State-of-the-art cardiac care in London L

ondon Cardiac and Vascular Associates is a leading private cardiac and cardio- thoracic clinic in central London. It was

founded by four senior physicians and sur- geons with the aim of providing cutting-edge medical care. Patients can be referred by their GP or con-

tact the practice directly for a consultation af- ter which a tailored diagnostic and treatment plan is produced for each individual. Most people are managed on an outpatient basis. However, should a patient need to be moved to a hospital, the group has admission rights to some of the most prestigious private hospi- tals across London. The cardiology practice is led by two high-

ly respected consultant cardiologists, Dr Narbeh Melikian and Dr Jonathan Byrne. Both Dr Melikian and Dr Byrne maintain high-volume practices in the private sector as well as the NHS.

LAA occlusion - to prevent stroke in the old

high-risk elderly patients. By working close- ly with some of the leading neurologists and stroke physicians in London, he regularly closes patent foramen ovale (PFO) / atrial septal defect (ASD) — holes in the heart — and left atrial appendage (LAA) to reduce the risk of stroke. Dr Byrne leads the heart valve disease programme and undertakes trans-aortic valve implantation (TAVI) and mitra-clip to treat diseased aortic and mitral valves in a non-surgical fashion. The cardiac surgical practice is overseen

TAVI - non surgical replacement of aortic valve

lems is managed by the group. This includes patients

The entire range of cardiological prob- experiencing

chest discomfort,

breathlessness and common palpitations such as atrial fibrillation (AF) as well as high blood pressure and elevated cholester- ol levels; with the team’s emphasis being on early detection and prevention. In addition, there’s specific expertise in cardiac screening of athletes and patients with potential rare inherited cardiac conditions. The practice uses state-of-the-art diagnos-

tic facilities including live 3D echocardiogra- phy (cardiac ultrasound), ultra-fast CT scan- ning and cardiac MRI to obtain an accurate picture of each patient’s cardiological health. The cardiac team has an international rep-

utation for interventional catheter-based pro- cedures designed to treat coronary artery dis- ease and heart valve abnormalities without resorting to traditional surgery or the need for general anaesthesia. Most procedures are performed on a day-case basis.

by two senior cardiac surgeons, Mr Jatin Desai and Mr Ranjit Deshpande. Both re- ceive surgical referrals from colleagues throughout the country and are recognised to be among the most versatile surgeons in the UK. Surgical procedure regularly undertaken

include coronary artery bypass graft (CABG) surgery as well as heart valve repair and re- placement. Both Mr Desai and Deshpande have among the best surgical results in the country — their results are published by Royal College of Surgeons at

Patients can be referred by their GP or contact the practice directly for a consultation after which a tailored diagnostic and treatment plan is produced for each individual

Closure of PFO - to prevent stroke in the young In addition, the team specialises in min- Mitra-clip - non surgical replacement of mitral valve The entire spectrum of coronary interven-

tional procedures is undertaken, including coronary angiography and angioplasty us- ing the latest drug-eluting stents and inter- ventional diagnostics such as fractional flow reserve (FFR) and optical coherence tomog- raphy (OCT). FFR and OCT are the most accurate modalities for detailed assessment of disease in coronary arteries. Dr Melikian and Dr Byrne are recognised to be among the highest-volume operators in the UK with ex- cellent outcomes — their results are published by the British Cardiac Intervention Society at In addition, the team specialises in the

rapidly advancing field of structural inter- vention. Dr Melikian has specific expertise in stroke prevention in the very young and

imally invasive CABG and valve surgery. Mr Deshpande leads this programme and is a pioneer of endoscopic minimally inva- sive mitral valve repair. He remains one of the main trainers for this novel technique in the country. The ethos of the group is to ensure that all

patients with complex conditions are managed through a multidisciplinary approach. The cardiology and cardiac surgical teams work closely, and all complex cases are discussed at a heart team meeting on weekly basis.

The practice is managed under the expert supervision of Mrs Elizabeth Dean who has been the practice manager since the groups’ inception T: 020 7403 0824 / 020 7034 8972 F: 020 7402 2306 E:

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