Open Heart Surgery (CABG) in India

In this article, we have covered the following aspects of Open Heart Surgery (CABG) in India

  • Top hospitals for open heart surgery in India
  • Top Cardiac Surgeons in India expertised in CABG.
  • Cost of Open Heart Surgery in India
  • Understanding Open Heart Surgery

Top Doctors and Hospitals for Open Heart Surgery hospitals in India

Following is a list of the most reputed specialists in India for Open Heart Surgery.
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Doctor ImageDr. NameSpecialtyHospital AssociatedContact DoctorCity
Dr. Surendra Nath Khanna Cardiac SurgeonFortis Escorts Heart Institute and Research Centre Delhi
Dr Krishna Subramony Iyer Dr. Krishna Subramony Iyer Cardiac SurgeonFortis Escorts Heart Institute and Research CentreDelhi
Dr. Z S MeharwalDr. Z.S.MeharwalCardiac SurgeonFortis Escorts Heart Institute and Research Centre Delhi
Dr. Yugal K Mishra Cardiac SurgeonFortis Escorts Heart Institute and Research Centre Delhi
Dr Vivek jawaliDr. Vivek JawaliCardiac SurgeonFortis Hospital, Bannerghata Bangalore
Dr. K R BalakrishnanDr. K R BalakrishnanCTVSFortis Malar Hospital Chennai
Dr. Sanjay GuptaDr. Sanjay GuptaCTVSFortis Flt. Lt. Rajan Dhall HospitalNew Delhi
Dr. Raju VyasDr. Raju VyasCTVSFortis HospitalDelhi
Dr. Anvay Mulay Cardiac SurgeonFortis Hospital, Mulund Mumbai
Dr Naresh TrehanDr. Naresh Trehan Cardiac SurgeonMedanta – The MedicityGurgaon
Dr. Anil Bhan Cardiac SurgeonMedanta – The MedicityGurgaon
Dr. Murtaza A Chishti Cardiac SurgeonArtemis Hospital Gurgaon
Dr. Nandkishore KapadiaDr. Nandkishore Kapadia
Cardiac SurgeonKokilaben Dhirubai Ambani Hospital Mumbai
Dr. Suresh RaoDr. Suresh Rao Cardiac SurgeonKokilaben Dhirubai Ambani HospitalMumbai
Dr. Sandeep AttawarCardiac SurgeonGlobal Hospitals Chennai
Dr Zainulabedin Hamdulay Cardiac SurgeonGlobal HospitalsMumbai
Dr. Bhaba Nanda DasDr. Bhaba Nanda DasCTVSIndraprastha Apollo HospitalNew Delhi
Dr. Mukesh GoelDr. Mukesh GoelCTVSIndraprastha Apollo HospitalNew Delhi
Dr. Pradheep KrishnamohanDr. Pradheep KrishnamohanCTVSCARE HospitalsHyderabad
Dr. P C GuptaDr. P C GuptaVascular SurgeonCARE HospitalsHyderabad
Dr. Gnaneswar AtturuDr. Gnaneswar AtturuVascular SurgeonCARE HospitalsHyderabad
Dr. Rahul ChandolaDr. Rahul ChandolaCTVSCARE HospitalsHyderabad
Dr. G Rama SubramanyamDr. G Rama SubramanyamCardio Thoracic SurgeonCARE HospitalsHyderabad
Dr. Ajay Kaul Cardiac SurgeonBLK Super Specialty Hospital Delhi
Dr. Sushant Srivastava Cardiac SurgeonBLK Super Specialty Hospital Delhi
Dr. (Col) Kumud Rai Cardiac SurgeonMax Super Specialty Hospital Delhi
Dr. Rajneesh MalhotraDr. Rajneesh Malhotra Cardiac SurgeonMax Super Specialty Hospital Delhi
Dr. Anil KapoorDr. Anil KapoorCTVSJaypee HospitalNoida
Dr Rajesh SharmaDr. Rajesh Sharma Cardiac SurgeonJaypee Hospital Noida
Dr. Manoj LuthraDr. Manoj LuthraCardiac SurgeonJaypee HospitalNoida
Dr. Suresh V JoshiDr. Suresh V JoshiCardiac SurgeonWockhardt HospitalsMumbai
Dr. Murali BabuDr. Murali BabuCTVSNarayana Multispeciality HospitalBangalore
Dr. Mrinalendu DasDr. Mrinalendu DasPaediatric Cardiac SurgeonRabindra Nath Tagore International Institute of Cardiac SciencesKolkata
Dr. Pradeep NarayanDr. Pradeep NarayanCardiac SurgeonRabindra Nath Tagore International Institute of Cardiac SciencesKolkata
Dr. Lalit KapoorDr. Lalit KapoorCTVSRabindra Nath Tagore International Institute of Cardiac SciencesKolkata
Dr. (Prof) Amitabha ChakrabartiDr. (Prof) Amitabha ChakrabartiThoracic SurgeonNarayana Multispeciality HospitalKolkata
Dr. Devi Prasad ShettyDr. Devi Prasad ShettyCTVSNarayana Multispeciality HospitalBangalore
Dr. Robbie GeorgeDr. Robbie GeorgeVascular SurgeonMazumdar Shaw Cancer Centre (MSCC)Bangalore
Dr. Shekhar RaoDr. Shekhar RaoPaediatric CTVSNarayana Institute of Cardiac SciencesBangalore
Dr. Ramesh SeshadriDr. Ramesh SeshadriCTVSNarayana Institute of Cardiac SciencesBangalore
Dr. Priyankar SinhaDr. Priyankar SinhaCTVSNarayana Institute of Cardiac SciencesBangalore
Dr. Shripal DoshiDr. Shripal DoshiCTVSSir H. N. Reliance Foundation Hospital and Research CentreMumbai
Dr. Shivaprakash KrishnanaikDr. Shivaprakash KrishnanaikPediatric Cardiac SurgeonSir H. N. Reliance Foundation Hospital and Research CentreMumbai
Dr. Ali Asgar BehranwalaDr. Ali Asgar BehranwalaCTVSSir H. N. Reliance Foundation Hospital and Research CentreMumbai
Dr. Colin JohnDr. Colin JohnCardiac SurgeonNarayana Institute of Cardiac SciencesBangalore
Dr. Aseem R. SrivastavaDr. Aseem R. SrivastavaCardiac SurgeonArtemis HospitalGurgaon
Dr. Nitin GoelDr. Nitin Goel Cardiac SurgeonArtemis HospitalGurgaon

Cost of Open Heart Surgery in India

An Open Heart Surgery in India will cost you between USD 6000 -8000 in most cases. Please share reports for best estimate.

Understanding Open Heart Surgery

Open heart surgery is a surgical procedure to treat certain types of heart diseases. As the name suggests the area is cut opened to expose the heart and perform the surgery. The term is often used for ‘Heart Bypass Surgery’ as the ‘open and cut’ method is used to conduct coronary artery bypass surgery (CABG).

Also known as traditional heart surgery, open heart is done by making five to eight inches surgical cut in the chest wall through the patient’s breastbone or sternum. The whole procedure is performed under general anesthesia.

Heart conditions treated through open heart surgical method

  • Repair or replace heart valves
  • Heart defects by birth
  • Coronary artery disease
  • Heart transplant

Indications for Open Heart Surgery/ CABG

Class I indications:

  • Left main coronary artery disease (LMCAD) with 50% or greater narrowing
  • Anatomically equivalent LMCAD with 70% or greater narrowing in both the proximal left anterior descending (LAD) coronary artery and the left circumflex artery
  • Three-vessel coronary artery disease (CAD), particularly in the setting of an deceased left ventricular ejection fraction (LVEF)

Class II indications:

  • Proximal LAD coronary artery stenosis (impaired LVEF becomes a class I indication)
  • One-vessel or two-vessel CAD ( not involving the proximal LAD coronary artery) if a moderate area of viable myocardium is at risk

Class III indications:

  • One-vessel or two-vessel ( not involving the proximal LAD coronary artery)with only a small area of viable myocardium

CABG & Angioplasty

Studies comparing CABG with coronary intervention (Angioplasty) for multivessel disease demonstrated that the two strategies had similar mortalities.

Some studies have showed improved mortality in diabetic subgroups that undergo CABG, though findings may differ in different population.

Before the widespread use of drug-eluting stents, the main advantages of CABG over percutaneous cardiac intervention (PCI) included a lower rate of redo procedures, greater success with 100% total cut off of coronary arteries, and protection of the entire vessel anastomosis of a mammary graft.

The disadvantage of CABG is the surgical risks and surgery related complications.

Introduction of Drug-eluting stents have improved angioplasty results, particularly with regard to repeat revascularization, and there are chances of decrease in restenosis with drug-eluting stents (DESs) which will further reduce the need for repeat procedures in patients with multivessel coronary artery disease

Types of Open Heart Surgery

Minimally invasive coronary artery bypass grafting(MICABG)

With advancement in skills of performing CABG led surgeons to avoid performing a median sternotomy, thereby reducing pain , respiratory complications and above all preventing the large scar associated with this incision.

MICABG includes surgical techniques that allow access to the heart through small thoracotomy incisions with endoscopic robotic surgery using a computer-enhanced telemanipulation system

Minimally invasive direct CABG (MIDCABG) can be performed with or without Cardio-pulmonary bypass

Robotic CABG

In robotic CABG, the surgeon, with the help of computer console, introduces instruments through small thoracotomy chest incisions and manipulates them with robotic arms

Early results of robotic surgery were successful on anterior vessels, and this success led to the development of complete multivessel Robotic CABG

Small incisions substantially reduce the morbidity related to median sternotomy and offer a quicker recovery

MIDCABG without CPB is primarily performed in the following circumstances:

  • For anterior lesions (lesions of the LAD in particular) when angioplasty is unsuitable due to some reasons
  • For patients in whom conventional bypass cannot be performed safely because of comorbid conditions associated with high surgical risk
  • For redo surgery, when sternotomy or CPB is contraindicated because of the risk of  bypass grafts, cardiac structures adherent to the sternum, previous sternal wound infection, mediastinal radiation therapy, or a calcified or diffusely atherosclerotic aorta

MIDCABG to the LAD in conjunction with angioplasty stenting of the right coronary artery or left circumflex artery is also performed.  This surgery is done off the pump through a small anterior thoracotomy. Typically, MIDCABG offers access only to the LAD and diagonal coronary arteries

When MIDCABG is done through a limited anterior thoracotomy with CPB, Heart-Lung machine is used for optimal myocardial protection. This approach offers better myocardial protection, better access, freedom to manipulate and expose the entire heart which is necessary for multivessel CABG

Off-pump CABG

OPCABG is performed via median sternotomy, which facilitates harvest of the internal mammary artery and access to all coronary arteries. Temporary endovascular shunts are used to limit myocardial ischemia

Off-pump CABG (OPCABG) or Beating Heart Surgery usually involves a medial sternotomy but avoid usage of heart lung machine for cardiopulmonary bypass (CPB), thus perhaps reducing bleeding and the frequency of renal failure.

The main advantage of OPCABG is that it prevents complications of artificial perfusion and CPB,reductions in inflammatory response, postoperative infection, and arrhythmias.

Risks of open heart surgery

Open heart bypass surgery is a common surgical procedure. The risks involved with the surgery are same as with any other surgery like bleeding, infection or stroke etc., which are well care taken by the surgeons. It is important to note that the risks increase for elderly patients, diabetics, and those with weak heart muscles.

Recovery after Open Heart Surgery

The recovery after open heart surgery is gradual. For the first two months after the surgery, you will be strictly advised by your cardiologist about precautions to be taken, dietary changes, and light activities that could be done. You are required to strictly follow the medications and instructions prescribed.

After about two months your doctor may allow you to get back to work gradually depending upon your medical condition. There will be regular follow-up visits to the doctor for the first few months.

Recommended lifestyle changes after Bypass Heart Surgery for quick recovery and greater benefits:

  • Eat healthy nutrient-rich diet
  • Low intake of foods high in fat, sugar, and salt
  • Control high blood pressure and cholesterol level
  • Moderate exercises
  • Stop smoking and taking alcohol
  • Maintain active lifestyle

Note (for foreign patients):

Besides South Asian countries (Afghanistan, Bangladesh, Bhutan, Maldives, Nepal, Pakistan, Sri Lanka), every year, India gets thousands of medical tourists from African countries- Nigeria, Kenya, Ethiopia, Sudan, Uganda, Ghana, Somalia,Gambia etc and Middle Eastern countries like Iraq, Iran, Saudi Arabia, Oman, UAE, Yemen etc. Hence, if you are a citizen of any of these countries, there is good likelihood that you will be meeting some fellow citizens or same language speakers in the major hospitals in India. Almost all the top hospitals have translators for people of these region. Our patient support team is also well placed to assist you.

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