Dr. Yugal K. Mishra

About
Dr. Yugal K. Mishra is the Director, Department of Cardiovascular Surgery, Escorts Heart Institute & Research Centre, New Delhi, India. He has already operated more than 12000 cardiovascular cases. Since last 21 years his specialties of interest are minimally invasive cardiac surgery which include MIDCAB, OPCAB and Port access approach for mitral valve, aortic valve surgery and ASD closure. Dr. Mishra has already operated more than 1800 cases with port access technology. Other area of his interest is redoing cardiac surgery and he has already performed more than 1000 redo cardiac cases. He started robotic cardiac surgery program at Escorts Heart Institute in December 2002 and since then he has performed 400 robotic cardiac cases with excellent results. Besides clinical work he is actively involved in research and already published more than 80 scientific papers and chaired scientific sessions in national and international conferences in USA, UK, China, Italy, Japan, France and Far East Countries. He performed live cases in workshops in Thailand, Bangladesh and Nepal

Interest
    Minimally invasive cardiac surgery
    Robotic surgery
    Beating heart coronary artery bypass
    Aortic surgery

Previous Experience
PhD fellowship in cardiovascular surgery from Bakulev Institute, returned to India in 1991 and joined Escorts Heart Institute and Research Centre, New Delhi.

Trained / fellowship in:-
    Fellowship (CTVS) from University Hospital Upsala, Sweden
    Minimally Invasive Cardiac Surgery from University Hospital Utrecht Netherland
    Robotic Cardiac Surgery training from University Hospital Utrecht Netherland
    Robotic Cardiac Surgery training from Odessa Texas, USA
    Robotic MidCAB Surgery training from Columbia University Medical Centre, USA
    Robotic Cardiac Surgery training from Ohio State University Columbus Medical Centre, USA
    Special Course in Endoscopic IMA harvesting from Institute of Tele surgery, University of Strasbourge, France.
    Minimally access Valve Surgery (Heart Post surgery or Key hole surgery) from heart port Research and Training Centre in Salt Lake City, Utah, USA

Awards & Expertise
    Rashtriya Ratan Award by International Study Circle in 2005
    Lifetime Achievement Award by World Congress on Clinical and Preventive Cardiology (WCCPC) conferred by Dr. A. P. J. Abdul Kalam in 2006.
    Honoris Causa Doctorate (Doctor of Science) conferred by Governor of Madhya Pradesh and Chancellor of Rani Durgavati Vishwavidyalaya.

Education & Membership
    M.B.B.S. : S. S. Medical College Rewa, (M.P.) India in 1980
    MS (Surgery) : S.S. Medical College a (M.P.), India in 1984
    PhD (Cardiovascular Surgery): Bakulev Institute of Cardio- vascular Surgery, Moscow, Russia in 1991
    Member, Board of Directors of International Society for Minimally Invasive Cardiac Surgery - Beverly, MA., USA
    Member of International Society for Minimally Invasive Cardiac Surgery Beverly, MA., USA.
    Member of the Society of Thoracic Surgeons, 633, N. Saint Clair St, Ste 2320, Chicago, IL, USA.
    Founder member Indian College of Cardiology.
    Fellow of Association of Thoracic and Cardiovascular Surgeons of India.
    Life member of Cardiological Society of India.

Unique Contribution
    Mishra YK, Malhotra R, Mehta Y, Sharma KK, Kasliwal RR, Trehan N. Minimally Invasive Mitral Valve Surgery through Right Anterolateral Minithoracotomy. Ann of thoracSurg, 68, 1520-4, 1999.
    Mishra Y, Mehta Y, Juneja R, Kasliwal RR, Mittal S, Trehan N. Mammary Coronary Artery Anastomosis Without Cardiopulmonary Bypass Through Minithoracotomy. Ann ThoracSurg, 63: S 114-8, 1997.
    Mishra Y, Mehta Y, Mittal S, Mairal M, Karlekar A, Seth A, Kler TS, Trehan N. Mammary Coronary Artery Without Cardiopulmonary Bypass Through Minithoracotomy : One year clinical experience. European Jr. Cardio thoracic Surgery, 14 (Suppl), S 31-S37, 1998.
    Mishra Y, Mehta Y, Kohli V, Mairal M, Mishra A, Bapna RK, Trehan N. Coronary Artery Bypass Surgery without Cardiopulmonary Bypass: Short and Mid - Term Results. Indian Heart J, 511-17, Sept-Oct, 1997.
    Trehan N, Mishra Y, Mehta Y, Jangid D. Transmyocardial Laser as an Adjunct to Minimally Invasive CABG For complete myocardial revascularization. Ann ThoracSurg, 66:1113-8, 1998.
    Mishra Y, Kertsman VP, Alekyan BG, Burokouski V I. Limitations of Using Arterial Conduit For Myocardial revascularization in Patients with Combined Coronary And Other Arterial Lesions. Indian Heart J, 45, 2, 117-120.1993.
    Kertsman VP, Kombarov SV, Mishra YK, Mota ER, Garsevnor Gb, Soboleva ER., Bogonatove BN. Antegrade and Retrograde Cardioplegia with Different Reperfusion Techniques in Patients with Multiple Coronary Artery Lesions. Indian Heart J, 44, 103-108, 1992.
    Mishra Y, Bapna RK, Mishra A, Kholi VM, Malhotra R, Trehan N. Myocardial Revascularization with Heart Laser And Direct CABG without Cardiopulmonary Bypass. Indian Heart J., Vol 48, No 5, Sept Oct, 1996 (abst).
    Mishra Y, Mairal M, Maheshwari P, Jandial P, Trehan N. Mammary Coronary Anastomosis Through Minithoracotomy Without Extracorporeal Circulation. Indian Heart J., Vol 48, No 5, Sept Oct, 1996 (abst).
    Trehan N, Khanna SN, Kohli VM, Karlekar A, Mishra Y, Mishra A. early results with Bilateral And Single Internal Mammary Artery Gifts. Are They Different? Asian Cardiovascular & thoracic Annals, Vol 3, No1, 8-14, 1997.
    Trehan N, Mishra Y. Coronary Artery Bypass Grafting: Future Perspectives in India. The Cardiothoracic Journal, Vol 2, No 8, 25-32, October, 1996.
    Mittal S, Kasliwal RR, Shrivastava S, Kanojia A, Mishra Y, Trehan N. Assessment of LIMA Graft Flow by Transthoracic Minithoracotomy Bypass Surgery: An Angiographic validation Indian Heart J., Vol 49, No 6, 1997 (Abst)
    Mishra Y, Mehta Y, Kohli VM, Mairal M, Mishra A, Bapna RK, Trehan N. Coronary Artery Bypass Surgery Without Cardiopulmonary Bypass: Short and Mid - Term Results. Indian Heart J., 511-17, Sept Oct, 1997.Juneja R, Mehta Y, Mishra Y, Trehan N. Minimally Invasive Coronary Artery Surgery: Anaesthetic Considerations, J. Cardiothoracic. Vasc. Anaeth. 11,2: 123-4, 1997.
    Malhotra R, Mishra Y,Maheshwari P, Mehta Y, Trehan N. Minimally Invasive Coronary Artery Bypass as a Salvage Procedure. Asian Cardiovascular & Thoracic Annals, Vol 6, No 1, 623, 1994.
    Mehta Y, Swaminathan M, Mishra Y, Trehan N. A Comparative Evaluation of Intrapleural and Thoracic epidural Analgesia for Postoperative Pain and relief After Minimally Invasive Direct Coronary Artery Bypass Surgery. Journal of Cardiothoracic and Vascular Anaesthesia. Vol 12, No 2, 162-165, 1998.
    Kasliwal RR, Mittal S, Shrivastava S, Saxena A, Malhotra R, Mishra Y, Trehan N. Role of Intraoperative Duplex Study of LIMA Flow in Patients Undergoing Mini CABG. Indian Heart J., Vol 50, No 5, Nov, 1998 (abst).
    Mehta Y, Sharma KK, Kanojia A, Mishra Y, Trehan N, Malhotra R. endocoronary Sinus Catheter Indian Experience. Journal of Cardiothoracic & vascular Anaesthesia, 1998, 12:6,719.
    Trehan N, Mishra Y. Mitral Valve Surgery with Port Access System. JIMSA, vol 12, No 3, Jul Sept, 1999.
    Kasliwal R, Mittal S, Shrivastava S, Mishra Y, Malhotra R, Kanojia A, Trehan N, Kronzon II. Echocardiography in Minimally Invasive Direct Coronary Artery Bypass. Echocardiography. 1999 Aug; 16(6):603-610.
    Trehan N, Mishra Y. off Pump coronary Artery Bypass Surgery: EHIRC Experience. JIMSA, Vol 12, No 3, Jul Sept 1999.
    Malhotra R, Mishra Y, Sharma KK, Mehta Y, Trehan N. Minimally Invasive Atrial Septal Defects Repair. Ind. Heart J., 193-197, March April 99.
    Trehan N, Malhotra R, Mishra Y, Srivastava S, Mittal S, Mehta Y. Minimally Invasive Coronary Artery Surgery: The Current Status. Indian Heart J., Vol 51, No 6, Nov Dec 1999 (abst).
    Trehan N, Malhotra R, Mishra Y, Meharwal ZS, Kasliwal RR, Mehta Y. A Vision of the Next Millennium: Robotic Endoscopic Intracardiac Surgery. Indian Heart J., Vol 51, No 6, Nov Dec 1999 (abst).
    Kasliwal RR, Mittal S, Shrivastava S, Omar A k, Mishra Y, Malhotra R, Trehan N. Temporal Change in the Left Internal Mammary Artery Doppler Flow Characteristics After Minimally Invasive Direct CABG (MIDCAB). Indian Heart J., Vol 51,No 6, No Dec 1999 (abst).
    Mittal S, Shrivastava S, Kasliwal RR, Mishra Y, Malhotra R, Trehan N. Angiographic Correlates of Left Internal Mammary Artery (LIMA) Doppler Flow Characteristics After Minimally Invasive Direct CABG (MIDCA). India Heart J., Vol 51, No 6, Nov Dec 1999 (abs).
    Mittal S, Kasliwal RR, Shrivastava S, Mishra Y, Malhotra R, Trehan N. Frequency of Left Internal Mammary Artery Graft (LIMA) Spasm after Minithoracotomy Coronary Artery Bypass Surgery (MINI CABG). Indian Heart Journal. Vol 52, No 6, Nov Dec 2000.
    Mishra Y, Malhotra R, Mishra A, Trehan N. Off Pump Redo Coronary Artery Bypass Grafting. IHJ, Vol 52, No 6, Nov Dec 2000.
    Kasliwal RR, Ranjan S, Mittal S, Shrivastava S, Mishra Y, Malhotra R, Trehan N. Our Experience with Minimally Invasive Direct Coronary Artery Bypass Surgery (MIDCAB) in Patients with Multivessel Coronary Artery Disease: IHJ, Vol 52, No 6, Nov Dec 2000.
    Mehta Y, Firodiya M, Mishra Y, Trehan N. Vasopressure Infusion During Off Pump Coronary Artery Bypass Graft Surgery. J CardiothoracVascAnesth 14:6, 763-764, 2000.
    Banerjee V, Mishra Y, Malhotra R, Trehan N. Minimally Invasive Port Access Cardiac Surgery. Asia Journal of Cardiovascular Nursing. Vol 9 (1), Jan 20.
    Trehan N, Mishra YK, Sharma M, Bazaar S, Mehta Y, Sharma KK, Shrivastava S. Robotically controlled video-assisted port-access mitral valve surgery. Asian CardiovascThorac Ann. 2002 Jun; 10(2):133-6.
    Trehan N, Mishra YK, Mittal S. Off-pump valve repair using the coapsys trade mark device: a feasibility study in patients with functional mitral regurgitation. Heart Surg Forum. 2003; 6Supp 1:S11.
    Mehta Y, Kulkarni U, Sharma KK, Juneja R, Mishra Y, Trehan N Spinal (subarachnoid) morphine for off pump coronary artery bypass surgery. Heart Surg Forum. 2003;6Supp 1:S17.
    Mishra YK, Wasir H, Kohli V, Meharwal ZS, Mehta Y, Trehan N. Combined carotid endarterectomy and coronary artery surgery: analysis of on pump and off pump techniques. Heart Surg Forum. 2003;6Supp 1:S26.
    Trehan N, Malhotra R, Gupta IV V, Mishra Y, Kohli V, Meharwal Z, Mehta Y. which anastomosis to do first-obtuse marginals or left anterior descending artery: sequence of distal anastomosis in OPCAB surgery. Heart Surg Forum. 2003;6 (Supp 1):S46.
    Trehan N, Malhotra R, Mishra Y, Shrivastva S, Kohli V, Mehta Y. Comparison of ministernotomy with minithoracotomy regarding postoperative pain and internal mammary artery characteristics. Heart Surg Forum. 2000;3(4):300-6.
    Mishra Y, Wasir H, Kohli V, Meharwal ZS, Bapna R, Mehta Y, Trehan N. Beating heart versus conventional reoperative coronary artery bypass surgery. Indian Heart J. 2002 Mar-Apr;54(2):159-63.
    Trehan N, Mishra YK, Mathew SG, Sharma KK, Shrivastava S, Mehta Y. Redo mitral valve surgery using the port-access system. Asian CardiovascThorac Ann. 2002 Sep; 10(3):215-8.
    Mishra Y, Sharma M, Bapna R, Malhotra R, Mehta Y, Sharma KK, Shrivastava S, Trehan N. Minimally invasive mitral valve surgery. Indian Heart J. 2002 May-Jun; 54(3):279-83.
    Meharwal ZS, Mishra YK, Kohli V, Bapna R, Singh S, Trehan N. Off-pump multivessel coronary artery surgery in high-risk patients. Ann Thorac Surg. 2002 Oct;74(4):S1353-7.
    Juneja R, Singh SM, Mehta Y, Mishra Y, Trehan N. Perioperative management of a renal transplanted patient for coronary artery bypass grafting. Indian Heart J. 2002 Jul-Aug;54(4):418-21.
    Mishra YK, Wasir H, Khanna SN, Shrivastava S, Mehta Y, Trehan N. Multimodality targeted approach in redo off-pump coronary artery bypass surgery. Asian CardiovascThorac Ann. 2003 Mar; 11(1):7-10.
    Trehan N, Khanna SN, Mishra Y, Kohli V, Mehta Y, Mishra M, Mittal S. Predictors of early outcome after coronary artery surgery in patients with severe left ventricular dysfunction. J Card Surg. 2003 Mar-Apr; 18(2):101-6.
    Trehan N, Kohli V, Meharwal ZS, Mishra Y, Sharma VK, Mishra M. Surgical treatment of post infarction left ventricular aneurysms: our experience with double breasting and Dor"s repair. J Card Surg. 2003 Mar-Apr; 18(2):114-20.
    Meharwal ZS, Mishra YK, Kohli V, Singh S, Bapna RK, Mehta Y, Trehan N. Multivessel off-pump coronary artery bypass: analysis of 4953 cases. Heart Surg Forum. 2003; 6(3):153-9.
    Wasir H, Mehta Y, Mishra YK, Shrivastava S, Mittal S, Trehan N. Transesophageal echocardiography in hypotensive post-coronary bypass patients. Asian CardiovascThorac Ann. 2003 Jun;11(2):139-42.
    Mittal S, Mishra Y, Trehan N. Mitral valve geometric differences in patients with post infarction functional mitral regurgitation is related to the infarct territory. Indian Heart J. Sept Oct. 2003.
    Mishra Y, Sharma M, Wasir H, Sharma KK, Trehan N. Robot-enhanced coronary artery bypass surgery. Indian Heart J, vol 5(25), Sept-Oct 2003.
    Mehrotra R, Bansal M, Hansa G, Bhargava K, Agarwal V, Kasliwal RR, Bapna RK, Mishra Y, Trehan N. Clinical profile and immediate surgical outcome in patients with severe aortic stenosis undergoing aortic valve replacement: an Indian perspective. Indian Heart J Vol 5 (237), Sept-Oct 2003.
    Kohli V, Goel M, Sharma VK, Mishra Y, Malhotra R, Mehta Y, Trehan N. Off-pump surgery: a choice in unstable angina. Asian CardiovascThorac Ann 2003; 11:285-288.
    Mishra Y, Wasir H, Kohli V, Meharwal ZS, Malhotra R, Mehta Y, Trehan N. Concomitant carotid endarterectomy and coronary artery bypass surgery: outcome of on-pump and of-pump techniques. Ann ThoracSurg 2004; 78(6): 2037-43.
    Mittal S, Mishra Y, Jaguri P, Mehta Y, Trehan. Mitral valve repair with Coapsys device during off-pump coronary artery bypass graft surgery is a viable option for patients with ischemic mitral regurgitation. Indian Heart J. Sept-Oct 2004.
    Malhotra R, Mishra Y, Trehan N. New frontiers in cardiac surgery. Cardiology Today. Mar-Apr 2004;vol VIII (2):53-61.
    Mishra YK, Wasir H, Sharma M, Sharma KK, Mehta Y, Trehan N. Robotically enhanced coronary artery bypass surgery. Indian Heart J. 2004 Nov-Dec; 56(6):622-7.
    Wasir H, Mittal S, Mishra Y, Mehta Y, Trehan N. Site-specific detection of bleeder using transesophageal echocardiography. Asian CardiovascThorac Ann 2005; 13:366-368.
    Mishra YK, Mittal S, Jaguri P, Trehan N. Coapsys mitral annuloplasty for chronic functional ischemic mitral regurgitation: 1-year results. Ann ThoracSurg 2006; 81:42-6.
    Mishra M, Malhotra R, Karlekar A, Mishra Y, Trehan N. Propensity case-matched analysis of off-pump versus o-pump coronary artery bypass grafting in patients with atheromatous aorta.
    Mishra YK, Khanna SN, Wasir H, Sharma KK, Mehta Y, Trehan N. Port- access approach for cardiac surgical procedures: our experience in 776 patients.
    Mishra YK, Wasir H, Sharma KK, Mehta Y. Trehan N. Totally Endoscopic Coronary Artery Bypass Surgery Asian CardiovascThorac Ann 2006; 14:447-51
    Rajneesh M, Yugal K. Mishra Manisha M, Poonam K, Z.S. Meharwal, Trehan N. Coronary Artery Bypass Grafts Assessment at One year by Non-invasive Multi-slice Computed Tomography and Invasive Coronary Angiography.
    Mishra YK, Wasir H, Malhotra Rajneesh, Sharma KK, Mehta Y, Trehan N. Robotically enhanced coronary artery bypass surgery. J. Robotic surgery (2007) 1: 22-226 DOI 10.1007/s11701-007-0029-7
    Mishra YK, Sathiakar Collison, Meharwal ZS, Aortic Valve replacement with 17- mm Prosthesis : Emerging Evidence of its efficacy : Annals of Thoracic Surgeons 2008:85:690-5
    Mishra YK, Sathiakar Collison, Malhotra Rajneesh, Kohli Vijay, Mehta Yatin, Trehan Naresh; Ten- year experience with single - vessel and multi-vessel reoperative off-pump coronary artery bypass grafting : J. Thoracic and Cardiovascular surgery Volume 135, Number 3 pg. 527
    Smita M, Munesh Tomer, Rajneesh M, Sitaraman Radhakrishnan, K.S. Iyer, Savitri S, Yugal K. Mishra, Naresh Trehan: Comparison between Transcatheter Closure and Minimally Invasive Surgery for Fossa Ovalis Atrial Septal Defect: A Single Institutional Experience: Indian heart J 2008; 60: 125-132
    Yatin M, Dheeraj A, Krishna K Sharma, Yugal K. Mishra, Harpreet Wasir, Naresh Trehan: Comparison of continues thoracic epidural and paravertebral block for postoperative analgesia after robotic-assisted coronary artery bypass surgery : Annals of Cardiac Anaesthesia. Vol 11:2 July-Dec- 2008
    Yugal K. Mishra, S.P. Collison : The development and current status of Minimally Invasive Cardiac Surgery at Escorts Heart Institute & Research Centre: Fortis Medical Journal: Decr 08- Feb 09 Volume 01, Issue 01
    Yugal K. Mishra, Budhaditya Chakraborty : Surfing the big wave: overcoming the challenges of reoperative CABG: Fortis Medical Journal : Mar 09- May 09 Volume 01, issue 02
    Yugal K. Mishra, Dr. Anil Vaid , Dr. Adil Rizvi, Dr. Sujit Mohanty , Dr. Pankaj Kumar: : Single stage repair of aortic coarctation and Aneurysm of ascending aorta with stenotic aortic valve: Fortis Medical Journal : June 10- Aug 10 : Volume 02, issue 03
    Mittal S, Mishra Y,Trehan N. Coapsys leads to global reversed of left ventricular remodelling : expanded TRACE : study analysis. Circulation 2007; 116:II373.
    Eugene A. Grossi, Nirav Patel, Joseph Woo, Judith D Goldberg, Charles F Schwartz, Valavanur Subramanian, Ted Feldman, Robert Bourge, Norbert Baumgartner, Christopher Genco, Scott Goldman, Marco Zenati, J. Alan Wolfe, Yugal K. Mishra , Naresh Trehan, Sanjay Mittal, Shulian
    Shang, Todd J Mortier, Cyril J. Schweich: Outcomes of the RESTOR MV Trial ( Randomized Evaluation of a Surgical treatment for Off-Pump Repair of the Mitral valve): Vol56, No.24, 2010 ISSN 0735- 1097/836.00 doi:10.1016)j.jacc.2010.06.05
    E.A. Grossi, Y.J. Woo, N. Patel, J.D. Goldberg, C.F. Schwartz, V. A. Subramanian, C. Genco, S.M. Goldman, M.A. Zanati, J.A. Wolfe, Yugal K Mishra and N. Trehan : Outcomes of coronary artery bypass grafting and reduction annuloplasty for functional ischemic mitral regurgitation: A prospective multicenter study (Randomized Evaluation of a Surgical Treatment for Off-Pump Repair of the Mitral Valve). Volume 141 number 1, January 2011, ISSN 0022-5223: The journal of thoracic and cardiovascular surgery.
    Yugal K Mishra, Anand Kumar, Ashok Bais , Anil Vaid, Sanjay Agarwal A case report: renal Cell Carcinoma with Inferior vena Cava And Right Atrial Extension: Fortis Medical Journal April11- June 11 Volume 03 issue 02