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Posted by : Admin|Date : 06 Apr, 2023|Location : Karamsad

SKH teaching hospital of BU emerges as preferred Centre for High Risk Re-do Cardiac Surgeries

The doctors at Bhanubhai & Madhuben Patel Cardiac Centre of Shree Krishna Hospital, the teaching hospital of Bhaikaka University, Karamsad performed very complex Re-do Heart Surgeries and have given new lease of life to a 51-year-old resident of Bhuj-Kutch and a 30-year-old resident of Umreth. Both heart surgeries were conducted free of cost under Ayushman Bharat Yojna.


With these successful surgeries, the centre emerges as the preferred referral Centre for High-Risk Cardiac Surgeries. Earlier such complex cardiac surgeries were performed at big centres in the country.


51-year-old Rakeshbhai (name changed) from Bhuj- Kutch district had already undergone heart valve replacement surgery in Mumbai 15 years ago. He needed a re-do bypass surgery as he developed the disease in other heart valves and multiple blockages in coronary arteries, once again. His family physician at Kutch referred him to Shree Krishna Hospital, Karamsad.


Dr. Manish Tiwari, Cardio-Thoracic Vascular Surgeon of Bhanubhai and Madhuben Patel Cardiac Centre performed Re-do coronary artery bypass graft (CABG) with Aortic Valve replacement (AVR) surgery in this case. This highly complex and demanding twin surgery was done for the first time in Anand - Kheda District. The patient had a very smooth recovery after major heart surgery. He was transferred from ICU after 48 hours.


The wife of the patient said that "We were counseled by the doctor. A positive and supportive attitude of doctors, nurses, and attendants helped us to feel like we are being cared for with compassion."


“Re-do cardiac surgery is needed when a patient who has had previous heart surgery again develops another life-threatening heart disease. It is required to safeguard the life of the patient. The procedure of second heart surgery is the most challenging. It has been seen that patients who have high-risk factors or who have to undergo a complex Re-do surgery do best at specialized centers such as ours where the surgical and support team has a lot of experience. The skill required to attempt such surgery is acquired only by a few surgeons after decades of practice, patience, and learning. Our Cardiac team (Cardiac Surgeon, Cardiac Anesthesiologist, Cardiologist) has successfully treated patients from across Gujarat, Madhya Pradesh, Maharashtra, Uttar Pradesh, and Rajasthan who have been referred to us because of the affordable yet advanced multidisciplinary care we provide” said, Dr.Tiwari.


In another case, 30-year-old Manjuben (name changed) from Umreth Taluka, Anand District (originally from UP) needed a second-time valve replacement surgery as her biological valves degenerated after 12 years of surgery. In 2011 she was operated on in this centre for double valve replacement. The biological valves were used during surgery as she was newly married and wanted to have children. Doctors of the centre considered that women with mechanical valves have higher rates of fetal loss and maternal complications.


Dr. Manish Tiwari, Cardio-Thoracic Vascular Surgeon of this cardiac centre conducted Redo Double Valve Replacement; (DVR) using mechanical valves this time. For the first time, the cardiac centre of Shree Krishna Hospital of Karamsad has performed the rarest of rare surgery in this region.


The patient said that "I had full trust in the doctor. I recovered and am enjoying my family life."


The similarity between these cases and dozen other cases that are referred to Bhanubhai & Madhuben Patel Cardiac Centre of Shree Krishna Hospital, Karamsad every month is that these patients have been previously told that their heart condition is inoperable or carries high risk. Most of them have been refused surgery at other hospitals citing the risks involved.