Best Doctors in India for Ross Procedure

Profile Highlights:

  • Dr. Ashok Seth is one of the most well-known Interventional Cardiologists in India honored with both the Padma Shri and Padma Bhushan by the Government of India.
  • He has more than 3 decades of experience in interventional cardiology and has performed over 20, 000 angioplasties and 50,000 angiograms till date.
  • Dr. Seth holds a Fellowship of the Royal College of Physicians of Ireland, London, and Edinburgh along with several other degrees to his name.

Profile Highlights:

  • Dr. Ashutosh Marwah is one of the best child heart specialists in India, having experience of over 26 years.
  • He was the former Assistant Director of Jaypee Hospital and is now practicing at Indraprastha Apollo Hospital in New Delhi.
  • Dr. Ashutosh Marwah has expertise in treating complex cardiac defects, Interventional & perioperative cardiac catheterizations, dilatation stenting, fetal echocardiography, Aortic Aneurysm, and Stent implantation.
  • He has Fellowships in Pediatric Cardiology from reputed hospitals like Escorts Heart Institute, Delhi, and Royal Children’s Hospital, Melbourne, improvised his skills.
  • Dr. Marwah published multiple research papers and articles in reputed medical journals of India and abroad. He is also a member of the Lions Club of Dar Es Salaam.

Profile Highlights:

  • Dr. (Col) B Kalra is one of the best cardiologists in Gurugram, with nearly two decades of experience in Cardiology.
  • Due to different pieces of training, Dr. Balbir Kalra has accomplished expertise in Clinical, Invasive, and Non-Invasive Cardiology.

Profile Highlights:

  • Dr. Balbir Singh is a reputed cardiologist with over 32 years of experience,  considered a veteran in his field, both nationally and internationally.
  • He has also pioneered several minimally invasive cardiology surgical techniques in India and has been honored with the prestigious Padma Shree Award for his exceptional performance.
  • “LIMCA” Book of Records also highlighted Dr. Balbir Singh’s contribution to the medical field in the Indian Electrophysiology Journal.

Profile Highlights:

  • Dr. Bhaba Nanda Das is a well-known cardiovascular and cardiothoracic surgeon and has performed the first Coronary Artery Bypass Grafting (CABG) on a beating heart in India.
  • He has performed over 20,000 cardiac surgeries and does more than 800 cardiac surgeries annually.
  • With a keen interest in cardiovascular and thoracic procedures, Dr. Das is the first cardiac surgeon to use all arterial grafts for multiple coronary revascularizations. He was also the first to use coronary sinus in Fontan’s circulation.

Profile Highlights:

  • Dr. Dillip Kumar Mishra is a well-known and experienced Cardiothoracic Surgeon in Chennai who has completed 35 years of specialized experience.
  • The doctor gained experience working overseas in countries like Italy, Saudi Arabia, Bangladesh-Dhaka, and India.
  • The doctor offers the best services to the patients, some of the prominent services include Intra – Arterial Thrombolysis, Mitral/Heart Valve Replacement, Cardio-Thoracic Surgery, bypass surgery, Radial Approach Angiography Balloon Mitral Valvuloplasty, etc.

Profile Highlights:

  • Dr. G Rama Subramanyam is a well-known cardiothoracic and vascular surgeon who specializes in open-heart surgery and has performed more than 5000 such procedures since 1997.
  • He is also an expert in Minimally Invasive Coronary Artery Bypass Grafting and heart valve surgeries that includes over 200 Ischemic mitral valve repair surgeries and 100 myxomatous and Rheumatic mitral valve repair surgeries.

Profile Highlights:

  • Padma Bhushan awardee Dr. Girinath M R is a senior cardio-thoracic Surgeon in Chennai having experience of more than 45 years in Cardiac Surgery.
  • Dr. M R Girinath was a fellow of Coronary Artery Surgery and Congenital Heart Surgery at the University of Wisconsin, USA.
  • He provides consultation and diagnostic services for Mitral/Heart Valve Replacement, Cardiac Pacing, Invasive Cardiology, ABPM, Balloon Mitral Valvuloplasty, CT Angiography, etc.

Profile Highlights:

Profile Snapshot of Dr. Hemant Gandhi

  • Hemant Gandhi is a distinguished figure in the field of interventional cardiology with over 15+ years of extensive experience.
  • He is recognized for his proficiency in handling cases involving congenital heart defects such as ASD and PDA, along with peripheral angiography, angioplasty, and balloon valvuloplasty.
  • Gandhi holds the distinction of being the first D.M. (Cardiology) candidate to graduate from the prestigious PGIMER and Dr. RML Hospital, New Delhi.
  • Beyond his clinical practice, he is actively engaged in the education and training of medical students in the specialized domain of Cardiology.
  • His contributions to academia are further underscored by a significant number of publications that enrich the field with his insights and research findings.

Profile Highlights:

  • Dr. Hemant Madan is an experienced and accomplished cardiologist, with a professional experience of around 20 years.
  • His expertise includes all aspects of cardiology, including pediatric cardiology, complex coronary interventions, device implantation, all kinds of rhythm disorders, percutaneous treatment of valve stenosis, and peripheral interventions.
  • Dr. Madan pursued his Fellowship at the Royal College of Physicians from Edinburgh in UK.

Best Hospitals in India for Ross Procedure

Fortis Escorts Hospital, New Delhi

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.

Rela Hospital, Chennai

Hospital Highlights:

  • RIMC is a multi-specialty hospital in a sprawling area of ​​36 acres located in Chromepet, Chennai, Tamil Nadu, India.
  • The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
  • RIMC is led and managed by world-renowned physicians committed to healthcare.
  • RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
  • Rela Institute is driven by patient needs, comfort and confidence.

CARE Hospitals, Hyderabad

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Fortis Hiranandani Hospital, Mumbai

Hospital Highlights:

  • Fortis Hiranandani hospital was established in 2007.
  • The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
  • The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
  • The hospital is NABH accredited.
  • The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
  • The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.

Fortis Hospital, Anandpur, Kolkata

Hospital Highlights:

  • Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
  • The hospital is NABH accredited.
  • This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
  • The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
  • The hospital also has a nephrology department with over 28 advanced dialysis units.

Fortis Hospital Banerghatta, Bengaluru

Hospital Highlights:

  • Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
  • The hospital is a 276 bedded multi-specialty tertiary care facility.
  • The hospital specializes in cutting-edge medical technology and dedicated patient care services.
  • The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
  • The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).

Fortis Hospital, Malar, Chennai

Hospital Highlights:

  • Fortis Malar was established in 1992 and was formerly known as Malar Hospital.
  • The hospital specializes in cutting-edge medical technology and dedicated patient care services.
  • The hospital is multi-specialty, tertiary care facility with 180 beds.
  • The hospital offers comprehensive medical care in specialties such as cardiology, cardio-thoracic surgery, neurology, neurosurgery, orthopedics, nephrology, gynecology, gastroenterology, urology, pediatrics, and diabetes.

Gleneagles Global Hospital, Parel, Mumbai

Hospital Highlights:

  • Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
  • The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
  • The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
  • The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.

Jaypee Hospital, Noida

Hospital Highlights:

  • Jaypee Hospital is the flagship hospital of the Jaypee Group.
  • This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
  • It holds the accreditation of the NABH and NABL.
  • The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
  • It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.

Manipal Hospital, Dwarka, Delhi

Hospital Highlights:

  • Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
  • The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
  • Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
  • The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.

Ross Procedure

The Ross procedure also known as the pulmonary autograft procedure, is a surgical technique meant to replace a diseased aortic valve. The procedure involves replacing the person’s aortic valve with a person’s own pulmonary valve. The pulmonary valve is next replaced with the person’s own pulmonary allograft.

The procedure is used more often in children, but its use in adults is controversial.

The procedure has been named after Dr. Donald Ross, a pioneer in cardiac surgery in the UK, who had performed it first in 1967.

Purpose

Over the past few years, the Ross procedure has gained significant popularity among people who need an aortic valve replacement. An operation is generally an excellent option for physically active young children, as well as young women who are of childbearing age.

The procedure is preferred as it has many as it has several advantages which include:

  • No need for anticoagulation
  • Growth potential in children
  • Low incidence of thromboembolism
  • Excellent Hemodynamics
  • Low incidence of endocarditis

Preparation

It is likely that your doctor will recommend a few tests before the procedure, which includes:

  • Chest X-ray
  • Blood tests, in order to check the general health
  • Electrocardiogram, to check the heart rhythm
  • Echocardiogram, in order to look at the heart and the blood flow through the heart
  • Heart catheterization, to better look at the coronary blood vessels or to measure the pressure in the heart and lungs

 

The hair around the area of operation might be removed prior to the surgery.

Procedure

The procedure is generally performed under general anesthesia, and therefore you will be unconscious during the entire procedure.

During the surgery, the patient is attached to a heart-lung machine. This functions as the heart and lungs during the entire procedure.

Next, your surgeon will make an incision in the middle of the chest. In order to reach the heart, the surgeon will be separating the breastbone. Next, he/she will remove your diseased aortic valve and replace it with your own pulmonary valve, which is similar in anatomy.

Next, the breastbone is put together with wires, and the surgeon closes the muscle and the skin. A dressing will be applied as well.

Within a few months, the pulmonary valve becomes thicker and stronger and begins to behave like an aortic valve.

After the procedure

While the Ross procedure is less invasive than most other open-heart surgeries, you will still need to stay in the hospital for around four days. You will need to restrict activity for up to eight weeks after the operation. Next, you should wait until your cardiologist says it is okay to resume heavy-lifting and sports activities. In addition to a few short-term lifestyle modifications, your doctor is also going to prescribe certain medications for some weeks after the procedure.

Risks

In most cases, the surgery is a success. But sometimes there might be a few complications. Risk factors might vary based on your age as well as other health problems. Some of the risks associated with this procedure include:

  • Infection
  • Excess bleeding
  • Heart block
  • Irregular heart rhythms
  • Complications from anesthesia
  • Blood clots leading to stroke or heart attack

 

Sometimes, the surgery might fail to work. This might make another surgery necessary.

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