During recovery at home, your doctor may advise not driving for 2 to 4 weeks and avoiding lifting anything heavier than 10 pounds for up to 6 weeks.
If your heart no longer functions without medical assistance, you may be a candidate for a heart transplant. In this surgery, doctors remove a severely diseased and failing heart and replace it with a healthy heart from a donor.
Doctors at NYU Langone can perform heart transplant evaluations and refer you to specialists at other medical centers for care.