Dr. Muthukumaran C.S.

Brief Profile

Dr. Muthukumaran is a highly experienced paediatric interventional cardiologist with 20+ years of clinical expertise in diagnosing and treating complex congenital and structural heart conditions. Trained in the UK, his areas of proficiency include echocardiography (2D, 3D, transesophageal, and fetal), electrophysiology, and a wide range of transcatheter interventions. He is also a recognised proctor for percutaneous valve implantations and is committed to delivering safe, minimally invasive cardiac care across all age groups.

Educational Qualifications

• MBBS, The TN Dr. MGR Medical University, India – 1997
• Member of the Royal College of Paediatrics and Child Health(MRCH), UK – January 2000 
• Diploma in Child Health (D.C.H), October 2001
  
• Certificate of Completion of Specialist Training (CCST) in Paediatric Cardiology, UK – November 2007

Clinical Expertise

Echocardiography

• Skilled in 2D and 3D Trans-thoracic Echocardiography (TTE)
  
• Proficient in Trans-oesophageal Echocardiography (TEE) for both paediatric and adult patients
  
• Experienced in Foetal Echocardiography, including interpretation from 18 weeks gestation and parental counselling
  

Electrophysiology

• Reporting and interpretation of Exercise Testing and 24-hour ECG (Holter Monitoring)
  
• Management of patients with Temporary and Permanent Pacemakers
  

Interventional Cardiology

• Diagnostic Cardiac Catheterisation
  
• Interventional Procedures, including:
  
  • Atrial Septal Defect (ASD) Closure
    
  • Ventricular Septal Defect (VSD) Closure
    
  • Patent Ductus Arteriosus (PDA) Closure
    
  • Balloon Pulmonary and Aortic Valvotomy
    
  • Balloon Septostomy
    
  • Coarctation Stenting / Balloon Angioplasty
    
  • Percutaneous Pulmonary Valve Implantation
    
  • Ductal Stenting
    
  • Right Ventricular Outflow Tract (RVOT) Stenting
    
  • Peripheral Pulmonary Artery Stenting
    
  • Ruptured Sinus of Valsalva (RSOV) Closure
    
  • Transfemoral Aortic Valve Implantation (TAVI)
    
  • Transfemoral Pulmonary Valve Implantation
    
  • Post-Myocardial Infarction VSD Closure
    
  • Transfemoral Tricuspid Valve Implantation
    
  • Transfemoral Mitral Valve-in-Valve Implantation
    
  • MitraClip Procedure for Mitral Regurgitation
    
  • Proctoring for all types of Percutaneous Valve Implantations

Affiliations and Memberships

• GMC UK
  
• IMC- India

Research and Publication

• A rare presentation of Testicular swelling associated with Right sided Endocarditis MC Sivaprakasam, P Govindaraj, JJ Vettukattil. Cardiol Young;15(5):504–5. (October 2005)
  
• Annuloplasty of the Regurgitant Mitral valve following Myocarditis in children MC Sivaprakasam, AP Salmon, JP Gnanapragasam, JL Monro, S Livesey, BR Keeton, JJ Vettukattil. Ann Thorac Surg;80(5):1933–5. (November 2005)
  
• 3-D echocardiographic imaging of double aortic arch MC Sivaprakasam, JJ Vettukattil. Eur J Echocardiogr;6(6):430–2.(November 2005)
  
• Developing paediatric cardiology in the developing countries MC Sivaprakasam, JJ Vettukattil. Kathmandu Univ Med J (KUMJ);3(4):433–8. (October–December 2005)
  
• Absent Pericardium: At risk for endocarditis? MC Sivaprakasam, Arul Narayanan, JJ Vettukattil. Cardiol Young;16(2):189. (April 2006)
  
• Esmolol Assisted Transcatheter Device Deployment and Balloon Dilation of Aortic Coarctation
  MC Sivaprakasam, GR Veldtman, AP Salmon, Thomas Peirce, Richard Cope, JJ Vettukattil. Pediatr Cardiol;27(4):514–6. (July–August 2006)
  
• New Technique for Fenestration of the Inter Atrial Septum MC Sivaprakasam, C Kiesewetter, GR Veldtman, AP Salmon, JJ Vettukattil. J Interv Cardiol;19(4):367–70.(August 2006)
  
• Real-time three-dimensional echocardiographic imaging of congenital aortic valve stenosis: correlation with operative anatomy
  S N Sadagopan, GR Veldtman, MC Sivaprakasam, BR Keeton, JP Gnanapragasam, AP Salmon, MP Haw, JJ Vettukattil. Cardiol Young (Accepted). (January 2005)
  
• Hepatic changes in the failing Fontan circulation C Kiesewetter, MC Sivaprakasam, JJ Vettukattil, GR Veldtman. Heart;93(5):579–84. (May 2007)
• A multiplanar three-dimensional echocardiographic study of mitral valvar annular function in children with normal and regurgitant valves Bharucha T, Sivaprakasam MC, Roman KS, Vettukattil JJ. Cardiol Young;18(3):259–64. (May 2008)
• The Angle of the Components of the Common Atrioventricular Valve Predicts the Outcome of Surgical Correction in Patients With Atrioventricular Septal Defect and Common Atrioventricular Junction
  Bharucha T, Sivaprakasam MC, Haw MP, Anderson RH, Vettukattil JJ. J Am Soc Echocardiogr;21(6):734–9.(June 2008)
  
• Complete heart block following transcatheter closure of perimembranous VSD   using amplatzer duct occluder II
  Ghosh S, Sridhar A, Sivaprakasam M. Catheter Cardiovasc Interv;89(7):1290–1295. (2017)
  
• Rapid snare sliding technique: An easy approach to difficult percutaneous trans           mitral commissurotomy
  Deepak Thakur, YVC Reddy, Muthukumaran Sivaprakasam. J Cardiol Cases;17(2):35–37.(February 2018)
  
• Transcatheter closure of ventricular septal defect in aortic valve prolapse & aortic regurgitation
  Sanjiban Ghosh, Anuradha Sridhara, Neville Solomon, Muthukumaran Sivaprakasam. Indian Heart J (In press).(2018)
  
• Sapien 3 valve implantation in rheumatic aortic stemnosis with a functioning mitral prosthesis: first case report from India
  Sengottuvelu Gunasekaran, Muthukumaran C Sivaprakasam. Less Invasive TAVR: Early reports from India Sengottuvelu Gunasekaran, Ganapathy Arumugam, Muthukumaran Sivaprakasam. Indian Heart Journal; Pages 111–113.(May–September 2018)
• Transfemoral transcatheter aortic valve implantation in bicuspid aortic valve with extreme horizontal aorta to left ventricle angulation challengesSengottuvelu Gunasekaran, Muthukumaran C Sivaprakasam. Indian Heart Journal. (August 2018)
• India’s first TAVI after in-hospital cardiac arrest in critical aortic stenosis: Challenges and strategies
  Sengottuvelu Gunasekaran, Muthukumaran C Sivaprakasam. Indian Heart Journal. (August 2018)
• TAVI in severe aortic stenosis with porcelain aorta: First reports from India with coronary and carotid support
  Sengottuvelu Gunasekaran, Muthukumaran C Sivaprakasam. Indian Heart Journal. (October–December 2018)
• Trans-catheter aortic valve replacement in India – Early experience, challenges and outcomes from a single center
  Sengottuvelu Gunasekaran, Muthukumaran C Sivaprakasam. Indian Heart Journal. (October 2018)
• First transcatheter pulmonary valve implantation – An Indian made valve
  Muthukumaran Chinnasamy Sivaprakasam, Annie Arvind, Anuradha Sridhar, Sengottuvelu Gunasekaran. IHJ Cardiovascular Case Reports (CVCR);4:13–16. (2020)
• Early multicenter experience of a new balloon expandable MyVal transcatheter heart valve in dysfunctional stenosed right ventricular outflow tract conduits
• Muthukumaran C Sivaprakasam, J Raja Vijendra Reddy, Sengottuvelu Gunasekaran, Kothandam Sivakumar, Sreeja Pavithran, Gopalavilasam Rajagopalan Rohitraj, M Jayranganath, Edwin Francis. Annals of Pediatric Cardiology;14(3). (July–September 2021)
• Unanticipated complication of transcatheter correction of superior sinus venosus atrial septal defect
  Radhapriya Yalamanchi, Muthukumaran C Sivaprakasam, Raja Vijendra Reddy Janke, Krishnaswamy Chandrasekharan, Vijay Shankar Sadhasivam, Refai Showkathali. Journal of Cardiology Cases. (July 2021)
• Transcatheter self-expanding stent closure of sinus venosus atrial septal defects with indigenous method of determining appropriate stent length without advanced imaging techniques – A case series of single centre experience
  Chinnasamy Sivaprakasam Muthukumaran, Rajaguru Ganesan, Raja Vijayender Reddy, Radha Priya Yalamanchi, Refai Showkathali, Kanthallu Narayanamoorthy Srinivasan. IHJ Cardiovascular Case Reports. (October 2021)

Experience

• Pre-Registration House Officer – Rotational Internship in Medicine, Surgery, Paediatrics, Obstetrics & Gynaecology, Community Medicine, Plastic Surgery, and Orthopaedics, Stanley Government Hospital, Chennai, India, January 1996 – January 1997
• Senior House Officer – General & Neonatal Paediatrics, Stanley Government Hospital, Chennai, India, February 1997 – September 1997
  
• Senior House Officer – General & Neonatal Paediatrics, Bronglais General Hospital, Aberystwyth, October 1998 –  August 1999
• Senior House Officer – Paediatric A&E, Sheffield Children’s Hospital, Sheffield, August 1999 – October 1999
  
• Senior House Officer – Neonatal Paediatrics, Northern General Hospital, Sheffield, November 1999 – February 2000
  
• Senior House Officer – General & Neonatal Paediatrics, Scunthorpe General Hospital, Scunthorpe, February 2000 – August 2000
• Senior House Officer – Neonatal Medicine, North Trent Regional Neonatal Intensive Care Unit, Royal Hallamshire Hospital [Jessop Hospital], Sheffield, August 2000 –  February 2001
• Senior House Officer – Specialty Paediatrics (Cystic Fibrosis, Metabolic Medicine, Gastroenterology & Hepatology), Sheffield Children’s Hospital, Sheffield, February 2001 – July 2001
  
• Specialist Registrar – Paediatric Cardiology (Five-Year Training Post),
• Southampton General Hospital, Southampton, November 2002 – December 2007
• Specialist Registrar – Neonates (Locum Appointment for Training), North Trent Regional NICU, Royal Hallamshire Hospital [Jessop Wing], Sheffield, March 2002 – October 2002
• Specialist Registrar – General Paediatrics (Locum Appointment for Training), Sheffield Children’s Hospital, Sheffield, February 2002 –  March 2002
  
• Senior House Officer – Paediatrics, Rotherham District General Hospital, Rotherham, August 2001 – February 2002