Heart surgery
For some people with
heart disease, surgery is the best treatment option currently
available.
Surgical techniques have improved a
great deal over the years as our understanding of heart conditions grows.
More research is vital to help us reduce the risk and
trauma of surgery, as well as improve ways to replace surgical
procedures with alternatives.
Past innovations
Positive steps for patient care
Your donations have supported important innovations in
patient care during coronary heart
disease surgery for several decades. In the 1970s one
in ten patients died following surgery. The figure is nearer
one in 100 today.
Protecting the heart during surgery
The heart usually has its blood supply cut off during surgery.
In the 1970s, along with the Wellcome Trust, we funded a
team from St Thomas’ Hospital to develop a way to protect the heart
when it loses the blood supply.
The team developed the 'St Thomas' Hospital
cardioplegic solution' - a liquid mixture that can preserve
and protect the heart, giving surgeons more time to operate
safely.
The solution has been used in operating theatres around the
world and helped thousands of hearts recover from surgery.
More recent research
suggests that restricting blood flow to the arm could help to
protect hearts during surgery.
Heart transplant success
Our pioneering research with Professors Sir Magdi
Yacoub and Sir Terence English in the 1980s played a big part in
making the heart transplant a
surgical success story.
And today, half the hearts transplanted ten years ago
are still going strong for people who would otherwise have had only
months to live.
Helping failing hearts
Sir Magdi Yacoub has also led innovations in surgery to help
failing hearts recover. Read about Hannah Clark's piggy-back heart and the
team's discovery that a combination of mechanical intervention
and the right drugs can bring some peoples' hearts back from the
brink.
Beating heart surgery
BHF Professor Gianni Angelini in
Bristol has developed techniques allowing the heart to keeping
beating during coronary artery bypass
operations. Short-term, this showed fewer post-surgery
complications for patients. We are still supporting Professor
Angelini to assess the longer term benefits for heart
patients.
The future for heart surgery
Reducing rejection
Heart transplant is a successful procedure. But the medicines
which transplant patients must take to control their immune
responses against their new heart leave them more vulnerable
to illness. We are funding projects aiming to reveal
how we can stop the rejection, and help patients
stay healthy for longer.
Transfusion risk
Recent research by Professor
Angelini's Bristol team has shown that blood tranfusions during
surgery can cause health complications. They hope
their research will lead to evidence-based guidelines on which
patients really need extra blood.