When you are admitted in my care, I’m your guardian.
Some of the major surgical procedures undertaken by Dr. Shad are Heart Transplants, Coronary Bypasses, HOCM, Aortic Surgery, and Mitral Valve repairs and replacements to name just a few. He also specialises in the comprehensive management of Heart Failure patients.
Dr. Sujay Shad understands that he works with irreplaceable humans. He fixes what’s made once and never again. He fixes the creator’s creation and that makes his job very special. Regardless of conditions, he needs to stay motivated and dedicated and his one-point agenda is to make a few people better today. He feels proud and grateful to be working as a best cardiac surgeon in Delhi, India.
As a cardiac surgeon in Delhi, India, Dr. Sujay Shad safely performs various heart surgeries for his patients by utilising his surgical skills and methods acquired during his education, training, and decades of practice. His extended retinue of Cardiac Surgery includes:
Coronary Bypass Surgery:
Almost 70% of his work involves coronary bypass surgery. Nowadays, it is almost entirely Off-Pump CABG. It is his standard practice to provide double or triple/ quadruple arterial grafts to young patients under the age of 60 who have critical coronary lesions. LIMA is universally used for all patients, young patients also receive a radial or RIMA graft in addition. With proper monitoring and pre as well as intraoperative care, we have achieved a less than 3% IABP usage rate, less than 1 unit transfusion for CABG, and less than 0.5% risk of wound infection.
Surgery for HOCM:
He is one of the few surgeons globally that regularly operate upon patients with Hypertrophic Obstructive Cardiomyopathy. It is a complex cardiac condition that requires an in-depth understanding of the pathophysiology such that an anatomical resection cures a potentially life-threatening condition.
Heart Transplantation:
Dr. Sujay Shad was the first surgeon in the Non-Govt. hospitals in India to have successfully carried out a Heart Transplant operation. Primarily there was a lack of organ availability in Delhi until recently; with improving, organ availability the heart transplant program would shortly increase its numbers as well.
Valve Surgery:
A substantial part of his work involves valve surgery. Single (mitral and aortic) valves are considered for Minimally Invasive Cardiac Surgery. Midsternotomy is the preferred mode for double, triple, or redo valve surgery. He is proficient in Mitral Valve Repairs and has performed a series of mitral valve repairs, with excellent short, medium, and long-term results.
Aortic Surgery:
Dr. Shad, best cardiac surgeon in India, routinely operates upon patients with Aneurysms of the ascending aorta, aortic arch, and descending thoracic aorta as well as patients with aortic dissection.
Ventricular Assist Device Implant:
Dr. Shad used a Levitronics LVAD for temporary support of very complex redo surgery for a patient who would not have survived without support. This device was successfully explanted and he remains well and fully functional one week later.
Dr. Sujay Shad joined Sir Ganga Ram Hospital as Senior Consultant Cardiac Surgeon in Delhi,India in Feb 2006. He shortly embarked upon performing complex operations like bypasses for poor heart function patients, left ventricular aneurysm repair, mitral valve repair, and surgery for aortic dissection. A serving Naval officer approached him in 2011 for HOCM. This condition requires a very difficult surgery and he offered to refer the officer to the UK or the US where these surgeries are done routinely and Dr. Shad knew the specialists. This officer asked Dr. Shad to help him because he was unable to afford private surgery abroad.
So, Dr. Shad discussed this with his friend (and a former colleague) Dr. Chandrashekhar in the UK. He was to come over to India for a family visit. After a discussion Dr. Chandrashekhar agreed to do this one case. Between the program finalising and the day of his arrival, Dr. Sujay Shad was approached by two more patients for HOCM surgery, and Dr. Chandra asked him to learn about this surgery. So, a procedure he had deliberately avoided became his specialty.
He has helped over 50 patients with this condition by now, all because he was open to help one serving naval officer.
Dr. Shad started heart transplant program, minimally invasive cardiac surgery, and surgery for chronic thromboembolic pulmonary hypertension as well. He was the first one to start the use of multiple arterial grafts in my hospital and optimized protocols for the post-operative care of patients. An essential component of post-op care is pain control and he keeps a close check on patient’s pain medication and pain control.
He has developed a very good training program for young surgeons at Sir Ganga Ram Hospital and many of the alumni are doing very well as consultant cardiac surgeons. He treats not only his patients kindly; he treats his junior doctors and nurses kindly too. When you visit, the first thing you might notice is a calm competent composure in the working environment.
The fine art of listening!
This entails understanding why a person seeks medical attention. That forms the basis of a provisional diagnosis and relevant investigations. Provided the investigations, and patient’s symptoms match, if that can be reliably improved by a surgical procedure; Dr. Shad would advise surgery.
Along with the advice of surgery, he thoroughly explains what benefits might accrue from heart surgery and why he prefers surgery for you and not medical/ non-surgical treatments. Since each surgical procedure carries a defined and finite risk, he gives you a numbered risk. For example, a risk of death and major complications of 0.6% for routine bypass surgery is usual.
Sometimes, surgery would be conducted emergently for conditions that shouldn’t wait for even a few hours like for aortic dissection or aortic valve disruption by infection. Sometimes a very sick patient is first admitted for around a week to improve the patient’s condition before surgery.
All this would be informed in clear Hindi, English, or Punjabi to the family and patient sitting together. He doesn’t believe in ‘please don’t tell the patient that he/she is to undergo surgery’.
Most people think that a cardiac surgeon only operates upon the heart and often lungs and other major blood vessels. A cardiac surgeon does undertake major surgeries on the heart, lungs and large blood vessels. To do that efficiently, surgeon has to be extremely skilful, knowledgeable as well as caring.
When I see a patient prior to surgery, I aim to understand the symptoms, diagnostic test results, other illnesses, patients fitness to undergo a major operation and any challenges to complete recovery. With the knowledge and experience gained overtime, I must make a judgement that the patients problems are caused by what ailment, what surgery would fix the ailment, what would be the risk associated with an operation. I also work out regarding the timing of surgery, and need for a period of stabilization with medicines or intensive care prior to surgery.
When I suggest surgery, I also have considered non-surgical options like continued medicines/ stents etc and found them inferior to the results expected from surgery
Patients need to be counselled about the process of recovery from the day of admission onwards upto discharge from hospital and various do’s and don’ts after surgery.
In brief I see a patient, entire data log that the patient brings, plan surgery and optimize the patient prior to surgery, improve the patients fitness for surgery, undertake the surgery and recover the patient after surgery and then guide the patient till he/she is back to an optimum performance level.
While I might be the interface between patient/relations and my team, it’s a mammoth team that’s performing all these complex tests in harmony. Competence and dedication of each member of the team plays a vital role in making my team effective so that best results can be assured for each patient admitted in my hospital.
Frankly, there can’t be a best cardiac surgeon. The best surgeon of today may not be able to deliver best results tomorrow. And the best surgeon alone cannot deliver good results unless he/she is supported by a competent, hard working harmonious team.
There are two different streams that culminate in award of a degree in Cardiac Surgery. On one side we have graduate MBBS doctors applying to 6 year cardiac surgery courses. The second stream is of doctors first undertaking a three year MS course in general surgery before joining a 3 year residency in cardiac surgery.
Either way, it is almost impossible for a fresh postgraduate to commence ‘flying solo’ and so an extended period of 2-6 years apprenticeship under the wings of senior surgeon is required.
Dr. Sujay Shad is one of the best surgeon and life saver of my father when My father came in a very critical condition from other hospital with no hope. He did aorta cardiac surgery so well that now he is fine and recovering speedily.
The doctor and his team is very polite and helpful and they took good care of my father.
Thank you Dr. Sujay Shad and ur whole team….
Dr sujay shad is one of the best cardiac surgeon l had ever seen with his noble personality who treats his patients with utmost care and respect. The whole team including anaesthetists, icu ward sisters took great care of me during surgery period. Dr. Sujay sir successfully done my aortic value replacement surgery. And l strongly recommend Dr. Sujay shad and Sir gangaram hospital.
My Father & my uncle both had severe cardiac surgery respectively by Dr. Shad . Before meeting him , I been to all the Big Names of Health Industry but only he was the one on whom we had trust & all I can say is that if my fatjer is alive & healthy today its just because of Dr. Shad . Hardly u find doctor who is so passionate to see u healthy
Copyright by Dr. Sujay Shad 2020-2022. All rights reserved.
Copyright by Dr. Sujay Shad 2020-2022. All rights reserved.