A re-do bypass surgery or a repeat bypass is sometimes required in patients who have already undergone a bypass surgery but have developed complications.
The Asian Heart Institute has done as many as 411 re-do bypass procedures in the last 13 years, with the help of their beating heart technique. Of the 411 patients, 200 were diabetic. The doctors at the hospital claimed that this might be a record number of patients for a hospital.
A re-do bypass surgery or a repeat bypass is sometimes required in patients who have already undergone a bypass surgery but have developed complications. According to the Asian Heart Institute authorities, the beating heart technique is a way to perform the surgery without stopping the heart. This reduces the risk of complications, in contrast to the conventional way, wherein the heart is stopped temporarily.
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 (data from the Society of Thoracic Surgeons). These numbers clearly indicate that the incidence and complexity of coronary artery disease in India is higher as compared to the western world."
A re-do bypass is needed if blockages develop after the first surgery. It is complex and risky because after the first surgery, the heart and lungs stick to the breast bone. The beating heart technique using arterial grafts reduces the risk associated with a re-do bypass.
"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," said Dr Ramakanta Panda, vice-chairman of the Asian Heart Institute.
As per the National Interventional Council statistics, 61.5 million people suffered from coronary artery disease in India in 2015.
"At the Asian Heart Institute, almost 99.5 % patients were operated with the beating heart technique. This data also indicates that Indian surgeons are far more experienced in performing cardiac procedures, such as complex re-do bypass," said Dr Vijay DSilva, medical director of the institute.
Kemps Corner resident has fifth valve replacement procedure
Pushpa Saraf (67), a resident of Kemps Corner, had already had her heart operated upon four times. Once again, the doctors had to replace a defective valve and remove a trans-catheter aortic valve replacement (TAVI), which had slipped inside her heart chambers. Saraf's problem started 17 years ago, when she underwent an aortic valve replacement for a leaking valve. She underwent the same procedure four times after developing complications. She underwent the fifth procedure at the Asian Heart Institue.
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