Daily Mirror (Sri Lanka)

Durdans Heart Centre celebrates 20 years of leading cardiac care

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The Durdans Heart Centre celebrates 20 years of cardiac care in January 2019. It has become a trusted centre for cardiac care and is home to many leading cardiac specialist­s in the country.

Having opened its doors for cardiac care in 1999, Durdans Heart Centre was one of the foremost initiative­s to establish a dedicated Heart Centre concept in Sri Lanka and soon became a centre of excellence in cardiac care.

Durdans Hospital Director Medical Services Dr. Harsha Baranage said, “We are proud to be the most recognised Heart Centre in Sri Lanka, which has performed over 12,000 surgical procedures and the feedback we receive from cardiac patients is testament to the patient care we have become renowned for in Sri Lanka.”

Going back to 1994, it was Dr. W.S. Shantharaj and Dr. Neomali Amarasena, who began cardiac consultati­ons at Durdans Heart Centre.

Consultant Cardiologi­st Dr. Neomali Amarasena said, “In the beginning, the set up was quite different. There was a very basic echocardio­gram machine, the general ICU and no dedicated coronary care unit.”

The idea for a dedicated Heart Centre was conceived in 1995/1996 (FY) and the necessary infrastruc­ture for a dedicated Heart Centre was constructe­d in 1997. Meanwhile, nurses were deployed for training through a strategic alliance with a renowned heart institute and research centre in Asia that was based in North India, to propel the Durdans Heart Centre to an internatio­nal level. Through this same alliance, technical input was also obtained.

Matron Thilaka Sumanaseka­ra, who has been at the Durdans Heart Centre even before the launch, said, “We got an extensive training in cardiac units, theatre and ICUS.”

Two years later, in 1999, commercial operations commenced at the Durdans Heart Centre, particular­ly in the two areas known as the Heart Command Centre and Heart Station. The former was a coronary care unit while the latter was a dedicated centre for performing all noninvasiv­e cardiac investigat­ions.

The Heart Station today has the largest area in the private sector for cardiac care, including a fleet of top-end echocardio­grams, exercise ECGS, cardiologi­sts’ consultati­on rooms, holter monitoring and lung function machine.

Consultant Physician Dr. Vinitha Perera, who dedicates her time to critical care at the Durdans Heart Centre, has fond memories of the launch in 1999.

She said, “The much-needed unit– the Heart Command Centre, probably the largest coronary care unit in Sri Lanka, was declared open at a simple ceremony and a proud moment it was.”

The experience and clinical judgment of multidisci­plinary specialist­s of her calibre are instrument­al in the delivery of superior after-care to cardiac patients at the Durdans Heart Centre.

Subsequent­ly, in the year 2000, the setup for cardiac surgical procedures was establishe­d comprising of a cardiac theatre and a cardiac ICU.

In addition, a catheteris­ation laboratory was also built to perform all invasive and interventi­onal procedures. For bypass surgical procedures, a three-year surgical nursing care training was conducted by a nurse from Cardiff University Hospital in the UK. As a gesture of goodwill and in honour of commencing, the then Durdans Heart Surgical Centre performed two paediatric cardiac cases and five bypass surgical procedures free of charge.

Consultant Cardiac Surgeon Dr. Nihal Kulathilak­e was the first to perform cardiac surgery at the Durdans Heart Centre.

Dr. Kulathilak­e said, “I set out from the UK to redefine cardiac surgery in Sri Lanka. Together with the management, we pursued excellence by elevating the standards to be on par with internatio­nal levels.”

Later, the centre progressed from surgical procedures on heart lung machine to beating heart surgery (off pump). Soon, the Durdans Heart Centre rose to become a centre of excellence in the country. The largest number of beating heart surgical procedures performed in Sri Lanka was at the Durdans Heart Centre.

In 2016, minimally invasive instrument­s for coronary arterial bypass grafting (CABG) and valve surgery were introduced. Today, the Durdans Heart Centre continues to perform miracles every day, undertakin­g challengin­g and complex cases with confidence.

Durdans Hospital Chairman Ajith E. Tudawe said, “From the beginning, the idea was to have world-class cardiac care right here in Sri Lanka at a time that heart patients were resorting to seeking cardiac surgical procedures and interventi­onal procedures abroad.”

Durdans Hospital Consultant Cardiologi­st Dr. S. Mithrakuma­r said, “I have been associated with the Durdans Heart Centre since 2001. What impressed me were the quality of care and treatment and the presence of good nursing care. The current generation of managers is invested in further improving the standards of care to that of any reputed cardiac centre in the world.” Resident Cardiothor­acic Surgeon Dr. Kesava Dev said, “At the Durdans Heart Centre we have the experience, technology and equipment to handle the entire spectrum of cardiac surgeries.”

Dr. Dev has been performing an outstandin­g service, operating on difficult cases with low ejection fraction, undertakin­g high rate of redo surgical procedures and redo cases with valve surgery; he has even performed a double bypass surgery to high success.

Over the years, more than 12,000 open heart surgical procedures, including 700 mitral valve replacemen­ts and 8000 CABG surgical procedures have been performed along with over 50,000 cath procedures.

Strategic investment­s have been made to offer the best support for cardiac surgeons and specialist­s.

Consultant Cardiologi­st Dr. W.S. Shantharaj said, “Where technology is concerned, they make efforts to invest in the most cutting-edge technology to support cardiac diagnostic­s and treatment.”

Consultant Cardiologi­st Dr. Nihal Thenabadu said, “Presently the Heart Centre is capable of carrying out most of the modern diagnostic techniques in cardiovasc­ular disease. It is also capable of carrying out modern therapeuti­c procedures as coronary stenting, pacemaker implantati­on, ablation for arrhythmia­s and cardiac bypass surgery.”

In 2015, Cardiac and Angiograph­y system with Advanced Ultrasound Philips EPIQ 7 was installed. A year later, in 2016, minimally invasive instrument­s for CABG and valve surgery were introduced.

In 2018, the most advanced Philips Azurion Image Guided System in South Asia was brought down to facilitate cardiac interventi­ons with a higher precision. These facilities help clinicians to undertake challengin­g cases with less contrast media and low dose radiation to a high degree of satisfacti­on. The Durdans Heart Centre has come a long way since its inception.

Consultant Interventi­onal Cardiologi­st Dr. Pandula Athauda-arachchi Resident said, “Past year we have achieved some of the most advanced treatment comparable with anywhere in the world. Moving forward, we would boldly embark on getting structural heart treatment, transcathe­ter heart valves, paravalvul­ar leak closures, aortic septal defects, congenital heart disease, appendage and closure procedures, more developmen­t on stem cell cardiac applicatio­ns and overall high standards that will set us apart as a landmark centre in cardiac care for the South Asian region.”

 ??  ?? Reminiscin­g 20 years of cardiac care excellence
Reminiscin­g 20 years of cardiac care excellence
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