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TRAIN OF THOUGHT

HEART TRANSPLANTATION-II

PRACTICED & PROPOSED METHODS OF EXTENDING THE TRANSPLANT DONOR POOL & OTHER NEW DEVELOPMENTS For a conventional heart transplant to happen, there has to be a donor with a functionally acceptable heart. The team leader has to decide whether to proceed with the transplant. The ejection fraction, a measure of the heart's contractile force, the myocardial and wall thicknesses, the cavity dimensions, and the absence of regional wall motion abnormalities anywhere are all critica

1 day ago7 min read

PREGNANCY & HEART DISEASE

This is a debated subject and physicians often have to take decisions considering the patients condition and the status of pregnancy in variance with book teachings or published periodic guidelines. Every physician is bound by an oath and a healthy outcome for the recovering mother and a thriving neonate is the desired goal. As long as the mother is living, with a growing and viable fetus (normal / however disfigured she might be) in the womb, the primary responsibility of t

Sep 10, 202514 min read

CORONARY REVASCULARIZATION

Angina pectoris is attributed to a circulatory mismatch of the heart muscles and results in contractile dysfunction affecting the blood circulation of the body eventually. The word 'angina' is derived from the Greek 'ankhone' and 'pectoris' is a Latin term for the chest. The use of Greek and Latin was conventional in Medical practice at early times and the term 'angina' remained indicative of pain originating from the heart. In 1649 William Harvey in his paper “Exercitatio

Apr 13, 202512 min read

CORONARY VESSELS & RELEVANT INVESTIGATIONS Part - II

Initially nonspecific treatment was advised for relieving symptoms due to exertional angina. Physicians believed that a direct...

Apr 13, 202515 min read

CORONARY VESSELS, ANATOMICAL CONSIRATIONS, RELEVANT INVESTIGATIONS & HYPOTHESES Part - I

A detailed knowledge of the coronary vasculature is needed before planning circulatory resumption for effective myocardial perfusion in...

Apr 12, 202512 min read

HEART FAILURE - A SURGEON'S PERSPECTIVE

The heart is located in the chest and is the only circulatory pump that distributes oxygenated blood to the tissues. It is a hollow muscular organ lined with three layers of branched, striated cellular muscular tissue. These muscle cells, the myocytes, are layered in sheets and have timed automaticity and contractility as specialised qualities. Intercalated discs, special for the heart, replace conventional cell membranes and join adjacent myocytes to form sheets of muscle w

Nov 17, 202410 min read

AN ALTERNATIVE MAMMALIAN CIRCULATORY PATHWAY -- THE FONTAN CIRCULATION

The circulatory system and the spontaneity of the contractile tissue, especially the myocytes continue to intrigue us. The evolution of...

Oct 31, 20249 min read

I retired as a Professor and Head of the Department of the Cardiothoracic and Vascular unit in SSKM & IPGME&R Hospitals, Kolkata, West Bengal. Currently, I am a honorary Cardiothoracic and Vascular surgeon at the Centenary Hospitals of KOPT, Kolkata and an independent consultant in Cardiothoracic and Vascular surgery. In my career, apart from standardizing coronary artery bypass surgery, I have experience in complex Cardiothoracic and Vascular cases as well as trauma, including tracheal repairs and reconstructions. Furthermore, as a senior consultant in the department, I initiated minimally invasive cardiac surgery (MICS) using the general instruments and infrastructure that was available within the department. Another achievement during my tenure as HOD was initiating video-assisted thoracic surgery (VATS) as a sub-unit. I have been able to maintain more than one open heart case a day and, immediately before the COVID-19 situation, was doing more than 5 cardiothoracic cases every day in 4 operation theatres with a limited number of instruments and staff in a government set-up. To top it all, I have completed five heart transplants as a team leader with the same facilities without any early in-hospital mortalities (30 days).

At present, I am interested in starting a new unit of cardiovascular and thoracic surgery with a different setup and continue teaching new students.

In addition to attachment with IACTS, I am presently the secretary of the West Bengal Cardiothoracic and Vascular Surgeons (ACTVSWB). I have been an Examiner for the post-doctoral MCh & DNB candidates and have been appointed as an expert for the appointment of post-doctoral Teachers and inspection of new units in other states of India.