Specialty : Cardio Thoracic & Vascular Surgery
MBBS, MS (Gen. Surgery),Mch (CTVS)
Dr Bhaba Nanda Das is one of India’s most famous cardiac surgeons. He was the first person to perform a beating heart surgery in India.
Dr. BhabaNanda Das has worked as an active member of the surgical team at All India Institute of Medical Sciences and worked in the capacity of an independent surgeon since 1984. He performed all types of open heart operations, through he had deeper interest and expertise in Coronary Bypass Surgery using arterial conduits ( I.M.A., G.E.A.A, I.E.G.A., Radial). Aortic aneurysm surgery and cardiac transplantation surgery. During this periodhe performed about 12,000 major and minor cardiac operations.
One of the most successful cardiac surgeons that India is proud of, Dr Bhaba Nanda Das has climbed to the zenith of thoracic and cardiovascular surgery field through his professional expertise and dedication for the service to humanity. DrBhaba Nanda Das, a brilliant student all through, was conferred MS (General Surgery) by PGI, Chandigarh in 1976 and M.Ch. (Cardiothoracic & Vascular Surgery) by AIIMS in 1983.
As an independent surgeon in AIIMS since 1984, Dr Bhaba Nanda Das has performed about 12,000 major and minor cardiac operations in AIIMS, mainly Coronary Bypass Surgery using arterial conduits, Aortic Aneurysm Surgery and Cardiac Transplantation Surgery. Along with surgical accomplishments. Dr Das was involved in teaching undergraduate, postgraduate and nursing students, rendered service as research supervisor and as internal and external examiner.
His achievements include starting cardiac surgery unit/ centre, Department at Satya Sai Institute of Higher Medical Sciences, at Indraprastha Medical Institute and at Hayat Hospital, Guwahati Assam and starting the Beating Heart Surgery unit at Sikder Medical College, Bangladesh. He has a wide range of experience in some of the most renowned Cardiac Centers in USA including Lancaster General Hospital, Boston Children Hospital, Mayo Clinic, Texas Heart Institute, etc.
While at AIIMS, Dr Bhaba Nanda Das earned laurels for being the first cardiac surgeon to perform CABG surgery on beating heart and was the first time user of Bilateral Internal Mammary Artery, Sequential Internal Mammary, Artery graft, Free Internal Mammary artery graft, gastro-epiploic artery graft in Myocardial revascularization and inferior epigastric and radial artery for myocardial revascularization. He is the first Surgeon of India using Coronary Sinus in the Fontan’s circulation, use of endo-aneurysmorraphy for the treatment of left ventricular g aneurysm. Dr Bhaba Nanda Das has procured all three donor hearts for the first three successful cardiac transplantation in India and acted as the most important member of the cardiac transplant team.
Dr Das was awarded WHO fellowship in the year 1993 when he involved actively in cardiac transplant discourse at Stanford 11 University Medical Centre for 12 weeks. He was also recipient of Commonwealth Fellowship in 1994.
Besides forty six publications on a wide range of subjects ranging from Bypass Surgery to graft to different innovative procedures in different national and international medical journals of repute. Dr Das during his more than three decade service carrier attended and presented papers in different high level Congress, Conference, Meetings held in India and abroad. His interest and success in open heart operation, Coronary Bypass Surgery using arterial conduits Aortic aneurysm surgery and cardiac transplantation surgery is well acclaimed.
Coronary Artery Bypass Grafting (CABG) is a surgery that enhances blood flow to the heart through the coronary arteries. It is indicated for people who suffer from severe Coronary Heart Disease (CHD) also called Coronary Artery Disease.
CHD is a disorder in which a component called plaque builds up inside the coronary arteries. These arteries supply oxygen-rich blood to your heart. Plaque is made up of fat, cholesterol, calcium, and other substances found in the blood. Plaque can narrow or block the coronary arteries and reduce blood flow to the heart muscle. If the blockage is severe, angina, shortness of breath, and, in some cases, heart attack can occur. The term Angina refers to chest pain or discomfort due to lack of optimal flow of blood to the heart muscle.
CABG is one treatment for CHD. During CABG, a healthy artery or vein from your body is connected or grafted to the blocked coronary artery. The grafted artery or vein bypasses (that is, goes around) the blocked portion of the coronary artery. This creates a new passageway and oxygen-rich blood is channeled around the blockage to the heart muscle.
Your doctor will talk to you whether coronary bypass surgery or an alternative artery-opening procedure such as Angioplasty or stenting, is right for you.
Coronary bypass surgery is an option if:
Even if you undergo a coronary bypass surgery, changes in lifestyle are still a necessary part of management after surgery. Medications are routine after the surgery to lower your blood cholesterol, ease the risk of developing a blood clot and help your heart function as well as possible.
To prepare for the surgery, the doctor will give you specific instructions about any restrictions and changes in your diet or medications you should follow before surgery.
You would need several pre-surgical tests, like chest X-rays, blood tests, an electrocardiogram and a coronary angiogram. A coronary angiogram is a type of X-ray procedure that uses dye to visualize the coronary arteries.
You will be advised to get admitted one or two days prior to the surgery and anti-platelets are withheld three to seven days prior to the surgery depending upon the Anti-platelets used.
Be sure to plan for the weeks following your surgery. It will take about four to six weeks for you to recover to the point where you can resume driving, return to work and perform daily chores.
During the procedure
Coronary bypass surgery requires general anesthesia. The number of bypasses required is subject to the location and severity of blockages in your heart.
After the procedure
Coronary bypass surgery is a major operation. Expect to spend a couple of days in the intensive care unit after coronary bypass surgery. Here, your heart, blood pressure, breathing and other vital signs will be continuously monitored.
Immediately after your surgery
General anesthesia is used during the CABG procedure, so you may be unconscious for several hours after surgery. While you are still unconscious, you will probably be taken to the intensive care unit, a special ward reserved for people who have just had significant surgeries. You might be in this unit for one to three days. A longer stay does not mean that your CABG surgery was not successful. It may mean, for example, that it is taking more time for your anesthesia to wear off or for fluid in your chest to drain.
As you wake up, you may notice several sensations. You will probably feel very groggy. Anesthesia can make you feel nauseated, so your stomach may feel queasy. You may also notice immediately that you cannot swallow or speak because of the tube placed in your throat to help you breathe.
Although the effects of anesthesia usually help with the discomfort from CABG surgery, you still may experience some pain after you are awake. To relieve this discomfort, your nurse will give you pain medicine through your intravenous (IV) line directly after surgery.
Getting out of the intensive care unit
When your condition has improved, you will be transferred from the specialized ward to a regular cardiac care unit, sometimes called a step-down unit. You are usually transferred there when:
Post-surgery, majority of the patients feel better and may remain symptom-free for as long as 10 to 15 years.
While bypass surgery improves blood supply to the heart, it does not cure the underlying Coronary Artery Disease. Your results and long-term outcome will depend in part on taking your medications to prevent blood clots, lower blood pressure, lower cholesterol and help control diabetes as directed, and following healthy lifestyle recommendations, such as:
Indraprastha Apollo Hospitals, India's first JCI accredited hospital, is a joint venture between the Government of Delhi and Apollo Hospitals Enterprise Limited. Commissioned in July 1996, it is the third super-specialty tertiary care hospital set up by the Apollo Hospitals Group. Spread over 15 acres, it houses 57 specialties with more than 300 specialists and more than 700 operational beds, 19 operation theatres, 138 ICU beds, round-the-clock pharmacy, NABL accredited laboratories, 24-hour emergency services and an active air ambulance service. Apollo Hospitals Delhi has the leading programme in kidney and liver transplant in the country. The first successful paediatrics and adult liver transplants in India were performed at Indraprastha Apollo Hospitals. The hospital is at the forefront of medical technology and expertise. It provides a complete range of latest diagnostic, medical and surgical facilities for the care of its patients. The Hospital has introduced the most sophisticated imaging technology to India with the introduction of 64 slice CT and 3 Tesla MRI, Novalis Tx and the integrated PET Suite and Radixact X-9 Tomotherapy. Indraprastha Apollo has also pioneered the concept of preventive health check programmes and has created a satisfied customer base over decades. The Hospital has been consistently ranked amongst the best 10 hospitals in India by The Week survey for the past few years.