Best Doctors in India for Ross Procedure
- Cardiac Surgeon, Bengaluru, India
- Over 30 years’ experience
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.
- Interventional Cardiologist, Chennai, India
- Over 25 years’ experience
Profile Highlights:
- Dr. Y Vijayachandra Reddy is an interventional cardiologist with 25+ years of experience.
- Dr. Reddy’s work experience includes more than 7000 PCIs, 30000 invasive procedures, 550 PCIs in cardiogenic shock, 700 Cardiac devices, 400 PTMCs, and several EVAR and TEVAR procedures.
- His expertise lies in pacemaker implantations, pediatric interventions, ICDs, CRTs, endovascular repairs, and more.
- Cardiac Surgeon, New Delhi, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Yugal Kishore Mishra is a well-known cardiovascular and thoracic surgeon in Delhi specializing in Minimally Invasive and Robotic cardiac surgeries.
- He has 3 decades of experience in CTVS and has performed more than 19,000 open heart surgeries to date that including various types of minimally invasive cardiac procedures such as the port access approach for valve surgery and ASD closure.
- He is the founder of the Robotic Cardiac Surgery Program at Fortis Escorts Heart Institute where he has performed over 500 robotic cardiac surgeries.
- Cardiac Surgeon, New Delhi, India
- Over 30 years’ experience
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.
- Cardiac Surgeon, Mumbai, India
- Over 24 years’ experience
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.
Best Hospitals in India for Ross Procedure
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
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.