Cardio Vascular & Thoracic Surgery

DIVISION OF CARDIOVASCULAR AND THORACIC SURGERY

The Division of Cardiovascular and Thoracic Surgery is a most modern centre of excellence, offering state-of-the-art surgical care for a wide range of heart, lung, and vascular conditions. The division has three state-of-the-art operating rooms, 12 bedded ICU and a dedicated step-down ICU facility. Apart from round-the-clock laboratory and emergency services, the division is backed by an excellent division of radiology to ensure highest level of care for patients promptly. With one of the most experienced surgical team in Kerala, we are committed to delivering safe, effective, and compassionate care using the latest and most advanced surgical technology.

What Sets Us Apart?

  • Kerala’s latest and most advanced Cardiovascular and Thoracic centre with the most experienced surgical team and equipped with the most advanced technology for Cardiac and Thoracic surgery.
  • The FIRST centre in Kerala to use the most advanced ESSENZ Heart lung Machine and undoubtedly the ONLY centre in KERALA to use this latest technology for Extracorporeal circulation (Cardiopulmonary Bypass).
  • Centre for Minimally invasive Cardiac Surgery.
  • Centre for Minimally invasive Thoracic Surgery.
  • Centre for full spectrum of Aortic and complex peripheral vascular surgeries
  • Multidisciplinary approach focused on personalized care with strong emphasis on outcomes, safety, and innovation.

We are equipped with some of the most advanced systems in cardiac surgery, including:

  • Essenz Perfusion System – A next-generation heart-lung machine designed to enhance safety, precision, and efficiency during cardiac surgeries. Engineered for goal-directed perfusion, it allows perfusionists and surgical teams to maintain optimal blood flow and organ perfusion tailored to each patient’s specific physiological needs. The advanced sensors, integrated data analytics, and an intuitive user interface monitors critical patient parameters and supports real-time decision-making and minimizes variability during cardiopulmonary bypass. It promotes improved patient outcomes by enabling personalized perfusion strategies, reducing complications, and enhancing postoperative recovery. The system represents a major leap forward in cardiovascular surgical care, aligning with our department’s commitment to using the most advanced and patient-focused technologies available.
  • CentriMag Mechanical Circulatory Support System is an advanced mechanical circulatory support device used in the management of patients with severe cardiac or cardiopulmonary failure. It provides support for the left, right, or both ventricles—functioning effectively as an LVAD (Left Ventricular Assist Device), RVAD (Right Ventricular Assist Device) and BiVAD (Biventricular Assist Device), or as part of an ECMO (Extracorporeal Membrane Oxygenation) circuit. Featuring a magnetically levitated centrifugal pump, CentriMag ensures virtually frictionless, atraumatic blood flow, reducing the risk of hemolysis and thrombus formation. Its versatility and rapid deployment make it an essential tool for stabilizing critically ill patients, supporting them during high-risk surgeries, or serving as a bridge to recovery, transplant, or long-term therapy.
  • Optimus AC3 Intra-Aortic Balloon Pump (IABP) is a state-of-the-art intra-aortic balloon pump designed to provide hemodynamic support for patients with acute or chronic cardiac dysfunction. This advanced system offers precise timing algorithms, automatic triggering, and real-time monitoring to ensure optimal performance in even the most unstable patients. A standout feature of the Optimus AC3 is its reliable performance even during complex arrhythmias, where traditional IABP devices may struggle to maintain accurate timing. Its adaptive triggering technology and intelligent algorithms ensure consistent support, even in patients with irregular or unstable rhythms, including atrial fibrillation and frequent ectopy. Its compact, portable design makes it suitable for use in a variety of clinical settings, including operating rooms, ICUs, and cardiac catheterization labs.

These and other advanced technologies enable precise, efficient, and patient-centred care in high-risk and complex cases.

KEY AREAS OF SURGERY

Our surgical services span a broad spectrum of cardiac, thoracic, and vascular procedures.

CARDIAC SURGERY

  • Off-pump Beating Heart Coronary Artery Bypass Grafting (CABG)
  • Conventional Coronary Artery Bypass Grafting (ON PUMP CABG)
  • Total Arterial Revascularization
  • Valve Repair and Replacement
  • Minimally Invasive Cardiac Surgery
  • Surgery for Heart Failure
  • Surgery for Atrial Fibrillation
  • Surgery for Intracardiac Mass
  • Surgery for Adult Congenital Cardiac Conditions
  • Surgery for Mechanical complications of Myocardial Infarction

AORTIC & VASCULAR SURGERY

  • Surgery for Aortic Diseases (ascending, arch, and descending)
  • Bentall’ s Procedure and Frozen Elephant Trunk (FET)
  • Surgery for Abdominal Aortic Disease
  • Peripheral Vascular Surgery
  • Vascular Access Surgery (AV Fistula Creation and Revision)

THORACIC SURGERY

  • Lung Surgeries
  • Chest Wall Surgeries
  • Surgeries for Mediastinal Diseases
  • Video-Assisted Thoracoscopic Surgery (VATS)
  • Chest trauma

MECHANICAL CIRCULATORY SUPPORT

  • ECMO
  • LVAD
  • RVAD
  • BiVAD

The above are only the select surgical procedures we perform as part of our comprehensive spectrum of surgical procedures, tailored to each patient’s needs!

COMMITMENT TO EXCELLENCE

In addition to providing top-tier clinical care, the Division is actively involved in research, academic training, and surgical innovation—ensuring continuous advancement in the field and better outcomes for patients across all age group.


Our Consultants

Dr. Riju Rajsenan Nair

MBBS, DrNB (Cardiovascular & Thoracic Surgery)

Consultant - Division of Cardiovascular & Thoracic Surgery
Minimally Invasive Cardiac Surgeon

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Dr. Shiv Kumar Nair

MBBS, MS (PGI – General Surgery), MCh (Cardiovascular & Thoracic Surgery), SLP (Harward USA)

HOD and senior consultant - Division of cardiovascular and thoracic surgery
Minimally Invasive Cardiac Surgeon

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Dr. Mary Smitha Thomas

MBBS , DNB , PDCC Cardiac Anaesthesia

HOD and senior consultant - cardiac Anesthesia

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