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Written By: Editorial Team | Published : March 26, 2016 4:55 PM IST
Asian Heart Institute presented a study on beating heart redo bypass surgeries performed on cardiac patients (one of the largest studies on Indian patients in India and the world) between January 2003 and February 2016. The study included 411 patients operated for re-do bypass procedures with the help of beating heart technique at the hospital. Beating heart surgery is a way to perform surgery without stopping the heart. Out of 411 patients, 200 patients were diabetic.
Senior cardiovascular thoracic surgeon Dr Sunil Vanzara said, 'As per our data, the average number of grafted arteries used per heart patient is 3.7. The world average of grafted arteries per patient stands at 2.3 (As per the latest Society of Thoracic Surgeons Data). These numbers clearly indicate that the incidence & complexity of coronary artery disease in India is higher compared to the western world.'
'Heart disease remains the biggest cause of death world over. Over the past 40 years, there has been a four fold rise in the incidence of coronary artery disease rates in India. Today it is one of the most prevalent forms of heart disease, contributing to more than 80 % of total cardiovascular disease prevalence. This has led to an increase in some coronary artery bypass grafting, angioplasties and re-do bypass surgeries being performed every year in the country,' said Dr Ramakanta Panda, India's number one cardiovascular thoracic surgeon and vice chairman, Asian Heart Institute, Mumbai.
As per the National Interventional Council statistics, in 2015, there were 61.5 million people with coronary artery disease in India. According to the industry data, over 2 lakh + cardiac surgeries are performed in India every year and out of these less than 1% are redo-bypass procedures. The total number of angioplasties performed in 2014 in India were 248152 (14.5 % increase from 2013).
Surgery on a beating-heart can reduce the risk of complications associated with the conventional way of doing this surgery where the heart is stopped temporarily during the operation. 'At Asian Heart Institute, almost 99.5 % patients were operated with the beating heart technique,'said Dr.Vijay DSilva, Medical Director Asian Heart Institute. 'This data also indicates that the Indian surgeons are far more experienced in performing cardiac procedures such as beating heart for complex redo-bypass surgeries.'
The hospital's latest data shows 1.5 % mortality (compared to 4.6 % mortality as per recent the Society of Thoracic surgery Data). 'Complex redo bypass procedures are safer if done with specialised setup and skills. Today we are even doing highly complex third and fourth time redo bypass surgeries,' said Dr Vanzara. India stands in the middle of a coronary artery disease epidemic whereby the burden of communicable diseases is declining slowly, but that of non-communicable diseases has surged rapidly, said doctors.
Dr Panda also spoke about his 3500th extremely challenging case of a 5th-time valve replacement. After having her heart operated four times in the past, 67-year-old Mumbai resident Pushpa Saraf was finally gifted a news lease of life by doctors at the Asian Heart Institute, Mumbai, India. Dr Panda operated on Mrs Saraf for the 5th time- not only to replace a defective valve but also to remove a TAVI valve which had slipped inside her heart chambers. Doctors also replaced the ballooned out aorta (an aortic aneurysm) in her heart.
'This could be probably the first such case in the world because of the 5th time valve operation with aortic aneurysm repair and removal of the minimally invasive implanted valve done on one patient. Compared to a first-time heart operation, a redo operation becomes complicated as the heart and lungs get stuck to the breastbone. During surgery, in a redo operation, there is a serious risk of damaging heart while opening the chest. Compared to 1st-time redo operation, a 2nd-time redo operation is even more complicated. However a 5th time redo operation along with aortic aneurysm surgery is unheard of and was for the first time successfully performed at the Asian Heart Institute,' said Dr Panda.
Pushpa Saraf and her husband Vinod Saraf spoke to the media on the occasion of the press meet. Another patient, 67-year-old Satyavan Gaikwad, who is a diabetic bank employee from Vikhroli, was operated in Jan 2016 at Asian Heart, CABG, five grafts. He also shared his experience with the media and was accompanied by his son, Rajan Gaikwad.
Press release
