Special Interests: Adult Cardiac Surgery
33 year experience in Cardiac surgery
Consultant Cardiac Surgeon at Leeds General Infirmary 1/11/00 to date
Locum Consultant Cardiac Surgeon at Leeds General Infirmary 27/1/98 to 31/10/00
Consultant Cardiovascular and Thoracic Surgeon at NM Wadia Institute, Pune, India 1/8/96 to 25/1/98
Senior Registrar, Cardiothoracic Surgery, Royal Brompton Hospital, London 1/7/94 to 30/6/96
Registrar, Cardiothoracic Surgery, Leeds General Infirmary 13/7/93 to 30/6/94
Postgraduate Fellow, Cardiothoracic Surgery, Royal Perth Hospital, Perth, Australia 13/7/91 to 30/6/93
Consultant Thoracic and Cardiovascular Surgeon, CMC Vellore, India 6/6/90 to 5/6/91
Research Fellow, Registrar and Senior Registrar, CMC Vellore, India 8/11/86 to 15/1/90
1986 – 2019 (UK, Australia and India): 5445 open heart operations with 98.3% hospital survival and 3971 CABGs with 99.17% hospital survival
1998 – 2019 (Leeds): 4864 open heart operations with 98.46% hospital survival and 3513 CABGs with 99.44% hospital survival
2015-2019 (Leeds, last 5 years): 993 open heart operations with 99% hospital survival and 589 CABGs with 100% hospital survival.
2019 (Leeds): 210 open heart operations with 99.05% hospital survival
Clinically oriented research addresses the entire spectrum of adult cardiac surgery. Has published articles in peer reviewed journals on coronary artery disease and complications, myocardial revascularisation and its current perspectives and controversies, aortic, mitral and tricuspid valvular surgery, endocarditis, aortic aneurysms, aortic arch surgery, surgery on bovine and other variants of arch aneurysms, cerebral protection, aortic dissections including complicated dissections with aortic rupture, stroke and myocardial infarction, retrograde aortic dissections, cardiac and thymic tumors, permanent pacemakers,Tetralogy of Fallot, Burkitt lymphoma, chondrosarcomas, pericardial cysts, superior venacava and middle lobe syndromes, accidental hypothermia, post infarction VSD, free wall rupture of right and left ventricles, ruptures of atrioventricular groove, left ventricular aneurysms, myocutaneous flaps, cardiac trauma, coronary anomalies, pleuropericardial anomalies, etc.
On the Editorial Board of the following journals: Journal of Cardiology and Therapy, Journal of Cardiology and Cardiovascular Therapy, Journal of Cardiology and Vascular Research, The Open Access Journal of Science and Technology, Austin Radiology, Radiology and Imaging: open access, Clinical Radiology and Imaging Journal (CRIJ), Global Journal of Addiction and Rehabilitation Medicine, Juniper online Journal of Orthoplastic and Microsurgical Reconstruction, GSL Journal of Dermatology, International Journal of Cancer and Therapeutics and The Online International Journal of Oncoscientific Networks and Oncology.
On the Panel of Reviewers of the following journals: Medical Science Monitor, Nature Clinical Practice Cardiovascular Practice, The Journal of Medical Case Reports, BMJ, Perfusion, Pathology and Laboratory Medicine International, Clinical Anatomy, Journal of Cardiothoracic Surgery, Annals of Respiratory Medicine, Journal of Cardiology, Pathology and Laboratory Medicine International, Clinical Medicine, World Journal of Surgical Oncology, International Journal of Cardiology, Journal of Cardiovascular Surgery, Comprehensive Research Journal of Medicine and Medical Science, Heart and Vessels, Minerva Chirurgia, Journal of Neurosciences in Rural Practice and Clinical Practice Insights : Cardiology.
Holds Clinical Excellence Award for 2019.
Member SCTS (Society of Cardiothoracic Surgery of Great Britain and Ireland), EACTS (European Association of Cardiothoracic Surgery) and STS (Society of Thoracic Surgeons, USA). Fellow IACTS (Indian Association of Cardiovascular-Thoracic Surgeons), ISC (Indian Society of Cardiology) and The RCSEd (The Royal College of Surgeons of Edinburgh).
Honorary Senior Lecturer at Leeds School of Medicine, Intercollegiate MRCS Examiner at The Royal College of Surgeons of Edinburgh, Member Cardiothoracic Surgery Specialist Training Committee at The Yorkshire and Humber Deanery, Trainer Intercollegiate Basic Surgical Skills course at The Royal College of Surgeons of England and Educational Lead at the Cardiac Surgical Unit at The Leeds General Infirmary
Risk-adjusted in-hospital survival rate
This graph shows the “in hospital” survival rate of patients who are operated on by the individual surgeon/unit you have selected. “In hospital” means time the patient is in the hospital where they have had their operation. It does not include any time that patients may have spent in other hospitals, either before or after their heart operation.
The data has been through a complex methodology, including the variations in patient risk factors in order to give you a comparative base from which to work from. This means that the survival rates take into account the type and risk of patients being operated on for each surgeon/unit. This is known as risk adjusted survival.
The vertical axis shows the GMC number of the surgeon or the Hospital identifier. In brackets is the total number of patients operated on by the surgeon/unit and the percentage of patients for whom the survival is known. The horizontal axis is the percentage survival. The dashed vertical line shows the risk adjusted survival rate for the UK as a whole. The solid black horizontal line represents the surgeon/unit. What is important here is that the horizontal line crosses the vertical dashed line. If this occurs, it means that the surgeon/unit are within the expected outcomes given the case-mix and risk factors of the patients they operate on.
The icons that sit on the horizontal line should give you more information about your surgeon/team.
The open square is the survival rate with no risk adjustments:
The X is the predicted survival with adjustments
The solid dot is the survival probability after the methodology has been applied.
- If the solid dot is red it means survival is worse than expected
- If the solid dot is black it means that it is within limits
- If the solid dot is green it means that there is significantly higher survival than expected
There is a lot of information on these plots, but the takeaway message is that if the solid black line crosses the dashed vertical line then the survival rate for the surgeon/unit is within expectations and that there is no reason for any concern.
A more detailed explanation about these graphs and methodology can be found here: Graph Explanations