Max Super Speciality Hospital

I am Dr. Kewal Krishan. I am a cardiac surgeon at max hospital, Saket. I am director of the program of heart transplant. And we have separate vertical of a heart transplant advert and echmo. I was trained in US in MIO clinic as well as mount stannic New York for five years and then came back to this country to start heart transplant, ventriculus device and echmo program.

So we have started this heart transplant program for those patients who are in end stage heart failure those who have already burned out, ejection fraction is less than 25% and they have problems of breathlessness or the problem of walking. When these patients go to other physicians they are they told them, give medications and there is no treatment left after this. So these patients we offer them heart transplant. Heart transplant is basically you take out the diseased heart and put a new heart which require a diseased brain death donor which is allocated by NOTO, National organ Tissue and transplant organization. So another thing is ventricular assist device which is an artificial pump which we, which we put in the heart and that takes blood from the heart and puts that blood into the aorta so it works as a left ventricle or right ventricle and or by ventricular so the patient life’s becomes normal, because before that the blood pumping was 2 litters and once we put the device or we put a new heart the pumping become 5 litters which is a normal and patient start to get blood to all organs and they become normal and their life becomes normal with that. So those patients who are with end stage heart failure, they are told by their physicians that there is no other treatment left for these, these patients. They can come to us and they can go to my website kewelkrishan.com and visit and what are the options left over for such kind of patients. So I am doing these surgeries for many years, almost 11 years I am doing this and results are really good. 90, more than 90% a 1 year survival, I am talking of those patients who otherwise die in 1 year so we, first the patient comes to us, we work up the patient, weather patient qualifies the heart transplant ventricle assist device or heart lung transplant and then we offer them accordingly and we put the patient, if the patient is ready to go to ventricular assist device which the cost is close to 19 lac and for the heart transplant the cost is close to 18 lac to 22 lac depending upon the age and other factors. So these patients they get benefit, they can speak to our previous patients also, how their life has transformed from a diseased patient to a normal person and they live a good quality of life and quality of life with either transplant or ventricular assist device it’s close to 15 to 20 so it’s not less. So it’s like a normal life so, and they live a normal life. People even can’t make they are going through this procedure.

So for future if you have any problem you can go to Lybrate to find my contact and contact me.

We will treat your patients and make them happy.

I am Dr. Kewal Krishan. I am a cardiac surgeon at max hospital, Saket. I am director of heart transplant ventricular assist device program. We have a separate vertical. Its only vertical in this country.

A spate department for heart transplant ventricle assist device and ECMO. When I was trained in US at MIO clinic and mount san in New York and then I came back to India and we started this ECMO program. ECMO is a Extracorporeal membrane oxygenation. When your patient is on ventilator in ICU and they are told that we don’t have any other option. When your lungs are completely diseased because of swine flu or other pneumonia or some any reason. The ventilator despise 100% settings of ventilator a full ventrilatory support, they are not being oxygenated, the organs will dead and the patient will die. So what we do is we put these patients are referred to us to put the patient on ECMO. ECMO is basically takes out 5 litters of blood in a minute from the body and puts back the oxygenated blood. Weather your lungs are working or not for a few days we can be use this. This thing, this thing, this particular therapy can be used up to 28 days to 36 days and what we do is we put the patient on ECMO, the ventilator settings we keep to the down level so the hearts, the lungs they get, they take rest. And it can be used either for heart or for lungs or for both the organs and once the patients get better we wean the ECMO and we put the patient, we remove the ECMO and patient goes home safely. We have done so far 52 ECMOs . so probably this is the maximum number in the country. We have referral number center for ECMO in this north India and, and our results are close to, to the international results, 60 to 70% results. I am talking of those patients those who otherwise would have died had they not put on ECMO. So believe me it’s a very important tools to save many lives. If your patient is on ventilator and Dr. says now there is no chance for survival you should first, I think you should concern, consult for weather their patient can be put on ECMO and save their life. And that’s the way we save many lives because of far acute conditions.

Thank you very much and if you can, you can go more on detail on this you go on my website, kewalkrishan.com or you can go to Lybrate website.