Dr. Tonse Jayarama Pai

About:

Dr. Jayaram Pai, a senior consultant cardiac surgeon with over 36 years of experience, is renowned for his expertise in adult cardiac surgery, pediatric cardiac surgery, and vascular surgery. With a track record of more than 10,000 cardiac surgeries spanning a wide age range from 5 months to 90 years, Dr. Pai boasts an impressive success rate of 98%.

Dr. Pai has achieved several notable milestones in cardiac surgery, including:

• Performing the largest number (1000) of emergency Coronary Artery Bypass Grafting (CABG) surgeries in acute myocardial infarction with or without cardiogenic shock, and with or without Intra-Aortic Balloon Pump (IABP), achieving success rates comparable to international standards.
• Conducting the world's first reported successful triple surgery for the repair of an aneurysm at the aorto-mitral fibrous zone, combined with aortic valve replacement and CABG.
• Pioneering Awake Open Heart Surgery for Congenital Heart Disease, Myasthenia Gravis in India.
• Performed the first beating heart coronary bypass surgery, along with ascending aorta to bifemoral bypass grafting.
• Conducting a rare surgery involving Infra Hepatic Inferior Vena Cava (IVC) Replacement using a Dacron Graft without the use of Cardio-Pulmonary Bypass. This surgery, possibly the first of its kind in India, was performed to treat leiomyosarcoma of the IVC. Dr. Pai successfully excised and reconstructed the infrahepatic IVC with a Dacron graft and implanted the left renal vein into the graft. The patient has been followed up for ten years with no graft thrombosis or tumor recurrence, and maintains normal renal function.
• Closing five defects in the heart in a single surgery.
• Performing reconstructive surgery for bilateral renal artery stenosis.

Papers Presented:

1. “SINUS VENOSUS ARTIAL SEPTAL DEFECT, A SAFE and SIMPLE TECHNIQUE OF REPAIR” - Presented at the 40th Annual Conference of Indian Association of Cardio – Vascular and Thoracic Surgeons, Agra 1994.
2. “TOTAL ARTERIAL  CORONARY REVASCULARISATION USING MULTIPLE IN SITU AND COMPOSITE ARTERIAL GRAFTS” - Presented at the 42nd Annual Conference of Indian Association of Cardio-vascular and thoracic Surgeons, New Delhi 1996.
3. “TOTAL ARTERIAL REVASCULARISATION IN HIGH RISK CABG” - Presented at the III South Zone Joint Conference of API and CSI, Bangalore. 1996.
4. “EFFECTS OF ROTATIONS and KINKS ON RADIAL ARTERY CONDUIT” - Presented as a competition paper at the 43rd Annual Conference of the Indian Association of Cardio-vascular and Thoracic Surgeons, Ooty, 1997.
5. OFF PUMP CABG- EVOLUTION OF TECHNIQUE AND EARLY EXPERIENCE - Presented at the 46th Annual Conference of the Indian Association of Cardio-vascular and Thoracic Surgeons, Bombay, 2000.
6. SURGICAL CORRECTION OF TAPVC-EXPERIENCE OF 70 CASES - Presented at the 46th Annual Conference of the Indian Association of Cardio-vascular and Thoracic Surgeons, Bombay 200O.
7. OUR EXPERIENCE WITH REPAIR OF SINUS OF VALSALVA ANEURYSM - Presented at the 46th Annual Conference of the Indian Association of Cardio-vascular and Thoracic Surgeons, Bombay, 2000.
8. OUR EXPERIENCE OF 60 CASES OF CARDIAC TUMOURS - Presented at the 46th Annual Conference of the Indian Association of Cardio-vascular and Thoracic Surgeons, Bombay, 2000.
9. OUR EXPERIENCE OF TOTAL CORRECTION OF TETROLOGY OF FALLOTS - Presented at 54th Annual Conference of the Indian Association of Cardio-vascular and Thoracic Surgeons, Pune 2008.

Co–Author 

• In the following papers presented at the 42nd Annual Conference of the Indian Association of Cardiovascular and Thoracic Surgeons, New Delhi. 1996.
  • Coronary artery bypass grafting through a mini thoracotomy on beating heart.
  • Coronary bypass surgery on beating heart through mid sternotomy.
  • Bloodless cardiac surgery – our experience.
  • Use of Normothermic and warm antegrade intermittent cardioplegia – our experience.
• Minimally invasive cardiac surgery – our experience, presented at 43rd Annual conference of Indian Association of Cardiovascular and Thoracic Surgeons, Ooty 1997.

Memberships:

• Life member of the Indian Association of Cardio-vascular and thoracic surgeons (IACTS) of INDIA since Jan 1995.

Dr. Pai's exceptional contributions to the field of cardiac surgery have earned him prestigious recognition, including being honored by the government of Tamil Nadu as one of the three leading cardiac surgeons in the state.