Cardiothoracic Surgery

The department can handle all types of complex and simple cardiac procedures right from new born to the elderly. The paediatric cardiac surgical unit performs all procedures including complex surgeries like arterial switch operations right from newborn till 18 years of age. The adult cardiac unit performs procedures like coronary artery bypass surgery including beating heart surgery, arterial grafts and endoscopic vein and radial artery harvesting. The unit is a centre of excellence in valve repair and aortic surgery. The department is equipped with the state of art facilities to handle all complex problems.

Coronary Artery Bypass Surgery, this is the commonest performed cardiac surgical procedure constitutes 60-70% of the Adult Cardiac Work. We do about 1000 CABG per year and has done more than 16000 cases in this department. CABG is done for blocks in the heart and is lifesaving. Our results in Coronary Artery Bypass Surgery are one of the best in the world compared to the best centres like Cleveland clinic and STS database. We have a mortality of close to 1% as against the world’s standard of 1.8%. We are a centre of excellence in CABG Surgery and have participated in multiple studies and trials on this procedure.

Coronary Artery Bypass Surgery is done by two techniques:

• Beating heart off pump surgery – constitutes 70-80% of our work, usage of arterial grafts are also supposed to be beneficial and we routinely do mammary arteries and radial arteries as conduits. To facilitate better patient compliance and also less pain we harvest these veins and radial arteries by Endoscopic technique and Endovascular harvesting of veins and radial arteries is a standard of care. Beating heart surgery or Offpump CABG surgery helps the patient to recover faster and also reduce the need of blood transfusions.
• We also do minimal access coronary artery bypass surgery when in selected patients through a small incisions on the left side of the chest.

The pediatric cardiac surgical service of our department is a centre of excellence on its own and performs all types of complex pediatric procedures right from the new born till 18 years of age and it also performs complex adult congenital heart disease corrections as well. Newborn children needing emergency acute cardiac surgical corrections have excellent results and the data of our pediatric cardiac service is analysed by the IQVIC, the International Quality Control Council and we are benchmarked as one of the centres of excellence in terms of outcomes in India. Our pediatric centre is linked to Children Heart Link of USA and has a collaboration with Mayo Clinic.

We are a centre of excellence in Aortic Surgery and we do all complex aortic procedures including Bentall operations, Valve sparing root operations, treatment of aneurysms of the aorta involving the ascending, arch and descending and hybrid endovascular techniques and endovascular treatment of aneurysms. Acute aortic dissection is a surgical emergency which needs to be attended immediately which carries a very high mortality if untreated and in our centre we have very good results with this procedure. We are one of the top 10 centres in the country performing all types of aortic complex surgeries with excellent results.