February 16, 2006 (Press Release) --
Two western qualified cardiothoracic surgeons – Dr.T.Sunder FRCS(Cardiothoracic) & Dr.Paul Ramesh Thangaraj FRCS(Cardiothoracic) have established the “Coromandel Cardiothoracic Surgery Practice” at Apollo Hospitals, Chennai, India.
Cardiothoracic Surgery is a specialized area of surgery to treat heart, lung and other chest diseases. By its very nature this requires close monitoring after major heart and lung operations. Traditionally, the team is headed by one consultant and comprises of junior surgeons of varying experiences.
Dr.Paul Ramesh & Dr.Sunder are the first to join to form a group practice among cardiothoracic surgeons in India – a practice emulated from the West. Both the consultant surgeons scrub up and are present for all operations. Also, this practice ensures Consultant input to patient care at all times, even if one is away.
Dr.Paul Ramesh strongly believes that a multi-disciplinary approach is needed particularly in the treatment of advanced heart and lung disease. To that end he formed a “Centre for Advanced Heart & Lung Disease” at Apollo Hospitals, Chennai, India comprising of a cardiologist Dr.S.Shanmugasundaram, an intensivist Dr.N.Ramakrishnan and two surgeons –Dr.Paul Ramesh & Dr.T.Sunder. His area of interest includes cardiac transplantation.
Surgery for Heart Failure is now emerging as a separate specialty .Patients with very weak hearts now have an option of evaluation and assessment by the team at the “Centre for Advanced Heart & Lung Disease” and appropriate management strategies are suggested after a joint discussions among the specialists. This may be adjustment of medications, life style modifications, high risk conventional heart surgery or even consideration for heart transplantation.
CPET – Cardio Pulmonary Exercise Testing is done on a sophisticated treadmill which allows assessment of the patients’ heart, lung, circulatory system and exercise capacity and allows quantification of maximal oxygen utilization (VO2max). This in turn allows the specialists to assess response to treatment and decide on further course. These facilities are available at the Centre and form an important component of the assessment tools.
Dr.Sunder’s areas of interest include surgery for Chronic thromboembolic pulmonary hypertension (CTPH).The operation is called PTE (Pulmonary thromboendarterectomy) CTPH is a condition which is quite under diagnosed. Repeated showers of blood clots into the lungs over a period of time can clog up the blood vessels of the lungs and can cause high pressures in the lung arteries and as a result the heart can start failing. PTE is not a commonly performed operation and the centre at UCSD has the largest experience in the world. Dr.Sunder is keen to start the PTE programme at the Centre for Advanced Heart and Lung Disease.
Please visit www.heartandlungsurgeons.net for more information
Cardiothoracic Surgery is a specialized area of surgery to treat heart, lung and other chest diseases. By its very nature this requires close monitoring after major heart and lung operations. Traditionally, the team is headed by one consultant and comprises of junior surgeons of varying experiences.
Dr.Paul Ramesh & Dr.Sunder are the first to join to form a group practice among cardiothoracic surgeons in India – a practice emulated from the West. Both the consultant surgeons scrub up and are present for all operations. Also, this practice ensures Consultant input to patient care at all times, even if one is away.
Dr.Paul Ramesh strongly believes that a multi-disciplinary approach is needed particularly in the treatment of advanced heart and lung disease. To that end he formed a “Centre for Advanced Heart & Lung Disease” at Apollo Hospitals, Chennai, India comprising of a cardiologist Dr.S.Shanmugasundaram, an intensivist Dr.N.Ramakrishnan and two surgeons –Dr.Paul Ramesh & Dr.T.Sunder. His area of interest includes cardiac transplantation.
Surgery for Heart Failure is now emerging as a separate specialty .Patients with very weak hearts now have an option of evaluation and assessment by the team at the “Centre for Advanced Heart & Lung Disease” and appropriate management strategies are suggested after a joint discussions among the specialists. This may be adjustment of medications, life style modifications, high risk conventional heart surgery or even consideration for heart transplantation.
CPET – Cardio Pulmonary Exercise Testing is done on a sophisticated treadmill which allows assessment of the patients’ heart, lung, circulatory system and exercise capacity and allows quantification of maximal oxygen utilization (VO2max). This in turn allows the specialists to assess response to treatment and decide on further course. These facilities are available at the Centre and form an important component of the assessment tools.
Dr.Sunder’s areas of interest include surgery for Chronic thromboembolic pulmonary hypertension (CTPH).The operation is called PTE (Pulmonary thromboendarterectomy) CTPH is a condition which is quite under diagnosed. Repeated showers of blood clots into the lungs over a period of time can clog up the blood vessels of the lungs and can cause high pressures in the lung arteries and as a result the heart can start failing. PTE is not a commonly performed operation and the centre at UCSD has the largest experience in the world. Dr.Sunder is keen to start the PTE programme at the Centre for Advanced Heart and Lung Disease.
Please visit www.heartandlungsurgeons.net for more information

The Coromandel Cardiothoracic Surgery Practice is established by 2 Western trained(UK) and western Qualified (UK) Cardiothoracic Surgeons - Dr.T.Sunder FRCS & Dr.Paul Ramesh Thangaraj FRCS.
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