Media coverage
Fortis In The News AV Eighteenth Edition
Jan 19, 2026
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Team Corporate Communications is delighted to bring you Edition-18 of "Fortis in the News," our audio-visual news bulletin.
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Successful Advanced TAVI Procedures at Fortis Escorts Faridabad Help Treat Two Critically High-Risk Elderly Cardiac Patients
Treated by:
Dr. Sanjay Kumar
Non-Invasive Cardiology
| Fortis Escorts Hospital, Faridabad
Jan 30, 2026
Faridabad, 14 January 2026: In a significant medical achievement, doctors at Fortis Escorts Hospital Faridabad have successfully treated two elderly, critically high-risk cardiac patients suffering from severe aortic stenosis, a potentially fatal heart valve condition, using Transcatheter Aortic Valve Implantation (TAVI) - a minimally invasive alternative to open-heart surgery. The procedures were performed by a multidisciplinary cardiology team led by Sanjay Kumar, Senior Director – Cardiology, Fortis Escorts Hospital Faridabad.
The patients - a 86-year-old man and a 79-year-old woman, were both considered extremely high risk for conventional surgical aortic valve replacement due to advanced age and multiple co-morbidities, including chronic obstructive pulmonary disease, diabetes, hypertension, and underlying coronary artery disease with prior stenting. Both the patients were admitted with progressive shortness of breath, giddiness, and exertion--symptoms that significantly impact quality of life and indicate advanced valve disease.
Diagnostic 2D echocardiography confirmed severe aortic stenosis in both the cases. They had high mortality rates - 15.8% for the 86-year-old male patient and 12.1% for the 79-year-old female patient -categorizing them as very high risk for open-heart surgery. If left untreated, the condition carries a poor prognosis, with survival expectancy reducing to mere 2 to 3 years.
Given the high surgical risk, the cardiology team opted for TAVI, a state-of-the-art, minimally invasive procedure that allows diseased aortic valve replacement without opening the chest. Both procedures were performed under conscious sedation, minimising anaesthesia-related risks in elderly patients. The 86-year-old male patient underwent TAVI procedure completed, which was done in approximately 2.5 hours. The 79-year-old female patient underwent a 3-hour-long TAVI procedure. Despite the complexity, both the procedures were executed successfully. Both the patients showed significant clinical improvement post-procedure and were discharged in a stable condition.
Giving details of the cases, Dr Sanjay Kumar, Senior Director, Cardiology, Fortis Escorts Hospital, Faridabad said, “Severe aortic stenosis in elderly patients with multiple co-morbidities presents an enormous challenge. Severe aortic stenosis affects nearly 8-9% of the elderly population and, if untreated, can rapidly become life-threatening. TAVI has emerged as a life-saving option for patients who are otherwise deemed inoperable. These cases demonstrate how advanced technology, careful patient selection, and a multidisciplinary approach can dramatically improve outcomes, even in very high-risk individuals.”
Dr Abhishek Sharma, Facility Director, Fortis Escorts Hospital, Faridabad said, “The complex cases highlight the advanced cardiac care infrastructure we have built at Fortis Escorts Hospital, Faridabad. These successful interventions reinforce Fortis Escorts Hospital, Faridabad’s commitment to offering cutting-edge, minimally invasive cardiac care, especially to elderly and high-risk patients who were previously considered unsuitable for surgery. We are proud of our clinicians for ensuring a safe outcome in a situation where conventional surgery was not an option. Our focus remains on providing timely, world-class care to every patient who walks through our doors.”
Meet the doctor
Dr. Sanjay Kumar
Senior Director Cardiology | Fortis Faridabad
- Cardiac Sciences | Non-Invasive Cardiology
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26 Years
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1000
Treated at Hospital
Fortis Escorts Hospital, Faridabad
4.7
4.7
Read more about
Non-Invasive Cardiology
31 Doctor available at
19 locations
19 locations
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WHAT IS PERITONEAL SURFACE ONCOLOGY?
Peritoneal surface oncology is an established subspecialty of surgical oncology that focuses on cancers affecting the peritoneum – the membrane lining your abdominal cavity and covering your organs. When cancer spreads to this lining (peritoneal metastases or carcinomatosis), it creates a challenging clinical situation that requires specialized expertise.
Cancers We Treat:
• Ovarian Cancer with peritoneal spread
• Colorectal Cancer with peritoneal metastases
• Gastric (Stomach) Cancer with peritoneal carcinomatosis
• Appendiceal Cancer (Pseudomyxoma Peritonei)
• Peritoneal Mesothelioma
• Primary Peritoneal Cancers
• Recurrent Abdominal Cancers with peritoneal involvement
HIPEC: HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY
Overview
HIPEC (Hyperthermic Intraperitoneal Chemotherapy) is a powerful, two-step treatment for advanced abdominal cancers that have spread to the peritoneal surface. This procedure combines aggressive surgery with heated chemotherapy to improve outcomes in carefully selected patients.
How HIPEC Works
Step 1: Cytoreductive Surgery (CRS)
Removal of all visible tumors from the abdominal cavity, including:
• Tumor deposits from the peritoneal lining
• Involved organ segments (intestine, spleen, gallbladder, etc.)
• Tumor from diaphragm or abdominal wall
Goal: Complete removal of all visible disease
Step 2: Heated Intraperitoneal Chemotherapy
Immediately after CRS:
• Heated chemotherapy (41-43°C / 106-109°F) is circulated for 60–90 minutes
• Internal surfaces are bathed to kill microscopic cancer cells
• Heat is drained and incisions are closed
Why HIPEC Is Effective
- Direct Drug Delivery
• High-dose chemotherapy reaches tumor surfaces directly
• 20–1000x concentration vs. IV chemotherapy
• Low systemic toxicity - Heat Makes Chemotherapy More Potent
• Cancer cells become 2–4x more sensitive
• Heat damages membranes
• Better drug penetration - Proven Survival Benefits in Select Cancers
• Appendiceal Cancer
• Ovarian Cancer
• Colorectal Peritoneal Metastases
• Gastric Cancer (selected cases)
• Peritoneal Mesothelioma
HIPEC Candidate Profile
HIPEC benefits patients with:
• Limited peritoneal disease
• Good performance status
• No major disease outside the abdomen
• Responsive cancer types (appendiceal, ovarian, colorectal, mesothelioma)
HIPEC Patient Expectations
Surgery Duration: 6–12 hours
Hospital stay - 7 to 10 days
Recovery
Return to light activity = 2-3 weeks
Full recovery = 6 to 8 weeks
Side Effects: Temporary ileus, fluid accumulation, infection risk, chemotherapy-related effects
PIPAC: PRESSURIZED INTRAPERITONEAL AEROSOL CHEMOTHERAPY
Overview
PIPAC (Pressurized Intraperitoneal Aerosol Chemotherapy) is a minimally invasive technique for patients with peritoneal metastases where standard treatment is limited. It offers disease control with faster recovery.
How PIPAC Works
Performed laparoscopically:
- Small incisions (keyhole access)
- Chemotherapy converted into fine aerosol
- Aerosol sprayed under controlled pressure
- Pressure enables deeper tumor penetration
- Aerosol evacuated after 30 minutes
- Patients discharged same or next day
Why PIPAC Helps
Better Tumor Penetration
• Reaches hidden tumors 3–4x more effectively
• Penetrates avascular tumor tissue
• Covers surfaces conventional methods miss
Lower Physical Burden
• Low systemic toxicity
• Quick recovery
• No major incisions
• Suitable for frail patients
Repeatable Treatment
• Every 4–8 weeks
• Allows reassessment
• Improves quality of life
Clinical Evidence Shows
• Tumor shrinkage in ovarian, colorectal, gastric cancers
• Stabilization after failed systemic therapy
• Improved quality of life
• Possible bridge to HIPEC in selected patients
PIPAC Is Useful For:
• Unresectable peritoneal metastases
• Chemotherapy-resistant disease
• Frail patients unfit for major surgery
• Malignant ascites control
• Downstaging before curative surgery
• Ovarian, gastric, colorectal, appendiceal disease
PIPAC Patient Expectations
Procedure Duration: 60–90 minutes
Hospital Stay: Same day to 1 night
Recovery: 3–7 days
Course: 3–6 sessions based on response
Side Effects: Mild discomfort, nausea, low-grade fever
HIPEC vs. PIPAC: WHICH IS RIGHT FOR YOU?
Aspect HIPEC PIPAC
Best For Completely respectable disease Unresectable/extensive disease
Intent Curative in select cases Palliation/control or bridge
Invasiveness Major open surgery Minimally invasive
Hospital Stay 10–21 days Same day–1 night
Recovery 3–6 months 3–7 days
Repeatability One-time Multiple sessions
Patient Fitness Requires good status Suitable for frail patients
Treatment decisions are individualized by a multidisciplinary tumor board.
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