Left Ventricular Assist Device (LVAD) Surgery in India
Left Ventricular Assist Device (LVAD) surgery is a transformative procedure designed to restore normal blood flow in individuals suffering from end-stage heart failure. This mechanical pump assists the heart’s pumping function, either as a long-term solution or as a bridge to a heart transplant. The affordability of LVAD surgery in India, in comparison to European countries, makes it an attractive option for patients seeking cardiac care.
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What is LVAD?
A Left Ventricular Assist Device (LVAD) is a mechanical pump implanted in individuals with severe heart failure. Positioned below the heart, the LVAD helps pump blood from the weakened left ventricle to the aorta, maintaining essential blood flow. It does not replace the heart but provides assistance to a weakened heart, enhancing pumping efficiency.
How Does LVAD Surgery Work?
LVAD surgery involves the surgical implantation of a mechanical pump connected to the heart. It assists the heart by continuously pumping blood from the left ventricle to the aorta, ensuring oxygen-rich blood circulates throughout the body. The device includes internal components placed near the heart and external components like a controller and power sources worn outside the body.
Who Is the Right Candidate for LVAD Surgery?
LVAD surgery is suitable for individuals with end-stage heart failure who do not respond to medications or await a heart transplant. Candidates undergo thorough evaluations, including tests like electrocardiogram, X-ray, bloodwork, echocardiogram, metabolic stress test, and heart catheterization. Not everyone is a suitable candidate, especially those with clotting issues, kidney or liver disease, lung disease, or infections.
Procedure: How LVAD Surgery is Performed:
LVAD surgery is conducted through open cardiac surgery under general anesthesia. An incision is made below the chest, and the chest bone is opened to access the heart. The LVAD is implanted, and a cable connecting the pump to the control unit and battery pack is inserted through the skin. The surgery takes 4-6 hours, and postoperative hospital stays typically range from 14 to 21 days.
Risks Associated With LVAD Surgery:
Like any surgical procedure, LVAD surgery carries risks, including bleeding, blood clots, heart or respiratory failure, kidney failure, stroke, infection, and device failure. Patients undergo thorough training to understand the device, its alarms, maintenance, and emergency protocols. Regular follow-ups with the LVAD team are essential.
Recovery and Lifestyle After LVAD:
Recovery after LVAD surgery is gradual, and patients can resume various activities. However, some restrictions apply, such as avoiding swimming, contact sports, heavy lifting, and staying close to an electrical power supply. Adopting a healthy lifestyle, including regular exercise and proper nutrition, is crucial for long-term well-being.
Conclusion:
LVAD surgery in India offers an effective solution for individuals with severe heart failure. The procedure, its benefits, and the postoperative care are essential considerations for potential candidates. A comprehensive understanding of LVAD, coupled with adherence to lifestyle recommendations, contributes to a successful recovery and improved quality of life for patients.
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Dr. Rajneesh Malhotra
Specialist: Cardiac Surgeon/Thoracic Surgeon
Experience: 23+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Currently associated as Director – Cardio Thoracic & Vascular Surgery at Max Super Speciality Hospital, Saket.
- Carries 25 years of rich experience in cardiac surgery.
- Expert in Minimally Invasive Cardiac Surgery, Minimally Invasive Mitral Valve Replacement, and repairs, Coronary Artery Bypass Grafting (CABG), Aortic Valve Replacement and Repair, Atrial Septal Defects (ASD’s).
Dr. Ganesh K. Mani
Specialist: Cardiac Surgeon
Experience: 37+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Presently working as the Chairman of Cardio Thoracic and Vascular Surgery at Max Smart Super Specialty Saket City Hospital, New Delhi.
- Prior to joining Max Smart Super Specialty Saket City Hospital & Saket City Hospital, he was associated with Indraprastha Apollo Hospital and Pushpanjali Crosslay Hospital.
- Performed over 18000 Cardiac Surgeries and has achieved zero mortality in more than 500 consecutive surgeries and has also pioneered Beating Heart Coronary Artery Bypass.
Dr. Rahul Mehrotra
Specialist: Cardiologist
Experience: 20+years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Rahul Mehrotra is a reputed Cardiologist in Gurgaon with over 20+ years of experience.He currently practices at Max Super Speciality Hospital, Saket in Saket(Delhi).
- Dr. Rahul Mehrotra holds membership of Cardiological Society of India (CSI), American Society of Echocardiography and Indian Academy of Echocardiography.
- Dr. Rahul Mehrotra has pursued his DNB – Cardiology from Diploma National Board, MD – Medicine from Dr. Sampurnanand Medical College, Jodhpur, MBBS from Dr. Sampurnanand Medical College and Jodhpur in 1998.
Dr. C P Roy
Specialist: Cardiologist
Experience: 32+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. C P Roy is currently working at Max Super Speciality Hospital, Saket in Saket(Delhi).
- He was Head of Department of Medical Education (Cardiology) and Senior Consultant, Cardiology. He was also Incharge of training DNB Cardiology and PGDCC (Postgraduate Diploma in Clinical Cardiology).
- He is a highly skilled Cardiologist and Aortic Valve Surgeon in Delhi.
Dr. Anupam Goel
Specialist: Interventional Cardiologist
Experience: 23+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Anupam Goel got trained in cardiology from GB Pant Hospital, Delhi and King George Medical University, Lucknow.
- Dr. Anupam Goelworked in Kailash Heart Institute and Research Centre, Noida briefly as consultant and then joined Max Healthcare as Interventional Cardiologist.
- Dr. Anupam Goel is a gold medal recipient in graduation.
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Dr. V K Chopra
Specialist: Interventional Cardiologist
Experience: 37+years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Chopra is a senior cardiologist with experience of 37+ years.
- He is one of the most experienced doctors in the field of preventive cardiology and management of patients with advanced heart disease.
- He has been trained from the reputed American College Of Cardiology.
Dr. Sanjeev Malhotra
Specialist: Cardiac Surgeon
Experience: 15+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Sanjeev Malhotra is a cardiothoracic surgeon with over 15 years of experience in managing complex cardiovascular and thoracic surgeries.
- Dr. Sanjeev Malhotra completed his Masters in General Surgery and subsequently received a Diplomate National Board of Examination (CTVS).
- Dr. Sanjeev Malhotra has done more than 2000 cardiac procedures including Mitral Valve repairs, total Arterial bypass, Thoracic surgeries and Minimally invasive surgeries.
Dr. Akhilesh Srivastava
Specialist: Interventional Cardiologist
Experience: 19+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Akhilesh Srivastava is presently working as Senior Consultant of Non invasive Cardiology at Max Smart Super Specialty Hospital, Saket, New Delhi
- Dr. Akhilesh Srivastava specializes in Non Invasive cardiology and Preventive health checks
- Dr. Akhilesh Srivastava is a member of reputed organisations such as Delhi Medical Association, Cardiological society of India
Dr. Ashok K Gupta
Specialist: Cardiac Surgeon
Experience: 30+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Ashok K Gupta is a renowned Cardiothoracic Surgeon practising successfully for more than 30+ years.
- Dr. Ashok K Gupta is adept in performing CABG, Beating Heart CABG, Total Atrial Bypass, and Complex CABG etc.
- Dr. Ashok K Gupta his career spanning nearly three decades.
Dr. Rahul Chandola
Specialist: Cardiac Surgeon
Experience: 20+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr. Rahul Chandola is currently associated as Senior Consultant with the Department of Cardiothoracic Surgery at Max hospitals, New Delhi.
- Expertise lies in Heart Transplantation & Lung Transplantation and performed more than 100 successful heart transplants
- Interests are Adult and Pediatric – Heart Transplants, VADS and Artificial Heart, Off-pump single as well as double lung transplantations, Bilateral lung transplantations through midline sternotomies, Ex-vivo lung perfusion techniques for donor lung preservation, Ex Vivo Perfusion for donor’s hearts and ECMO
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Dr. Kulbhushan Singh Dagar
Specialist: Cardiac Surgeon
Experience: 30+ years of experience overall
Hospital: Max Hospital Saket
About Doctor:
- Principal Director, Chief Surgeon & Head – Neonatal & Congenital Heart Surgery.
- Dr. Kulbhushan S. Dagar has been in the field of cardiac surgery for over 30 years, of which the last decade and a half has been dedicated exclusively to the care of infants and children with congenital heart defects.
- An accomplished surgeon, he has operated upon the whole spectrum of Congenital Cardiac Defects in newborns and children, regardless of complexity.
Dr. Vinay Kumar Bahl
Specialist: Cardiologist
Experience: 40+ years of experience overall
Hospital: Max Hospital Saket
About Doctor:
- Principal Director – Cardiac Sciences
- Dr Vinay Kumar Bahl, former Dean and Chief of Cardio Thoracic Centre and Head of Cardiology at All India Institute of Medical Sciences (AIIMS), New Delhi, is a world-renowned name in the field of cardiology.
- He joined AIIMS in 1985 and brings over 40 years of experience and leadership in Cardiac Treatments at Max Hospitals.
Dr. S. K. Sinha
Specialist: Cardiac Surgeon
Experience: 31+ years of experience
Hospital: Max Hospital Saket
About Doctor:
- Dr S K Sinha is one of the leading Cardiac Surgeon In India.
- Dr S K Sinha has experience of over 31+ years & has performed more than 10,000 cases .
- Dr S K Sinha completed his MBBS from AFMC,Pune & his MS from Patna University.Following which he did his Mch from the famed PGIMER,Chandigerh.
Dr. Mohan Bhargava
Speciality: Cardiologist
Experience: 35+ Years Experience
Hospital: Max Hospital Saket
About doctor:
- Dr. Mohan Bhargava is a Cardiologist of high acclaim with experience of over 35 years.
- He deals with cases of Coronary and Endovascular Interventions.
- He has been engaged in teaching for 18 years and is a Guide and Examiner of DNB, and FNB (Interventional cardiology).
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Max Hospital Saket Delhi
Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM
About Hospital:
- Max Super Speciality Hospital at Saket is one of the topmost healthcare service
- Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
- With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.