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CURRICULUM VITAE
of
FELLOWSHIP IN CARDIAC SURGERY ( U.S.A. )
DIPLOMA IN CARDIAC SURGERY ( PARIS )
NMC SPECIALTY HOSPITAL,DUBAI,
UAE
SPECIALIST
CARDIAC SURGEON
Personal Details :
Date of Birth
: 28.05.1959
Sex
: Male
Marital Status
: Married
Nationality
: Indian
Educational Qualifications :
M.B.B.S.
1983
JJM MEDICAL COLLEGE, DAVANGERE
KARNATAKA, INDIA
M.S.
1990
(
GENERAL
SURGERY
)
KASTURBA
MEDICAL
COLLEGE,
MANGALORE, KARNATAKA, INDIA
MCh (Cardiovascular & Thoracic
Surgery )
1994
POST GRADUATE
FELLOWSHIP IN
CARDIOVASCULAR
SURGERY
BOMBAY HOSPITAL INSITUTE OF
MEDICAL SCIENCES,
BOMBAY UNIVERSITY, BOMBAY, INDIA
UNIVERSITY OF ALABAMA
BIRMINGHAM, ALABAMA
U.S.A.
1996
POST GRADUATE
DIPLOMA IN CARDIO
VASCULAR SURGERY
1999
Professional Experience :
UNIVERSITY PIERRE AND MARIE CURIE
PARIS 6, FRANCE
HOSPITAL FOCH, SURESNES, FRANCE
No POST
INSTITUTE
FROM
1
KILPAUCK MEDICAL
COLLEGE, MADRAS,
INDIA
15-06-1983
14-06-1984
One Year
KILPAUCK MEDICAL
COLLEGE, MADRAS,
INDIA
180,VIJAYA HOSPITAL,
SALAI, MADRAS, INDIA
P.D.HINDUJANATIONAL
HOSPITAL, BOMBAY,
INDIA
KASTURBA MEDICAL
COLLEGE,
MANGALORE,
KARNATAKA, INDIA
BOMBAY HOSPITAL,
BOMBAY, INDIA
30-06-1984
19-06-1985
One Year
26-08-1985
31-01-1987
03-08-1987
03-02-1988
1 Year
5 months
Six months
Dec. 1988
Dec. 1990
Two Years
18-03-1991
18-03-1992
One Year
BOMBAY HOSPITAL,
BOMBAY, INDIA
BOMBAY HOSPITAL,
BOMBAY, INDIA
18-03-1992
18-03-1993
One Year
18-03-1993
18-03-1994
One Year
P. D. HINDUJA
HOSPITAL, BOMBAY
INDIA
25-04-1994
25-06-1994
Two months
K.E.M. HOSPITAL & G.S.
MEDICAL COLLEGE,
PAREL, BOMBAY, INDIA
B.Y.L. NAIR HOSPITAL
& TOPIWALA MEDICAL
COLLEGE, BOMBAY,
INDIA
UNIVERSITY OF
ALABAMA, U.S.A.
07-11-1994
22-11-1995
One Year
23-11-1995
15-01-1996
Two Months
01-02-1996
31-01-1997
One Year
OLV HOSPITAL, AALST,
BELGIUM
HOSPITAL FOCH,
SURESNES, FRANCE
01-04-1997
31-08-1997
Four Months
01-10-1997
JUNE 1999
One Year
Eight Months
2
3
4
5
6
7
8
9
10
11
12
13
14
Compulsory
Rotatory
Resident
Internship
Senior House
Officer
General Surgery
Senior Surgical
Resident
House Officer
Cardio Vascular
Surgery
Registrar PG
Student in
General Surgery
Registrar
Cardiovascular
Surgery
Registrar CardioVascular Surgery
Registrar
Cardiovascular
Surgery
Clinical Assistant
Cardiovascular
Surgery
Lecturer
Cardiovascular
Surgery
Lecturer
Cardiovascular
Surgery
Clinical Fellow
Cardiovascular
Surgery
Resident ( CVTS
)
Senior Registrar
( CVTS )
TO
PERIOD
15
CONSULTANT
CardioVascular
Surgery
BOMBAY HOSPITAL,
BOMBAY, INDIA
01-07-1999
16
CONSULTANT
Cardiovascular
Surgery
CONSULTANT
CardioVascular
Surgery
SPECIALIST
CARDIAC
SURGEON
BREACH CANDY
HOSPITAL, BOMBAY
INDIA
P.D.HINDUJA
HOSPITAL
MAHIM, BOMBAY
NMC SPECIALITY
HOSPITAL,DUBAI,UAE
01-07-1999
-------
Till date
18-10-2000
--------
Till date
17
18
01-07-2000
29th of JAN
2005
One Year
Till date
I am the Visiting Specialist Cardiac Surgeon at Belhoul
Speciality Hospital,Dubai
and
Visiting
Hospital,Dubai.
Specialist
Cardiac
Surgeon
at
Ward work :
1. Complete preoperative work up and management of newly admitted patients.
2. Management of pre-operative complications and associated illness.
3. Management of post-operative patients in Recovery Room.
Intensive care duties :
1.
2.
3.
4.
5.
Immediate post-operative management of all patients.
Management of patients on ventilator.
Taking decisions about exploration for excess bleeding.
Management of acute complications like cardiogenic shock, low cardiac out put.
Cardiac tamponade, cardiac arrest.
Other duties :
1. Attending emergency calls from wards, ICU’S and operative theatres.
2. Attending calls from casualty department and emergency ward.
3. Attending to new patients and follow-up of patients in outpatient department.
Zulekha
Postgraduate academic activities :
1. Mortality Meeting
: A joint meeting of surgeons, anaesthetists, perfusionsists,
pathologists and cardiologists, discussion regarding deaths.
2. Clinical Meeting : Presentation of interesting cases and discussion.
3. Journal Club : presentation of interesting cases and discussion
4. Cardiac Cath Conference : Joint discussion with cardiologists on angiography film to plan
out operations.
Operative Work :
Regular assisting and performing all varieties of open heart surgeries, closed heart surgeries,
thoracic procedures and vascular procedures from 1991 March.
1. I have independently performed THREE THOUSAND AND TWELVE Coronary artery bypass
operation.
2. Assisted four thousand four hundred and sixty CABG’S.
3. I have performed TWO Cardiac transplant operations as the first Surgeon.
4. Performed total arterial coronary bypass grafting with LIMA, RIMA, RIEA, LIEA, RGEA,
RADIAL ARTERY – 936 CASES
5. Harvesting Skeletonished LIMA, RIMA, RADIAL ARTERY and saphenous vein regularly.
6. REDO-Sternotomy, thoracotomy, haemostasis, closure of chest regularly.
7. Have performed NINETY SIX REDO OPEN HEART SURGERIES.
Valve Surgeries and congenital Surgeries :
I have independently performed Mitral valve repairs, Mitral Valve replacements, Aortic
Valve replacements, Pulmonary valvotomies, closed mitral commissorotomies, Atrial septal
defect closures, Ventricular septal defect closures, Ligation of patent ductus arteriosus etc.
During my fellowship in Alabama I have participated as the second surgeon in nine
cardiac transplants. I am very familiar with Maze operations, Ross operations and minimally
cardiac procedures both valve replacements and coronary artery bypass grafting.
During my stay in Belgium, I had a very good exposure as the second surgeon to
minimally invasive cardiac surgery – like port –access valve replacements, port – access CABG
etc. I am also familiar with harvesting of mammary artery through thoracoscope.
The position in France : this is a huge referral hospital of Europe for dissecting aneurysms
and aortic surgeries apart from routine cardiac procedures like CABG, Valve repairs and
replacements. I am very familiar with aortic arch replacements, Bentall procedure, Yacoub’s
operation etc as the second surgeon. I routinely perform REDO-sternotomy, putting the patients
on to bypass, harvesting mammary arteries, doing proximal and distal anastamosis to aorta etc. I
was the second surgeon for all the CARDIAC TRANSPLANT operations. I have performed TWO
CARDIAC TRANSPLANT OPERATIONS at the same centre.
Thoracic and Vascular Procedures :
As a faculty member of Bombay university I have independently performed Lobectomies,
Pneumonectomies, Mediastinal tumors and all kinds of thoracic emergencies. I have also
performed aortic reconstructions, femoro-popliteal bypass grafts and other peripheral vascular
procedures with good
results.
Research :
Nodovenous Shunts In Filarial Legs :
Research thesis submitted to and accepted by Mangalore university, December 1990
as part of requirement for the M.S. degree in General Surgery.
Coronary Artery Surgery In Above The Age of 60 :
Research thesis submitted to and accepted by Bombay University, July 1994 as part of
requirement for the M.Ch. Degree in Cardiovascular & Thoracic Surgery.
Articles and Publications :
Dissertation submitted to Bombay University for M.Ch degree examination, Coronary Artery
Surgery in above the age of 60 was accepted.
Early results following concommitant aortic and mitral valve replacement.
thoracic and cardiovascular surgery 1995, from KEM Hospital.
Annals of
Coronary artery surgery in elderly – a review. Dr. G. G. Varma , Dr. S. S. Bhattacharyya, Dr.
D. S. Saxena. Bombay Hospital Journal. July 1995.
Right ventricular fibroma presenting as tricuspid stenosis – a case report. The thoracic and
cardiovascular surgeon 1996 : 44; 152 – 154.
A giant true aneurysm of the saphenous vein graft - a case report. Dr. G. G. Varma, Dr.
John Casterline, Dr. Robert Foster, Dr. A. D. Pacifico. In press.
Symposiums Attended :
Minimally invasive coronary artery bypass surgery : P. D. Hinduja Hospital, Bombay, India
Minimally invasive coronary artery bypass surgery and Battista operation : Buffalo General
Hospital Buffallo, New York.
Port-access coronary artery surgery and valve replacements symposium : Stanford
University at New Orleans, U.S.A.
International Meeting of Cardiovascular Surgeons on
FRANCE March 1999.
‘ HEART FAILURE “ at PARIS,
Annual Meeting of European Cardiovascular Surgeons, at BRUSSELS, September 1998.
Annual Meeting of American Association of Thoracic Surgeons, at New Orleans, USA
April, 1999.
Annual Meeting of Indian Association of Cardio Thoracic Surgeons at Bombay, India,
February 2000.
Annual Meeting of Indian Association of Cardio Thoracic Surgeons at Madras, India,
February 2002.
Annual Meeting of Indian Association of Cardio Thoracic Surgeons at Hyderabad, India,
February 2003.
Memberships and Fellowships :
Life Member
Surgeons.
:
Indian Association of Cardiothoracic
Member : International Society For Heart And Lung
Transplantation.
Member : American Medical Association.
Associate Fellow
Physicians.
:
American College of
Chest
Member
Surgeons.
:
European Association of
Cardiovascular
Member
Society.
:
Denton Cooley’s Cardiovascular Surgical
NMC SPECIALITY HOSPITAL'S CHIEF CARDIAC
SURGEON NOTCHES A FIRST
DUBAI, MAY 7 - In a definite first for the United Arab Emirates and
probably the region, chief cardiac surgeon of the NMC Speciality
Hospital, Dubai, performed a most demanding and therefore not usually
opted for procedure called Total Arterial Revascularization Triple
Bypass Surgery on Beating Heart using a composite conduit (LIMA-RADIAL
`Y').
The operation, which was done recently, was a complete success. The
chief cardiac surgeon, performed the technically demanding and rare
operation on a 52-year-old Indian patient who was wheeled into the
hospital's Emergency after complaining of severe pain in the chest.
An angiogram confirmed the worst fears: Critical blocks at crucial
places in his coronary arteries. This also ruled out primary
angioplasty as an option, the reason why the patient, Mr Bajwa, was
referred to.
After a thorough assessment of the case, decided to operate. But
instead of going for the tested and tried, the chief cardiac surgeon
opted to do a Triple Bypass Surgery using a Composite Conduit or what
is known as LIMA-RADIAL `Y' on Beating Heart.
What this meant was that instead of the usual route of harvesting a
vein from the leg went for the pedicle internal mammary artery from the
left side of the chest (LIMA), leaving it intact and attached at the
top end and sutured at the bottom end so that blood flow continued even
as the blood was stopped from draining out at the other end.
"Simultaneously, I harvested and completely removed the radial artery
(the artery in the arm reaching out to the wrist and which doctors feel
to check for the pulse!) from the left forearm of the patient, and
thereafter joined the radial artery with the mammary artery and made a
`Y' shaped conduit called LIMA-RADIAL Composite Conduit," said DR
Varma.
He said using this `Y' shaped Composite Conduit, he performed the Total
Arterial Re-Vascularization on Beating Heart with the use of the
Octopus III Stabilizer, which is essential to ensure that the region of
the heart where the `Y' shaped composite conduit is to be grafted
remained stable even as the patient's heart kept beating,and the
surgeon had a grip on what he was doing. This also ruled out the use of
the Heart Lung Machine.
After the successful completion of the rarely opted for procedure, the
patient was extubated i.e., taken off ventilator support, by 9 pm on
the same day, and was talking to relieved relatives and drinking tea.
"The LIMA-RADIAL `Y' is done in India, in some European countries and
in the United States. But this was the first time this was done in the
UAE. It is a highly technically demanding surgery. The advantage is
that when using arterial conduits for Bypass Surgery, the chances of
re-operation are considerably minimised,"
is also credited to have done the first LIMA-RIMA Y composite conduit
bypass surgery in a couple of cases in the UAE, which was also a
resounding success. This was performed on a patient from Oman, who was
within a few days of the operation capable of leading a completely
normal life. The difference in this procedure was that instead of
joining the pedicle internal mammary from the left side of the chest
with the left radial artery, harvested and joined it with internal
mammary artery from the right side of the chest (RIMA).
A similar procedure was performed on A sri Lankan patient as well in
the previous week. In a nutshell total arterial revascularization on
beating heart has become available in the UAE. In fact and the
Cardiovascular Department of the NMC Speciality Hospital, Dubai have
been injecting breath into hapless cases of people who but for their
intervention would have otherwise been destined to live life on a limb,
ever on the brink.