"In the field of cardiothoracic surgery, teamwork and precision define success. And when experience meets excellence, lives are transformed."

"Introducing a dynamic duo dedicated to saving hearts — Dr. Srinath Vijayasekharan and Dr. Senthil Kumar, renowned cardiothoracic surgeons specializing in Coronary Artery Bypass Grafting, or CABG."

Together, they bring decades of combined experience, having performed thousands of successful CABG procedures — a critical operation that restores life-saving blood flow to the heart in patients suffering from blocked coronary arteries."

"With meticulous technique, deep clinical knowledge, and a patient-first approach, Dr. Srinath Vijayasekharan and Dr. Senthilkumar work in perfect coordination to deliver outstanding outcomes — even in high-risk and complex cases."

"Every heart deserves a second chance — and that's what we strive to give." said by Dr. Srinath Vijayasekharan

"Surgery is more than skill — it's a commitment to restoring hope and life." said by Dr. Senthil Kumar

From pre-operative planning to post-surgical recovery, their collaborative care model ensures not just survival, but a return to quality living for every patient."

"Trusted by thousands, respected by peers, and driven by compassion — Dr. Srinath Vijayasekharan and Dr. Senthil are leading the way in advanced cardiac surgery."

"Two hearts (Dr. Srinath Vijayasekharan and Dr. Senthil Kumar) committed to healing thousands more."

About Coronary Artery Bypass Grafting Procedure

Coronary Artery Bypass Grafting (CABG) is a surgical procedure used to treat coronary artery disease (CAD), which is caused by the narrowing or blockage of coronary arteries. The goal of the procedure is to restore normal blood flow to the heart muscle. During the surgery, a healthy blood vessel is grafted to bypass the blocked or narrowed coronary artery, creating a new route for blood flow.

There are two main types of CABG based on whether the heart is stopped during the surgery:

a. On-Pump CABG (Traditional CABG)

In on-pump CABG, the heart is temporarily stopped, and a heart-lung machine (also known as a cardiopulmonary bypass machine) takes over the functions of the heart and lungs. This machine circulates the blood and oxygenates it while the surgeon works on the heart.

Key Steps in On-Pump CABG:

• Heart-Lung Machine: The machine is connected to the patient's blood vessels, taking over the heart's pumping function and oxygenating the blood during surgery.
• Cardioplegia: The heart is usually cooled and infused with a solution to stop it temporarily, allowing the surgeon to work on the coronary arteries without the heart beating.
• Grafting: The surgeon uses healthy blood vessels (often from the chest, arm, or leg) to bypass the blocked or narrowed arteries, restoring blood flow to the heart.
• Rewarming & Restarting the Heart: Once the grafts are in place, the heart is gradually rewarmed, and the heart-lung machine is slowly weaned off.

Advantages:

• Allows the surgeon a stable, motionless field to work in.
• Proven and widely used method with good long-term outcomes.

Disadvantages:

• The use of the heart-lung machine can lead to complications like bleeding, infection, stroke, or organ dysfunction.
• Longer recovery time as the body needs to adjust after being on the heart-lung machine.

b. Off-Pump CABG (Beating Heart Surgery)

In off-pump CABG, the heart remains beating during the surgery. This procedure is often performed using specialized equipment to stabilize the area of the heart being worked on, while the rest of the heart continues to function normally.

Key Steps in Off-Pump CABG:

• Stabilization: Special devices are used to stabilize the heart in the area where the grafting will take place while the rest of the heart continues to beat.
• Grafting: Similar to on-pump CABG, the surgeon uses healthy blood vessels from other parts of the body to bypass the blocked arteries.
• No Heart-Lung Machine: Because the heart is not stopped, there is no need for the heart-lung machine, and the patient's circulation is maintained naturally.

Advantages:

• Reduced risk of complications related to the heart-lung machine, such as stroke or organ dysfunction.
• Potential for quicker recovery due to less disruption to the circulatory system.

Disadvantages:

• The beating heart can make the procedure technically more challenging.
• The surgeon may not have as clear a view of the coronary arteries compared to on-pump CABG.

Comparing On-Pump and Off-Pump CABG:

Conclusion:

Both on-pump and off-pump CABG are effective procedures for treating coronary artery disease, but the choice between them depends on various factors, such as the patient's specific condition, the complexity of the disease, and the surgeon's expertise. Off-pump CABG offers the advantage of avoiding the heart-lung machine, which can lead to fewer complications and faster recovery, while on-pump CABG provides a more controlled environment for complex cases.