Dr. Sandeep Gangaya Attawar | Heart and Lung Transplant Surgeon in Chennai | Dr. Rela Institute

Dr. Sandeep Gangaya Attawar

MBBS, M.S Gen, M.Ch

Founder Director & Chair of Advanced Heart Failure, Terminal Lung Disease & The Solid Thoracic Organ Transplant Program, Dr. Rela Institute of heart and lung transplantation & Assist Devices

Heart and Lung Transplantation

Chennai

Educational Qualifications

  • MBBS: Nov. 1991
  • M.S. General Surgery: Apr. 1994
  • M.Ch Cardiovascular Surgery: Dec. 1997

Present Position

  • Founder Director & Chair of Advanced Heart Failure, Terminal Lung Disease & The Solid Thoracic Organ Transplant Program, KIMS Institute of Heart, Lung Transplantation & Assist Devices: Krishna Institute of Medical Science, Secunderabad

PAST POSITIONS HELD

  • Clinical Assistant CVTS (Jan ‘97 – July ‘98): Manipal Heart Foundation, Bangalore
  • Junior Consultant (Aug ‘98 – July ‘99): Manipal Heart Foundat
  • Associate Consultant (Aug ‘99 – Dec ‘99): Manipal Heart Foundation, Bangaloreion, Bangalore
  • Consultant Cardiac Surgeon (Jan ‘00 – Apr ‘01): Manipal Heart, Bangalore
  • Consultant Heart Surgeon (May ‘01– Jan 2002): Narayana Hrudayalaya Hospitals, Bangalore
  • Senior Consultant Cardiac Surgeon (Feb‘02’– Mar ‘03’): A.J. Hospital and Research Center, Mangalore
  • Senior Consultant Cardiac Surgeon (Apr ‘03’– Mar ‘05): Rabindranath Tagore International Institute of Cardaic Sciences, Kolkata
  • Clinical Director for the Department of Cardiac Surgery (Apr 2005 – June 2010): Apollo Hospitals Dhaka, Dhaka, Bangladesh
  • Vice President, Chief of Cardiac Surgery and Clinical Head of Cardiac Sciences (July 2010 – July 2012): Narayana Hrudayalaya Hospitals, Jaipur
  • Group Advisor, Director of Cardiac Surgery and Heart and Lung Transplantation, Surgeon-in-Chief (August 2012 – Jan 2013) Global Hospitals India, Chennai
  • Director and Chief of Cardiac surgery &Thoracic Organ transplantation & Mechanical Circulatory support: Fortis Memorial research Institute
  • Program Director and Chair - Cardiac Sciences Thoracic Organ Transplants Mechanical Circulatory Support, Academic Program (Cardiac Sciences): Gleneagles Global Hospitals , Chennai
  • Founder Director & Chair of Advanced Heart Failure, Terminal Lung Disease & The Solid Thoracic Organ Transplant Program, KIMS Institute of Heart, Lung Transplantation & Assist Devices: Krishna Institute of Medical Science, Secunderabad

Experience

Past Experience
(1997 – 2010)

Following my specialist training at Sri Chitra Tirunal Institute for Medical Sciences and Technology, I was given the opportunity to work in high volume cardiac centers such as the Manipal Heart Foundation Hospital and founding Narayana Hrudayalaya in Bangalore.. Since 1998 I have participated in over 10,000 open and closed heart surgical procedures, all of which are diverse in both the complexity of the defect and the age of the patient.

My experience over the last 18 years includes over 5500 multivessel CABG’s (Coronary artery bypass), largely OP-CABG (Beating heart coronary artery bypass) using left ITA’s (Internal mammary artery), free left and bilateral radial arteries, the use of a pedicled Rt GEPA (gastro epiploic artery as a vascular substitute for coronary artery bypass in over 50 cases), and over 150 reoperative CABG’s (Redo heart surgery).

I have a performed a series of surgical coronary ostial reconstruction for isolated left main stem disease, surgical remodeling of the failing heart, also known as the Dor procedure, CABG with concomitant valve repairs/replacements and post infarct VSR (Ventricular septal rupture) repairs, root and arch replacements for ascending and arch aneurysms, Abdominal aortic aneurysms and aorto bi-femoral bypass.

I an also a trained pediatric cardiac surgeon too and a significant percentage of my practice has involved treating neonates and children with complex heart disease, having operated over 400 neonates and approximately 3500 children with congenital heart defects, with procedures ranging from systemic to PA shunts, VSD closures, TAPVC repairs, Aorto pulmonary window, tetralogy corrections, conduit repairs for Pulmonary atresia, the Ross procedure in children and adults, interrupted aortic arch repairs and the arterial switch operation for D-TGA and Taussig Bing heart. I am proficient in multiple valve replacements in children, including mitral and aortic valve repairs, and have performed over a dozen Ross procedures in patients as young as 5 years of age. Corrective surgeries for congenital heart defects in infancy form a significant part of my repertoire.

In addition to my skills as a cardiac surgeon, I have been increasingly involved in managing surgical and clinical departments at major institutes such as the Apollo Hospital in Dhaka, Bangladesh, and more recently, the Narayana Hrudayalaya in Jaipur, Rajasthan. Focusing on the functioning of a hospital has gradually become a more significant part of my regular duties, and is an area I am keenly involved in.

 

Narayana Hrudayalaya - Jaipur
July 2010 – July 2012

In addition to being the lead surgeon at NH Jaipur, and having conducted over eight hundred open-heart cases since it’s inception, I served as the institute’s Vice-President. I was active in the construction and implementation of this 150-bed multi-specialty hospital. Jaipur was one of the most ambitious moves of my career since it required me to undertake a host of administrative duties and challenges I had not faced before, and proved to be a valuable, and successful, learning experience.

 

Global Hospitals India
Aug 2012 – Jan 2013

Group Advisor, Director Of Cardiac Surgery and Transplantation, Surgeon-in-Chief

During my brief tenure, we successfully performed 5 single lung transplants and a the first successful heart transplant , thus launching a comprehensive solid organ thoracic transplant program at this centre. Had an opportunity to set the stage for stem cell therapy for heart failure and initiation of a Mechanical circulatory support program and a strong ECMO program, in association with critical care specialists and pulmonologists.

 

Fortis Memorial Research Institute
Feb 2013 –Jan 2017

Director and Chief of Cardiac surgery, Thoracic Organ transplantation & Mechanical Circulatory support.

In this brief tenure, we have completed close to 900 heart surgeries including Pediatric and Adult. These numbers includes may complicated congenital heart defect. We have an approved Heart transplant and Mechanical Circulatory support program. Our team has successfully implanted North India 1st LVAD (as Destination Therapy). We have a very strong ECMO program in place. We have successfully performed 7 LVAD implants till date using the remotely monitored Reliant Heart HA5 LVAD.

We have the unique distinction of having performed the first pediatric LVAD implant for long term ventricular recovery as a Bridge to recovery or Heart transplant in the future. The pediatric LVAD implant is the first outside North America and Europe.

 

Gleneagles Global Hospital India
Feb 2017- April 2020

Program Director and Chief of Cardiac surgery, Thoracic Organ transplantation & Mechanical Circulatory support.

Took Charge of an ailing thoracic organ transplant program with a core volume of 3 transplants annually and transformed in to a high volume Heart and Lung Transplant service with outcomes reporting to the ISHLT.

The service completed its 100th thoracic organ transplant with 20 months starting Feb 2017.

We also performed 6 artificial Heart implants (LVAD). In the same period including a Jarvik implant for a child (A world First outside Europe ).

Given our network of hospitals across India and position as a firm leader in the organ transplant area. We intend to allow the smooth transport of organ to recipients located at our centers within the room and guideline of the national organ allocation laws.

Our efforts are to co-ordinate and upgrade the skills of all unit across our hospitals to allow us to establish a prominent position with a firm commitment to being leaders in Heart and Lung transplantation in south Asia.

 

Krishna Institute of Medical Science
June 2020 Continuing

Founder Director & Chair of Advanced Heart Failure,

Terminal Lung Disease & The Solid Thoracic Organ Transplant Program,

KIMS Institute of Heart, Lung Transplantation & Assist Devices.

Affiliations And Memberships

PROFESSIONAL SOCIETIES

  • International Society for Minimally Invasive Cardiac Surgery (ISMICS)
  • Minimally Invasive Robotic Association (MIRA)
  • Society of Thoracic Surgeons (STS)
  • ISHLT (International Society of Heart & Lung Transplant)
  • EACTS

OTHERS

  • Exec Member -I 2 C 2 Committee MCS (Mechanical Circulatory support, ISHLT)
  • Contributing Author – Journal of thoracic Surgery

Research & Publication

ORAL PRESENTATIONS

  • Repair of Truncus Arteriosus Using Valved Conduit – International Pediatric Cardiology Conference – Pediatric Cardiac Society of Bangladesh – 31st Dec to 1st Jan 2009 (Dhaka, Bangladesh)
  • Repair of Supracardiac Total Anomalous Pulmonary Venous Connection in a Premature Baby – International Pediatric Cardiology Conference – Pediatric Cardiac Society of Bangladesh – 31st Dec to 1st Jan 2009 (Dhaka, Bangladesh)
  • Giant Coronary Cameral fistula with triple vessel coronary artery disease in an adult: Surgical correction with revascularisation – World Scoiety of Cardio-thoracic Surgeons – 12th July to 13th July (Kyoto, Japan)
  • Off Pump CABG and its outcome – Integrated Cardiovascular Repair Workshop – December 2008 (Innsbruck, Austria)
  • Surgical Repair in Adult Acynotic Heart Disease with Severe Pulmonary Hypertension – Integrated Cardiovascular Repair Workshop – December 2008 (Innsbruck, Austria)
  • LV Aneurysm Repair: Experience at Apollo Hospitals Dhaka – National Heart Foundation and Research Institute Foundation Conference – 1st to 2nd December 2008
  • Surgical Restoration of Left Ventricular Geometry in LV Aneurysms – Integrated Cardiovascular Repair Workshop – December 2008 (Innsbruck, Austria)
  • Repair of Truncus Arteriorsis using Valved Conduit – International Society for Minimally Invasive Cardiac Surgery (ISMICS) Conference – 11th to 13th December 2009 (New Delhi, India)
  • Supracardiac Total Anomalous Pulmonary Venous Connection in Pre-term infants – 11th to 13th December 2009 (New Delhi, India)

PUBLICATIONS

  • Attawar SG, Nair S. Simple, Cost-Efficient Valve Suture. Ann Thorac Surg 1996;61:1850
  • Division of Cardiac Surgery, Apollo Hospitals Dhaka. Giant Coronary Cameral Fistula with Triple Vessel Coronary Artery Disease in an adult: Surgical correction with Revascularization. Clin Pharm, 18 (2): 83, 2008.
  • Bhat AM, Neelakandhan KS, Unnikrishnan M, Cherian KV, Attawar SG, Lone NG. Aortocaval Fistula Due to Abdominal Aortic Aneurysm Rupture. Asian Cardiovasc Thorac Ann 2000;8:271-274
  • Divison of Cardiac Surgery, Apollo Hospitals Dhaka. Combined Konno-Rastan Aortoventriculoplasty with Nick procedure and Double Valve Replacement in a child. Bangladesh Journal of Cardiology, 2005;1:250
  • Division of Cardiac Surgery, Apollo Hospitals Dhaka. Combined procedure - Total arterial OPCABG and bilateral Femororo – Popliteal Bypass. Bangladesh Heart Journal 2007;22:34
  • Division of Cardiac Surgery, Apollo Hospitals Dhaka. Bentall De Bono procedure for Annuloaortic Ectasia and Ascending Aortic Aneurysm. Bangladesh Heart Journal 2007; 22:25

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