In what is being termed as a revolutionary life-saving surgery, Panda operated on 58-year-old Mithalal Dhoka to remove a staggering 17 blocks through 12 bypass grafts at the Asian Heart Institute in northwestern Bandra suburb on February 12.

Armed with the unprecedented medical feat, the institute is planning a Guinness World Records citation.

"We did an internet search and the maximum number of bypass surgeries (on a patient) reported so far is eight. This is the first time in the world that 12 bypass grafts were done on any patient on a beating heart," Panda informed.

Hailing from Yadagiri in Karnataka but now based in Hyderabad, Dhoka, who was dismissed by medicos as "an inoperable case", has been suffering from diabetes and hypertension for over two decades.

Due to his general health and diabetic condition, this problem had developed over the years," Panda said. All the arteries were very small and in view of the multiple blockages with high cholesterol deposits, Dhoka was considered unfit for surgery.

“An intra-aortic balloon pump was put inside the heart to support his blood pressure and circulation during surgery," Panda said.

Since the conventional technique of using a mixture of arterial graft and vein graft from the leg was not possible for so many blockages, Panda used arterial grafts in a sequential manner in all the 12 arteries with blocks.

At the end of the 11-hour-long surgery, Panda stepped out of the operation theatre unaware that he had just created a world medical record. "We did a CT angiogram after three weeks and all grafts were found to be working well,” he said.

So far, he has operated on more than 500 patients in the 20-80 year age-group, 90 percent of whom were diabetics. Indians, who are more prone to heart diseases and also diabetes, a risk factor for cardiac ailments, also tend to have multiple blockages, Panda said.


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