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Non-Surgical Heart Hole ASD Closure
19 YO Suresh (son of a tailor & studying at Lyola Hospital, Chennai), suffering from Atrial Septal Defect, visited Dr. Lal in September 1992. Dr Lal performed a non-surgical closure of hole – ASD using monodisk (a device of nylon mesh), which was the Ist time in the World.

TAVI/TAVR With Core Valve
This case brought proud to not just Dr. Lal but to the whole country, when Dr Lal performed world’s Ist Transcatheter Aortic Valve Replacement with Core Valve. It was an unbelievable achievement in the field of interventional cardiology where the diseased aortic valve can now be replaced by a new valve non-surgically.

Hybrid Case Using Venibri Valve
On November 6, 2016, Dr. Purshotam Lal performed a groundbreaking procedure at Metro Heart Institute in Noida. This marked the world’s first hybrid case utilizing the Venibri aortic valve (Venus MedTech & Colibri Heart Valve).

Slow Rotational Angioplasty
The first case of Slow Rotational Angioplasty (Rotacs) in India was performed in Nov, 1989 by Dr. Purshotam Lal at Apollo Hospital, Chennai on a 33 years old patient who himself has been General Surgeon and had 100% blocked main artery (LAD) of the heart. He was recommended bypass.

Non-Surgical PDA Closure
A 12 YO boy from Maldives, suffering from congenital heart disease – PDA, visited Dr. Lal at Apollo Hospital, Chennai. Dr Lal, after going through the complete detail of the situation, decided to perform India’s 1st Non-surgical PDA Closure with modified postman technique.

Coronary Atherectomy
India’s Ist Coronary Atherectomy (Shaving of fatty tissue) was performed by Dr. P. Lal in September 1990 at Apollo Hospital, Chennai on a patient from Haridwar working at BHEL. This Device helps in removing fatty tissues from the blocked arteries in difficult cases where ballon does not work.

Supported High Risk Angioplast
In October 1990, Dr. Purshotam Lal performed India’s first supported high-risk angioplasty with the aid of cardiopulmonary bypass at Apollo Hospital in Chennai. The patient, a Colonel from Jalandhar, was considered high-risk due to severe left ventricular (LV) dysfunction.

Mitral Valvuloplasty - Inoue Balloon
Back in days, in 1990’s, the most famous balloon to perform Mitral Valvulopasty – Inoue Balloon was a success in the world with patients suffering from Rheumatic Heart Disease, leading to Mitral Stenosis. That time it was so costly that the manufacturing firm – Toray Company of Japan, used to charge 3000 USD for that.
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