Manchester Heart Centre specialises in Adult Cardiothoracic Surgery. We carry out a wide range of open heart and other surgical procedures. Cardiac Surgery Intensive Care Unit has 13 Critical Care beds primarily for the care of patients following heart surgery. Cardiac Surgery High Dependency Unit (8 beds) provides continuing post operative critical care following both Cardiac and Thoracic surgery and Ward 3 comprises of 28 beds. We are part of the Advancing Quality Project currently in the North West. This programme aims to improve patient care and experience. It went live October 2008; it's the first of its kind in the UK. The programme will ensure patients have a better hospital experience, which will result in them having a better quality of life. For more information see the website.
Services provided
Adult Cardiac SurgeryThoracic SurgeryCongenital Cardiac Surgery
Rehabilitation and follow up
Cardiac Rehabilitation starts 6 weeks after Heart Surgery at Manchester Royal Infirmary or the local community. Whilst in hospital patients are asked which hospital it is convenient for them to attend. The appropriate contact is made with the chosen hospital's rehab team to ensure continuity of care. The Cardio-Thoracic Liaison Team follow the patient's progress pre to post op and have a 7 days a week help line, for more information see the website.
Total adult cases for the year ending March 2009:
No. surgeons who undertake adult heart surgery: 6
No. consultant anaesthetists with any adult heart surgical practice: 10
Access
Cars are allowed to pull close to the main entrance doors for a drop off prior to being parked in the adjacent multi-storey car park. There are lifts in the car park and ramps from the car parks. There are facilities for disabled parking and the main doors to the hospital are electronically operated. The unit can be located on the first floor of the Purple Zone, Phase 2 Building. From the main entrance on Grafton Street, take the lift or stairs to the first floor. Walk down the main corridor and look for Ward 3 / CSHDU on the right and CSITU is opposite on the left.
Visiting hours
Ward 3 andC SHDU have the same visiting hours of 2pm - 5pm and 6pm - 8pm. Cardiac Surgery Intensive Care Unit visiting hours of 3pm - 7pm.
Location: Department of Cardiothoracic Surgery, Manchester Heart Centre,Manchester Royal Infirmary,Oxford Road,Manchester,M13 9WL
Tel: 0161 276 1234
Patients who are going to have certain heart surgery may find it useful to look up rates of survival for surgeons or hospitals they are considering and discuss this information with their GP or their surgeon.
Your own chances of surviving a heart operation.
2008/09 alone: Actual survival rate 97.9% better than expected (535 operations, with expected survival rate range 99.1 - 0.0%)
2008/09 alone: Actual survival rate 97.9% as expected (535 operations, with expected survival rate range 96.3 - 99.8%)
Statistics calculated from patients having all kinds of heart surgery.Factors such as ill health, increased age and lifestyle can affect a patient's chance of surviving a major operation. When we calculate the expected rates of survival we take these risk factors into account. Find out more about how expected rates of survival are calculated.
Factors such as ill health, increased age and lifestyle can affect a patient's chance of surviving a major operation. Examples of things that increase the risk of not surviving a heart operation are whether a patient has had heart surgery before or whether a patient has long term lung disease. When we calculate the expected rates of survival we take these risk factors into account The expected range of rates of survival shown in the white bars on each graph above reflects the overall risk of patients treated at the hospital. Some hospitals treat more high-risk patients than others and as a consequence of this the average expected survival rate for these hospitals is lower than other hospitals.
The main way of taking risk factors into account when calculating the expected rate of survival is by using what is known as the EuroSCORE method. This is a method of predicting the chances of dying during or within 30 days after undergoing heart surgery. This scoring system was based on information from many patients across hospitals in 8 European countries. In the last four years, heart surgery in the UK has tended to be better than EuroSCORE predicts so we have calculated the expected rates of survival by making an adjustment to the scoring based on the current UK only information. The adjustment for UK performance means that more people are expected to survive and is therefore a tougher comparison.
More information about how the expected rates of survival are calculated is included in about this site.
Mortality and survival rates are only one indication of the quality of surgical care, and cardiac surgery in the UK is now very safe with very high survival rates. Two other indicators of the quality of care are given here; the use of the left internal mammary for coronary bypass surgery and post-operative length of stay rates.
Given below is data on the use of the left internal mammary artery (LIMA) for coronary artery surgery grafts to the left anterior descending coronary artery (LAD). The LAD is in many ways the most important blood vessel on the heart. It supplies blood to a large part of the muscle of the major pumping chamber of the heart (the left ventricle) along with the majority of the muscle that sits between the left and the right ventricles (the septum). A number of clinical studies have shown that use of the LIMA to the LAD during coronary artery surgery gives patients the best improvement in life expectancy and the best chance of remaining free from angina in the long term. High use of the LIMA graft is generally regarded as an important 'quality measure'
Given below is information about length of stay following coronary artery surgery for each hospital in the UK. In general most patients who undergo this type of surgery should go home during the first week after their operation. Patients who develop complications may stay longer and those who get serious complications can stay in hospital for a long time. Here we are showing the proportion of patients who stayed more than 14 days after their surgery. This is a 'surrogate' measure of the quality of surgery, and also of the resource used by each centre (prolonged length of stay can be very expensive to the NHS). These results should be viewed with some caution - some hospitals transfer patients back to their referring hospital for convalescence after surgery which may make their length of stay rates appear artificially short, others may have a high incidence of patients who are very elderly or who have difficult domestic circumstances which may lead to long lengths of stay for reasons other than the quality of surgical care.