Dr. Z. S. Meharwal

About Doctor

Dr. Z.S. Meharwal is an Executive Director, Cardiothoracic Vascular Surgery and is part of the founding team of Doctors at Fortis Escorts Heart Institute. Dr. Meharwal completed his MBBS, MS (General Surgery) and M.Ch (Cardiothoracic Surgery) from King George’s Medical College, Lucknow. He has worked as Consultant Cardiac Surgeon at prestigious King’s College Hospital in London. He has more than 30 years of experience in cardiac surgery with over 30000 surgeries to his credit, including complex heart operations.

He is a pioneer in many new cardiac operations in the country. Dr Meharwal is amongst few cardiac surgeons performing heart transplantation and ventricular assist devices implantation. Dr Meharwal has been actively involved with teaching and training. He is the Programme Director of DNB Cardiothoracic Surgery at Fortis Escorts Heart Institute. He has trained many cardiac surgeons in India and abroad who are now independent cardiac surgeons at different centres.

Has been invited in national and international meetings as faculty and has published extensively in peer reviewed national and international journals. Dr Meharwal has received many awards including President’s award for his contribution in the field of Cardiac Surgery

Education

• MBBS,King George’s Medical College, Lucknow from 1982-1988
• M.Ch (Cardiothoracic Surgery) from King George’s Medical College, Lucknow
• MS
• MNAMS

Awards Received

• Citation Award by President of India Sri APJ Abdul Kalam on the occasion of International Society for Minimally Invasive Cardiac Surgery Meeting - 2002.
• Listed in Marquis who is who in the world 2005
• Saharanpur Aditya Samman-by Govt of UP for contribution in Medical Field - 2005
• Entered into Limca Book of Records-2008 for performing Coronary Artery Bypass Surgery on 94 year old man who is the oldest patient to undergo CABG

Clinical Interest

• Minimally Invasive Cardiac Surgery
• Off pump coronary artery bypass surgery
• Surgery of ascending aortic aneurysms and dissections
• Valve repair and replacement
• Carotid endarterectomy
• CABG in patients with poor ventricular function
• Major Vascular surgery
• Surgery for heart failure including heart transplantation and ventricular assist devices

Previous Experience

National
(For Best Clinical/Research Work In The Field Medicine):

• King George Medical College, Lucknow from 1982-1988
• G B Pant Hospital, Delhi from 1988-1989

International
(For Best Clinical/Research Work In The Field Medicine):

• Consultant Cardiac Surgeon, King College Hospital, London, UK from 1993-1997

Professional Affiliations

• Indian Association of Cardiovascular Thoracic Surgeons
• Cardiological Society of India
• International Society for Minimally Invasive Cardiac Surgery
• Asian Society of Cardiovascular and Thoracic Surgery
• Society of Thoracic Surgeons

• Meharwal ZS, Dubey PC & Agarwal SK. Intraoperative gram staining of bile for identification of biliary microflora as a guide to prevent postoperative septic complications after biliary Surgery, 1985. Thesis for M.S. (General Surgery: Lucknow University, 1985.
• Meharwal ZS, Sinha KN, and Kumar A. Clinicopathological study of peripheral ischema due to arteritis. Thesis for M.Ch. (Thoracic and Cardiovascular Surgery): Lucknow University, 1987.
• Meharwal ZS, Trehan N, Kohli VM and Sharma VK. Endarterectomy as an adjunct to coronary artery bypass grafting: our experience. Indian Journal of Thoracic an Cardiovascular Surgery1992;8(2):88-91.
• Meharwal ZS, Sharma VK, Kohli VM, Mishra A, Trehan N. Composite graft replacement of ascending aorta and aortic valve. Ind J Thorac Cardiovasc Surg 1993;9(1):21-25.

Publications

• Meharwal ZS, Dubey PC & Agarwal SK. Intraoperative gram staining of bile for identification of biliary microflora as a guide to prevent postoperative septic complications after biliary Surgery, 1985. Thesis for M.S. (General Surgery: Lucknow University, 1985.
• Meharwal ZS, Sinha KN, and Kumar A. Clinicopathological study of peripheral ischema due to arteritis. Thesis for M.Ch. (Thoracic and Cardiovascular Surgery): Lucknow University, 1987.
• Meharwal ZS, Trehan N, Kohli VM and Sharma VK. Endarterectomy as an adjunct to coronary artery bypass grafting: our experience. Indian Journal of Thoracic an Cardiovascular Surgery1992;8(2):88-91.
• Meharwal ZS, Sharma VK, Kohli VM, Mishra A, Trehan N. Composite graft replacement of ascending aorta and aortic valve. Ind J Thorac Cardiovasc Surg 1993;9(1):21-25
• Meharwal ZS, Sharma VK, Kohli VM, Mishra A, Seth A, Trehan N. Percutaneous cardiopulmonary bypass for cardiogenic shock. Asian Cardiovasc Thorac Ann 1993; 1(4):152-155.
• Trehan N, Meharwal ZS, Sharma VK. Congenital left atrial aneurysm. Asian Cardiovas Thorac Ann 1993; 1(4):180-183.
• Meharwal ZS, Trehan N. Retrograde coronary sinus cardioplegia. Ann. Thorac. Surg. 1993; 56(4): 1006.
• Bertaso F, Hendry BM, Newman S, Argano V, Desai JB, Meharwal ZS. Outward currents in isolated human cardiac atrial myocytes. Journal of Physiology. 1997;504:77.
• Trehan N, Meharwal ZS. Diagnosis and treatment of acute dissection of aorta. Asian Journal of Clinical Cardiology 1998;1(4):43-50 .
• Meharwal ZS, Trehan N. Current status of total arterial revascularization for coronary artery disease. JIMSA 1999;12(3):181-187.
• Meharwal ZS, Trehan N. Functional status of the hand after radial artery harvesting: results in 3,977 cases. Ann Thorac Surg 2001; 72(5):1557-1561.
• Meharwal ZS, Trehan N. Is off pump coronary artery bypass surgery safe for left main stenosis. Indian Heart J. 2001;53(3)314-318.
• Meharwal ZS, Trehan N. Single Vessel Revascularization with Beating Heart Techniques – Minithoracotomy or Sternotomy. Eur J Cardiothorac Surg 2001; 20;(4):894.
• Meharwal ZS, Mishra A, Trehan N. Safety and efficacy of one stage off-pump coronary artery operation and carotid endarterectomy Ann Thorac Surg 2002; 73: 793-797.
• Meharwal ZS, Trehan N. Off-pump coronary artery bypass grafting in patients with left ventricular dysfunction. Heart Surg Forum 2002; 5(1): 41-45.
• Meharwal ZS, Trehan N. Aortocoronary bypass surgery and ascending aortic dissection. Ann Thorac Surg 2001;72(4):1445-1446.
• Meharwal ZS, Trehan N. Vascular complications of intra-aortic balloon insertion in patients undergoing coronary revascularization: analysis of 911 cases. Eur J Cardiothorac Surg: 2002; 21: 741-747.
• Meharwal ZS, Trehan N. Routine use of radial artery for coronary artery revascularisation. Asian Cardiovas Thorac Ann 2002: 10(1):20-24.
• 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;54:159-163.
• Meharwal ZS, Trehan N. Off-pump coronary artery surgery in the elderly. Asian Cardiovasc Thorac Ann. 2002 Sep;10(3):206-10.
• 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.
• Mishra M, Malhotra R, Mishra A, Meharwal ZS, Trehan N. Hemodynamic changes during displacement of the beating heart using epicardial stabilization for off-pump coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth. 2002 Dec;16(6):685-90.
• 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
• 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;6 Supp 1:S26.
• 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. Trehan N, Malhotra R, Gupta IV V,. Heart Surg Forum. 2003;6(Supp 1):S46.
• 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.
• Mishra M, Shrivastava S, Dhar A, Bapna R, Mishra A, Meharwal ZS, Trehan N.A prospective evaluation of hemodynamic instability during off-pump coronary artery bypass surgery. J Cardiothorac Vasc Anesth. 2003 Aug;17(4):452
• Mishra Y, Wasir H, Kohli V, Meharwal ZS, Malhotra R, Mehta Y, Trehan N. Concomitant carotid endarterectomy and coronary bypass surgery: outcome of on-pump and off-pump techniques. Ann Thorac Surg. 2004 Dec;78(6):2037-42; discussion 2042-3.
• Meharwal ZS, Trehan N. Neurological dysfunction in elderly patients undergoing coronary artery bypass operation. Ann Thorac Surg. 2004 Dec;78(6):2209-10.
• Mishra M, Khurana P, Meharwal ZS, Trehan N. A Comparative study of Imaging Techniques in Aortic Dissection, Debakey Type I: Intraoperative Live Three Dimensional Epicardial Echocardiography, Multiplane Transesophageal Echocardiography and Multislice Computed Tomography. Innovations. 2005;1(1).
• Mehta Y, Sujata P, Rajgopal A, Meharwal ZS, Trehan N. Off Pump CABG with Hip and Knee Replacement: Anaesthetic Management. J Anesth Clin Pharmacol;21(4):445-447, 2005.
• Malhotra R, Mishra M, Khurana P, Aggarwal M, Mishra YK, Meharwal ZS, Kohli V, Bapna RK, Kasliwal RR, Mehta Y, Trehan N, Trehan N. Three-Dimensional Reconstruction of Ultrafast 16-Slice Computed Tomography Images and CT Angiography Versus Conventional Coronary Angiography at One Year in Multivessel Coronary Artery Bypass Surgery. Innovations: Technology & Techniques in Cardiothoracic & Vascular Surgery. 1(2):92-95, Winter 2005.
• Yugal K. Mishra, Manisha Mishra,Rajneesh Malhotra, Zile Singh Meharwal, Vijay Kohli,Naresh Trehan, Evolution of Off-Pump Coronary Artery Bypass Grafting over 15 Years: A Single- Institution Experience of 14,030 Cases. Innovations:Technology & Techniques in Cardiothoracic & Vascular Surgery 2005;1: 88–91.
• Malhotra Rajneesh, Mishra Manisha, Khurana Poonam, Mishra Yugal, Meharwal Zile Singh, Kohli Vijay, Bapna Ramesh, Trehan Naresh. Coronary Artery Bypass Grafts Assessment At One Year By non-Invasive Multislice Computed: Innovations: Technology & Techniques in Cardiothoracic & Vascular Surgery. 1(4):185,Summer 2006.
• Trehan Naresh, Malhotra Rajneesh, Mishra Manisha, Mishra Yugal, Meharwal Zile Singh, Kohli Vijay, Bapna Ramesh. A Prospective, Randomized, Controlled Trial Of Multivessel Off Pump Coronary Artery Bypass (OPCAB) Versus Conventional Coronary Artery Bypass (C-CAB) Surgery: Clinical And Angiographic Outcomes At One Year: Innovations Technology & Techniques in Cardiothoracic & Vascular Surgery. 1(4):182-183, Summer 2006.
• Meharwal ZS, Khanna SN, Choudhary A, Mishra M, Mehta Y, Trehan N. Ascending Aortic Aneurysm Resection: 15 Years’ Experience. Asian Cardiovasc Thorac Ann. 2006 Aug;14(4):300-305.
• Wasir H, Mehta Y, Pawar M, Choudhary A, Kohli V, Meharwal ZS, Bapna RK, Malhotra R, Trehan N. Predictors of Operative Mortality Following Primary Coronary Artery Bypass Surgery. Indian Heart J 2006; 58:144-148.
• Sujatha P, Mehta Y, Dhar A, Sarkar D, Meharwal ZS, Trehan N. Comparison of Cardiac output in OPCAB: Bolus Thermodilution technique versus pulse contour analysis. Annals of Cardiac Anaesthesia 2006; 9:44-48.
• Malhotra Rajneesh, Mishra Manisha, Khurana Poonam, Mishra Yugal, Meharwal Zile Singh, Kohli Vijay, Bapna Ramesh, Trehan Naresh. Coronary Artery Bypass Grafts Assessment At One Year By non-Invasive Multislice Computed Tomography and Invasive Coronary Angiography: Innovations 2007; 2:116-120.
• Z S Meharwal, S P Collison. On pump versus off pump coronary artery bypass: a review of level 1 literature. Fortis Medical Journal, June– August 2010, vol 2, issue 03.
• Zile Singh Meharwal, Sathiakar Paul Collison, Ashok Gupta, Abhay Choudhary and Naveen Saraf. Aortic root replacement in young adults: disease characteristics and early outcome. Indian Journal of Thoracic and Cardiovascular Surgery 2011; Jan – March 2011

Chapters in Books

• Trehan N, Meharwal ZS. Coronary endarterectomy for diffuse coronary artery disease. New developments in Cardiology and Cardiac Surgery. Thomson Press, New Delhi 1993;223-238.
• Meharwal ZS. Surgical revascularization for coronary artery disease. Cardiology Today and Tomorrow. Published by Escorts Heart Institute And Research Centre, New Delhi. 1998;14-30.
• Meharwal ZS, Trehan N. Total arterial revascularisation. Cardiology Today and Tomorrow. Published by Escorts Heart Institute And Research Centre, New Delhi 1999.