dr pankaj goel: December 2013

Profile

Dr Pankaj Goel, is currently working as a Director and Head of the Cardio-thoracic and Vascular (Heart, Lung and Vascular Surgery) unit at the Ivy Hospital, Amritsar.

After completing his MCh in cardio-thoracic and vascular surgery from GB Pant Hospital, Delhi University in 1998, Dr Goel worked at Madras Medical Mission, Chennai for three years. Here he obtained training in complex paediatric cases. Thereafter he went to Australia (Royal Perth Hospital) for further training and experience.

Dr Goel joined the Fortis Escorts Hospital, Amritsar in 2003. Since 2008 , in his capacity as HOD at the same hospital he has done pioneering work and established cardio-thoracic and vascular surgery in the city.

The Goel's unit now routinely performs all types of cardiac, thoracic and vascular surgeries with results comparable to the best centres in the world. Dr Goel is responsible for many firsts in the region.

Dr Goel has several research papers published in indexed journals. He has authored a book on cardiac surgery. He has an original technique for harvesting saphenous vein to his credit.

In 2009, Dr Goel was elected member of the prestigious Society of Thoracic Surgeons , USA. He is also a member of the Indian Association of Cardio-thoracic surgery and CTS Net.

At Ivy Hospital, Dr Goel routinely performs all types of Cardiac, thoracic (including thoracoscopic) and vascular procedures.

Sunday, 29 December 2013

Case of the Month- LAD Endarterectomy on the Beating Heart.

The goal of coronary bypass surgery is complete revascularisation. This entails bypassing all coronary arteries 1mm or more in diameter with 50% or more obstruction and supplying viable myocardium. In patients with diffuse coronary artery disease this is possible only with the help of endarterctomy. In this technique vessels with less than 1mm lumen or no lumen is opened up by coring out the intima and part of medial layer of the vessel. The long arteriotomy is then patched with the bypass conduit, restoring flow to the native vessel.
Several studies have demonstrated that endarterectomy of the LAD not only relieves symptoms but also increases long term survival.