KING EDWARD MEMORIAL HOSPITAL

Seth Gordhandas Sunderdas Medical College

Acharya Donde Marg, Parel,
Mumbai 400 012. India.
Tel.: 91-22-2410 7000 Fax: 91-22-2414 3435

Cardiovascular and Thoracic Surgery

Background History

It is remarkable that cardiac surgery started in our institution only a few years after it started making its impact in the Western World. the foundations of the Cardiovascular and Thoracic Surgery department were firmly laid by late Dr. P. K. Sen. He 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. But Dr. Sen’s contributions were richly rewarded when he was awarded the Padmabhushan in 1969. He was the recepient of the Dr. B. C. Roy oration and the Neelratan Sarkar oration in the same year. He was well ahead of his time when we notice that transmyocardial laser revascularisation of the nineties is only an extension of his myocardial acupuncture for the treatment of ischaemic heart disease, based on his original research on snake heart principles. And so our Department is named after him as a mark of honour.

Dr. T. P. Kulkarni joined Dr. Sen as Asst. Professor in 1959 and helped him in the various department activities. Dr. Kulkarni was awarded the Rockefeller Foundation Fellowship and trained for two years under Dr. Michael E. Debakey, the pioneering surgeon, who is well known for his contribution to surgery for aneurysms of the thoracic and abdominal aorta. Dr. T. P. Kulkarni on his return contributed further to the development of all vascular surgery.

The department grew rapidly from there on with several energetic, dedicated and eminent surgeons like Dr. G. B. Parulkar, Dr. SharadPandey, Dr. A. P. Chaukar and Dr. S. S. Bhattacharya.

Dr. G. B. Parulkar took on from where Dr. Sen left, brought the CVTS department on the international field. Dr. Parulkar had been an Evarts Graham Fellow and had cultivated life long friendship with who is who of the Cardiovascularspeciality of the world. He was bestowed with Padmabhushan in 1998 and he was the recepient of the Dr. B. C. Roy award for the most eminent medical man of the year 1997.Dr. Parulkar retired as Dean and Professor-Director of Surgery in 1989 Dr. S. S. Bhattacharya started the Coronary Artery Bypass surgery after training with Dr. Dudley Johnson in Milwaukee and left the institutions in 1982-83 to become an institution by him in myocardial revascularization.

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 M.Ch students in India Today opinion poll (1998).

While we are proud to have this coveted place of honour, it is the hard work and dedication of our predecessors that has gone into making of this department. The period from 1975 till date has seen a phenomenal increase in work output. Unlike many other teaching institutions, the department has significant load of Thoracic and Vascular cases making the training programme very comprehensive. The surgical excellence of the department attracted patients from rest of Maharashtra as also from all over the country and a few from neighbouring countries. A unique event of Heart Valve Mela was organized in 1997 to bring together patients operated for Heart Valve Replacement over the years and we are happy that several other centers in the country followed suit.

In the field of education, the department not only trains the postgraduate students to become Cardio-Vascular and Thoracic Surgeons but also trains science graduates in Extra-corporeal Technology, by running a one year course in the department beginning since 1985 and is national center of IACTS since 1991. A large number of students have been trained by the department and quite a number have secured the first rank at the University examination. Over a dozen former students of the department are now heading services all over the country.

We are conscious of the escalating costs of cardiac surgery in view of rapidly changing technology. However, the mission of the department will always remain to make accessible quality care to the most deserving at an affordable cost.Thus operating around 800-1000 cases per year, at a very low and affordable cost.

Our department is specialized in surgeries of all the complex congenital heart defects, valvular, coronary CABG especially off pump i.e beating heart surgery, and all vascular cases.

Sections Units Branches

UNITS- we have two units
UNIT I. DR N B AGRAWAL, Prof and Head Dept.
UNIT II. DR D V KULKARNI, Adl Prof and unit chief

 

Staff

Faculty

Professors: Dr. A.M. Patwardhan*
Dr. N.B. Agrawal*
Associate Professors: Dr. D.V. Kulkarni*
Dr. Prashant Mishra
Assistant Professor: Dr. Rohit Shahapurkar

(* Recognised University Teachers)

Teaching and Non Teaching staff:

Name E-mail Intercom no Landline No Mobile No
Dr.N.B.Agrawal,Professor drnbagrawalcvts@yahoo.co.in 7005 03639234 9920097908
Dr.D.V.Kulkarni,Assoc. Professor dkulkarni73@yahoo.com 7632 24102333 9820451097
Dr.Prashant Mishra,Assoc. Professor dprashantmishra100@yahoo.com 7745 24138011 9833989560
Dr.Kamlesh Jain,Assoc. Professor drkamleshjain@live.in 7207 23007104 9930320503
Dr. Rohit Shahapurkar,Asst. Professor rohitmita@gmail.com 7207   — 9322258723
Dr. Balaji Aironi, Asst. Professor drbalajiaironi@gmail.com 7207 25570021 8879367226
Mr.M.S.SomanC.C.T    —- 7429    — 9820275219
Mr.Mahesh Solanki,(R.A)     —– 7429    — 8291868220
Ms. R. R. Adsul,Sr. Lab Technician      — 7207     — 9892245245
Mr.S.B.Kale,Lab Technician     — 7207     — 9820577080
Mr. S. P. Memane,Lab Technician      — 7207     — 9869056626
Mr. A. S. Saruk,Lab Technician      — 7207    — 9869366542
Mrs. Vaishali Mete,Lab Technician      — 7207    — 9222105804

 

RESIDENTS: 

1)      Dr.Bharat Soni
2)      Dr.Nitin Gundre
3)      Dr.Swarup Pal
4)      Dr.Soumen Paul
5)      Dr. Pranav Mali
6)      Sayajirao Sargar
7)      Dr.Supreet Marahe
8)      Dr.Gauri Datar
9)      Dr.V.Nagesh R
10)  Nilesh Purkar
11)  Dr.Nilesh Purkar
12)  Dr.Shikha Gupta

 

Facilities, Equipments & Special services

Services:

Bed Strength :
  • 53 bedded (41 in ward + 12 ICU )
Out Patient Department (OPD) :
  • The department conducts in own OPD, four times a week.
  • 3700 new and 5000 follow-up patients are evaluated every year.
Operation Facilities :
  • The department performs routine operations 5 days/week and every day 8am to 4pm through three fully equipped operating rooms.
  • The department has round the clock emergency operation (including open heart) facilities.
Social Camps :
  • The departmental members conduct diagnostic and follow up camps, some for last 16 years, at four places in rural India.
Operative Backup :

(A)

  • CABGs 200/yr (including ‘offpump’ CABGs)
  • Valve Surgeries 300/yr Open heart, 250/yr closed heart (valvotomies)
  • The center does a large number of redo (previous closed or open) operationsover 30% of cases are in NYHA class IV.
  • Congenital Heart Surgeries 250/yr Open Heart, 200/yr closed heart.
  • Majority of cases are congenital heart diseases in adults, though 4-6kg body weight children are routinely operated for VSDs, Senning’s/Fontan operation.

(B)

  • Vascular operations 50/yr (under GA) 100/yr (under LA).
  • These include a variety of bypasses and aneurysmoplasties. About a dozen arch aneurysms are operated every year, under circulatory arrest

(C)

  • Thoracic operations include about 50 lung resections a year, excision of Mediastinal mass (including thymectomy)

(D)

  • Being Public institution, the center handles a number of chest and vascular trauma cases (50/yr).

(E)

  • The department also collaborates with the Departments of Cardiology and Radiology and supports the Inerventional Cardiology Procedures and Vascular Interventional Procedures.

For Students

 

Courses Offered:

The department offers the M.Ch Course of three years duration in Cardiovascular & Thoracic Surgery under the aegis of the Maharashtra University of Health Sciences Nashik.   We have an intake of  4 students from this year.  KEM Hospital is very often the first choice of PG students at the time of registration and this reflects the quantum and quality of training in the department.  The residents go through a rigorous training programme aimed at attaining basic clinical and surgical skills.  The residents rotate through other disciplines like Cardiology, Chest medicine, Vascular Interventional Radiology and Surgical Oncology at Tata Memorial Hospital.  The department has an active teaching programme in the form of clinical presentations, journals club, diagnostic catheterization conferences and mortality meeting.The department also runs one year certificate course in the Extra Corporeal Perfusion Technology.  The intake is of three students every year.  The department also runs the lecture seriesand  practical  for  BPMT course from MUHS. The department also given six months observation and training to the students recommended by the Bakkenn Institute.In addition, lectures are taken for Undergraduates, Physiotherapy and Occupational Therapy students, Nurses and others.  The postgraduate students in Nursing from SNDT Women’s University spend a period of 3 months for practical training and research studies.

 

Research and Projects:

Ongoing projects

a)      Safety and Efficacy of Intracoronary and Intramyocardial delivery of autologous bone marrow mononuclear cells in patients with triple vessel coronary artery disease and left ventricular dysfunction undergoing surgical revascularization.b)      Randomized study to assess efficacy of three different ablative procedures to treat atrial fibrillation in patients with valvular heart disease.c)      Research project submitted to DBT – Development of an experimental model employing vascular endothelial cells for its potential use in Tissue Engineered conduits.”

 

  • Recurrent multicentricsyndromicmyxoma. Under process for IHJ.
  • Giant mediastinal cyst with displaced mediastinum that turned out to be bronchogenic cyst. Under process IJCVTS.

For Patients

Out Patient Services:

Four Outpatient Clinics are conducted every week

Place CVTCBuilding, Ground Floor (307)
Days Monday/Wednesday (Dr.NBA Unit) Tuesday / Friday  (Dr.DVK Unit)
Timing 1.30 pm onwards

 

New patients as well as follow-up patients are seen in the OPD.  The follow up clinics are especially important for those who have undergone complex congenital heart surgeries and especially valve replacement surgeries that need their anticoagulation management under supervision and congenital heart surgeries whose palliation has been done for evaluation for completion procedures.

 

In Patient Services:

All patients are admitted in ward 31 on 2nd floor CVTC building which has been recently awarded as the best managing wards in the KEMH.
 

Emergency services

We provide daily emergency services on the respective OT days and alternating on Saturday and Sunday.

  • Monday/Wednesday (Dr. DVK Unit)
  • Tuesday / Friday (Dr. NBA Unit).
Patient education leaflets

Regarding the warfarin therapy for operated valve replacements. Diet for the CABG patients. Active physiotherapy for the post op patients.

 

Others

 

Awards and Achievements:

  • Department received accolade in the article in Marathi newspaper Loksatta dated 26.10.2010.
  • Renovation of Ward 31, ICU & CVTS OT with improved patient care and cleanliness and facility for    relatives.
  • B Braun academic award 2012 granted to DR NITIN GUNDRE 3RD year resident.
  • Our ward 31 has been awarded as the best managing ward of 2012 in the hospital.

 

CME Programmes:

  • Live workshop on mitral valve repair july 2010.
  • Mitral valve repair workshop arranged by the department on 9th july 2010 at CVTC auditorium. Operating surgeon & speaker Dr. Taweesakchotivatanapong chief cardiac surgeon Thailand.
  • Live workshop on complex congenital and aortic surgeries, dec 2012.
  • Live surgical work shop on “ complex congenital surgeries and aortic surgeries” was done on 5th & 6th december 2012 at CVTS auditorium with Dr.Eyalporat, Director Rabin Medical College Centre Israel. & Dr, Georgyfrenkel, Director Schneidor medical centre, Israel.
  • Felicitation of Dr. G. B. Parulkar and all other Dept. Stalwards Dec 2012, 80 yrs age.

Location

Department is located in the dedicated CVTC building of KEMH, with OT, ICU and Ward on the same 2nd floor.

Contact Detail

• Tel:
• Fax:
• email ID:

News & Updates

Future Plans

  • Expansion of the facilities has been proposed in the 2nd phase of the institution development plan. It will be expected to complete by 2014.
  • A separate area of 1500 sqft is proposed for combined library and seminar hall for Cardiology, CVTS and Chest Medicine Department in the proposed multistoried building.

For Student

For Patient

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