Cardiovascular and Thoracic Surgery

Background History

The foundations of the Cardiovascular and Thoracic Surgery department were firmly laid by late Dr P. K. Sen and many other giants in the Surgery department inNineteen Fifties.

Dr P. K. Sen started with Closed Heart Surgeries but was soon closing Atrial Septal Defects using Hypothermia and Inflow Occlusion Techniques (1957) before doing so on extra corporeal circulation in March, 1962. Once the heart lung machine became available, other open-heart operations like open commissurotomies, valve replacements and repairs of congenital heart defects became routine.

It speaks volumes for Dr. Sen’s quest to be in the forefront that the world’s 5th and 6th heart transplants have been recorded at the K.E.M.Hospital in 1968. In absence of law on brain death in those days, the results were poor as the donor hearts could be harvested only after the heart had ceased to beat. This obviously was a set back to the transplant programme.

Dr Sen’s contributions were richly rewarded when he was awarded the Padma Bhushan in 1969. He was the recipient of the Dr. B. C. Roy oration and the Neel ratan Sarkar oration in the same year.His original work on aorto-arteritis has been commemorated in the wonderful monogram on the subject, authored by himself, Dr S. G. Kinare, DrM. D. Kelkar and Dr G. B. Parulkar.He was well ahead of his time when we notice that Trans-myocardialLaser Re-vascularization of the nineties is only an extension of his Myocardial Acupuncture for the treatment of IschaemicHeart Disease, based on his original research on snake heart principles.

The CVTS department has been acknowledged as one of the ten best heart hospitals in the country in Today-Plus (1996) and the department was again recognized as the best training programme for MCh students in India Today opinion poll(1998). While we are proud to have this coveted place of Honor, it is the hard work and dedication of our predecessors that has gone into making of this department.

Dr G. B. Parulkar took on from where Dr. Sen left, brought the CVTS department on the international field. DrParulkar had been an Evarts Graham Fellow. He was bestowed with Padma Bhushan in 1998 and he was the recipient of the Dr. B. C. Roy award for the most eminent medical man of the year 1997.

Dr Sharad Pandey spent time in USA and Canada and on his return started pioneering work on Homograft, Bloodless open-heart surgery and surgery for aortic aneurysms. Along with Mr. V. M. Joshi(Chief Perfusionist), he designed a reusable oxygenator which was an effort to reduce costs of open-heart surgery.

We run general cardiac surgery OPDs on Mondays, Tuesdays, Wednesdays and Fridays from 1.30 pm to 4.30 pm. We have served thousands of patients from all over India, with an OPD of more than 30,000 patients per year, more than 1,000 complex cardiac surgeries per year including complex high risk congenital cardiac surgeries.Our medical and paramedical staff are dedicated in providing an exceptional, skilled and compassionate healthcare to the patients and their families.

Section

G B ParulkarCVTS ICU Complex

Almost around 2000 patients every year are admitted to the ICCU. Patients with critical post cardiac, lungand vascular surgeries and emergencies like post myocardial infarction complication in the form of ventricular septal rupture, Mitral regurgitation or cardiac chamber rupture, Stuck Mechanical Valves, Cardiac and Lung trauma, Aortic aneurysm rupture and dissections, and other Vascular emergencies are managed with skilled Cardiac surgeons and the paramedical staff.

A committed team of doctors, professional nurses, and Class IV employees look after the patients in the ICU round-the-clock. The patients are monitored with upgraded world class equipment monitoring system and has facility for emergency procedures, IABP insertion and Pacemaker system.

The 14 beds in the ICU are dedicated for the cardiac surgery patients both adult and pediatric postoperative and critical patients.

The ICU was renewed and inaugurated and named after Padma Bhushan Dr G B Parulkar on 25th March 2023 in the august presence of Hon. Dean Dr Sangeeta Ravat.

Step down ICU

18 Bedded stepdown ICU recently renewed and well equipped with all the modern modalities. It takes care of the stable patients transferred from the ICU. Can manage the emergencies in the stepdown as well

Cardiac-surgery Ward

The Cardiac-surgery ward is 30 bedded fully with separate wings for female and male patients. It takes care of preoperative patients those admitted from the OPD. The ward is managed by our team of doctors, nurse professionals and helper staff. Additionally, the ward is equipped with all the tools necessary for providing emergency care.

Operation theatre complex

The department features Four functional operation theatres delivering world class cardiac surgeries and is equipped with the standard and modern gadgets.

The number of surgeries performed per year is around 1000 to 1200, with all types of routine emergency surgeries. Recently we upgraded the surgeries to minimal invasive techniques, Valve repair procedures and Aortic Aneurysms and Aortic Dissections.

List of surgeries done:

Coronary Artery Bypass Surgery (CABG)–
- Beating Heart
- On pump CABG
- Minimal Invasive CABG
Valve surgeries–
- Mitral valve replacements
- Aortic valve replacements
- Tricuspid valve repair/replacement
- Double/triple valve replacement
- Pulmonary valve replacement
- Midline re-do valve replacements
Pediatric Cardiac surgeries
- Complex congenital cardiac surgeries like Norwood/Arterial Switch/Ross/Rastelli procedures
- TAPVC/TOF/DORV/CCTGA/TRUNCUS/SINGLE VENTRICLE
- ASD/VSD/CAVC/BDG/Fontan
- Emergency Neonatal Modified BT shunts
- Coarctation surgeries
- PDA ligation
Minimal Invasive Cardiac Surgeries–
- ASD closures
- Valve Repair and Replacements (mitral and aortic)
- CABG
Valve repairs–
- Mitral Valve
- Tricuspid valve
- Aortic Valve
- Pulmonary valve
Coronary Artery Bypass Surgery (CABG)–
- Beating Heart
- On pump CABG
- Minimal Invasive CABG
Aortic surgeries–
- Type A Dissections
- Aortic Arch replacements
- De-Branching surgeries
- Ascending Aortic Aneurysms Bentall/David
- Abdominal Aortic aneurysms
- RSOV
Cardiac Arrythmia surgery
- Epicardial pacemaker implantation
- Maze procedure
Post cardiology interventions complication management–
- Device retrieval
- Post Balloon procedure valve regurgitation
- Vascular complications
- Cardiac free wall ruptures
Emergency cardiac surgeries–
- Post MI Ventricular septal rupture
- Post MI Mitral regurgitation
- Emergency Neonatal BT shunts
- Pulmonary endarterectomy
- Stuck valve surgeries
- Coronary stent blockage
- Valve dehiscence
Emergency thoracic surgeries for trauma/gunshot injuries/stab injuries
Vascular assistance to other departments
- Anastomosis for renal transplants
- Liver transplants
- Vascular access for VIR procedures
- For Pacemakers and cardiology TAVI
Rare Cardiac Pathologies like Sub Mitral Aneurysms/RSOV/Coronary Fistulas
Carotid endarterectomies
All Vascular surgeries routine and emergencies
Thoracic surgeries
- Lung decortications
- Lobectomies
- Pneumonectomies
- Thoracostomies
- Intra thoracic tumors and masses
- Mediastinal tumors
Other vascular interventions for Hemangiomas/embolectomies/tumors

Doctors and paramedical staff are well-equipped at the operation theatre. In the operation, there are 4 Staff-nurses, 4 technicians, 4 class IV employees, 1 senior staff nurse and 1 Chief Sister in command. Three resident doctors, one junior consultant, and one senior consultant are always on duty on the floor. The operation theatre is open 24hrs, with emergency services available round-the-clock. In the event of a problem with a very low morbidity or mortality, every intervention is performed with a cardiology backup whenever needed.

Photo	Name
	Dr.Uday E Jadhav PROFESSOR AND HEAD OF DEPARTMENT MBBS,MS (General surgery), MCh(Cardiovascular Thoracic Surgery) Published papers international – 4 Published papers in indian journal – 35 Examiner in MCh CVTS Teaching Experience of 25 Years EMAIL ID : - udayej@rediffmail.com
	Dr.Dwarkanath V Kulkarni PROFESSOR AND HEAD OF UNIT MBBS,MS (General surgery), MCh(Cardiovascular Thoracic Surgery) Member of ‘Indian association of cardiovascular and thoracic surgeons’ Working as Professor & Unit Head of CVTS at Seth GSMC & KEM Hospital With 23 years of experience in field of CVTS. Published papers international – 6 Published papers in indian journal – 30 Examiner in MCh CVTS and DNB CVTS EMAIL ID : - dwarkanathkulkarni9@gmail.com
	Dr.Balaji D Aironi MBBS,MS (General surgery), MCh(Cardiovascular Thoracic Surgery), Fellowship in ECMO, Fellow in pediatric cardiac surgery, Valve repair fellow, Visitor fellow Heart Lung transplant and VADS(UK) Professor (Addl) Member of ‘Indian association of cardiovascular and thoracic surgeons’, Publications in international journals: 15 Case reports in international journals: 17 Co-ordinator and Examiner in BPMT (Perfusion technology) Teaching experience- 18 years Experience in cadaveric heart retrieval EMAIL ID : - drbalajiaironi@gmail. com
	Dr.Sushrut Potwar MBBS, M.S.(General Surgery), M.Ch.(Cardiovascular and thoracic surgery) Professor (Addl) Published papers international – Published papers in indian journal – Life member of IACTS Teaching experience -14 years EMAIL ID : - sspotwar@gmail.com
	Dr.Prashant Patil MBBS, M.S.(General Surgery), M.Ch.(Cardiovascular and thoracic surgery) Assistant Professor Member of ‘Indian association of cardiovascular and thoracic surgeons’, ‘Indian association of interventional cardiac surgeons.’ Publications in international journals: 3 Case reports in international journals: 4 EMAIL ID : - drprashantcvts@gmail.com
	Dr.Ankur Kothari MBBS, M.S.(General Surgery), M.Ch.(Cardiovascular and thoracic surgery), DrNB (Cardiovascular and thoracic surgery) Assistant professor Member of ‘Indian association of cardiovascular and thoracic surgeons’ Publications - 2 EMAIL ID : - ankur.kothari25@gmail.com
	Dr.Tarun Shetty M.B;B.S.M.S.(General Surgery), M.Ch.(CTVS) (Gold Medalist) Assistant Professor Textbook Chapters– 1 Published Abstracts – 7 EMAIL ID : - drtarunshetty@gmail.com
	Dr.Harshawardhan V Saygaonkar M.B;B.S.M.S(General surgery), MCh (Cardiothoracic and vascular surgery),DrNB (Cardiothoracic and vascular surgery) Assistant Professor Member of ‘Indian association of cardiovascular and thoracic surgeons’ EMAIL ID : - hsaygaonkar1@gmail.com
	Dr. Karan K. Shetty M.B;B.S.M.S(General surgery), MCh (Cardiothoracic and vascular surgery) Assistant Professor Member of ‘Indian association of cardiovascular and thoracic surgeons’ Publications in international journals-2 EMAIL ID : - drkarakkshettyyk@gmail.com
	Dr.Palakkumar P Shah M.B;B.S..D.N.B(General surgery), MCh(Cardiothoracic and vascular surgery) Assistant Professor Member of ‘Indian association of cardiovascular and thoracic surgeons’ Publication in Polish journal-1 Email-palakpshah170@gmail.com
	Dr.Mohammed gouse karikazi M.B;B.S.M.S(General surgery), MCh (Cardiothoracic and vascular surgery) Assistant Professor Member of ‘Indian association of cardiovascular and thoracic surgeons’
	Dr.Swapnil Chaudhari M.B;B.S..D.N.B(General surgery), MCh(Cardiothoracic and vascular surgery) Assistant Professor Member of ‘Indian association of cardiovascular and thoracic surgeons’ E mail ID- swapnil.nanded@gmail.com

Bonded Assistant Professors : -

Serial No.	Name	Designation	Contact Info.
1.	Dr.Harshawardhan Saygaonkar	Assistant Professor	hsaygaonkar1@gmail.com
2.	Dr. Karan Shetty	Assistant Professor	drkarankshettyyk@gmail.com
3.	Dr. Palakkumar Shah	Assistant Professor	palakpshah170@gmail.com
4.	Dr. Mohammedgouse Karikazi	Assistant Professor	dr.mdgouse@gmail.com
5.	Dr. Swapnil Chaudhari	Assistant Professor	swapnil.nanded@gmail.com

Residents :

Serial No.	Name	Designation	Contact Info.
1.	Dr. Abhishek Potnis	Registrar – 3rd Year	abhishekpotnis35586@gmail.com
2.	Dr. Gaurish Sawant	Registrar – 3rd Year	gaurish1311@outlook.com
3.	Dr. Ankita Jain	Registrar – 3rd Year	nishunest@gmail.com
4.	Dr. Malavika Paranjape	Registrar – 3rd Year	malavikap82@gmail.com
5.	Dr. Heli Oza	Registrar – 3rd Year	heli1992@gmail.com
6.	Dr. Karan Porwal	Registrar – 3rd Year	drkaranporwal@gmail.com
7.	Dr. Harshvardhan Sant	Registrar – 2nd Year	hnsant@gmail.com
8.	Dr. Sayli Kulkarni	Registrar – 2nd Year	kulkarnisayli1@gmail.com
9.	Dr. Shashank Dev	Registrar – 2nd Year	shashankdev23@gmail.com
10.	Dr. Avinash Gonnade	Registrar – 2nd Year	avinash.vg89@gmail.com
11.	Dr. Subhash Gadre	Registrar – 2nd Year	gadre.subhash@gmail.com
12.	Dr. Ayush Agarwal	Registrar – 1st Year	doshi104@gmail.com
13.	Dr. Saurabh Jagtap	Registrar – 1st Year	bhatruhail121@gmail.com

Perfusionists:

Serial No.	Name	Designation	Contact Info.
1.	Mr Suresh Kale	Perfusionist	sbkale799@gmail.com
2.	Mr Ashok Saruk	Perfusionist	ashoksaruk@gmail.com
3.	Mr Shashikant Memane	Perfusionist	shashya1771@gmail.com
4.	Mrs Vaishali Mete	Perfusionist	vaishalirmete@gmail.com
5.	Ms Vaishnavi Kate	Perfusionist	vaishnavikate7@gmail.com

OT Nursing Staff:

Serial No.	Name	Designation	Contact Info.
1.	Sonal Kharvi	In-Charge	sonalrv18@gmail.com
2.	Trupti Loke	Senior Staff	trupti25569@gmail .com

Office staff:

Serial No.	Name	Contact Info.
1.	Komal Patel	komal348@gmail.com
2.	Mahesh Solanki	mahesh241276@gmail.com
3.	Naresh Gohil	ngohil@gmail.com
4.	Kanta Babaria	kantabari9@gmail.com

3 Year MCh. CVTS Course (Intake – 6/year) (total -13)
3 Year B.P.M.T. Course (total – 15)

Acquiring license for heart transplant programme
Cadaveric heart retrieval
Initiation of valve repair programme
Aorta surgeries- dissection/ aneurysms of arch
Minimally invasive programme
Inauguration of new ICU in the name of Dr GB Parulkar
Inauguration of new Seminar room
Resident training workstations in form of vascular lab
Endotrainer programme for thoracoscopy
Coronary symposium 2019.
Aortic symposium 2023.

Every Saturday, there is a clinical meeting that includes a thorough discussion of intriguing clinical situations, 2D echo’s, coronary angiograms, a review of journal papers and case presentations.
MasterClasses–where residents are encouraged to present cases in National Forums.
Daily case presentations.
Anatomy wet lab demonstrations to better understand cardiothoracic anatomy with help of cadaveric dissection in collaboration with department of anatomy.
Meditation programme to help achieve better stress management.
Postings for MCh residents in the Kokilaben Dhirubhai Ambani hospital(KDH), Department of cardiology, Department of Pediatrics for better exposure in introperative and postoperative management.

There are currently 2 functional units : -

Dr.Uday E Jadhav (Dr.UEJ)
Dr.Dwarkanath V Kulkarni (Dr.DVK)

Sr No	Article Title	Journal	Type Of article ( original Research paper. Case series case report .Review . letter to editor any other	If indexed which index?
1	A High Mortality in Neonatal Modified Blalock Taussig Shunt, still a life savior? – A Single Centre study	International journal of scientific research	Original article Vol 9/issue 10/oct 2020/pg 69- 71	International pubmedcopernicus
2	Ruptured sinus of Valsalva Aneurysms – our surgical experience of 7 years	KardiochirugiaiTorakoc hirugiaPolska	Original article 2021: 18(2): 100-104 Doi:https://doi.org/10.5114/kitp. 2021.107471	International Pubmed
3	Management of PT-INR in the patients of valve replacement	International journal of scientific research	Original article Vol 9/ issue 10/ oct 2020/ pg 31- 33 Doi: 10.36106/ijsr	International pubmedcopernicus
4	Adult presentation of giant Congenital Cystic Adenomatoid Malformation: A rare and successful surgical management	International journal of scientific research	Case report Vol 9/issue 10/oct 2020/pg 59- 60 Doi:10.36106/ijsr	International pubmedcopernicus
5	Total correction in adult tetralogy of Fallot with Child B liver cirrhosis – A rocky path ahead.	International journal of scientific research	Case report Vol 9/issue 10/oct 2020/pg 57- 58 Doi;10.36106/ijsr	International pubmedcopernicus
6	Comparison of cardioplegia: del-Nido versus St Thomas solution with respect to inotropic support in post cardiopulmonary bypass period.	International journal of scientific research	Original article Vol 9/ issue 2/ feb 2020/ pg 82- 83 Doi: 10.36106/ijsr	International Pubmedcopernicus
7	Mitral valve repair in patients with predominant Mitral regurgitation	International journal of scientific research	Original article Vol 9/issue 2/feb 2020/pg 77-78	International pubmedcopernicus

			Doi: 10.36106/ijsr
8	Early outcome of hemodialysis access arteriovenous fistulae	International journal of scientific research	Original article Volume 9/ issue 7/july 2020 doi: 10.36106/ijsr	International Copernicus pubmed
9	Primary surgical closure of ventricular septal defects in children less than 5 kgs. Our experience.	International Journal of Scientific Research	Original article Volume 7/Issue 4/April 2018. page no. 46-47	International, Copernicus 93.98, Google scholar, Impact F- 4.758
10	A Randomized Study to compare post Balloon Mitral Valvotomy Failure versus Elective Mitral Valve Replacement for Mitral Stenosis.	International Journal of Scientific Research	Original article Volume 7/Issue 4/April 2018. page no. 48- 49	International, Copernicus 93.98, Google scholar, Impact F- 4.758
11	Impact of Surgery on The Result of Anterior Mediastinal Tumors, a variability.	International Journal of Scientific Research	Original article Volume 5, Issue 9, pg no 6-9, Sept 2016	International, Copernicus, Google scholar, Impact F- 3.5
12	A retrospective study of morphological types, surgical outcome and follow up of Total Anomalous Pulmonary Venous Connection, at our Institute.	International Journal of Scientific Research	Original article Volume 5, Issue 9, pg no 69-72, Sept 2016	International, Copernicus, Google scholar, Impact F- 3.5
13	Subaortic membrane resection with septal myectomy or septal myotomy- a surgical dilemma	Paripex- Indian journal of research	Original article Vol 5, Issue 10, pg no 14-17, October 2016	International, Copernicus, Google scholar, Impact F – 5.21
14	A clinical study of intermediate changes after modified B T Shunt in patients of Tetralogy of Fallotand its significance for Intracardiac repair.	International Journal of Current Research	Original Article Vol. 8, Issue 07, pp 34286- 34292, July 2016.	International Copernius, Pubmed,
15	Minimal invasive cardiac surgery- 3 years of our experience.	International Journal of Scientific Research.	Original Article Vol 5, issue 7, ISSN 2277-8179, July 2016	International, Copernicus, Google scholar, Impact F- 3.5
16	Papillary muscle re- suspension with neo-chordae formation- A novel method to preserve postoperative Left Ventricular function and Dimensions in Mitral Valve Replacement in Rheumatic Heart Disease.	International Journal of Current Research	Original Article Vol 8, issue 08, pp 36171- 36174, August 2016	International Copernicus Pubmed

17	Noncompaction cardiomyopathy manifestation as a surgical pitfall –rare but real	Asian Cardio Vascular & Thoracic Annals	Original article Vol 23(2) 2015 133-13	International Pubmed
18	Total anomalous pulmonary venous connection primarily presenting beyond first decade of life.	Indian journal of cardiovascular and thoracic surgery	Original article Jan- March 2016, 32(1);51-86	National Indexed
19	Idiopathic Pseudoaneurysm of the Mitral- Aortic IntervalvularFibrosa	Annals of Thoracic Surgery	Case report 2015;100:e89-91	International Pubmed
20	Pigtail saves a twisted redo: successful management of chylopericardium after midline valve surgery.	Journal Cardiovascular thoracic research	Case report 2018, 10(1), 53-55 doi;10.15171/JCTVR 2018.09	International Pubmed
21	Mechanical valve at pulmonary site in adult TOF and absent pulmonary valve	Journal of Egyptian society of Cardio- Thoracic surgery	Case report http://dx.doi.org/10.1016/j.jescts. 2017.06.002	International Pubmed
22	Tetralogy of Fallot with Morgagni’s Hernia	Journal Cardiac Surgery	Case report Jocs2015; .12574 30:617–618)	International Pubmed
23	Giant aneurysm of left atrial branch of left circumflex artery with fistula	Annals of thoracic surgery	Case report 2013 Dec; 96(6):2240-3. Doi:10.1016/j.athoracsur.2013.0 4.108	International Pubmed
24	Lymphangioma presenting as cardiac temponade in a child	Journal Cardiac Surgery	Case report Jocs.30;613-616 2015	International Pubmed
25	Giant Mediastinal Teratoma with Mixed Malignant Transformation- A Successful Surgical Management.	Bombay hospital Journal	Case report Vol 59, Issue 2, April 2017, pg no. 275-277	National Indmed
26	Left hepatic vein and persistent left superior vena cava draining into right atrium in a case of common atrioventricular canal defect- a cannulation ordeal.	Bombay hospital Journal	Case report Vol 58, Issue no 3, pg 376-379, July 2016	National Indmed
27	Florid infective endocarditis surgical treatment- still a reality.	Bombay hospital Journal	Case report Vol 58, no 3, pg 386-388, July	National Indmed

			2016
28	Giant bronchogenic cyst -- a successful surgical management	Bombay Hospital Journal.	Case report Vol. 57 , No 1, 2015	National Indmed
29	Modified Tekuchi’s repair for anomalous origin of left coronary artery from nonfacing sinus of pulmonary artery.	Bombay Hospital Journal.	Case report Vol.57,No 1, 2015.	National
30	Aortic Root replacement with composite prosthetic valve conduit ( Bentall’s procedure -- in case of aneurysm of ascending aorta secondary marfan’s syndrome	BombayHospital Journal.	Case report Vol 50, No 4, 2008	National
31	Dumbell shaped Giant Left Arterial Myxoma extending in to left ventricle across mitral valve in an elderly male presenting with cardiac failure a case report	Bomaby Hospital Journal	Case report Vol 50, no-4 2008	National
32	Pulmonary valve myxomawith complete heart block- a rare case report.	Indian Journal Thoracic Cardiovascular surgery	Case Report Dec 2014,30(4);292-294	National
33	Coarctation Repair in an Adult Funambulist (Dombari)	Journal of Cardiology and Cardiovascular Research	J Cardiol Cardiovasc Res. 2023;4(2):41- 6. https://doi.org/10.37191/Mapsci- 2583-259X-4(2)-078	National
34	Thrombolytic therapy as first line treatment in prosthetic mitral valve thrombosis	International Surgery Journal	Vol. 10 No. 6 (2023): June 2023 https://doi.org/10.18203/2349- 2902.isj20231728	National
35	Do Post-Operative Electrocardiographic (ECG) Changes Indicate any Underlying Graft Problem after CABG? Correlation of Early Post-Operative ECG Changes with CT Coronary Angiography (CTCA)	Cardiology and Cardiovascular Medicine	7 (2023): 162-168. DOI:10.26502/fccm.92920323	International

FOLDAX trial for Aortic valve replacement
FOLDAX trial for Mitral valve replacement

Patient Education

Patients are educated in detail by the surgeon, anaesthesiologist, physiotherapist and dietician. Patient and relatives are given information about the procedure they are about to undergo and counselled for the same and written informed consent taken prior to the procedure.
Prehabilitation and rehabilitation programmes are undertaken for the overall wellbeing and early recovery of the patient.
Lifestyle modifications to the best possible extent are also introduced to the patients to suit for a healthy life.

Community Activities

Regular camps are undertaken to the remote and underdeveloped areas which have less access to healthcare facilities.
During COVID 19 Pandemic, Some of the Faculty and Residents of the Department were transferred to Seven Hills Hospital to work as Covid Warriors.

Future outlook

Heart transplant programme
Heart failure OPD
Interventional cardiac procedures.
Thoracoscopic procedures
Robotic cardiac and thoracic surgeries
Academic Collaboration with International Universities.
Continue to serve the underprivileged with state of the art healthcare facilities.