Gurugram, India – A World-First in Cardiac and Transplant Surgery
In a momentous medical breakthrough, Dr. Sanjay Kumar, a renowned cardiothoracic and vascular surgeon, led a multidisciplinary team at Paras Hospitals, Gurugram, in performing the first reported case of simultaneous double-valve heart surgery and living-donor liver transplant.
The 14-hour procedure was carried out on a 46-year-old woman from Kyrgyzstan, who had advanced liver disease along with severe mitral and tricuspid valve regurgitation. Instead of risking two high-risk, staged operations, the team boldly opted for a single sitting that would save her life.
Dr. Sanjay Kumar’s Landmark Achievement
This historic surgical feat pushes the boundaries of multi-organ surgical science. The patient underwent:
- Mitral valve replacement with a mechanical prosthesis
- Tricuspid valve repair
- Living-donor liver transplant, with her son as the donor
She was extubated within 12 hours, discharged after 21 days, and has now returned to Kyrgyzstan in good health.
Patient Profile and Medical Challenge
- Age/Sex: 46-year-old female
- Nationality: Kyrgyzstan
- Primary condition: Decompensated liver cirrhosis, listed for transplant
- Incidental finding: Severe mitral regurgitation and moderate-to-severe tricuspid regurgitation
- Surgical risk: Either untreated valve condition could endanger the liver graft and recovery
This complex scenario posed a life-or-death challenge, traditionally deemed inoperable or too high-risk for simultaneous intervention.
The Surgical Strategy: A Two-Phase Masterstroke
Phase 1: Double-Valve Open-Heart Surgery
- Performed by Dr. Sanjay Kumar and cardiac team
- Median sternotomy and cardiopulmonary bypass
- Mitral valve replacement with a mechanical prosthesis
- Tricuspid valve repair with an annuloplasty ring
- Stabilisation period of six hours before moving to transplant phase
Phase 2: Living-Donor Liver Transplant
- Conducted by transplant surgery team
- Right-lobe graft harvested from the patient’s son
- Piggyback implantation with vascular and biliary reconstruction
Total surgery duration: ~14 hours
Surgical Outcome: A Benchmark for Multi-Organ Surgery
- Patient was extubated within 12 hours
- Discharged on post-op day 21
- No complications, with healthy cardiac and liver function
- Now living a normal life in her home country
This successful outcome demonstrates unprecedented surgical coordination and sets a new global benchmark.
Why This Surgery Is a World First
A comprehensive medical literature review confirms no prior published report of:
- Double-valve (mitral + tricuspid) cardiac surgery
- Combined with any type of liver transplant
- Performed in one sitting, especially using a living-donor liver graft
While isolated cases exist of single-valve and orthotopic liver transplants, Dr. Sanjay Kumar’s case is the first documented instance of this highly complex, adult, dual-procedure operation.
Global Medical Significance
1. Revolutionizing Multi-Organ Surgery
This operation breaks conventional norms that required staging heart and liver procedures. It expands the transplant envelope for patients previously deemed inoperable.
2. Creating a Global Blueprint
With meticulous planning, interdepartmental synergy, and donor-recipient synchrony, this surgery provides a model protocol for major transplant centers worldwide.
3. Delivering Patient-Centric Innovation
The approach saved the patient from two long, risky recoveries, protecting the graft and restoring health in one combined procedure.
“This case shows what seamless teamwork and fearless innovation can achieve. Conditions once considered inoperable are now invitations to push the frontiers of healing.”
— Dr. Sanjay Kumar
About Dr. Sanjay Kumar
- Vice Chairman & Chief, Cardiothoracic and Vascular Surgery, Paras Hospitals
- 22+ years of experience
- 10,000+ successful heart surgeries
- Specialist in complex adult and pediatric cardiac surgery
- Recognized for pioneering hybrid, minimally invasive, and high-risk cardiac procedures
Where It Happened: Paras Hospitals, Gurugram
Paras Hospitals, known for excellence in cardiac care and multi-organ transplants, continues to set new benchmarks under the leadership of Dr. Sanjay Kumar and its highly specialized team of transplant surgeons.
Book a Consultation with Dr. Sanjay Kumar
If you or a loved one are facing complex cardiac or liver challenges, connect with Dr. Sanjay Kumar for a second opinion or personalized treatment plan.
👉 Visit Paras Hospitals
📍 Location: Gurugram | Patna | Ranchi
📞 Call: +91-7366098456
Conclusion
This historic first by Dr. Sanjay Kumar saves a life and changes the landscape of multi-organ surgery. By merging precision, innovation, and compassion, it reaffirms India’s rising status as a global medical powerhouse.