Speaking about the first of its kind rare and complex surgery, Dr. V.V. Bashi said, “With continued advances in heart surgeries, now more and more re-operative cardiac surgeries are also being performed to improve life ex pectancy of the cardiac patients. However, a fifth-time valve replacement of the heart remains a rare & extre mely risky surgery in my 40-year career. This requires extensive experience and precision, as it is an extremely complicated procedure carrying risk of life and cardiac failure. Since the patient has already undergone four he art surgeries in the past, the internal scar tissues between the structure of the chest makes it quite chall enging to re-enter the chest and perform the surgery without damaging parts of the heart like cardiac chambers, coro nary arteries, aorta etc. Further removing the existing tissue valve from the heart and replacing with a fresh va lve without injuring the vital structures needs extensive planning and meticulous execution. Having safely and succes
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