{"schema_version":"bookimed.page-context.v1","id":"repeat-heart-surgery-surgeons","url":"https://hub.bookimed.com/heart-surgery/repeat-heart-surgery-surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/repeat-heart-surgery-surgeons.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":"specialist-directory","title":"Repeat heart surgery specialists","summary":"Repeat heart surgery specialists 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":"5 named specialists","text":"Ali Fedakar, Naresh Trehan, Nitin Kumar Rajput, Joseph A. Dearani and other named teams.","sources":["hisar-profile","medanta-surgeons","depth-mayo-hcm"]},{"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":"specialists","title":"Repeat heart surgery specialists","text":"Repeat heart surgery specialists Diagnosis or procedure Doctor, clinic or country 5 specialists shown How we find specialists and where coverage is still growing → Portrait source ↗ Istanbul · Turkey cardiac surgeon Ali Fedakar → Fedakar explicitly lists second and third valve operations among his clinical interests at Hisar. Hisar Hospital Intercontinental → Sources: Prof. Dr. Ali Fedakar, M.D. | Hisar Intercontinental Hospital View expertise and research → Portrait source ↗ Gurugram · India cardiac surgeon Naresh Trehan → Trehan’s Medanta listing explicitly includes complex repeat cardiac operations. Medanta → Sources: Cardiac Surgery Experts in Gurugram — Medanta View expertise and research → Portrait source ↗ Gurugram · India cardiac surgeon Nitin Kumar Rajput → Rajput explicitly lists redo CABG and redo valve replacement among his Medanta clinical interests. Medanta → Sources: Cardiac Surgery Experts in Gurugram — Medanta View expertise and research → JD Rochester, Minnesota · United States cardiac surgeon Joseph A. Dearani → Dearani’s institutional profile explicitly includes multiple reoperations. Mayo Clinic Rochester → Sources: Mayo Clinic · Joseph Dearani View expertise and research → Portrait source ↗ Cleveland, Ohio · United States cardiac surgeon Shinya Unai → Unai’s Cleveland Clinic practice includes complex repeat surgery and endocarditis reconstruction. Cleveland Clinic → Sources: Shinya Unai, MD — cardiac surgery profile View expertise and research → No specialist in this selection matches both filters. Broaden the search to see the available specialists.","links":[{"label":"How we find specialists and where coverage is still growing →","url":"https://hub.bookimed.com/heart-surgery/specialist-research-method/"},{"label":"Portrait source ↗","url":"https://hisarhospital.com/en/doctor/prof-ali-fedakar-m-d/"},{"label":"Ali Fedakar →","url":"https://hub.bookimed.com/heart-surgery/doctor-ali-fedakar/"},{"label":"Hisar Hospital Intercontinental →","url":"https://hub.bookimed.com/heart-surgery/clinic-hisar/"},{"label":"Prof. Dr. Ali Fedakar, M.D. | Hisar Intercontinental Hospital","url":"https://hisarhospital.com/en/doctor/prof-ali-fedakar-m-d/"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-ali-fedakar/"},{"label":"Portrait source ↗","url":"https://www.medanta.org/hospitals-near-me/south-delhi/speciality/cardiology/doctor/dr-naresh-trehan"},{"label":"Naresh Trehan →","url":"https://hub.bookimed.com/heart-surgery/doctor-naresh-trehan/"},{"label":"Medanta →","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"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-naresh-trehan/"},{"label":"Portrait source ↗","url":"https://www.medanta.org/doctor-listing/cardiac-surgery-doctors-in-gurugram?page=1"},{"label":"Nitin Kumar Rajput →","url":"https://hub.bookimed.com/heart-surgery/doctor-nitin-rajput/"},{"label":"Medanta →","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"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-nitin-rajput/"},{"label":"Joseph A. Dearani →","url":"https://hub.bookimed.com/heart-surgery/doctor-joseph-dearani/"},{"label":"Mayo Clinic Rochester →","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":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-joseph-dearani/"},{"label":"Portrait source ↗","url":"https://providers.clevelandclinic.org/provider/shinya-unai/4268207"},{"label":"Shinya Unai →","url":"https://hub.bookimed.com/heart-surgery/doctor-shinya-unai/"},{"label":"Cleveland Clinic →","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":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-shinya-unai/"}]},{"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 specialists were selected","text":"How these specialists were selected This list contains 5 specialists 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 / Specialists / Repeat heart surgery specialists Repeat heart surgery specialists · Decision guide Repeat heart surgery specialists 5 specialists 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 specialists 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. 5 named specialists Ali Fedakar, Naresh Trehan, Nitin Kumar Rajput, Joseph A. Dearani and other named teams. Sources: Prof. Dr. Ali Fedakar, M.D. | Hisar Intercontinental Hospital · Cardiac Surgery Experts in Gurugram — Medanta · Mayo Clinic · HCM treatment options 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":"surgeons","title":"Find cardiac surgeons and heart specialists by procedure","kind":"surgeons","url":"https://hub.bookimed.com/heart-surgery/surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeons.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"},"medanta-profile":{"id":"medanta-profile","title":"Dr. Naresh Trehan | Medanta","url":"https://www.medanta.org/hospitals-near-me/south-delhi/speciality/cardiology/doctor/dr-naresh-trehan","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"},"hisar-fedakar":{"url":"https://hisarhospital.com/en/doctor/prof-ali-fedakar-m-d/","title":"Prof. Dr. Ali Fedakar, M.D. — Hisar Hospital Intercontinental"},"medanta-surgeons":{"url":"https://www.medanta.org/doctor-listing/cardiac-surgery-doctors-in-gurugram?page=1","title":"Cardiac Surgery Experts in Gurugram — Medanta"},"DX04":{"id":"DX04","title":"Hypertrophic cardiomyopathy: diagnosis and treatment","url":"https://www.mayoclinic.org/diseases-conditions/hypertrophic-cardiomyopathy/diagnosis-treatment/drc-20350204","publisher":"Mayo Clinic","published":null,"source_type":"Official hospital patient information and embedded specialist explanation; body inspected","read_at":"2026-10-08"},"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-hcm":{"title":"Mayo Clinic · HCM treatment options","url":"https://www.mayoclinic.org/diseases-conditions/hypertrophic-cardiomyopathy/diagnosis-treatment/drc-20350204","publisher":"Official hospital / clinical programme","read_at":"2026-10-08","label":"Mayo Clinic · HCM treatment options"},"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."}}}