Ravi Shankar Uncategorized

The Truth About Heart Surgery Scars

By Dr. Sanjay Kumar, Department of Cardiothoracic and Vascular Surgery (CTVS) at Medanta Super Speciality Hospital, Noida

The Truth About Heart Surgery Scars

For many people, the thought of heart surgery brings not only fear about the procedure itself but also concern about the scar it might leave behind. Traditionally, heart surgery involved a long chest incision, sometimes up to 20–25 cm, leaving a visible reminder across the chest.

But here’s the good news: not all heart surgeries leave large, lifelong marks anymore. Thanks to advancements in cardiac surgery, patients now have access to minimally invasive approaches that dramatically reduce scar size and improve overall recovery.

Smaller Scars, Bigger Benefits

Modern surgical techniques such as mini-thoracotomy and minimally invasive sternotomy are changing the way heart surgery is done. Instead of a long cut down the chest, these methods use much smaller incisions — often less than 8 cm, sometimes smaller than a credit card.

What does this mean for patients?

  • Faster Recovery: Smaller incisions heal quicker, allowing patients to return to normal activities sooner.
  • Less Pain: With less tissue disruption, post-operative pain is significantly reduced.
  • Better Cosmetic Results: Scars are smaller, less noticeable, and often hidden between natural skin folds.
  • Improved Comfort: Patients feel more confident resuming daily life without the worry of a large scar.

Why Minimally Invasive Surgery Matters

It’s important to understand that minimally invasive heart surgery is not just about looks. While aesthetic outcomes are a welcome advantage, the real value lies in the precision and safety these techniques bring.

  • Reduced Risk of Infection: Smaller wounds lower the chance of complications.
  • Less Blood Loss: Advanced tools and targeted incisions minimize blood loss during surgery.
  • Shorter Hospital Stay: Many patients go home within a few days, compared to longer recovery times with traditional surgery.
  • Quicker Return to Work & Family Life: Faster healing helps patients regain independence sooner.

Types of Minimally Invasive Heart Surgeries

  1. Mini-Thoracotomy
    • A small incision is made between the ribs instead of opening the entire chest.
    • Commonly used for valve repair and replacement.
  2. Minimally Invasive Sternotomy
    • Instead of cutting through the whole breastbone, only a small portion is divided.
    • Provides excellent access with reduced scarring.
  3. Endoscopic or Robotic-Assisted Surgery
    • Surgeons use tiny cameras and robotic arms to perform delicate heart procedures with extreme accuracy.
    • Scars are even smaller, sometimes only a few keyhole incisions.

Common Concerns About Heart Surgery Scars

“Will my scar always be visible?”

  • While some scars may lighten or fade over time, minimally invasive methods keep them small and less noticeable.

“Is minimally invasive surgery as safe as traditional surgery?”

  • Yes. In fact, for many conditions, it’s equally effective and often safer due to reduced trauma and quicker recovery.

“Am I eligible for minimally invasive surgery?”

  • Not all patients are candidates. It depends on your heart condition, overall health, and your surgeon’s expertise. That’s why a detailed consultation is essential.

Why Early Consultation is Important

If you have been advised heart surgery, don’t assume it means living with a large scar. Early consultation with an experienced cardiac surgeon can help you explore all possible options, including minimally invasive techniques.

Hospitals in cities like Delhi, Noida, Patna, Ranchi, and Gurgaon now offer world-class facilities for advanced heart surgery with minimal scarring. This means patients no longer need to travel abroad to access the latest surgical innovations.

Frequently Asked Questions (FAQs)

Q1. Do all heart surgeries leave big scars?
No. With modern minimally invasive techniques like mini-thoracotomy and small sternotomy, scars can be less than 8 cm, often smaller than a credit card.

Q2. What is the difference between traditional heart surgery and minimally invasive surgery?
Traditional open-heart surgery involves a large incision in the chest, while minimally invasive surgery uses smaller cuts, leading to less pain, faster recovery, and smaller scars.

Q3. How long does it take to recover from minimally invasive heart surgery?
Most patients recover faster than with traditional surgery — many return to daily activities within a few weeks.

Q4. Will the smaller scar affect the success of surgery?
Not at all. Minimally invasive surgery is equally effective and, in many cases, safer due to reduced trauma and blood loss.

Q5. Can everyone with a heart condition opt for minimally invasive surgery?
Not always. It depends on the patient’s condition, type of heart disease, and overall health. Your surgeon will recommend the safest option.

Q6. Are minimally invasive surgeries riskier?
No. When performed by experienced cardiac surgeons, they are safe and often carry fewer risks than traditional open-heart surgery.

Q7. Is cosmetic appearance the only benefit of smaller scars?
No. The benefits include reduced pain, lower infection risk, faster healing, and a quicker return to normal life — along with better cosmetic outcomes.

Q8. How can I know if I’m eligible for minimally invasive heart surgery?
You should consult a heart surgeon. After tests and imaging, they can decide whether you are a good candidate for such advanced procedures.

Final Thoughts

The truth about heart surgery scars is simple: they don’t have to be big anymore. With minimally invasive heart surgery, you can benefit from smaller scars, faster recovery, reduced pain, and improved quality of life.

Heart surgery is about saving lives, but it can now be done in a way that also protects your comfort and confidence.

📞 Book your consultation today to learn if minimally invasive surgery is right for you — and take the first step toward a healthier heart without a lifelong scar.

Ravi Shankar Best Cardiac Surgeon

Best Cardiac Surgeon in Noida | Book a Appointment Today

By Dr. Sanjay Kumar, Department of Cardiothoracic and Vascular Surgery (CTVS) at Medanta Super Speciality Hospital, Noida

Best cardiac surgeon in Noida

Transforming Heart Care: Meet the Top Cardiac Surgeon in Noida

Heart disease remains one of the leading causes of death globally, making it vital to find the best cardiac care professionals near you. Whether you’re searching for the Top Cardiologists in Noida or looking to connect with the best heart specialists in Patna, this guide introduces you to leading names in cardiac surgery and care, especially the renowned Dr. Sanjay Kumar, a pioneer in Cardiothoracic and Vascular Surgery.

Dr. Sanjay Kumar: Leading Cardiothoracic and Vascular Surgeon

With over 22 years of experience, Dr. Sanjay Kumar has performed over 10,000 successful surgeries, earning his place among the Top 10 Cardiologists in Noida. He is currently the Vice Chairman and Chief of Cardiothoracic and Vascular Surgery at Medanta Hospitals, overseeing operations in Noida and Patna.

Education & Training:

  • MBBS, MS (Surgery), MCh (Cardiovascular and Thoracic Surgery)
  • Training at top institutions like Patna Medical College, Sawai Man Singh Hospital (Jaipur), and VMMC & Safdarjung Hospital (Delhi)
  • Advanced Observership: University of Chicago (Cardiac Transplants, Ventricular Assist Devices)

Areas of Expertise:

1. Adult Cardiac Surgery

This focuses on heart surgeries in adults and includes:

Beating Heart Surgery: This is a type of bypass surgery done while the heart is still beating, without stopping it or using a heart-lung machine.
Coronary Bypass Surgery (CABG): A common procedure to treat blocked heart arteries. Surgeons create a new path for blood to flow to the heart.
Minimally Invasive Techniques: These use smaller incisions, leading to quicker recovery, less pain, and fewer complications than traditional open-heart surgery.

2. Pediatric Cardiac Surgery

This involves:
Life-Saving Surgeries for Children: These surgeries correct congenital (present at birth) heart defects in infants and children, such as holes in the heart, abnormal valves, or complex structural problems.

3. Aortic and Hybrid Aortic Surgeries

These surgeries treat conditions affecting the aorta, the main artery that carries blood from the heart to the rest of the body.
Minimally Invasive Methods: Instead of a large chest incision, doctors may use small incisions and advanced tools to repair the aorta.
Hybrid Surgeries: These combine open surgery with catheter-based techniques for complex aortic problems, offering better outcomes and reduced recovery time.

4. Emergency Cardiac Surgeries

These are urgent operations done in life-threatening heart situations, such as:
Heart attack
Cardiac trauma
Valve failure or rupture
They require quick decision-making and skilled execution to save the patient’s life.

5. Endovascular Aortic Procedures

These are minimally invasive treatments done through blood vessels (usually via the groin) to fix aortic problems like aneurysms.
Surgeons insert a stent graft (a tube-like device) to reinforce the weakened aorta.
It avoids open surgery, reduces risks, and offers quicker recovery.

6. Vascular Surgeries

These focus on blood vessels outside the heart and include:
Heart Failure Treatment: Surgical options like reshaping the heart or improving its pumping ability.
Mechanical Assist Devices (e.g., LVADs): Devices implanted to help the heart pump blood when it’s too weak on its own. Often used while waiting for a heart transplant.

Why Choose Dr. Sanjay Kumar?

Proven Expertise

  • What it means: Dr. Sanjay Kumar has over 22 years of experience in heart surgeries.
  • Why it matters: With decades of hands-on practice, he’s a trusted and reliable name in cardiac care.

Innovative Care

  • What it means: He is a pioneer in ECMO technology (a life-saving heart-lung support system) and hybrid surgical techniques that combine open and minimally invasive procedures.
  • Why it matters: Patients benefit from the latest medical advancements, which often lead to faster recovery and better outcomes.

Successful Outcomes

  • What it means: Dr. Kumar has performed over 10,000 heart surgeries, most of which have been highly successful.
  • Why it matters: High surgical volumes with excellent results show his skill, consistency, and patient trust.

Compassionate Approach

  • What it means: He provides personalised treatment plans, explains everything clearly, and ensures patients and families are comfortable and informed.
  • Why it matters: You’re not just treated medically — you’re cared for emotionally and ethically.

Recognised Excellence in Ranchi & Patna

If you are in Ranchi, Dr. Sanjay Kumar is widely acknowledged as one of the best cardiologists, known for his result-oriented treatments and compassionate nature.

Dr. Sanjay has also been instrumental in setting up premier cardiac care programs at:

  • Medanta Jayprabha Super Speciality Hospital, Patna
  • Medanta Abdul Razaque Ansari Memorial Hospital, Ranchi

These institutions now serve as hubs for world-class cardiac care in Bihar and Jharkhand.

Noida – Book Your Appointment with Dr. Sanjay Kumar

Dr. Sanjay Kumar, one of India’s leading CTVS cardiac surgeons, is available for consultation in Noida throughout the week.

Hospital: Medanta Super Speciality Hospital, Noida
Address:  F Block, Sector 50, Noida, Uttar Pradesh 201303
Timings: By prior appointment only

Many patients look to Medanta Super Speciality Hospital, Noida for trusted heart care. Here, you can book an appointment online with a qualified cardiologist and read genuine patient reviews to choose confidently.

You can also seek instant bookings and consultations for heart-related issues like:

  • Chest pain
  • Shortness of breath
  • Irregular heartbeat
  • Pre- and post-surgical cardiac evaluation

How We Work: Dr. Sanjay Kumar’s Cardiac Practice Framework

Comprehensive Evaluation

  • What it means: Each patient undergoes thorough diagnostic tests, including imaging, lab work, and detailed history-taking.
  • Why it matters: This ensures an accurate diagnosis and helps design the most effective treatment plan.

Collaborative Approach

  • What it means: Dr. Sanjay Kumar works closely with a multi-disciplinary team — including cardiologists, anaesthetists, intensivists, and rehabilitation experts.
  • Why it matters: Combined expertise leads to well-rounded care, especially for complex or high-risk cases.

Cutting-Edge Techniques

  • What it means: Use of minimally invasive surgeries, beating heart techniques, and hybrid procedures.
  • Why it matters: These advanced methods mean faster recovery, less pain, and better outcomes.

Patient-Centric Care

  • What it means: Treatment is tailored to each patient’s needs, with open communication and emotional support.
  • Why it matters: Patients feel heard, supported, and confident in their care journey.

FAQs

Q1: Who is the best cardiologist in Noida?
A1: Dr. Sanjay Kumar, Vice Chairman at Paras Hospitals, is regarded as one of the best due to his experience, success rate, and expertise in complex surgeries.

Q2: How can I book an appointment with a heart specialist near me?
A2: You can book online appointments with top cardiologists at Paras Hospital Gurgaon, Patna, or Ranchi through their official websites.

Q3: What services does Dr. Sanjay Kumar offer?
A3: He offers adult and pediatric cardiac surgery, aortic and endovascular procedures, and emergency heart surgeries.

Q4: Is there a good pediatric cardiac surgeon in Noida?
A4: Dr. Sanjay Kumar is highly experienced in pediatric cardiac surgeries and has successfully operated on numerous children.

Q5: Are online consultations available with cardiologists in Noida or Patna?

A5: Yes, most hospitals, including Paras, offer online and in-person consultation options for cardiac care.

Vision & Mission

Dr. Sanjay Kumar aims to redefine cardiac care by combining innovation with integrity. His mission is to deliver personalised, comprehensive cardiovascular care backed by cutting-edge technology and evidence-based practices, ensuring a healthier future for all.

Conclusion

Whether you’re searching for the best cardiologists in Patna or top-rated cardiology doctors in Noida, Dr. Sanjay Kumar stands out as a seasoned and compassionate expert. With his leadership at Medanta Hospitals and decades of excellence, your heart is in the safest hands.

Ravi Shankar Best Cardiac Surgeon

Keep Your Own Valve, Avoid Lifelong Medicines

By Dr. Sanjay Kumar, Department of Cardiothoracic and Vascular Surgery (CTVS) at Medanta Super Speciality Hospital, Noida

Keep Your Own Valve, Avoid Lifelong Medicines

When it comes to heart surgery, most patients fear that they might lose their natural valve and need to live with an artificial one. But modern medical science has introduced an advanced option called Valve-Sparing Root Replacement (VSRR) — a surgical technique that allows patients to keep their own natural heart valve while repairing the damaged part of the aorta.

This breakthrough has changed the way doctors treat certain heart and aortic conditions, offering patients better outcomes, fewer risks, and an improved quality of life.

What Is Valve-Sparing Root Replacement?

The aorta is the largest artery in the body, responsible for carrying oxygen-rich blood from the heart to the rest of the body. Sometimes, due to conditions like an aortic aneurysm or aortic root disease, the portion of the aorta connected to the heart becomes weak or enlarged. Traditionally, surgeons would replace the damaged part along with the valve, using an artificial valve in its place.

But with valve-sparing root replacement, the surgeon repairs the diseased section of the aorta while preserving your natural valve. This way, the valve continues to function normally without the need for replacement.

Why This Matters

Choosing this advanced procedure has several important benefits:

  • Keep Your Natural Valve Functioning
    Your natural valve is designed uniquely for your body. Keeping it means your heart continues to work just as nature intended.
  • No Lifelong Blood-Thinning Medicines
    Patients with artificial valves usually need anticoagulants (blood thinners) for life to prevent clots. These medicines come with risks like internal bleeding and require regular monitoring. With valve-sparing surgery, you can avoid this dependency.
  • Fewer Long-Term Complications
    Artificial valves can sometimes wear out, get infected, or fail over time. A natural valve, if preserved well, usually lasts longer and performs better.
  • Better Quality of Life
    No dietary restrictions, no regular INR blood tests, and no constant worry about blood-thinning medications. Patients report feeling healthier, more energetic, and stress-free after valve-sparing surgery.

Who Can Benefit From Valve-Sparing Root Replacement?

Not every patient is a candidate for this procedure. Typically, doctors recommend it for people with:

  • Aortic aneurysm involving the root but with a healthy valve
  • Marfan syndrome or other connective tissue disorders where the aorta is at risk
  • Enlarged aortic root but normal valve leaflets
  • Younger patients who want to avoid long-term medication and artificial implants

Your eligibility depends on detailed diagnostic tests, including echocardiography, CT scans, and angiography. An experienced cardiac surgeon can guide you on whether this procedure is right for you.

The Surgical Journey

  1. Pre-Surgery Diagnosis – Advanced imaging helps doctors understand the condition of your aorta and valve.
  2. The Surgery – The surgeon removes the damaged part of the aorta and reconstructs it while keeping your natural valve intact.
  3. Post-Surgery Recovery – Most patients recover faster compared to traditional valve replacement. Hospital stay is usually shorter, and long-term outcomes are excellent.
  4. Follow-Up Care – Regular checkups ensure your valve continues to function well.

Why Early Diagnosis Matters

Heart and aortic conditions often remain silent until complications arise. Symptoms like chest pain, shortness of breath, fainting spells, or palpitations should never be ignored. Early diagnosis increases the chances of successful valve preservation.

If you or a loved one is diagnosed with an aortic root problem, don’t delay consulting a heart surgeon. The earlier the treatment, the higher the chances of saving your natural valve.

Valve-Sparing Surgery vs. Artificial Valve Replacement

AspectValve-Sparing Root ReplacementArtificial Valve Replacement
Natural ValvePreservedRemoved and replaced
MedicinesNo lifelong blood-thinnersRequires lifelong anticoagulants
ComplicationsFewerHigher risk over time
Quality of LifeBetterLimited by medicines & lifestyle changes
DurabilityLong-lastingMay need re-replacement

Frequently Asked Questions (FAQs)

1. What is valve-sparing root replacement surgery?

Valve-sparing root replacement is a heart surgery that repairs the aortic root while preserving the patient’s natural heart valve. Unlike artificial valve replacement, it avoids removing your valve.

2. Who is eligible for valve-sparing root replacement?

Patients with an enlarged aortic root or aneurysm but with a healthy valve are usually candidates. Your eligibility depends on tests like echocardiography and CT scans.

3. Is valve-sparing surgery safer than artificial valve replacement?

Both surgeries are safe when done by expert surgeons. However, valve-sparing surgery offers fewer long-term complications, no need for blood-thinning medicines, and a better quality of life.

4. Will I need to take lifelong medicines after valve-sparing surgery?

No. Unlike artificial valves that require lifelong anticoagulants (blood thinners), valve-sparing surgery usually eliminates the need for such medicines.

5. How long does recovery take after valve-sparing surgery?

Most patients recover within 4–6 weeks. The recovery is often faster compared to traditional valve replacement, with less risk of complications.

6. Is valve-sparing surgery suitable for older patients?

Yes, but eligibility depends on overall heart function and the condition of the valve. Surgeons decide based on age, health status, and test results.

7. What are the risks of valve-sparing surgery?

Like all major heart surgeries, risks include bleeding, infection, or complications from anaesthesia. However, success rates are very high with experienced cardiac teams.

8. Where can I find the best hospital for valve-sparing surgery in India?

Major cities like Delhi, Patna, Ranchi, Gurgaon, and Noida have specialised cardiac centres and surgeons trained in valve-sparing root replacement. Always choose an experienced team for the best results.

Final Thoughts

Valve-Sparing Root Replacement is a life-changing option for patients with certain aortic diseases. By allowing you to keep your natural valve, it eliminates the need for lifelong medicines and reduces complications. Most importantly, it helps patients live longer, healthier, and more fulfilling lives.

If you’ve been diagnosed with an aortic problem, don’t assume valve replacement is your only choice. Ask your heart surgeon about valve-sparing surgery and whether you qualify for it.

📞 Remember: Early diagnosis and expert care can save your valve — and your life!

Ravi Shankar Best Cardiac Surgeon

TEVAR — A Modern Solution for Aortic Repair

By Dr. Sanjay Kumar, Department of Cardiothoracic and Vascular Surgery (CTVS) at Medanta Super Speciality Hospital, Noida

TEVAR — A Modern Solution for Aortic Repair

Introduction

Life-threatening conditions like aortic aneurysms and aortic dissections have traditionally required complex open-heart surgeries. These procedures often involve large chest incisions, longer recovery times, and higher risks, especially in older patients or those with additional health issues.

But modern medicine has changed this picture. Today, a revolutionary technique called TEVAR (Thoracic Endovascular Aortic Repair) offers a safer, minimally invasive alternative that has transformed the way doctors treat major aortic diseases.

What is TEVAR?

TEVAR is a procedure where a stent graft (a fabric tube supported by a metal mesh) is placed inside the aorta to reinforce the weakened area. Unlike traditional surgery, it does not require opening the chest or stopping the heart.

Instead, doctors make a small incision in the groin, insert a catheter, and guide the stent graft into the aorta using advanced imaging. Once in place, the stent strengthens the artery wall and prevents rupture.

Benefits of TEVAR Compared to Open Surgery

  • No Big Chest Incision: Only a tiny groin cut is needed.
  • Faster Recovery: Most patients can walk the very next day.
  • Less Pain & Trauma: Reduced hospital stay and discomfort.
  • Safer for High-Risk Patients: Ideal for elderly or those unfit for open surgery.
  • Lower Complications: Reduced risks of infection, bleeding, or prolonged ICU stay.

This means patients can return to their normal life much sooner, with fewer restrictions.

Who Needs TEVAR?

TEVAR is mainly recommended for:

  • Patients with thoracic aortic aneurysm (bulging of the aorta in the chest).
  • Patients with aortic dissection (tear in the aorta’s inner layer).
  • High-risk patients where open surgery would be dangerous.

👉 Early detection is crucial. Many aortic aneurysms do not cause symptoms until they are very advanced. Regular checkups and imaging tests can help identify risks before it’s too late.

Success Rates and Outcomes

Studies show that TEVAR has excellent long-term results, with success rates of over 90% in experienced centers. Patients usually spend 2–3 days in the hospital, compared to 1–2 weeks for open surgery. With proper follow-up and lifestyle changes, they can lead active, healthy lives.

Preparing for TEVAR

  • Consult a specialist: A vascular or cardiac surgeon will evaluate your condition.
  • Get necessary tests: CT scans and angiograms determine if TEVAR is suitable.
  • Follow medical advice: Quitting smoking, controlling blood pressure, and maintaining a heart-healthy diet improve results.

FAQs

Q1. Is TEVAR a permanent solution?
A: Yes, TEVAR is designed to be a long-term solution. The stent graft reinforces the weakened aorta permanently. However, regular follow-up scans are needed to ensure it stays in place and works effectively.

Q2. How long does a TEVAR stent last?
A: TEVAR stents are highly durable and can last for decades. Most patients never need a replacement, provided they maintain good health and attend regular checkups.

Q3. How long does recovery take after TEVAR?
A: Most patients are able to walk the next day and leave the hospital within 2–3 days. Full recovery is usually faster compared to open surgery, often within 2–4 weeks.

Q4. Is TEVAR safer than open-heart surgery?
A: Yes. TEVAR is less invasive, involves smaller incisions, less blood loss, and shorter recovery. It is particularly safer for elderly or high-risk patients.

Q5. Who is not eligible for TEVAR?
A: Patients with unsuitable aortic anatomy (very small or twisted arteries) may not be good candidates. In such cases, open surgery may still be required.

Q6. Does TEVAR cure an aortic aneurysm completely?
A: TEVAR prevents rupture by sealing off the aneurysm and reducing pressure on the weakened wall. It does not remove the aneurysm but makes it safe and stable.

Q7. What lifestyle changes are needed after TEVAR?
A: Patients should maintain a heart-healthy diet, quit smoking, exercise regularly, and control blood pressure and cholesterol for the best long-term results.

Conclusion

TEVAR is a game-changer in aortic care. By avoiding open-heart surgery, it offers patients a faster, safer, and less painful recovery—giving them a second chance at life with minimal downtime.

👉 If you or your loved one has been diagnosed with an aortic aneurysm or dissection, ask your doctor whether TEVAR is the right option for you. Early detection and timely treatment can save lives.

Ravi Shankar Uncategorized

Redo Heart Surgery – What You Should Know

By Dr. Sanjay Kumar, Department of Cardiothoracic and Vascular Surgery (CTVS) at Medanta Super Speciality Hospital, Noida

Introduction

For many patients, undergoing heart surgery once feels like a major life event. But sometimes, a second operation—known as redo heart surgery—may become necessary. This might sound intimidating, but with modern surgical techniques and expert cardiac care, redo surgeries are often safe and highly successful.

What is Redo Heart Surgery?

Redo heart surgery refers to a repeat operation on the heart after a previous cardiac procedure. It is performed when new issues arise or earlier repairs need adjustment.

Common Reasons for Redo Surgery:

  • Valve Issues – Artificial or repaired valves may wear out or develop leaks.
  • Graft Blockages – Bypass grafts from earlier surgeries may narrow or get blocked.
  • New Heart Conditions – Over time, fresh cardiac problems may develop, requiring correction.

Why You Shouldn’t Panic

The Good News:

✔ With modern advancements, redo surgeries have a success rate of over 90%.
✔ Specialized cardiac teams are trained to manage these complex cases with precision.
✔ Recovery and long-term outcomes are generally very positive when the surgery is done at an experienced cardiac center.

How Safe is Redo Heart Surgery?

While redo procedures are more complex than the first surgery, technology and expertise have significantly improved outcomes. Surgeons now use:

  • Minimally invasive techniques to reduce trauma.
  • Advanced imaging for accurate planning.
  • Specialized instruments designed for repeat surgeries.

How to Prepare for Redo Heart Surgery

  • Get a full evaluation – Tests like echocardiograms, angiograms, and CT scans help doctors plan effectively.
  • Choose the right hospital – Look for centers with experienced cardiac teams and advanced technology.
  • Discuss risks and benefits – Clear communication with your surgeon is key.
  • Maintain overall health – Good nutrition, quitting smoking, and managing diabetes or BP improve recovery.

Recovery After Redo Heart Surgery

  • Hospital Stay: Usually 7–10 days, depending on the case.
  • Rehabilitation: Cardiac rehab programs help rebuild strength and confidence.
  • Lifestyle Adjustments: Healthy diet, exercise, and regular follow-ups are essential.

Remember, recovery is possible and outcomes are often excellent when you follow medical advice.

FAQs

Q1. Why would someone need redo heart surgery?
A: Valve problems, blocked grafts, or new cardiac conditions are the most common reasons.

Q2. Is redo heart surgery more risky than the first one?
A: It is more complex, but with modern techniques, success rates exceed 90% in expert centers.

Q3. How long is recovery after redo surgery?
A: Most patients recover within a few weeks to months, with proper rehab and follow-up care.

Q4. Can all hospitals perform redo heart surgery?
A: Not all. It’s best to choose a specialized cardiac center with experience in complex cases.

Related Entities

  • Heart Valve Surgery – Common reason for redo operations.
  • Coronary Artery Bypass Grafting (CABG) – May require repeat surgery if grafts block.
  • Cardiac Rehabilitation – Essential for recovery.
  • Specialized Cardiac Hospitals in Patna, Delhi, Gurgaon, and Ranchi – Advanced centers providing safe redo heart surgeries.

Conclusion

Redo heart surgery may sound daunting, but it is not the end of the road. With experienced surgeons, advanced medical technology, and proper post-surgery care, patients can enjoy healthy and fulfilling lives after the procedure.

📞 Book a consultation today if you or your loved one needs clarity or guidance on complex heart conditions. Early planning leads to safer outcomes.

Ravi Shankar Best Cardiac Surgeon

Why High Blood Pressure is Dangerous for Your Aorta

By Dr. Sanjay Kumar in CTVS at Paras Hospital, Gurgaon, Paras Hospitals East & Patna.

Normal Aorta and Abnormal Aorta

Introduction

High blood pressure (hypertension) is often called the “silent killer” because it can damage vital organs without showing early symptoms. One of the most vulnerable parts of your body affected by high blood pressure is the aorta—the main artery that carries blood from your heart to the rest of your body. If left uncontrolled, hypertension can weaken and damage your aorta, leading to serious complications like aneurysms, ruptures, and even sudden death.

What is the Aorta and Why is it Important?

The aorta is the largest artery in the human body. It works like a highway, transporting oxygen-rich blood from the heart to every organ, tissue, and cell.

Importance: Without a healthy aorta, your body cannot receive proper blood circulation.

Function: Supplies blood throughout the body.

Structure: Thick and elastic to handle pressure from heartbeats.

How High Blood Pressure Affects the Aorta

The aorta is designed to handle normal blood pressure because it’s strong, elastic, and thick. But when blood pressure remains consistently high, the extra force of blood hitting the artery walls causes stress and damage.

Think of it like hitting a pipe with a hammer again and again—at first, the pipe holds up, but with time, small cracks appear and the structure weakens. The same process happens in your aorta.

Major Risks of High Blood Pressure on the Aorta

1. Aortic Aneurysm

  • Constant pressure weakens a section of the artery wall.
  • This area bulges out, forming what looks like a balloon.
  • The bigger it grows, the more likely it is to rupture.

2. Aortic Rupture

  • If the wall of the aorta tears open, massive internal bleeding occurs.
  • This is a medical emergency that is often fatal without immediate treatment.

3. Aortic Dissection

  • The inner lining of the aorta tears, allowing blood to leak between the layers.
  • This separates (or “dissects”) the wall of the aorta.
  • It can cut off blood supply to organs and is extremely dangerous.

4. Stroke and Heart Disease

  • A damaged aorta affects the entire circulation system.
  • It may reduce or block blood supply to the brain (causing stroke) or the heart (leading to heart attack and heart failure).

Why Hypertension is Called a Silent Killer

1. No Early Symptoms
High blood pressure (hypertension) rarely causes noticeable signs in its early stages. Unlike fever or pain, which alert you immediately, hypertension can silently damage your body for years without you realizing it.

2. Gradual Damage Over Time
The pressure of blood moving through your arteries gradually weakens and damages blood vessels. This hidden damage can lead to serious health problems such as stroke, heart attack, kidney disease, or aortic rupture. By the time symptoms appear, the condition may already be advanced.

3. Only Detectable by Monitoring
Because there are usually no obvious symptoms, the only reliable way to know if you have high blood pressure is through regular monitoring. A simple blood pressure check at home or at a clinic can reveal early hypertension and prevent life-threatening complications.

How to Protect Your Aorta and Heart

Protecting your aorta starts with keeping blood pressure under control. Simple changes in daily routine, combined with medical care when needed, can significantly reduce the risk of aneurysm, dissection, stroke, and heart disease.

1. Regular Blood Pressure Checks

High blood pressure often has no symptoms, so regular monitoring is the only way to detect it early. Home BP machines or routine doctor visits help track your numbers and catch problems before they become serious.

2. Lifestyle Changes

  • Reduce Salt Intake: Too much salt increases blood pressure.
  • Eat a Balanced Diet: Include fruits, vegetables, whole grains, and lean proteins.
  • Maintain a Healthy Weight: Excess weight puts extra strain on the heart and aorta.

3. Exercise Daily

At least 30 minutes of moderate activity—such as walking, cycling, or swimming—helps lower blood pressure, strengthen the heart, and keep arteries flexible.

4. Manage Stress

Chronic stress raises blood pressure. Practices like yoga, meditation, deep breathing, or spending time in nature calm the mind and protect the heart.

5. Follow Medical Advice

If your doctor prescribes blood pressure medication, take it exactly as directed. Never stop medicines suddenly without consulting your healthcare provider, as it can trigger dangerous spikes in blood pressure.

FAQs

Q1: What blood pressure level is dangerous for the aorta?
A: Consistently above 140/90 mmHg is harmful, but even mildly high BP can damage the aorta over time.

Q2: Can lifestyle changes alone control high blood pressure?
A: In early stages, lifestyle changes may be enough. In severe cases, medications are necessary.

Q3: What are the warning signs of an aortic aneurysm?
A: Most aneurysms are silent, but some may cause chest pain, back pain, or shortness of breath.

Q4: How often should I check my blood pressure?
A: At least once every 6 months if normal; more frequently if you already have hypertension.

Related Entities

To fully understand why high blood pressure is dangerous for your aorta, it’s important to know the key medical entities connected to this condition:

Aorta

The aorta is the largest artery in the body, carrying oxygen-rich blood from the heart to the entire body. Its strong walls are designed to handle pressure, but uncontrolled hypertension weakens them over time.

Hypertension / High Blood Pressure

Hypertension occurs when the force of blood against artery walls stays consistently high. It is the leading cause of vascular damage, including aortic aneurysm, heart attack, and stroke.

Aneurysm / Aortic Dissection

  • Aneurysm: A bulge in the aorta caused by prolonged high pressure.
  • Aortic Dissection: A tear in the inner layer of the aorta that allows blood to flow between layers, often leading to rupture.
    Both are life-threatening complications directly linked to uncontrolled blood pressure.

Heart & Stroke Risk

When the aorta is damaged, it disrupts circulation to vital organs. This increases the risk of:

  • Stroke (blocked or reduced blood flow to the brain)
  • Heart Attack (blocked blood flow to the heart muscle)
  • Heart Failure (heart weakens due to constant strain)

Conclusion

High blood pressure silently damages your aorta, putting your life at risk. Protecting your heart and arteries starts with awareness, regular checkups, and healthy lifestyle choices. Don’t wait for symptoms—take charge of your heart health today.

👉 Check your BP. Protect your aorta. Save your life.

Ravi Shankar Uncategorized

Butter vs. Ghee: Which Is Better for Your Heart?

Butter vs. Ghee: Which is Kinder to Your Heart? Expert Opinion by Dr. Sanjay Kumar

When it comes to cooking fats, butter and ghee are two popular choices in Indian kitchens. But if you’re concerned about heart health, you might wonder: Which is the better option?

According to Dr. Sanjay Kumar, Chief Cardiothoracic & Vascular Surgeon at Paras Hospitals, the answer lies in moderation and composition.

Butter vs. Ghee: Which is Kinder to Your Heart?

Expert Guidance by Dr. Sanjay Kumar, Cardiothoracic Surgeon

In every Indian kitchen, two staples often battle for space on the dining table — butter and ghee. While both add rich flavour to food, they also raise an important question: Which one is better for your heart?

Heart health is a growing concern in today’s fast-paced world. With more people conscious about cholesterol, blood pressure, and lifestyle diseases, understanding the impact of what you eat has never been more important. Dr. Sanjay Kumar, Vice Chairman and Chief Cardiothoracic Surgeon at Paras Hospitals, offers clarity on this age-old debate.

Butter and Ghee: Know the Basics

Butter is a dairy product made by churning cream. It contains milk solids, water, and about 80% fat. On the other hand, ghee is clarified butter — a form where the water and milk solids are removed, leaving behind pure butterfat.

Though both are saturated fats, ghee has been traditionally used in Ayurveda for its medicinal value. But when it comes to your heart, moderation and composition matter more than tradition.

Why Ghee May Be the Better Choice

Dr. Sanjay Kumar points out that ghee contains a compound called conjugated linoleic acid (CLA). CLA is known for its anti-inflammatory and antioxidant properties, which may reduce the risk of plaque buildup in arteries when consumed in small, controlled amounts.

“Moderation matters, but ghee’s conjugated linoleic acid (CLA) may offer anti-inflammatory benefits,” says Dr. Kumar.
“I recommend less than 1 tablespoon per day if cholesterol is under control.”

This makes ghee a slightly heart-friendlier choice compared to butter, which retains more cholesterol-raising milk solids.

Important Dietary Tips for Heart Health

     

      1. Use Ghee in Moderation: Stick to less than 1 tbsp/day unless advised otherwise by your doctor.

      1. Avoid Excess Butter: Butter is higher in trans fats, especially when processed.

      1. Mix It Up: Balance your fat intake with healthier options like olive oil, mustard oil, or coconut oil.

      1. Watch Your Lifestyle: Diet is one part of heart health. Exercise, sleep, and stress also matter.

      1. Get Regular Check-ups: Monitor cholesterol and blood pressure frequently, especially if you are above 30.

    The Final Verdict

    While both butter and ghee are saturated fats and should be consumed mindfully, ghee wins the edge for heart health thanks to CLA and its anti-inflammatory potential, but only when used sparingly.

    If you’re managing cholesterol or heart disease, consult a cardiologist before changing your diet.

    About Dr. Sanjay Kumar

    Dr. Sanjay Kumar is the Vice Chairman and Chief Cardiothoracic & Vascular Surgeon at Paras Hospitals in Gurgaon and Patna, India. With years of experience and thousands of successful surgeries, he is one of India’s most respected names in heart care.

    📞 Helpline: +91 73660-98456
    🌐 Website: www.drsanjaykumar.com


    FAQs

    • Is ghee actually healthier for the heart than butter?
      Answer: Ghee contains conjugated linoleic acid (CLA), which may provide anti-inflammatory benefits. When consumed in moderation (less than 1 tbsp/day), it may be a better option than butter for heart health.

    • How much ghee is safe to consume daily for heart patients?
      Answer: Dr. Sanjay Kumar advises consuming less than 1 tablespoon per day of ghee, only if cholesterol levels are controlled and the individual follows a heart-healthy lifestyle.

    • Can eating too much ghee or butter increase the risk of heart disease?
      Answer: Yes, excessive intake of either can raise cholesterol and increase the risk of heart disease due to high saturated fat content. Moderation is key.

    • Does butter contain more harmful fats than ghee?
      Answer: Butter contains more milk solids and potentially harmful trans fats, especially in processed varieties, making it slightly less favorable than ghee from a heart-health perspective.

    • What are some heart-healthy alternatives to butter and ghee?
      Answer: Olive oil, mustard oil, and avocado oil are excellent heart-healthy fat alternatives. They contain unsaturated fats which are beneficial for cardiovascular health.

    Ravi Shankar Best Cardiac Surgeon

    Hearts on Tour: How Donor Hearts Now Travel 6,000 KM — Still Beating

    Heart Transplant



    In a revolutionary leap for transplant medicine, beating heart transplants are no longer a future concept—they are happening today. Thanks to advanced Organ Care System (OCS) technology, donor hearts can now remain alive and functional for over 12 hours outside the human body, even traveling more than 6,000 kilometers across continents.

    In 2024, one such heart successfully crossed the Atlantic Ocean while still beating, and was transplanted after 12 hours—a feat that demonstrates true heart transplant innovation.

    The Science Behind It: Organ Care System India

    This advancement is made possible by Organ Care Systems in India, which use warm perfusion to keep donor hearts beating on oxygenated blood during transportation. Unlike traditional cold storage, this system mimics the conditions inside the body, significantly extending how far and how long a donor heart can travel.

    This new era of long-distance heart transport enables more patients to access life-saving transplants, regardless of location.

    Be an Organ Donor – Give the Gift of Life

    With such cutting-edge technology, organ donor awareness becomes even more critical. A single donor heart can now save a life halfway across the world, or in your city. Signing up as an organ donor can truly give someone a second chance at life—no matter the distance.

    Meet Dr. Sanjay Kumar – A Leading Cardiac Specialist in India

    At the forefront of this transformation is Dr. Sanjay Kumar, a highly respected name in cardiac surgery. With decades of experience, Dr. Kumar is widely recognized as the:

    • Best cardiac surgeon in Gurgaon, practicing at Paras Hospitals, Sector 43
    • Best cardiac surgeon in Patna, available at Paras Hospitals, Bailey Road
    • Best cardiac surgeon in Ranchi, consulting at Shankara Healthcare, Kanke Road
    • And a top contender for the best cardiac surgeon in India

    His deep understanding of advanced heart surgery in India and hands-on experience with transplant cases make him a trusted choice for patients nationwide.

    Whether you’re searching for a cardiac surgeon near me or someone with international credibility, Dr. Sanjay Kumar cardiac specialist stands out as a beacon of hope and excellence.

    Conclusion

    With the ability to keep hearts beating over thousands of kilometers, the future of heart transplantation has changed forever. This progress brings new hope for patients and new meaning to becoming an organ donor.

    Learn more or schedule an appointment today:
    Visit: www.drsanjaykumar.com
    Call: +91 73660 98456

    Ravi Shankar Best Cardiac Surgeon

    Dr Sanjay Kumar Leads Historic First: Double-Valve Heart Operation and Living-Donor Liver Transplant Performed in One Sitting

    Dr Sanjay Kumar Leads Historic First: Double-Valve Heart Operation and Living-Donor Liver Transplant Performed in One Sitting

    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.

     

    Ravi Shankar Uncategorized

    Advanced NRP Method Transforms Heart Transplants

    Normothermic Regional Perfusion (NRP)

    Save Heart, We Save Lives – Dr. Sanjay Kumar

    Yes, a “dead” heart can beat again!

    Thanks to a groundbreaking technique known as Normothermic Regional Perfusion (NRP), the field of heart transplantation is being transformed. With this innovation, hearts that had once stopped beating can be revived and successfully transplanted, offering new hope to patients with end-stage heart failure.

    What is Normothermic Regional Perfusion (NRP)?

    Normothermic Regional Perfusion (NRP) is an advanced technique used to restore blood flow and function to organs, particularly the heart, after death has been declared based on circulatory criteria (DCD – Donation after Circulatory Death).

    How it Works:

    • After the donor’s heart has stopped, doctors connect the circulatory system to a machine called an extracorporeal membrane oxygenation (ECMO) or a similar perfusion system.
    • This machine pumps warm, oxygenated blood back into the donor’s organs, reviving the heart in a controlled and ethical setting.
    • Doctors closely monitor the heart’s function to ensure it is suitable for transplant.

    Unlike traditional cold storage techniques, NRP maintains the heart at body temperature (normothermia), helping prevent cell damage and increasing the chances of transplant success.

    Benefits of NRP:

    • Increases the number of usable donor hearts
    • Improves organ function and survival post-transplant
    • Reduces waiting times for patients on heart transplant lists

    In 2024 alone, nearly one in five heart transplants in the U.S. were performed using NRP-revived hearts, a powerful testament to its efficacy.

    Dr. Sanjay Kumar – A Pioneer in Life-Saving Heart Surgery

    Dr. Sanjay Kumar is the Vice Chairman and Chief of Cardiothoracic & Vascular Surgery at Paras Hospital, Gurgaon and Paras Hospitals, Patna. With more than 22 years of surgical excellence, Dr. Kumar continues to adopt and implement cutting-edge cardiac technologies, including NRP, in his approach to complex cardiac care.

    • Over 10,000 successful surgeries performed
    • Specialist in heart transplants, bypass surgery, ECMO, and minimally invasive procedures
    • Known for compassionate care and patient-first ethics

    His mission is simple: “I Save Heart, We Save Lives.”

    Need Expert Cardiac Help?

    📞 Call now: +91 73660-98456
    📍 Available at Paras Hospital Gurgaon and Paras Hospitals Patna

    Whether you or your loved one needs a heart transplant, bypass surgery, or second opinion, trust Dr. Sanjay Kumar and his team for precision-driven, ethical, and hopeful cardiac care.

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