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Dr. Kewal Krishan  - Cardiothoracic Vascular Surgery, Delhi

Dr. Kewal Krishan

MCH DNB (CTVS), Advanced fellowship, MS

Cardiothoracic Vascular Surgery, Delhi

20 Years Experience  ·  800 at clinic
Book Appointment
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Dr. Kewal Krishan MCH DNB (CTVS), Advanced fellowship, MS Cardiothoracic Vascular Surgery, Delhi
20 Years Experience  ·  800 at clinic
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I am Dr. Kewal Krishan. I am a cardiac surgeon at max hospital, Saket. I am director of the progr...

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.

read more
I am Dr. Kewal Krishan. I am a cardiac surgeon at max hospital, Saket. I am director of heart tra...

 

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.

read more

Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Kewal Krishan
He has over 15 years of experience as a Cardiologist. He is a MCH DNB (CTVS), Advanced fellowship. Book an appointment online with Dr. Keval Kishan on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 44 years of experience on Lybrate.com. Find the best Cardiologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MCH DNB (CTVS) - SMS Medical College Jaipur - 2002
Advanced fellowship - Mayo Clinic and Mount Sinai USA - 2010
MS - SMS Medical College Jaipur - 1998

Location

Book Clinic Appointment with Dr. Kewal Krishan

Max Super Speciality Hospital

1,2, Press Enclave Road. Landmark: Select City Mall, Near Malviya Nagar Metro StationDelhi Get Directions
800 at clinic
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Open Heart Surgery - Things You Must Know About It!

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Open Heart Surgery - Things You Must Know About It!

Open heart surgery is a complicated heart procedure. Although the number of open heart surgeries performed over the past has decade has reduced significantly, howeevr, it is still an important surgical procedure to fix critical heart ailments.

Here is a quick fact-checker about this procedure:

  • The Coronary Artery Bypass Graft or CABG is one of the frequently performed procedures in the open-heart surgery space. This is a procedure that is related to fixing the blocked arteries of the heart. A study conducted by the National Institutes of Health revealed that most patients who had undergone CABG become angina-free within a span of five years.
  • Many hospitals refuse to share any data related to the surgery. It makes sense to run a background check on the surgeon who is scheduled to perform the procedure. Society of Thoracic Surgery lists all doctors and the number of procedures they have performed in this space.
  • This is one of the few surgeries where a doctor needs to make a deep incision close to 2-2.5 inch through the breastbone to separate muscle and get access to the heart.
  • The patient is hooked to a heart-lung machine before the proceedings begin. This machine pushes blood to the body. It helps the doctor to stop the heart and perform the procedure. Once the procedure is over, the doctor closes the incision made through the breastbone with sternal wires. Then the surgeon gives a minor electric shock to the patient to restart the heart. Subsequently, the patient is taken off from the heart-lung machine.
  • The patient might find himself tangled with many tubes as he wakes for the first time after the surgery. These wires take the fluid out of the body. They serve as a temporary pacemaker for the patient.
  • It is important to get a clarification from the surgeon as to from which location of the body would the veins be taken from to perform CABG. Most doctors prefer the vein from the leg. However, recent studies have shown that veins can be extracted from the internal chest wall. This results in a speedy recovery for the patient.
  • The patient is kept in an ICU for a couple of days before he is shifted to the general ward where he spends close to a couple of weeks before he is released. After the patient gets home, the typical recovery time for the patient is approximately 6-8 weeks.
  • One has to usually deal with heightened emotions after an open-heart surgery. Studies have shown that over 20 percent of the CABG patients suffer from depression, anger, and other emotional problems. This typically lasts for a year till everything becomes normal.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2449 people found this helpful

ECMO - Extracorporeal Membrane Oxygenation

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Play video

 

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.

2582 people found this helpful

Heart Transplant and Ventricular Cyst Device

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Play video

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.

3000 people found this helpful

Heart Transplant - When Is It That You Have To Go For It?

MCH DNB (CTVS), Advanced fellowship, MS
Cardiologist, Delhi
Heart Transplant - When Is It That You Have To Go For It?

There are many people worldwide who suffer from heart problems (irrespective of their age and sex). While in most cases, the condition improves with proper treatment and medications, in few, the condition is beyond treatment. A heart transplant comes as a savior for such people. It gives them a new lease of life. The transplant involves replacing a heart that has stopped functioning normally (damaged or may be diseased) with a healthy heart (from the donor).

Over the years, heart transplant has undergone a sea of change. With the advancement of science and technology, the success rate in a heart transplant has seen an exponential rise.

People who need a heart transplant:
A heart transplant may be essential in the following cases.

  • A congenital heart disorder (a person born with a heart problem).
  • Defective or diseased heart valves.
  • Amyloidosis (a condition where amyloid fibrils get deposed in the tissues and organs of the body intracellularly or extracellularly).
  • Problems in the coronary artery.
  • Cardiomyopathy (A condition where the muscles of the heart become weak, thereby affecting the normal functioning of the heart).
  • A heart transplant that failed previously.
  • Ventricular Arrhythmias (a condition that originates in the ventricles, in ventricular arrhythmias, the heart rhythms are abnormally rapid).


However, under the following circumstances, a heart transplant may not be a wise idea

  • People with infections or chronic lung or kidney disorders.
  • A case of cancer in the past.
  • Age may be a deciding factor.The recovery from a heart transplant may not be 100% in an aged person.

The heart transplant procedure:
The first step in heart transplant is the availability of a suitable donor. In this case, a donor is a person whose brain is dead but the other organs, including the heart, is healthy and functioning properly. A surgeon performs three operations in a heart transplant.

  • The first operation is essentially the removal of the healthy heart from the donor body. The heart is kept in a cool place, preferably ice (to keep the heart alive and in good condition until the heart transplant takes place).
  • In the second operation, the recipient's damaged or diseased heart is operated out.The situation may, however, be complicated if the patient had a heart surgery in the past.
  • The third and the final surgery involves implanting the donor heart into the recipient body (the recipient's upper heart chambers and the atrial back wall are however not removed).
  • Once the implantation takes place (without any complications), the surgeons sew the heart into place.
  • The blood vessels are then connected back to the heart and the lungs. The heart starts beating again once it is warmed up.
  • To enable the patient to receive the nutrients and oxygen (during the heart transplant), the patient is put on a heart-lung machine.
  • If no complications develop after the transplant, the patient is discharged within a fortnight.

In some unfortunate cases, there may be organ rejection. The condition arises when the recipient's immune cells see the transplanted heart as non-self (foreign agents). If left unattended, it may damage the heart. Immunosuppressant drugs can help avert the rejection. However, it is important to monitor the patient closely for any infections that may arise to the administration of the immunosuppressants. If you wish to discuss about any specific problem, you can consult a Cardiologist.

2589 people found this helpful
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