In this video, Dr. OP. Yadava, Chief Executive Officer & Chief Cardiac Surgeon, National Heart Institute, New Delhi, Talks about the chances of heart attack after bypass surgery during the first year. He will explain that in various studies, it is shown that bypass surgery does not reduce the total incidence of heart attack. It only reduces the incidences of fatal heart attacks but overall heart attacks are not reduced. The reason behind it is that the side branches, the microcirculation, each coronary arteries branches 10 – 14 times before it becomes a capillary, all these are not bypassed. The cholesterol can also saturates in major arteries as well as microcirculation. Even after bypass surgery, there are certain areas which continues to be ischemic. If the graft has failed, then 3% of patients might get a heart attack within a year.
Dr Yadava completed his medical graduation and Master’s in Surgery from Maulana Azad Medical College and had joined Armed Forces as a Surgical Specialist. He cleared his DNB Examination in General Surgery in the year 1983 and completed his training in cardiothoracic surgery at the Cardio Thoracic Center, Armed Forces Medical College, Pune in 1985. For advanced training, went to Australia and worked under and along with some of the greatest cardiac surgeons of recent times. Besides adult cardiac surgery, he was also trained in Paediatric Cardiac Surgery in Melbourne & Japan and successfully cleared the National Boards in Cardiothoracic Surgery (DNBE). He was honoured with Membership of the National Academy of Medical Sciences (MNAMS) in 1994; FICC in 2003, FIACS in 2005 & FCSI in 2012. He has as an experience of over 12,000 open heart surgical procedures and his special field of interest is coronary artery bypass surgery especially total arterial revascularisation & beating heart surgeries (Minimally Invasive).