{"schema_version":"bookimed.page-context.v1","id":"repeat-heart-surgery-clinics","url":"https://hub.bookimed.com/heart-surgery/repeat-heart-surgery-clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/repeat-heart-surgery-clinics.json","index_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/index.json","full_dataset_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/content.json","content_revision":"source-driven-rankings-20261008","date_modified":"2026-10-08","language":"en","kind":"clinic-directory","title":"Repeat heart surgery clinics and specialist centres","summary":"Repeat heart surgery clinics and specialist centres differ in the anatomy they treat, techniques they offer and evidence they publish. A reoperation must account for old grafts, implants and scar tissue as well as the new problem. A second operation may follow valve deterioration or progression of disease and does not by itself mean the first operation failed.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research personally prepared and reviewed","assistance":"AI tools assisted source research."},"editorial_scope":"Source-based patient information; an individual treatment plan requires clinical review.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov . We link clinical guidance, primary studies and named hospital or offer sources beside the relevant statements. Comparisons distinguish individual operators from programme results and preserve the study population, follow-up and limitations. Prices are dated examples with their stated scope. Research and editorial preparation are separate from clinical review; no named clinician has medically reviewed this edition. Bookimed provides care coordination. Partner and reference programmes are identified from their sources; paid ordering is not used in our published-cohort comparison. Read the editorial policy .","key_takeaways":[{"label":"4 named clinics and specialist centres","text":"Hisar Hospital Intercontinental, Medanta, Cleveland Clinic, Mayo Clinic Rochester.","sources":["hisar-fedakar","medanta-bazaz","cleveland-hcm1559","depth-mayo-apical"]},{"label":"Catheter treatment may be an alternative","text":"Some failing valves can be treated without repeating the same open operation, depending on anatomy.","sources":["C03"]},{"label":"First-operation results are not redo results","text":"The relevant evidence must describe comparable reoperations and associated procedures.","sources":[]}],"benefits":[{"text":"Specialist review can identify a new surgical or catheter strategy that fits the existing repair or implant.","sources":["C03","D06"]}],"limitations":[{"text":"Previous surgery makes access and protection of existing grafts or structures more complex. An isolated first-operation package may not cover the required treatment.","sources":["D06"]}],"sections":[{"id":"directory","title":"Repeat heart surgery clinics and specialist centres","text":"Repeat heart surgery clinics and specialist centres 4 programmes shown Select up to 3 hospitals to compare their reported services and teams. View selected hospitals ↓ Miller Family Pavilion at Cleveland Clinic’s main campus, home to the Heart, Vascular & Thoracic Institute. · Photo source United States · Cleveland, Ohio Cleveland Clinic Repeat heart surgery clinical focus Cleveland lists Unai’s complex repeat-surgery and endocarditis expertise, including valve and aortic-root reconstruction. Procedures and specialists mitral valve repair robotic mitral surgery aortic valve replacement minimally invasive cardiac surgery HCM / septal myectomy transcatheter aortic valve replacement (TAVI/TAVR) Shinya Unai → Read the clinic profile ↗ What this means for your choice The linked specialist profiles distinguish clinical practice, published cohorts and treatment methods. Repeat heart surgery guide ↗ Clinic, specialists and research → Compare this hospital Sources: Shinya Unai, MD — cardiac surgery profile · The Hidden Burden of Native Aortic Valve Endocarditis: Reevaluating Diagnostic and Pathologic Challenges. · Mitral valve abscess: echocardiographic imaging, microbiology, management, and outcomes. Hisar Hospital Intercontinental, Istanbul. · Photo source Turkey · Istanbul Hisar Hospital Intercontinental Repeat heart surgery clinical focus Hisar lists Ali Fedakar’s focus on second and third valve operations. Procedures and specialists coronary bypass beating-heart bypass minimally invasive cardiac surgery redo valve surgery aortic surgery Ali Fedakar → Read the clinic profile ↗ What this means for your choice The linked specialist profiles distinguish clinical practice, published cohorts and treatment methods. Repeat heart surgery guide ↗ Clinic, specialists and research → Compare this hospital Sources: Prof. Dr. Ali Fedakar, M.D. — Hisar Hospital Intercontinental Mayo Clinic Hospital, Saint Marys Campus, Rochester, Minnesota. · Photo source United States · Rochester, Minnesota Mayo Clinic Rochester Repeat heart surgery clinical focus Dearani’s Mayo practice includes multiple reoperations, alongside congenital valve and HCM surgery. Procedures and specialists septal myectomy Joseph A. Dearani → Read the clinic profile ↗ What this means for your choice The linked specialist profiles distinguish clinical practice, published cohorts and treatment methods. Repeat heart surgery guide ↗ Clinic, specialists and research → Compare this hospital Sources: Mayo Clinic · Joseph Dearani Medanta – The Medicity, Gurugram campus. · Photo source India · Gurugram Medanta Repeat heart surgery clinical focus Medanta explicitly lists complex redo surgery, including Rajput’s repeat CABG and valve replacement. Procedures and specialists CABG off-pump and beating-heart surgery valve repair and replacement aortic surgery redo surgery minimally invasive and robotic surgery Naresh Trehan → Nitin Kumar Rajput → Read the clinic profile ↗ What this means for your choice The linked specialist profiles distinguish clinical practice, published cohorts and treatment methods. Repeat heart surgery guide ↗ Clinic, specialists and research → Compare this hospital Sources: Cardiac Surgery Experts in Gurugram — Medanta Your hospital comparison Compare the treatment each team would propose for the same scan, anatomy and recovery goals.","links":[{"label":"Photo source","url":"https://my.clevelandclinic.org/mobile-apps/diet"},{"label":"Cleveland Clinic","url":"https://hub.bookimed.com/heart-surgery/clinic-cleveland/"},{"label":"Shinya Unai →","url":"https://hub.bookimed.com/heart-surgery/doctor-shinya-unai/"},{"label":"Read the clinic profile ↗","url":"https://hub.bookimed.com/heart-surgery/clinic-cleveland/"},{"label":"Repeat heart surgery guide ↗","url":"https://hub.bookimed.com/heart-surgery/repeat-heart-surgery/"},{"label":"Clinic, specialists and research →","url":"https://hub.bookimed.com/heart-surgery/clinic-cleveland/"},{"label":"Shinya Unai, MD — cardiac surgery profile","url":"https://providers.clevelandclinic.org/provider/shinya-unai/4268207"},{"label":"The Hidden Burden of Native Aortic Valve Endocarditis: Reevaluating Diagnostic and Pathologic Challenges.","url":"https://pubmed.ncbi.nlm.nih.gov/41482022/"},{"label":"Mitral valve abscess: echocardiographic imaging, microbiology, management, and outcomes.","url":"https://pubmed.ncbi.nlm.nih.gov/42394651/"},{"label":"Photo source","url":"https://us-uk.bookimed.com/clinic/hisar-intercontinental-hospital/"},{"label":"Hisar Hospital Intercontinental","url":"https://hub.bookimed.com/heart-surgery/clinic-hisar/"},{"label":"Ali Fedakar →","url":"https://hub.bookimed.com/heart-surgery/doctor-ali-fedakar/"},{"label":"Read the clinic profile ↗","url":"https://hub.bookimed.com/heart-surgery/clinic-hisar/"},{"label":"Repeat heart surgery guide ↗","url":"https://hub.bookimed.com/heart-surgery/repeat-heart-surgery/"},{"label":"Clinic, specialists and research →","url":"https://hub.bookimed.com/heart-surgery/clinic-hisar/"},{"label":"Prof. Dr. Ali Fedakar, M.D. — Hisar Hospital Intercontinental","url":"https://hisarhospital.com/en/doctor/prof-ali-fedakar-m-d/"},{"label":"Photo source","url":"https://www.mayoclinic.org/patient-visitor-guide/minnesota/campus-buildings-maps/mayo-clinic-hospital-saint-marys-campus"},{"label":"Mayo Clinic Rochester","url":"https://hub.bookimed.com/heart-surgery/clinic-mayo-rochester/"},{"label":"Joseph A. Dearani →","url":"https://hub.bookimed.com/heart-surgery/doctor-joseph-dearani/"},{"label":"Read the clinic profile ↗","url":"https://hub.bookimed.com/heart-surgery/clinic-mayo-rochester/"},{"label":"Repeat heart surgery guide ↗","url":"https://hub.bookimed.com/heart-surgery/repeat-heart-surgery/"},{"label":"Clinic, specialists and research →","url":"https://hub.bookimed.com/heart-surgery/clinic-mayo-rochester/"},{"label":"Mayo Clinic · Joseph Dearani","url":"https://www.mayoclinic.org/biographies/dearani-joseph-a-m-d/bio-20053326"},{"label":"Photo source","url":"https://www.medanta.org/hospitals-near-me/gurugram-hospital"},{"label":"Medanta","url":"https://hub.bookimed.com/heart-surgery/clinic-medanta/"},{"label":"Naresh Trehan →","url":"https://hub.bookimed.com/heart-surgery/doctor-naresh-trehan/"},{"label":"Nitin Kumar Rajput →","url":"https://hub.bookimed.com/heart-surgery/doctor-nitin-rajput/"},{"label":"Read the clinic profile ↗","url":"https://hub.bookimed.com/heart-surgery/clinic-medanta/"},{"label":"Repeat heart surgery guide ↗","url":"https://hub.bookimed.com/heart-surgery/repeat-heart-surgery/"},{"label":"Clinic, specialists and research →","url":"https://hub.bookimed.com/heart-surgery/clinic-medanta/"},{"label":"Cardiac Surgery Experts in Gurugram — Medanta","url":"https://www.medanta.org/doctor-listing/cardiac-surgery-doctors-in-gurugram?page=1"}],"tables":[[]]},{"id":"benefit-balance","title":"Clinical benefits and trade-offs","text":"Clinical benefits and trade-offs Potential advantages Specialist review can identify a new surgical or catheter strategy that fits the existing repair or implant. Sources: ESC/EACTS valve guidance (2025) · Why some patients need a second heart surgery Trade-offs and limits Previous surgery makes access and protection of existing grafts or structures more complex. An isolated first-operation package may not cover the required treatment. Sources: Why some patients need a second heart surgery","links":[{"label":"ESC/EACTS valve guidance (2025)","url":"https://www.escardio.org/news/news-room/congress-news/2025-guidelines-valvular-heart-disease/"},{"label":"Why some patients need a second heart surgery","url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-qa-podcast-why-some-patients-need-a-second-heart-surgery/"},{"label":"Why some patients need a second heart surgery","url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-qa-podcast-why-some-patients-need-a-second-heart-surgery/"}]},{"id":"selection","title":"How these clinics and specialist centres were selected","text":"How these clinics and specialist centres were selected This list contains 4 clinics and specialist centres with a documented repeat heart surgery focus in our source-linked directory. It is an editorial shortlist, not a census or an outcome ranking. Institutional expertise and published study results are identified separately. An individual doctor may participate in several treatment pathways; a study of one procedure does not establish outcomes for another. How we find specialists ↗ Repeat surgery ↗","links":[{"label":"How we find specialists ↗","url":"https://hub.bookimed.com/heart-surgery/specialist-research-method/"},{"label":"Repeat surgery ↗","url":"https://hub.bookimed.com/heart-surgery/repeat-heart-surgery/"}]}],"introduction":"Heart surgery guide / Compare clinics / Repeat heart surgery clinics and specialist centres Repeat heart surgery clinics and specialist centres · Decision guide Repeat heart surgery clinics and specialist centres 4 clinics and specialist centres with linked profiles, clinical focus and attributable evidence. Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance Repeat heart surgery clinics and specialist centres differ in the anatomy they treat, techniques they offer and evidence they publish. A reoperation must account for old grafts, implants and scar tissue as well as the new problem. A second operation may follow valve deterioration or progression of disease and does not by itself mean the first operation failed. 4 named clinics and specialist centres Hisar Hospital Intercontinental, Medanta, Cleveland Clinic, Mayo Clinic Rochester. Sources: Prof. Dr. Ali Fedakar, M.D. — Hisar Hospital Intercontinental · Dr. Surinder Bazaz — Medanta Gurugram · Surgical management of left ventricular outflow tract obstruction in a specialized hypertrophic obstructive cardiomyopathy center · Mayo · 67 patients with apical aneurysm repair Catheter treatment may be an alternative Some failing valves can be treated without repeating the same open operation, depending on anatomy. Sources: ESC/EACTS valve guidance (2025) First-operation results are not redo results The relevant evidence must describe comparable reoperations and associated procedures.","related_documents":[{"id":"heart-surgery","title":"Heart surgery abroad: treatments, clinics and costs","kind":"home","url":"https://hub.bookimed.com/heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-surgery.json"},{"id":"clinics","title":"Heart surgery clinics: compare techniques and specialist teams","kind":"directory","url":"https://hub.bookimed.com/heart-surgery/clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinics.json"},{"id":"repeat-heart-surgery","title":"Repeat heart surgery: reoperation and alternative approaches","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/repeat-heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/repeat-heart-surgery.json"},{"id":"doctor-ali-fedakar","title":"Ali Fedakar: Coronary bypass specialist","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-ali-fedakar/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-ali-fedakar.json"},{"id":"doctor-naresh-trehan","title":"Naresh Trehan: Coronary bypass specialist","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-naresh-trehan/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-naresh-trehan.json"},{"id":"doctor-nitin-rajput","title":"Nitin Kumar Rajput: Coronary bypass specialist","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-nitin-rajput/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-nitin-rajput.json"},{"id":"doctor-joseph-dearani","title":"Joseph A. Dearani: HCM and congenital heart surgery","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-joseph-dearani/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-joseph-dearani.json"},{"id":"doctor-shinya-unai","title":"Shinya Unai: endocarditis and complex repeat surgery","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-shinya-unai/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-shinya-unai.json"},{"id":"clinic-hisar","title":"Hisar Hospital Intercontinental: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-hisar/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-hisar.json"},{"id":"clinic-medanta","title":"Medanta: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-medanta/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-medanta.json"},{"id":"clinic-cleveland","title":"Cleveland Clinic: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-cleveland/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-cleveland.json"},{"id":"clinic-mayo-rochester","title":"Mayo Clinic Rochester: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-mayo-rochester/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-mayo-rochester.json"},{"id":"specialist-research-method","title":"How we research heart surgery specialists","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/specialist-research-method/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/specialist-research-method.json"}],"sources":{"C03":{"id":"C03","title":"2025 ESC/EACTS Guidelines for the management of valvular heart disease","url":"https://www.escardio.org/news/news-room/congress-news/2025-guidelines-valvular-heart-disease/","publisher":"European Society of Cardiology","published":"2025","read_at":"2026-10-07","source_type":"Official guideline release overview"},"hisar-profile":{"id":"hisar-profile","title":"Prof. Dr. Ali Fedakar, M.D. | Hisar Intercontinental Hospital","url":"https://hisarhospital.com/en/doctor/prof-ali-fedakar-m-d/","read_at":"2026-10-07","source_type":"official_hospital"},"D06":{"id":"D06","title":"Why some patients need a second heart surgery","url":"https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-qa-podcast-why-some-patients-need-a-second-heart-surgery/","publisher":"Mayo Clinic","read_at":"2026-10-07","source_type":"Official medical information or guideline"},"rank-cleveland1559":{"id":"rank-cleveland1559","title":"Surgical management of LVOT obstruction in a specialized HOCM center","url":"https://doi.org/10.1016/j.jtcvs.2018.11.148","read_at":"2026-10-07","source_kind":"primary_study","body_access":"primary_abstract_read_full_text_subscription","support_location":"PubMed30782406; Methods/Results","short_excerpt":"1559 consecutive operations for left ventricular outflow tract obstruction","source_type":"primary_study"},"hisar-fedakar":{"url":"https://hisarhospital.com/en/doctor/prof-ali-fedakar-m-d/","title":"Prof. Dr. Ali Fedakar, M.D. — Hisar Hospital Intercontinental"},"medanta-bazaz":{"url":"https://www.medanta.org/hospitals-near-me/gurugram-hospital/speciality/cardiology/doctor/dr-surinder-bazaz","title":"Dr. Surinder Bazaz — Medanta Gurugram"},"medanta-surgeons":{"url":"https://www.medanta.org/doctor-listing/cardiac-surgery-doctors-in-gurugram?page=1","title":"Cardiac Surgery Experts in Gurugram — Medanta"},"cleveland-hcm1559":{"url":"https://doi.org/10.1016/j.jtcvs.2018.11.148","title":"Surgical management of left ventricular outflow tract obstruction in a specialized hypertrophic obstructive cardiomyopathy center","publisher":"Journal of Thoracic and Cardiovascular Surgery"},"ax-esc2025-release":{"id":"ax-esc2025-release","title":"2025 ESC/EACTS Guidelines for the management of valvular heart disease: official release","url":"https://www.escardio.org/news/news-room/congress-news/2025-guidelines-valvular-heart-disease/","publisher":"European Society of Cardiology","published":"2025-08-29","read_at":"2026-10-08","source_type":"Official guideline release overview","source_kind":"Official guideline release overview","body_access":"full_public_page_read","support_location":"Aortic stenosis: age 70, tricuspid valve, suitable anatomy, younger patients, lifetime trajectory","access_limit":"Overview is kept separate from the recovered full guideline."},"depth-dearani":{"title":"Mayo Clinic · Joseph Dearani","url":"https://www.mayoclinic.org/biographies/dearani-joseph-a-m-d/bio-20053326","publisher":"Official hospital / clinical programme","read_at":"2026-10-08","label":"Mayo Clinic · Joseph Dearani","retrieval":"Official profile body via web search; direct HTTP route returned 403"},"depth-mayo-apical":{"title":"Mayo · 67 patients with apical aneurysm repair","url":"https://pubmed.ncbi.nlm.nih.gov/37029070/","publisher":"JTCVS / PubMed","read_at":"2026-10-08","label":"Mayo · 67 patients with apical aneurysm repair","retrieval":"Europe PMC full indexed abstract; online 2023, journal issue 2024"},"SP13":{"title":"Shinya Unai, MD — cardiac surgery profile","publisher":"Cleveland Clinic","url":"https://providers.clevelandclinic.org/provider/shinya-unai/4268207","read_at":"2026-10-08","source_kind":"official-institution","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/unai-profile.txt","supports":"Current Main Campus surgeon, complex reoperative surgery, endocarditis, aortic/root reconstruction, transplantation and LVAD clinical interests.","limitations":"Hospital and all-surgeon volume/quality statements are not personal procedure-specific results; omitted from candidate."},"SP21":{"title":"The Hidden Burden of Native Aortic Valve Endocarditis: Reevaluating Diagnostic and Pathologic Challenges.","publisher":"The Annals of thoracic surgery","url":"https://pubmed.ncbi.nlm.nih.gov/41482022/","read_at":"2026-10-08","published_at":"2025-12-31","doi":"10.1016/j.athoracsur.2025.12.007","pmid":"41482022","source_kind":"primary-research-abstract","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/pmid-41482022.json","supports":"Cleveland native aortic valve endocarditis cohort 2002–2020: invasive disease can escape preoperative imaging and require complex reconstruction; Unai coauthor.","limitations":"Historical referral-centre surgical cohort; not all endocarditis patients or personal results."},"SP22":{"title":"Mitral valve abscess: echocardiographic imaging, microbiology, management, and outcomes.","publisher":"European heart journal. Imaging methods and practice","url":"https://pubmed.ncbi.nlm.nih.gov/42394651/","read_at":"2026-10-08","published_at":"2026-07-02","doi":"10.1093/ehjimp/qyag112","pmid":"42394651","source_kind":"primary-research-abstract","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/pmid-42394651.json","supports":"Cleveland mitral abscess series of 154 adults from databases spanning 2002–2020 and 2010–2020; complex reconstruction and substantial risk; Unai coauthor.","limitations":"Variable follow-up. The 71% total-follow-up mortality is not a fixed-year rate. Programme series, not Unai personal operations; published 2026 does not make cohort current."},"tp-cleveland":{"title":"Cleveland: 1,559 operations in a specialised HCM centre","url":"https://doi.org/10.1016/j.jtcvs.2018.11.148","kind":"primary clinical study; prior research edition","checked":"2026-10-08","accessed":"2026-10-08"}}}