Aster Ramesh Hospitals in Guntur Achieves Medical Milestone with Awake Heart Bypass Surgery
In a groundbreaking medical achievement, the cardiac surgical team at Aster Ramesh Hospitals in Guntur has successfully performed an Awake Coronary Artery Bypass Grafting (CABG) procedure on a 64-year-old high-risk patient. This innovative approach marks a significant advancement in cardiac care for patients with compromised health conditions.
Complex Clinical Scenario and Surgical Decision
The patient presented with multiple serious health challenges, including diabetes, hypertension, and severe blockages in three coronary arteries. Additionally, the patient had a history of right lung cancer, having undergone a lobectomy followed by chemotherapy and radiotherapy. These treatments significantly compromised lung function, making conventional heart surgery under general anesthesia extremely risky.
Faced with this complex clinical scenario, the surgical team, led by senior cardiac surgeon Dr. Jayaram Pai and senior DM Cardiac Anesthesiologist Dr. Loganathan, made the bold decision to perform the bypass surgery without administering general anesthesia. The patient remained awake throughout the entire procedure, a technique that eliminated the need for ventilator support and substantially reduced the risk of post-operative pulmonary complications.
Expert Insights on the Procedure's Success
Dr. Jayaram Pai emphasized that maintaining patient stability throughout the surgery was crucial. He stated that such awake cardiac procedures are not only safe but also highly effective, even for patients with multiple comorbidities. This approach represents a paradigm shift in how high-risk cardiac cases can be managed.
Speaking about this rare achievement, Dr. Pothineni Ramesh Babu, Managing Director and Chief Cardiologist at Aster Ramesh Hospitals, highlighted that this success has opened new possibilities for treating cardiac patients with poor lung function. He attributed the accomplishment to three key factors:
- Advanced medical technology
- Exceptional clinical expertise
- Strong commitment to patient safety
Dr. Ramesh Babu congratulated the surgical and critical care teams for setting a new benchmark in high-risk cardiac care. He further noted that the Aster Ramesh Hospitals group has performed over 30,000 cardiac surgeries with a high success rate, earning recognition as one of India's most trusted and successful cardiac surgery centers.
Expanding Cardiac Care Across the Coastal Corridor
According to Dr. Mamata Rayapati, Deputy Managing Director, a team of senior Cardio Thoracic and Vascular surgeons is providing expert cardiac care across the coastal corridor at Aster Ramesh Hospitals in Guntur, Ongole, and Vijayawada. The surgical team includes:
- Dr. Jayaram Pai
- Dr. Siva Prasad
- Dr. Mrityunjay
- Dr. Ashok Kumar
- Dr. Bharat Siddharth
- Dr. Srikant Mahapatra
Dr. Rayapati emphasized that this team has extensive experience in performing complex cardiac and vascular surgeries for patients ranging from newborns to 90 years of age. The hospital's impressive track record includes:
- Over 50,000 complex cardiac and vascular procedures
- 25 Heart Transplants
- Up to 1,200 Minimally Invasive Cardiac Surgeries (MICS)
- Over 1,000 Emergency Bypass Surgeries
- Approximately 1,200 Neonatal Cardiac Surgeries
The press conference announcing this medical milestone was also attended by Dr. Loganathan, Cardiac Anesthesiologist, and Dr. Karthik Chowdary, Cluster Business Head, underscoring the collaborative effort behind this achievement.
This successful awake CABG procedure at Aster Ramesh Hospitals demonstrates how innovative surgical approaches can overcome significant medical challenges, offering new hope for high-risk cardiac patients who might otherwise have limited treatment options.



