Best Doctors for Aortic Aneurysm Surgery in India

Profile Highlights:

  • Dr. Naresh Trehan is one of the most highly skilled and globally recognized cardiothoracic and vascular surgeons.
  • His experience encompasses 40+ years and is considered one of the most successful and accomplished cardiac surgeons in the country.
  • Dr. Naresh Trehan specializes in cardiovascular surgery, cardiothoracic surgery, Heart Transplant, and Minimally Invasive Cardiac Surgery and has performed more than 48,000 successful open-heart surgeries to date.
  • He started his career as a Cardiac Surgeon at New York University Medical Centre where he performed over 3000 coronary artery surgeries and returned to India in 1988 and founded the Escorts Heart Institute and Research Center in New Delhi.
  • Dr. Trehan is the Founder Chairman of Medanta- The Medicity in Gurugram, a premier multi-specialty hospital with state-of-the-art infrastructure and equipped with the latest and advanced technologies.

Profile Highlights:

  • Dr. Anil Bhan is an excellent Cardiovascular and thoracic surgeon who has performed more than 15,000 cardiac and vascular surgeries that include heart transplant surgery, aortic aneurysm surgery, pediatric cardiac surgery, valve repairs, and peripheral vascular surgery among several others.
  • He is one of the best pediatric cardiac surgeons in Delhi/ NCR and is credited with performing heart bypass surgery on the youngest patient in India in 2007 (18 months).
  • He performed the first extracorporeal membrane oxygenation (ECMO) and was the first to use a harmonic scalpel for harvesting radial mammary artery conduits in India in 2000 and 1995 respectively.

Profile Highlights:

  • Dr. Ajay Kaul is a leading name in the field of Cardiothoracic and Vascular Surgery in India with over 3 decades of experience.
  • He specializes in Coronary Bypass surgery and is one of the best with the highest number of total arterial coronary bypass surgery (4000+) by using two internal mammary arteries from the chest and without any cuts on arms and legs.
  • He is also an expert in minimally invasive cardiac surgeries (MICS) and has performed more than 4000 MICS which is the highest by any cardiac surgeon in India.

Profile Highlights:

  • Dr. Z S Meharwal is a well-known cardiac surgeon in India who has performed over 20,000 cardiac surgeries, including some of the most complex and high-risk cardiac procedures.
  • Dr. Meharwal is a member of the founding team that started the Fortis Escorts Heart Institute and has been associated with the hospital since then.
  • His interest lies in Minimally Invasive Cardiac procedures, valve repair, and replacement, and heart transplants among other major vascular and thoracic surgeries.

Profile Highlights:

  • Dr. Rajneesh Malhotra is a distinguished cardiovascular and thoracic surgeon in India with over 30 years of experience.
  • He is an expert in all kinds of cardiac surgeries with a special interest in Robotic Cardiac surgery along with minimally invasive cardiac surgery and other traditional heart surgeries.
  • Dr. Rajneesh Malhotra has performed several complex and high-risk cases and also specializes in heart transplant surgeries and surgeries for heart failure.

Profile Highlights:

  • Dr. Vivek Jawali is a renowned Cardiothoracic and Vascular Surgeon in India and has performed more than 18,000 cardiothoracic and cardiovascular surgeries.
  • He has several firsts to his credit that including the first beating heart bypass surgery in 1992 and the first Minimally Invasive Heart Bypass surgery in 1994 in India.
  • He performed the first Awake Cardiac Surgery in 1999 which is done without general anesthesia or ventilator but under continuous high thoracic epidural. He also performed the first awake open heart surgery in the world without general anesthesia or ventilator on a 74-year-old patient for triple bypass with aortic valve replacement.

Profile Highlights:

  • Dr. Anvay Mulay is a well-known cardiothoracic and vascular surgeon in Mumbai and one of the best heart transplant surgeons in India.
  • He holds an extensive experience of close to 3 decades and has been associated with renowned cardiac hospitals in India, US, and UK.
  • Dr. Mulay is one of the top surgeons for Adult cardiac procedures in India. He was the first to introduce LVAD in West and Central India when he performed the surgery on a 49-year-old patient.

Profile Highlights:

  • Dr. Mukesh Goel is a reputed Cardio-Thoracic and Vascular surgeon serving as a Senior Consultant of the specialty at Indraprastha Apollo Hospital, New Delhi.
  • He carries an experience of 16+ years and has performed more than 3000 different cardiac surgeries. Dr. Mukesh Goel is constantly on the lookout to develop new and innovative techniques to perform cardiac procedures that help in quick recovery with minimum incisions.
  • His expertise lies in on and off-pump bypass surgeries and also finds interest in beating heart bypass surgery, open-heart surgery, minimally invasive heart valve surgery, and pediatric cardiac surgery among several others.
  • Dr. Mukesh Goel received his training in CTVS from one of the most renowned cardiac surgeons in India, Dr. Naresh Trehan, and has been using the exposure to perform various advanced and complex heart surgeries.
  • Before joining Indraprastha, Dr. Goel has been associated with other prestigious heart centers in India like Escorts Heart Institute, Apollo Hospital in New Delhi, and Medanta in Gurugram where he helped in starting the Heart surgery unit.
  • He frequently gets invited to attend cardiology conferences and seminars to deliver lectures and present papers. He also regularly takes part in workshops and CMEs for cardiac surgeries.
  • Dr. Mukesh Goel is a keen researcher and has published a number of papers and articles on CTVS in renowned national and international medical journals.

Profile Highlights:

  • Dr. Zainulabedin Hamdulay is one of the best cardiac surgeons in Mumbai, India, and specializes in devising new and innovative techniques for cardiac surgeries.
  • He has 24+ years of experience and has performed over 8000 cardiac surgeries that included complex valve repairs, congenital cardiac surgery, CABG, and several minimally invasive cardiac surgeries.
  • With a motive to provide the best, affordable and comprehensive cardiac care to all his patients, he founded the Hamdulay Heart Foundation to provide aid to the economically backward community.

Profile Highlights:

  • Dr. Sushant Srivastava is a renowned cardiovascular and thoracic surgeon specializing in heart transplantation.
  • He specializes in performing Beating Heart Bypass surgeries and is credited with performing the procedure on the oldest patient in India (96 years old). He also performed the first awake CABG in North India.
  • He has taken up close to 10000 cardiac cases in his career and performed 3000+ cardiac surgeries related to Coronary Artery Bypass Grafting (CABG), redo coronary artery surgery, heart failure surgeries, heart valve surgeries, and various other types of cardiac surgeries.

Best Hospitals for Aortic Aneurysm Surgery in India

Hospital Highlights:

  • Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
  • The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
  • Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
  • Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.

Hospital Highlights:

In the sprawling city of Faridabad, where healthcare needs are diverse and ever-evolving, one institution has consistently stood out as a beacon of excellence in the field of medicine—Marengo Asia Hospital. Established with a vision to provide world-class healthcare services to the community it serves, Marengo Asia Hospital has emerged as a trusted name synonymous with quality, compassion, and innovation in healthcare.

Hospital Highlights:

  • Equipped with 650 beds, BLK-Max Super Speciality Hospital is the largest stand-alone private sector hospital in Delhi.
  • With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest BMT Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.

Hospital Highlights:

  • Located in Chennai, India, MGM Healthcare is a top multispecialty hospital that provides all medical services under one roof.
  • Since its founding in 2019, MGM Healthcare has quickly become a leading national referral centre, creating several innovative flagship initiatives.
  • MGM Healthcare combines next-generation medical and digital technologies to provide better patient results.
  • With 12 centres of excellence, more than 400 inpatient beds, 100 intensive care unit beds, and 24/7 emergency care, MGM Healthcare leaves no chance in redefining the patient experience in Chennai.
  • MGM Healthcare boasts 250+ expert doctors across 30+ departments, including Cardiology, Pulmonology, Neurology, Obstetrics & Gynaecology, and more.
  • They house 12 specialized Centres of Excellence, including Neurosciences, Orthopaedics, and Multi-Organ Transplantation.
  • Their team of doctors, nurses, and paramedics works together to give every patient individualized treatment.

Hospital Highlights:

  • Fortis Hospital, Noida, stands as one of the oldest and most trusted healthcare institutions in the region, setting a benchmark for comprehensive medical care.
  • As the second mega hub hospital in the Fortis Healthcare Group, Fortis Hospital, Noida, upholds a legacy of trust among more than 1.2 million patients. By integrating top-tier professionals with cutting-edge technology, the hospital delivers superior treatment across various medical disciplines.
  • Specializing in advanced Neurosciences, Orthopedics, Kidney and Liver Transplant Programmes, Fortis Hospital, Noida has successfully performed over 1,500 transplants, solidifying its reputation as a leader in specialized medical interventions.

Abdominal Aortic Aneurysm (AAA)

Abdominal Aortic Aneurysm (AAA) is the inflammation or swelling of the aorta which is the largest artery of the body. Large aneurysms are rare but are fatal if they burst. It runs from the heart to the abdomen through the chest and is the largest vessel in the human body. A rupture of the AAA can cause bleeding that may be life-threatening.

Types of Abdominal Aortic Aneurysm

The size and the speed of growth of an Aneurysm are the key factors for the classification.

  • Small (<5.5 cm): These are slow-growing Abdominal Aortic Aneurysms with a comparatively lesser risk of rupturing than the larger aneurysms. Regular abdominal ultrasounds are often helpful in monitoring these aneurysms.
  • Large (>5.5 cm): These are fast-growing Abdominal Aortic Aneurysms that have high chances of rupturing. There might be internal bleeding due to rupture followed by other major complications. The larger the size of the aneurysm, the higher the chances of treating the same through the surgery.

Symptoms of Abdominal Aortic Aneurysm

In most cases, a small abdominal aortic aneurysm shows no symptoms. However, a larger AAA may cause pain or a pulsating feeling in the abdomen & persistent back pain. As it grows slowly without showing any visible symptoms, it is often difficult to detect an Abdominal Aortic Aneurysm. While some aneurysms stay small without any rupture, many others grow large.

They may notice a few symptoms if they have an Abdominal Aortic Aneurysm that continues to enlarge. These symptoms may include back pain, deep and persistent pain in the abdomen, and a pulsating feel near the belly button. It also includes clammy skin, nausea, shock, and vomiting.

A ruptured abdominal aortic aneurysm may cause:

  • Dizziness
  • Sweaty skin
  • Rapid heartbeat
  • Shortness of breath
  • Loss of consciousness

Causes & risk factors of Abdominal Aortic Aneurysm

  • Age: Increasing age is a risk factor for abdominal aortic aneurysms.
  • Gender: AAAs are most common in men aged over 65.
  • Smoking: Tobacco contains substances that damage the aortic wall.
  • Atherosclerosis: In atherosclerosis, there is the narrowing of the arteries due to the accumulation of plaque. These plaques cause the widening of the aorta so that the blood keeps on flowing leading to the weakening of the aorta.
  • High blood pressure: It increases the pressure on aortic walls. This may weaken the walls of the aorta and cause damage to the same.
  • Family history: Having a family history of AAA may increase the risk of developing it.
  • Infection in the aorta: A fungal or bacterial infection may cause an Abdominal Aortic Aneurysm.
  • Blood vessel diseases: Some diseases may cause inflammation in the blood vessels.
  • Trauma: An injury or trauma may also cause an Abdominal Aortic Aneurysm.

 

Risk factors for Abdominal Aortic Aneurysm

  • Family history: If you have a family history of an Abdominal Aortic Aneurysm, you are at an increased risk of developing the condition.
  • Tobacco use: Tobacco consumption can increase your chances of developing an Abdominal Aortic Aneurysm.
  • Color complexion: People with white or fair color complexion have a risk of developing abdominal aortic aneurysms.
  • Other types of aneurysm: If you have an aneurysm in some other blood vessel, it may increase your risk for Abdominal Aortic Aneurysm.

Diagnosis of Abdominal Aortic Aneurysm

Routine physical examination

During the routine physical examination, the doctor checks for a distinctive pulsating sensation in the abdomen.

Abdominal MRI

The imaging test uses computer-generated radio waves and a magnetic field for displaying the images of the abdominal structures.

Ultrasound

Ultrasound, which is the most common test, is a painless test for diagnosing an Abdominal Aortic Aneurysm. It utilizes sound waves for depicting the flow of blood through the abdominal structures.

Abdominal CT scan

This test involves the use of X-rays for creating cross-sectional images of the abdominal structures. The scan can help in detecting the shape and size of the aneurysm as it offers clear images.

Treatment options for Abdominal Aortic Aneurysm

The treatment options for an Abdominal Aortic Aneurysm may vary depending upon the size of the AAA.

Medical monitoring

Also called watchful waiting, this is a preferable method for small and asymptomatic aneurysms. It requires the patient to undergo imaging tests and checkup with the doctor, regularly.

Treatment of Large AAA

The surgical options are a choice when the aneurysm is around 2 inches or more in size. If you have a painful aneurysm or stomach pain, your doctor might recommend you to undergo the surgery. The location and size of the aneurysm determine the type of surgery for treating the aneurysms.

Endovascular surgery

During endovascular surgery, a small incision is made in the groin through which a graft made of metal mesh is inserted & advanced to the swollen aorta. This graft is sealed to the aortic wall at both ends which reduces the risk of bursting.

Open surgery

In open surgery, an incision is made into the stomach & replaces the enlarged abdominal aorta with a graft made up of synthetic material.

Treatment of small or medium AAA

For a small (3.0-4.4cm) or medium (4.5-5.4cm) aneurysm, surgery may not be recommended as it may not benefit the patient. The patient is called for regular check-ups (every year in case of a small aneurysm and every three months in case of a medium aneurysm) & scans to monitor the size of the aneurysm.

The patient is advised to prevent the aneurysm from getting bigger, which is done by:

  • Stopping smoking
  • Eating a balanced diet
  • Maintaining a healthy weight
  • Regular exercise

Complications of Abdominal Aortic Aneurysm

A ruptured aneurysm or aortic dissection (or tear) in the layers of the Aortic wall are the major complications. The larger the size and speed of growth of the aneurysm, the higher are the chances of Aneurysm rupture which may cause bleeding, which is life-threatening. 

You will realize a ruptured aneurysm if you have low blood pressure, sudden and continuous abdominal pain, or a faster pulse. A tearing sensation or back pain also signifies the rupture of an aneurysm.

Prevention Of Abdominal Aortic Aneurysm

There are various ways of preventing and worsening Abdominal Aortic Aneurysm. These, does not limit to but, may include:

  • Quitting the consumption of tobacco and smoking may help prevent aneurysms.
  • Maintain normal blood pressure and cholesterol by following the instructions of the doctor.
  • Eating a healthy and balanced diet that includes fruits and vegetables is also helpful.
  • Exercising regularly with the right activities advised by the doctor may also help prevent aneurysms.

FAQs

AAA is a swelling in the aorta that runs from the heart to the abdomen. Yes, it is a serious condition if the detection is late as bigger aneurysms have more chances of rupturing and can be life-threatening as well.
Yes, one can live a normal life with an abdominal aortic aneurysm by preventing the conditions that may cause rupturing of the aneurysm.
The warning signs of AAA are chest pain, back pain, loss of consciousness, headache, and coughing blood.
You must avoid fried foods, sugary drinks, packaged foods, dairy products, fatty meats, white carbohydrates, and Hugh cholesterol foods.
The most common symptom of Abdominal Aortic Aneurysm is discomfort or abdominal pain which may either be constant or come and go at irregular intervals.
Yes, some people may experience bowel problems if they are suffering from abdominal aortic aneurysms while others may not experience the same.
Many people have a smaller aneurysm that is present with no visible symptoms. However, many people have a larger aneurysm which may be easily felt in the stomach because of its size.
There are various trigger factors for Abdominal Aortic Aneurysm which include smoking high blood pressure, a traumatic injury to the brain, infection in the blood, fatty buildup on the walls of the blood vessels or atherosclerosis, blood infection, and use of cocaine or amphetamine.

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