Home / Healthcare/ Durdans Heart Centre pioneers ‘Re-do Minimally Invasive Direct Aortic Artery Bypass Surgery’

Durdans Heart Centre pioneers ‘Re-do Minimally Invasive Direct Aortic Artery Bypass Surgery’

Comments / {{hitsCtrl.values.hits}} Views / Tuesday, 9 July 2019 00:00


The cardiac team who performed the surgery including Dr. Anand Ragunathan(middle-left) and Dr. Kesava Dev (middle)

Durdans Heart Centre successfully performed the ‘Re-do (re-operative) Minimally Invasive Direct Aortic Artery Bypass Surgery’ (Re-do CABG) on a cardiac patient who had gone through a bypass surgery18 years ago. 

This is also the first time that a‘re-do’ MIDCAB surgery through a small incision on the left side of the chest has been performed in Sri Lanka.

W. Karunaratne had his first bypass surgery about18 years ago. It was performed in India and he was able to live a normal life until recently when he started presenting with symptoms that were a cause for concern. After consulting a cardiologist, an angiogram was performed and it revealed a critically calcified left main coronary arterystenosis with triple vessel disease which is a life-threatening condition.

When the patient arrived at Durdans Heart Centre on the cardiologist’s recommendation, he had already suffered a heart attack recently and only one bypass from the surgery done previously was functioning. His ejection fraction (the percentage of blood leaving the heart every time it contracts) was down to 30%. By giving medication right up until it was time to go for surgery, it was brought up to around 40-45%. Stent placement was out of the question due to the high number of blocks, leaving bypass as the only option, which would carry a considerable amount of risk because of the bypass done previously.

It was a lengthy surgery that lasted for about nine hours beginning at 7:30 a.m. Due to the precarious nature of the redo MIDCAB, the cardiologist’s recommendation had been to do one bypass arterial graft. However, by using the ‘Y’ technique the surgeon was able to perform two grafts. The presence of a strong cardiac team with resident anaesthetist Dr. Anand Ragunathan led to a successful outcome.

Dr. Kesava Dev, Resident Cardiothoracic Surgeon at Durdans Hospital said, “This (Y technique) is difficult to do in a re-do case because of the presence of adhesions from the previous surgery but we were able to do it successfully and bring his heart function to 55% which is almost normal and achieve all this without the need for a blood transfusion.” The patient, Karunaratne said, “After the surgery I was sent to the ICU and I was conscious by 9 p.m. I didn’t feel as if I had been in surgery. I touched my chest but couldn’t feel anything. Then I touched my leg, because I remembered that in the previous bypass surgery done in India, veins were taken from my left leg, but there was nothing. I thought maybe the surgery had been stopped due to its risky nature. I inquired of staff and they told me,‘Mr. Wijenayake your surgery is over, try and get some sleep’. It was hard for me to believe.”

Durdans Heart Centre is the leader in Cardiac Care where the presence of comprehensive heart teams and in-house anaesthetists led by resident cardiothoracic surgeons enable high-risk and breakthrough procedures to be performed without hesitation.

Share This Article

Facebook Twitter


1. All comments will be moderated by the Daily FT Web Editor.

2. Comments that are abusive, obscene, incendiary, defamatory or irrelevant will not be published.

3. We may remove hyperlinks within comments.

4. Kindly use a genuine email ID and provide your name.

5. Spamming the comments section under different user names may result in being blacklisted.


Today's Columnists

Expand employer-backed childcare to close the gender gap in Sri Lanka

Friday, 19 July 2019

In Sri Lanka, women’s formal workforce participation is at only 36%, compared with 75% for men. Sri Lanka could raise its gross domestic product by as much as 20% in the long-run by closing the gender gap in the workforce, according to one estimate

Who should be our next president?

Friday, 19 July 2019

After the recent terrorist attacks and the subsequent violence unleashed against innocent Muslims by racists, Sri Lankans are searching for a leader who can save the country. Many have lost faith in the leaders, due to the breakdown in the security a

The messed-up lives

Friday, 19 July 2019

It can be seen that there is a serious mess-up not only in the State and the social system in Sri Lanka, but also in the lives of the people. People of Sri Lanka are having smiling faces, yet those who live happily are very rare. You will find that u

Reimagining our reality: the last best hope for us?

Friday, 19 July 2019

Imagination can be a powerful tool for shaping everyday reality. We use it to construct everything from the mundane to the mystic. A down-to-earth example would be our subscription to the idea of the intrinsic value and worth of every human being. I

Columnists More