https://www.drashishkhanijo.com/

Dr.Ashish Khanijo - Cardiac Surgeon in Pune, C/O/N M Wadia Hospital, 32, Sasoon Road, Central Excise Colony, Sangamvadi, Pune (2026)

12/08/2026

Understanding Aneurysms and Diseases of the Chest Before They Become Serious

Some disorders developing inside the chest can progress with few obvious symptoms. 𝐀𝐧𝐞𝐮𝐫𝐲𝐬𝐦𝐬 𝐚𝐧𝐝 𝐝𝐢𝐬𝐞𝐚𝐬𝐞𝐬 𝐨𝐟 𝐭𝐡𝐞 𝐜𝐡𝐞𝐬𝐭 are particularly important because they may involve the aorta, lungs, pleura, mediastinum, chest wall, or other structures located close to the heart.

Knowing how these conditions are investigated can help patients understand why timely specialist assessment matters.

𝐖𝐡𝐚𝐭 𝐈𝐬 𝐚𝐧 𝐀𝐧𝐞𝐮𝐫𝐲𝐬𝐦?An aneurysm is an abnormal enlargement or bulging of a weakened section of a blood vessel. When it develops in the aorta within the chest, it is known as a thoracic aortic aneurysm.

The aorta carries blood from the heart to the rest of the body. Because it handles blood under significant pressure, progressive enlargement can become clinically important.

Some aneurysms remain stable for years. Others enlarge and may eventually create a risk of complications such as dissection or rupture.

𝐒𝐲𝐦𝐩𝐭𝐨𝐦𝐬 𝐌𝐚𝐲 𝐍𝐨𝐭 𝐀𝐥𝐰𝐚𝐲𝐬 𝐁𝐞 𝐎𝐛𝐯𝐢𝐨𝐮𝐬A thoracic aortic aneurysm can sometimes be discovered incidentally during imaging performed for another reason.

When symptoms occur, they can vary depending on the aneurysm's size and location. Possible symptoms include:

Persistent chest discomfortUpper back discomfortShortness of breathDifficulty swallowingHoarsenessCoughThese symptoms can also occur with many unrelated conditions, so they should not be used for self-diagnosis.

Sudden severe chest or back pain, collapse, marked breathlessness, or other rapidly developing symptoms require urgent medical evaluation.

𝐂𝐡𝐞𝐬𝐭 𝐃𝐢𝐬𝐞𝐚𝐬𝐞𝐬 𝐄𝐱𝐭𝐞𝐧𝐝 𝐁𝐞𝐲𝐨𝐧𝐝 𝐭𝐡𝐞 𝐀𝐨𝐫𝐭𝐚The chest contains several important structures, meaning thoracic surgeons may evaluate conditions affecting more than the lungs alone.

Examples include abnormalities involving the:

LungsPleura surrounding the lungsMediastinumChest wallTracheaOesophagus in selected multidisciplinary casesThoracic blood vesselsThe diagnostic pathway depends on the structure involved and the suspected disease.

𝐇𝐨𝐰 𝐀𝐧𝐞𝐮𝐫𝐲𝐬𝐦𝐬 𝐀𝐫𝐞 𝐀𝐬𝐬𝐞𝐬𝐬𝐞𝐝Imaging plays a central role in identifying the location and dimensions of an aneurysm.

Depending on the clinical situation, assessment may involve echocardiography, CT angiography, MRI, or other cardiovascular investigations.

Doctors also consider factors such as blood pressure, symptoms, growth over time, family history, associated valve disease, connective tissue disorders, and previous cardiovascular conditions.

The presence of an aneurysm does not automatically mean immediate surgery is necessary.

𝐌𝐨𝐧𝐢𝐭𝐨𝐫𝐢𝐧𝐠 𝐂𝐨𝐦𝐩𝐚𝐫𝐞𝐝 𝐖𝐢𝐭𝐡 𝐈𝐧𝐭𝐞𝐫𝐯𝐞𝐧𝐭𝐢𝐨𝐧Smaller or stable aneurysms may sometimes be monitored using scheduled imaging and medical management. Blood pressure control and management of cardiovascular risk factors can form an important part of care.

Intervention may be considered when the aneurysm reaches clinically significant dimensions, grows rapidly, produces concerning symptoms, or carries other features associated with increased risk.

Depending on anatomy and disease characteristics, treatment may involve open surgical repair or an endovascular approach.

𝐖𝐡𝐲 𝐈𝐧𝐝𝐢𝐯𝐢𝐝𝐮𝐚𝐥 𝐀𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭 𝐈𝐬 𝐈𝐦𝐩𝐨𝐫𝐭𝐚𝐧𝐭Two people with apparently similar aneurysm measurements may not necessarily receive identical recommendations.

Age, body size, anatomical location, valve abnormalities, family history, underlying genetic conditions, previous operations, and general health can all influence treatment planning.

This is why isolated measurements found on a scan should be interpreted within the complete clinical picture.

𝐂𝐡𝐞𝐬𝐭 𝐃𝐢𝐬𝐞𝐚𝐬𝐞 𝐀𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭 𝐢𝐧 𝐏𝐮𝐧𝐞Patients in Pune often have access to advanced cardiac and thoracic imaging, which can identify abnormalities before they produce major symptoms. When a scan reveals an aneurysm or another significant chest abnormality, specialist review helps determine whether observation, further testing, medical treatment, or intervention is appropriate.

Dr Ashish Khanijo Cardiac Specialist evaluates cardiothoracic and vascular conditions where coordinated assessment may be necessary.

Understanding the diagnosis is the first step. Patients should know exactly which structure is affected, how advanced the condition appears to be, whether it is changing, and what symptoms require urgent attention. This creates a clearer path for ongoing monitoring and appropriate treatment.
For more info visit us at http://www.cardiothoracicsurgeonpune.com/latest-update/understanding-aneurysms-and-diseases-of-the-chest-before-they-become-serious/314?utm_source=facebookpage

10/08/2026

When Operations for the Lungs May Be Needed for Complex Chest Conditions

The lungs are essential for breathing and oxygen exchange, but certain diseases and structural problems cannot always be managed with medicines alone. In selected cases, 𝐨𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧𝐬 𝐟𝐨𝐫 𝐭𝐡𝐞 𝐥𝐮𝐧𝐠𝐬 may be considered when a condition needs tissue removal, repair, drainage, biopsy, or another surgical intervention.

For patients in Pune, Maharashtra, understanding why lung surgery is recommended can make discussions with a thoracic or cardiothoracic surgical team easier and more informed.

𝐖𝐡𝐲 𝐋𝐮𝐧𝐠 𝐒𝐮𝐫𝐠𝐞𝐫𝐲 𝐌𝐚𝐲 𝐁𝐞 𝐑𝐞𝐜𝐨𝐦𝐦𝐞𝐧𝐝𝐞𝐝Surgery is not automatically required whenever an abnormality is found in the lung. Doctors first consider the diagnosis, severity of symptoms, imaging findings, lung function, overall health, and whether less invasive treatment is appropriate.

An operation may be evaluated for conditions such as:

Suspicious or confirmed lung tumoursLocalised lung diseasePersistent infection-related damageCertain congenital abnormalitiesPleural disordersChest injuriesStructural problems affecting breathingConditions requiring a surgical biopsyThe exact reason for surgery determines the type and extent of the procedure.

𝐂𝐨𝐦𝐦𝐨𝐧 𝐓𝐲𝐩𝐞𝐬 𝐨𝐟 𝐋𝐮𝐧𝐠 𝐎𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧𝐬Different procedures remove or treat different amounts of lung tissue.

A 𝐰𝐞𝐝𝐠𝐞 𝐫𝐞𝐬𝐞𝐜𝐭𝐢𝐨𝐧 removes a small, targeted portion of the lung. A 𝐬𝐞𝐠𝐦𝐞𝐧𝐭𝐞𝐜𝐭𝐨𝐦𝐲 removes an anatomical segment while preserving the remaining lung.

A 𝐥𝐨𝐛𝐞𝐜𝐭𝐨𝐦𝐲 involves removal of one lobe and may be recommended for selected localised conditions.

More extensive disease may occasionally require removal of a larger portion of the lung. Such decisions require careful assessment because preserving adequate respiratory function is an important part of surgical planning.

𝐖𝐡𝐲 𝐓𝐞𝐬𝐭𝐬 𝐁𝐞𝐟𝐨𝐫𝐞 𝐒𝐮𝐫𝐠𝐞𝐫𝐲 𝐌𝐚𝐭𝐭𝐞𝐫Before an operation, the medical team needs to understand both the disease and the patient's ability to tolerate surgery.

Assessment may include:

Chest X-rayCT scanPulmonary function testingBlood investigationsECGEchocardiography when indicatedBronchoscopy in selected casesAdditional imaging or biopsyPeople with diabetes, hypertension, kidney disease, coronary artery disease, or previous heart problems may require additional evaluation before undergoing major chest surgery.

𝐎𝐩𝐞𝐧 𝐒𝐮𝐫𝐠𝐞𝐫𝐲 𝐂𝐨𝐦𝐩𝐚𝐫𝐞𝐝 𝐖𝐢𝐭𝐡 𝐌𝐢𝐧𝐢𝐦𝐚𝐥𝐥𝐲 𝐈𝐧𝐯𝐚𝐬𝐢𝐯𝐞 𝐀𝐩𝐩𝐫𝐨𝐚𝐜𝐡𝐞𝐬Traditional thoracic surgery uses a larger chest incision to access the affected area. Minimally invasive techniques use smaller incisions and specialised instruments in suitable patients.

The appropriate approach depends on the location and complexity of the disease, previous surgery, anatomical considerations, the patient's general condition, and the procedure required.

Smaller incisions do not automatically mean that a minimally invasive operation is suitable for every case. Surgical safety and complete treatment of the underlying problem remain the priorities.

𝐖𝐡𝐚𝐭 𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲 𝐔𝐬𝐮𝐚𝐥𝐥𝐲 𝐈𝐧𝐯𝐨𝐥𝐯𝐞𝐬Recovery differs considerably between procedures. After surgery, patients may require monitoring of breathing, oxygen levels, blood pressure, pain, and chest drainage.

Breathing exercises and early mobilisation are commonly encouraged when medically appropriate. They can support lung expansion and reduce complications associated with prolonged inactivity.

Patients should also understand the expected hospital stay, wound care requirements, activity restrictions, follow-up schedule, and symptoms that require medical attention.

𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬 𝐖𝐨𝐫𝐭𝐡 𝐀𝐬𝐤𝐢𝐧𝐠 𝐁𝐞𝐟𝐨𝐫𝐞 𝐋𝐮𝐧𝐠 𝐒𝐮𝐫𝐠𝐞𝐫𝐲A patient can have a more productive consultation by asking:

What exactly has been found in my lung or chest?Why is surgery being considered?Are non-surgical options appropriate?How much lung tissue may need to be removed?What tests are required before surgery?What are the important risks in my individual case?How could surgery affect my breathing capacity?What should I expect during recovery?Dr Ashish Khanijo Cardiac Specialist provides cardiothoracic surgical evaluation in Pune for patients who may require assessment of complex heart, lung, chest, or vascular conditions.

The decision to undergo a lung operation should ultimately be based on the diagnosis, expected benefit, individual surgical risk, and overall treatment plan. A detailed specialist assessment helps patients understand whether surgery is necessary and what approach may be appropriate for their condition.
For more info visit us at http://www.cardiothoracicsurgeonpune.com/latest-update/when-operations-for-the-lungs-may-be-needed-for-complex-chest-conditions/313?utm_source=facebookpage

30/07/2026

When Should You Seek a Second Opinion Before Heart Surgery?

Receiving a recommendation for heart surgery is a significant moment for any patient and family. It is completely natural to have questions about the diagnosis, available treatment options, and whether surgery is the most suitable choice. Seeking a second opinion is often a sensible step that helps patients make well-informed decisions without delaying necessary treatment.

Many people hesitate to request another medical opinion because they worry it may offend their doctor. In reality, experienced healthcare professionals generally understand that patients want clarity before undergoing a major procedure.

A second opinion provides an opportunity to confirm the diagnosis, review investigation results, and discuss whether alternative treatment options are appropriate.

𝐒𝐢𝐭𝐮𝐚𝐭𝐢𝐨𝐧𝐬 𝐖𝐡𝐞𝐫𝐞 𝐚 𝐒𝐞𝐜𝐨𝐧𝐝 𝐎𝐩𝐢𝐧𝐢𝐨𝐧 𝐌𝐚𝐲 𝐁𝐞 𝐇𝐞𝐥𝐩𝐟𝐮𝐥Patients may consider consulting another cardiac specialist if they have been advised to undergo:

Coronary bypass surgeryHeart valve surgerySurgery for an aortic aneurysmComplex congenital heart proceduresCombined cardiac and vascular surgeryRepeat heart surgeryIt may also be helpful when there is uncertainty about the diagnosis or when multiple treatment options are available.

𝐖𝐡𝐚𝐭 𝐈𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧 𝐒𝐡𝐨𝐮𝐥𝐝 𝐘𝐨𝐮 𝐁𝐫𝐢𝐧𝐠?To receive a meaningful second opinion, patients should carry all available medical records.

These usually include:

Angiography reportsEchocardiography findingsECG reportsCT or MRI scansBlood investigationsCurrent medication listHospital discharge summariesPrevious surgical records, if applicableComplete documentation allows the consulting surgeon to review the case thoroughly.

𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬 𝐭𝐨 𝐀𝐬𝐤 𝐃𝐮𝐫𝐢𝐧𝐠 𝐭𝐡𝐞 𝐂𝐨𝐧𝐬𝐮𝐥𝐭𝐚𝐭𝐢𝐨𝐧A second opinion should provide greater clarity rather than simply confirming or disagreeing with the first recommendation.

Useful questions include:

Why is surgery being recommended?Are there less invasive treatment options?What happens if surgery is delayed?What benefits can I realistically expect?What are the possible risks?How long is the expected recovery?What lifestyle changes will be necessary afterward?Understanding these answers enables patients to make decisions with greater confidence.

𝐃𝐨𝐞𝐬 𝐚 𝐒𝐞𝐜𝐨𝐧𝐝 𝐎𝐩𝐢𝐧𝐢𝐨𝐧 𝐌𝐞𝐚𝐧 𝐒𝐮𝐫𝐠𝐞𝐫𝐲 𝐈𝐬 𝐍𝐨𝐭 𝐍𝐞𝐞𝐝𝐞𝐝?Not necessarily.

In many cases, the second specialist agrees with the original recommendation after reviewing the investigations.

However, there are situations where additional tests, medical management, or catheter-based procedures may be considered before surgery.

The objective is not to avoid surgery but to ensure that the chosen treatment aligns with the patient's condition and current clinical evidence.

𝐖𝐡𝐲 𝐓𝐢𝐦𝐢𝐧𝐠 𝐌𝐚𝐭𝐭𝐞𝐫𝐬While seeking a second opinion is reasonable, unnecessary delays can sometimes allow heart disease to progress.

Patients experiencing symptoms such as:

Ongoing chest painBreathlessnessFainting episodesSevere fatigueWorsening heart failure symptomsshould continue working closely with their treating doctors and avoid postponing important decisions without medical advice.

𝐂𝐡𝐨𝐨𝐬𝐢𝐧𝐠 𝐭𝐡𝐞 𝐑𝐢𝐠𝐡𝐭 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐬𝐭When seeking another opinion, patients should look for a specialist experienced in managing complex cardiac conditions.

Consider discussing:

Your diagnosisAvailable treatment approachesExpected outcomesSurgical experience with similar casesRecovery planningLong-term follow-up careAn open and informative consultation helps patients understand the reasoning behind each recommendation.

Pune is recognised for its advanced cardiac services, with multidisciplinary teams that evaluate complex heart conditions using modern imaging, evidence-based treatment protocols, and collaborative decision-making. This enables patients to access comprehensive opinions before proceeding with major surgery.

Dr Ashish Khanijo Cardiac Specialist provides detailed surgical consultations for patients seeking clarification regarding heart surgery recommendations. By carefully reviewing diagnostic findings, imaging studies, and overall health, the provider helps patients understand their available treatment options in a clear and balanced manner.

Choosing whether to undergo heart surgery is one of the most important healthcare decisions a patient may face. A well-informed second opinion can provide reassurance, improve understanding of the diagnosis, and support confident decision-making while ensuring that treatment remains timely and appropriate.
For more info visit us at http://www.cardiothoracicsurgeonpune.com/latest-update/when-should-you-seek-a-second-opinion-before-heart-surgery/312?utm_source=facebookpage

27/07/2026

Preparing for Angioplasty: A Complete Guide for Patients and Their Families

Being advised to undergo an 𝐀𝐧𝐠𝐢𝐨𝐩𝐥𝐚𝐬𝐭𝐲 can feel overwhelming, especially if it is your first cardiac procedure. Patients often have questions about why it is needed, how to prepare, what happens during the procedure, and what recovery involves. Understanding each step can reduce anxiety and help patients participate more confidently in their treatment.

Angioplasty is a minimally invasive procedure performed to improve blood flow through narrowed or blocked coronary arteries. It is commonly recommended for patients with coronary artery disease when medication alone may not adequately relieve symptoms or when restoring blood flow is important to protect heart function.

The decision to perform angioplasty is usually based on findings from investigations such as angiography, clinical symptoms, and the patient's overall health.

𝐖𝐡𝐲 𝐈𝐬 𝐀𝐧𝐠𝐢𝐨𝐩𝐥𝐚𝐬𝐭𝐲 𝐑𝐞𝐜𝐨𝐦𝐦𝐞𝐧𝐝𝐞𝐝?Doctors may advise angioplasty for several reasons, including:

Significant narrowing of one or more coronary arteriesChest pain caused by reduced blood supply to the heartCertain types of heart attacksReduced blood flow affecting heart functionSymptoms that continue despite medicationNot every patient with coronary artery disease requires angioplasty. Some individuals benefit from lifestyle changes and medicines, while others may need coronary bypass surgery depending on the severity and location of the blockage.

𝐇𝐨𝐰 𝐒𝐡𝐨𝐮𝐥𝐝 𝐘𝐨𝐮 𝐏𝐫𝐞𝐩𝐚𝐫𝐞?Proper preparation begins several days before the procedure.

Patients are generally advised to:

Inform the doctor about all medications they are taking.Mention any allergies, especially to contrast dye or medications.Discuss existing conditions such as diabetes or kidney disease.Follow fasting instructions before the procedure.Arrange transportation if discharge is planned on the same day.Bringing previous medical records, including ECGs, echocardiograms, blood reports, and angiography findings, can also help the healthcare team.

𝐖𝐡𝐚𝐭 𝐇𝐚𝐩𝐩𝐞𝐧𝐬 𝐃𝐮𝐫𝐢𝐧𝐠 𝐀𝐧𝐠𝐢𝐨𝐩𝐥𝐚𝐬𝐭𝐲?The procedure is performed in a cardiac catheterisation laboratory.

The typical steps include:

Local anaesthesia is given at the catheter insertion site.A thin catheter is inserted through the wrist or groin artery.The catheter is guided to the narrowed coronary artery.A balloon is inflated to widen the blockage.In many cases, a stent is placed to keep the artery open.The catheter is removed after the procedure.Patients usually remain awake and can communicate with the medical team throughout the procedure.

𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲 𝐀𝐟𝐭𝐞𝐫 𝐀𝐧𝐠𝐢𝐨𝐩𝐥𝐚𝐬𝐭𝐲Recovery is often quicker than open-heart surgery, but following medical advice remains essential.

Most patients are encouraged to:

Walk gradually as advisedDrink adequate fluidsTake prescribed medications regularlyMonitor the catheter insertion siteAvoid strenuous activity for the recommended periodAttend scheduled follow-up appointmentsRecovery timelines vary depending on age, overall health, and whether the angioplasty was performed as an emergency or planned procedure.

𝐋𝐢𝐟𝐞𝐬𝐭𝐲𝐥𝐞 𝐂𝐡𝐚𝐧𝐠𝐞𝐬 𝐒𝐭𝐢𝐥𝐥 𝐌𝐚𝐭𝐭𝐞𝐫One common misconception is that angioplasty permanently cures heart disease.

The procedure restores blood flow, but patients must continue protecting their heart through healthy habits such as:

Eating a balanced dietExercising under medical guidanceMaintaining healthy blood pressureControlling cholesterol levelsManaging diabetes effectivelyAvoiding to***co productsMaintaining a healthy weightThese measures help reduce the risk of future cardiovascular events.

𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬 𝐖𝐨𝐫𝐭𝐡 𝐃𝐢𝐬𝐜𝐮𝐬𝐬𝐢𝐧𝐠 𝐖𝐢𝐭𝐡 𝐘𝐨𝐮𝐫 𝐃𝐨𝐜𝐭𝐨𝐫Before undergoing angioplasty, patients should feel comfortable asking:

Why is angioplasty recommended instead of surgery?How many arteries are affected?Will a stent be required?What medications will I need afterward?How soon can I return to work and daily activities?What warning signs should I watch for after discharge?Clear communication allows patients and families to understand both the procedure and the recovery process.

Pune has established itself as a major destination for advanced cardiac care, offering modern catheterisation laboratories and experienced cardiac specialists who manage both emergency and elective heart procedures.

Dr Ashish Khanijo Cardiac Specialist evaluates patients requiring coronary intervention by reviewing angiography findings, symptoms, and overall cardiovascular health before recommending the most appropriate treatment pathway. Every recommendation is based on careful clinical assessment rather than a routine approach.

Angioplasty has helped many patients manage coronary artery disease effectively, but its success depends not only on the procedure itself but also on long-term lifestyle management, regular follow-up, and adherence to medical advice. Patients who actively participate in their care are better positioned to maintain heart health for years to come.
For more info visit us at http://www.cardiothoracicsurgeonpune.com/latest-update/preparing-for-angioplasty-a-complete-guide-for-patients-and-their-families/311?utm_source=facebookpage

24/07/2026

When Are Operations for the Lungs Recommended? Signs That Should Not Be Ignored

Lung conditions range from mild infections to more complex diseases that may require surgical treatment. While many respiratory illnesses respond well to medication, there are situations where 𝐎𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧𝐬 𝐟𝐨𝐫 𝐭𝐡𝐞 𝐋𝐮𝐧𝐠𝐬 become an important part of managing the disease. Knowing when surgery may be considered helps patients seek timely evaluation and avoid unnecessary delays in treatment.

Lung surgery is recommended only after careful assessment by specialists. The decision is based on detailed imaging, pulmonary function tests, overall health, and the nature of the lung condition.

𝐂𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧𝐬 𝐓𝐡𝐚𝐭 𝐌𝐚𝐲 𝐑𝐞𝐪𝐮𝐢𝐫𝐞 𝐋𝐮𝐧𝐠 𝐒𝐮𝐫𝐠𝐞𝐫𝐲

Several medical conditions can lead to surgical evaluation, including:

Lung cancerBenign lung tumorsPersistent lung nodulesRecurrent collapsed lungSevere bronchiectasisCertain congenital lung abnormalitiesChronic infections that do not respond to treatmentChest trauma affecting lung tissueNot every diagnosis results in surgery. Many patients continue with medical treatment depending on the stage and severity of the disease.

𝐒𝐲𝐦𝐩𝐭𝐨𝐦𝐬 𝐓𝐡𝐚𝐭 𝐃𝐞𝐬𝐞𝐫𝐯𝐞 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐀𝐭𝐭𝐞𝐧𝐭𝐢𝐨𝐧

Although symptoms vary, patients should seek medical evaluation if they experience:

A cough lasting several weeksCoughing up bloodPersistent chest painBreathlessness that worsens over timeRepeated lung infectionsUnexplained weight lossFatigue associated with respiratory symptomsThese symptoms do not necessarily indicate a serious condition, but they should not be ignored.

𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐭𝐢𝐜 𝐓𝐞𝐬𝐭𝐬 𝐁𝐞𝐟𝐨𝐫𝐞 𝐒𝐮𝐫𝐠𝐞𝐫𝐲

Before recommending lung surgery, doctors usually perform several investigations to understand the condition completely.

These may include:

Chest X-rayHigh-resolution CT scanPET scan in selected casesBronchoscopyPulmonary function testingBlood investigationsTissue biopsy when requiredEach investigation provides valuable information that helps determine whether surgery is appropriate.

𝐀𝐫𝐞 𝐀𝐥𝐥 𝐋𝐮𝐧𝐠 𝐎𝐩𝐞𝐫𝐚𝐭𝐢𝐨𝐧𝐬 𝐭𝐡𝐞 𝐒𝐚𝐦𝐞?

No. The type of surgery depends entirely on the underlying diagnosis.

Possible procedures include:

Removal of a small lung noduleLobectomy (removal of one lung lobe)Wedge resectionPneumonectomy in selected complex casesSurgery for pleural disordersProcedures for collapsed lungsThe surgeon recommends the least invasive and most effective option whenever clinically appropriate.

𝐏𝐫𝐞𝐩𝐚𝐫𝐢𝐧𝐠 𝐟𝐨𝐫 𝐋𝐮𝐧𝐠 𝐒𝐮𝐫𝐠𝐞𝐫𝐲

Patients can improve their recovery by preparing in advance.

Doctors often recommend:

Quitting smokingImproving nutritional statusPractising breathing exercisesManaging chronic illnessesCompleting all recommended investigationsUnderstanding postoperative rehabilitationGood preparation contributes to safer surgery and smoother recovery.

𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲 𝐀𝐟𝐭𝐞𝐫 𝐋𝐮𝐧𝐠 𝐒𝐮𝐫𝐠𝐞𝐫𝐲

Recovery varies according to the procedure performed and the patient's overall health.

Postoperative care may include:

Breathing exercisesPain managementWalking as advisedChest physiotherapyNutritional guidanceScheduled follow-up imagingPatients are encouraged to participate actively in rehabilitation to restore lung function and improve endurance.

𝐖𝐡𝐲 𝐄𝐚𝐫𝐥𝐲 𝐄𝐯𝐚𝐥𝐮𝐚𝐭𝐢𝐨𝐧 𝐌𝐚𝐭𝐭𝐞𝐫𝐬

One of the biggest mistakes patients make is delaying consultation because symptoms appear mild or intermittent.

Early diagnosis allows doctors to:

Identify diseases before they progressExplore non-surgical treatment when appropriatePlan surgery at the right stageImprove overall treatment outcomesTimely evaluation often provides more treatment options than waiting until symptoms become severe.

Pune offers access to advanced thoracic care through multidisciplinary teams that include pulmonologists, radiologists, oncologists, and cardiothoracic surgeons. This collaborative approach ensures that every patient receives a personalized treatment plan based on comprehensive clinical evaluation.

Dr Ashish Khanijo Cardiac Specialist assesses patients requiring lung surgery after carefully reviewing diagnostic findings, respiratory function, and overall medical condition. Surgical recommendations are made only after considering all appropriate treatment options and discussing them thoroughly with patients and their families.

Operations for the lungs are performed with the goal of improving health, relieving symptoms, or treating underlying disease. Early consultation, accurate diagnosis, and informed decision-making remain the foundation of achieving the best possible outcomes for patients facing complex lung conditions.
For more info visit us at http://www.cardiothoracicsurgeonpune.com/latest-update/when-are-operations-for-the-lungs-recommended-signs-that-should-not-be-ignored/310?utm_source=facebookpage

22/07/2026

How to Choose the Right Vascular Surgeon in Pune: 10 Important Factors to Consider

Being advised to consult a 𝐕𝐚𝐬𝐜𝐮𝐥𝐚𝐫 𝐒𝐮𝐫𝐠𝐞𝐨𝐧 often raises many questions. Patients may wonder what this specialist treats, how to evaluate experience, and what to expect during the consultation. Since vascular diseases can affect blood flow throughout the body, selecting the right specialist is an important step in receiving timely and appropriate care.

A vascular surgeon diagnoses and treats conditions affecting arteries and veins, excluding the blood vessels of the brain and heart. These specialists manage both surgical and non-surgical treatment plans, depending on the severity of the disease and the patient's overall health.

If you have been referred for vascular evaluation, here are ten practical factors to consider before choosing a specialist.

1. 𝐔𝐧𝐝𝐞𝐫𝐬𝐭𝐚𝐧𝐝 𝐭𝐡𝐞 𝐒𝐮𝐫𝐠𝐞𝐨𝐧'𝐬 𝐀𝐫𝐞𝐚 𝐨𝐟 𝐄𝐱𝐩𝐞𝐫𝐭𝐢𝐬𝐞Not all surgeons manage the same types of vascular conditions. Some may focus more on arterial diseases, while others have broader experience treating aneurysms, peripheral artery disease, carotid artery disease, varicose veins, and complex vascular disorders.

Understanding whether the specialist routinely treats your condition helps ensure you receive appropriate care.

2. 𝐑𝐞𝐯𝐢𝐞𝐰 𝐭𝐡𝐞 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 𝐁𝐞𝐟𝐨𝐫𝐞 𝐭𝐡𝐞 𝐂𝐨𝐧𝐬𝐮𝐥𝐭𝐚𝐭𝐢𝐨𝐧Bring all relevant medical records to your appointment, including:

Ultrasound reportsCT angiographyMRI scansBlood investigationsPrevious treatment recordsCurrent medication listHaving complete information enables the surgeon to provide a comprehensive evaluation.

3. 𝐀𝐬𝐤 𝐀𝐛𝐨𝐮𝐭 𝐀𝐯𝐚𝐢𝐥𝐚𝐛𝐥𝐞 𝐓𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐎𝐩𝐭𝐢𝐨𝐧𝐬Many vascular conditions no longer require traditional open surgery.

Depending on the diagnosis, treatment may include:

Lifestyle modificationMedicationEndovascular proceduresOpen vascular surgeryLong-term monitoringA good consultation explains why one option is recommended over another.

4. 𝐂𝐨𝐧𝐬𝐢𝐝𝐞𝐫 𝐭𝐡𝐞 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥 𝐈𝐧𝐟𝐫𝐚𝐬𝐭𝐫𝐮𝐜𝐭𝐮𝐫𝐞Complex vascular procedures often require advanced imaging, intensive care facilities, and multidisciplinary support.

Patients in Pune have access to hospitals equipped with modern diagnostic technologies and specialised surgical teams capable of managing complex vascular diseases.

5. 𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐑𝐢𝐬𝐤𝐬 𝐚𝐧𝐝 𝐁𝐞𝐧𝐞𝐟𝐢𝐭𝐬 𝐂𝐥𝐞𝐚𝐫𝐥𝐲Every procedure carries benefits as well as potential risks.

Patients should understand:

Expected outcomesRecovery timelinePossible complicationsFollow-up requirementsLifestyle changes after treatmentA clear explanation helps patients make informed decisions.

6. 𝐄𝐯𝐚𝐥𝐮𝐚𝐭𝐞 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐒𝐭𝐲𝐥𝐞A specialist should encourage questions and explain medical information in understandable language.

Patients should leave the consultation with clarity rather than confusion.

7. 𝐔𝐧𝐝𝐞𝐫𝐬𝐭𝐚𝐧𝐝 𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲 𝐄𝐱𝐩𝐞𝐜𝐭𝐚𝐭𝐢𝐨𝐧𝐬Recovery depends on the specific procedure performed.

Ask about:

Hospital stayReturn to workPhysical activity restrictionsMedication requirementsFollow-up visitsPlanning ahead helps reduce unnecessary stress during recovery.

8. 𝐂𝐨𝐧𝐬𝐢𝐝𝐞𝐫 𝐘𝐨𝐮𝐫 𝐎𝐯𝐞𝐫𝐚𝐥𝐥 𝐇𝐞𝐚𝐥𝐭𝐡Treatment decisions often depend on more than the vascular condition itself.

Factors such as:

DiabetesHigh blood pressureKidney diseaseSmoking historyAgePrevious surgeriesmay influence the recommended treatment plan.

9. 𝐃𝐨𝐧'𝐭 𝐇𝐞𝐬𝐢𝐭𝐚𝐭𝐞 𝐭𝐨 𝐒𝐞𝐞𝐤 𝐚 𝐒𝐞𝐜𝐨𝐧𝐝 𝐎𝐩𝐢𝐧𝐢𝐨𝐧For major vascular procedures, obtaining another expert opinion is reasonable.

A second consultation may confirm the original recommendation or help clarify alternative treatment pathways.

10. 𝐂𝐡𝐨𝐨𝐬𝐞 𝐚 𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐬𝐭 𝐖𝐡𝐨 𝐏𝐫𝐢𝐨𝐫𝐢𝐭𝐢𝐬𝐞𝐬 𝐈𝐧𝐝𝐢𝐯𝐢𝐝𝐮𝐚𝐥𝐢𝐬𝐞𝐝 𝐂𝐚𝐫𝐞Every patient has unique medical needs. Recommendations should be based on diagnostic findings, symptoms, and overall health rather than following a standard treatment pathway.

Personalised treatment planning often leads to better long-term disease management.

𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬 𝐭𝐨 𝐀𝐬𝐤 𝐃𝐮𝐫𝐢𝐧𝐠 𝐭𝐡𝐞 𝐂𝐨𝐧𝐬𝐮𝐥𝐭𝐚𝐭𝐢𝐨𝐧

To make the most of your appointment, consider asking:

What is causing my symptoms?Is surgery necessary?Are minimally invasive treatments available?What happens if treatment is delayed?How often will follow-up visits be required?These questions encourage meaningful discussion and help patients understand their diagnosis.

Dr Ashish Khanijo Cardiac Specialist evaluates patients referred for vascular surgical consultation by carefully reviewing investigations, medical history, and current symptoms before recommending appropriate management. The emphasis is on evidence-based decision-making that aligns with each patient's specific clinical needs.

For patients across Pune and other parts of Maharashtra, timely vascular evaluation can help identify circulation problems before they become more serious. Choosing an experienced vascular specialist is not simply about finding someone who performs surgery—it is about partnering with a healthcare professional who can guide you through diagnosis, treatment, recovery, and long-term vascular health.
For more info visit us at http://www.cardiothoracicsurgeonpune.com/latest-update/how-to-choose-the-right-vascular-surgeon-in-pune-10-important-factors-to-consider/309?utm_source=facebookpage

21/07/2026

Angiography: What to Expect Before, During, and After the Procedure

If your doctor has recommended an 𝐀𝐧𝐠𝐢𝐨𝐠𝐫𝐚𝐩𝐡𝐲, it is natural to have questions about why the test is needed and what it involves. Many people worry that the procedure itself is a treatment, but angiography is actually a diagnostic investigation that helps doctors assess the condition of the blood vessels supplying the heart.

Understanding the process can reduce anxiety and help patients prepare for the procedure with confidence.

𝐖𝐡𝐚𝐭 𝐈𝐬 𝐀𝐧𝐠𝐢𝐨𝐠𝐫𝐚𝐩𝐡𝐲?

Angiography is a specialised imaging procedure used to detect narrowing or blockages in the coronary arteries. A thin catheter is inserted through an artery, usually in the wrist or groin, and guided towards the heart. A contrast dye is then injected, allowing doctors to visualise blood flow using X-ray imaging.

The information obtained during angiography helps determine the most suitable treatment plan.

𝐖𝐡𝐲 𝐈𝐬 𝐀𝐧𝐠𝐢𝐨𝐠𝐫𝐚𝐩𝐡𝐲 𝐑𝐞𝐜𝐨𝐦𝐦𝐞𝐧𝐝𝐞𝐝?

Doctors may advise angiography if patients experience symptoms or test results suggesting coronary artery disease.

Common reasons include:

Persistent chest painShortness of breath during activityAbnormal stress test findingsPrevious heart attackSuspected coronary artery diseaseEvaluation before certain heart surgeriesThe test provides detailed information that cannot always be obtained through routine imaging.

𝐏𝐫𝐞𝐩𝐚𝐫𝐢𝐧𝐠 𝐟𝐨𝐫 𝐭𝐡𝐞 𝐏𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞

Patients usually receive instructions before the appointment.

Preparation may include:

Fasting for several hoursInforming the doctor about allergiesDiscussing current medicationsCompleting blood investigationsArranging transportation home if advisedPatients with diabetes or kidney disease may receive additional guidance based on their individual medical needs.

𝐖𝐡𝐚𝐭 𝐇𝐚𝐩𝐩𝐞𝐧𝐬 𝐃𝐮𝐫𝐢𝐧𝐠 𝐀𝐧𝐠𝐢𝐨𝐠𝐫𝐚𝐩𝐡𝐲?

The procedure is generally performed in a specialised cardiac catheterisation laboratory.

During the procedure:

The insertion site is cleaned and numbed with local anaesthesia.A catheter is inserted into the artery.Contrast dye is injected.X-ray images are recorded.The catheter is removed after imaging is complete.Patients are usually awake throughout the procedure and may experience a brief warm sensation when the contrast dye is injected.

𝐖𝐡𝐚𝐭 𝐇𝐚𝐩𝐩𝐞𝐧𝐬 𝐀𝐟𝐭𝐞𝐫𝐰𝐚𝐫𝐝?

Following angiography, patients are monitored for several hours while the insertion site is observed for bleeding or swelling.

Doctors may recommend:

Drinking adequate fluidsAvoiding strenuous activity temporarilyMonitoring the puncture siteTaking prescribed medicationsAttending follow-up appointmentsMost patients recover quickly and return home the same day or the following day, depending on their clinical condition.

𝐃𝐨𝐞𝐬 𝐀𝐧𝐠𝐢𝐨𝐠𝐫𝐚𝐩𝐡𝐲 𝐀𝐥𝐰𝐚𝐲𝐬 𝐋𝐞𝐚𝐝 𝐭𝐨 𝐒𝐮𝐫𝐠𝐞𝐫𝐲?

One of the biggest misconceptions is that angiography automatically means heart surgery will follow.

In reality, angiography simply provides detailed information about the coronary arteries.

Depending on the findings, treatment may include:

Lifestyle modificationMedicationsAngioplasty with stent placementCoronary bypass surgeryContinued observationThe final recommendation depends on factors such as the number of blocked arteries, severity of disease, symptoms, and overall health.

𝐐𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬 𝐖𝐨𝐫𝐭𝐡 𝐀𝐬𝐤𝐢𝐧𝐠 𝐘𝐨𝐮𝐫 𝐃𝐨𝐜𝐭𝐨𝐫

Before undergoing angiography, consider asking:

Why is this test recommended?Are there any risks?How should I prepare?When will I receive the results?What treatments might be recommended afterward?These discussions help patients understand both the purpose and possible outcomes of the investigation.

Pune is home to advanced cardiac centres equipped with modern catheterisation laboratories, allowing patients to undergo comprehensive evaluation close to home. Timely diagnosis plays an important role in planning appropriate treatment and reducing the risk of future cardiac complications.

Dr Ashish Khanijo Cardiac Specialist evaluates angiography findings alongside clinical symptoms, medical history, and additional investigations before recommending further management. Whether the next step involves medication, angioplasty, surgery, or ongoing monitoring depends on each patient's unique clinical profile.

Angiography is an important diagnostic tool rather than a treatment itself. By identifying the exact nature of coronary artery disease, it enables doctors to recommend evidence-based care tailored to each patient's condition, helping individuals make informed decisions about their heart health.
For more info visit us at http://www.cardiothoracicsurgeonpune.com/latest-update/angiography-what-to-expect-before-during-and-after-the-procedure/308?utm_source=facebookpage

Dr.Ashish Khanijo - Cardiac Surgeon in Pune

12/08/2026

10/08/2026

30/07/2026

27/07/2026

24/07/2026

22/07/2026

21/07/2026

Address

Telephone

Website

Alerts

Contact The Practice

Shortcuts

Share

Category