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Cardiothoracic and Vascular Surgery Department

Cardiothoracic and Vascular Surgery Department 

RMI BgCardiothoracic and Vascular Surgery Department at Rehman Medical Institute (RMI) is the first of its kind in the province, and a true leader in providing state-of-the-art cardiac surgeries. Our highly skilled faculty of surgeons, listed below, performs over 1000 surgeries annually, making us the top choice for cardiac care in the region.

At the heart of our department lies the legacy of Prof. Dr. Muhammad Rehman – a renowned heart surgeon and visionary who revolutionised cardiac care in the region with his innovative approach. We are proud to continue his legacy by establishing cardiovascular and thoracic surgery services at par with international standards, and constantly investing in research, development, and technology to improve patient care.

Our team of highly experienced surgeons is committed to providing personalised care to each patient. We understand that each patient is unique, and that's why we take the time to listen to your concerns and tailor our treatment plans to best suit your needs. We believe in a patient-centric approach to care that emphasises compassion, communication, and collaboration.

 

Thoracic surgery

 Lungs Surgery

VATS

Oesophagus Surgery

Thoracic trauma Surgery

 Lung & Oesophagus Cancer Surgery)

 Diaphragm Surgery

Myasthenia Gravis Surgery 

Mediastinal Cancer Surgery

Minimally Invasive Surgery

 

 

 

Cardiac Surgery 

 

  Adult Cardiac Surgery

Congenital Cardiac Surgery

Emergency Cardiac Surgery

Minimally Invasive Cardiac Surgery

 

 

 

VASCULAR SURGERY

 

  Ischemic limb surgery

  Carotid endarterectomy

   Aneurysm and dissection surgery

  Varicose vein surgery

  Bypass grafting surgery
 

  Amputation

  Endovascular surgery

  AV fistula/ dialysis access surgery

  Venous thrombosis surgery

 Embolectomy

 

 

CARDIOVASCULAR AND THORACIC CRTICAL CARE

 

 

Achievements

Prof. Dr. Rehman pioneered cardiac surgery in Pakistan

First EVAR of the province

 Prof. Dr. Rehman pioneered PACVTS

Hybrid vascular procedures

  Runs one of the largest CVT surgery training program 

  

 

PATRON IN CHIEF: Prof. Dr. Muhammad Rehman

PROGRAM DIRECTOR: Prof. Dr. Azam Jan, MD (USA) Diplomate American Board, Cardiovascular & Thoracic surgery

 

FACULTY

Dr. Ameer Muhammad, Associate Professor, Cardiovascular Surgery

Dr. Bahauddin Khan, Associate Professor, Cardiothoracic Surgery

Dr. Aman Nawaz, Professor, Interventional radiology

 

INSTITUTE

Rehman Medical Institute, Peshawar

 

DESCRIPTION

This one-year fellowship programme is designed for those surgeons who wants get exposure & experience in complex Aortic and Vascular Surgery both open endovascular. All sorts of Aortic and vascular surgeries are being performed at RMI, Peshawar on regular basis. So, we invite all surgeons who have completed their Postgraduate training in Cardiac, Vascular or Thoracic Surgery and wish to learn Advanced Aortic and Vascular surgeries.

 

ELIGIBILTY

FCPS/MS completed in Cardiac, Vascular or Thoracic Surgery

 

CORRICULLUM

Within Vascular Surgery, the syllabus is presented as topics, each with objectives incorporating the knowledge, clinical and technical skills required to deliver the Vascular Surgery Day-one consultant. The delivery of the objectives will be developed through the two phases of training and assessed within the CiPs and GPCs high-level outcomes. In addition, to ensure the appropriate procedural and clinical competence, there are nominated index procedures that will require assessment through PBAs and critical conditions that will require assessment through CBDs or CEXs as appropriate. Other than for the critical conditions, index procedures or where they have been identified to address a concern, WBAs are optional for formative feedback and, therefore, trainees do not need to use WBAs to evidence learning against each syllabus topic. The delivery of the training of all components of the Vascular Surgery curriculum will be quality assessed by the Vascular Surgery Specialty Advisory Committee (SAC). The Curriculum has been agreed in collaboration with the specialty of Interventional Radiology, within the Royal College of Radiologists, with agreement to deliver the endovascular training alongside Vascular Surgery, utilizing a collaborative working model to the benefit of the trainees in both specialties, so promoting the MDT working of day-one consultants. The syllabus objectives are the guide to the breadth and specifics of the indicative knowledge and skills required to acquire certification within Vascular Surgery.

VASCULAR SURGERY GENERIC TOPICS

  • Vascular anatomy, physiology, pathology and epidemiology
  • Screening and surveillance
  • Risk factor modification
  • Vascular conditions of childhood
  • Nutrition
  • Cardio-respiratory disease
  • Hematology
  • Clinical audit, research & health economics
  • Outpatient, ward and MDT meetings
  • Principles of vascular imaging, Vascular ultrasound, Computed tomographic imaging, Magnetic resonance imaging, Catheter angiography.
  • Vascular surgery--open vascular surgery
  • Vascular surgery--endovascular procedures

 

VASCULAR SURGERY DISEASES TO BE COVERED

  • Acute lower limb ischemia
  • Vascular trauma
  • Chronic lower limb ischemia
  • Vascular complications of diabetes
  • Vascular disease of the upper limb
  • Hyperhidrosis
  • Vasospastic disorders and vasculitis
  • Carotid artery disease
  • Aneurysm - elective and emergency
  • Vascular access
  • Renovascular disease and transplantation
  • Mesenteric vascular disease
  • Superficial venous disease
  • Deep venous thrombosis
  • Deep venous insufficiency
  • Lymphoedema

 

OBJECTIVES

Graduates of the Fellowship will be well trained academic advanced aortic and vascular surgeons, capable of participating in and leading a similar multidisciplinary, collaborative team at their own institution. The Fellowship will provide the trainee with knowledge and technical skills in the preoperative evaluation and planning, operative management (open and endovascular), postoperative care and follow up of adult patients with Aortic aneurysms and dissections & other vascular diseases which require surgical interventions.

The Fellow will learn the value of a multidisciplinary approach to these complex patients and will be able to work in a similar environment at their own institution. The Fellowship takes place in an academic environment and research training is provided and productivity is expected and an important part of the Fellowship.
 

RESEARCH

A research project(s) are a mandatory component of the Fellowship. There are opportunities for basic science and clinical research and a project will be selected by each Fellow with the guidance of the Co-Program Directors and Fellowship Research Coordinator. The Fellow is expected to present and publish his/her work at national and international scientific meetings and peer reviewed journals. The Fellow’s research project will run concurrently with clinical training throughout the one-year Fellowship. Completion of the research project is mandatory.
 

EDUCATIONAL SERVICES

  • Fellow will be responsible for attending all the academic activities in the department that includes journal club, Morbidity & Mortality meetings.
  • The fellow occasionally will be responsible for presentation of cases at multidisciplinary meetings if he/she was involved in the case.
  • Fellow will be responsible for attending the outpatient clinic to gain the knowledge about the diseases and educate the patients as well.
  • Fellow will be responsible for the On Call duties assigned to them according to monthly roaster of department.

 

CONTACT US:

Dr. Saifullah

Senior Registrar, Department of Cardiothoracic and Vascular Surgery, RMI, Peshawar.

Contact Information:

Phone: +92 334 9233976

Email: saif.ullah3@rmi.edu.pk

Rehman Medical Institute (RMI) offers a comprehensive training program in cardiothoracic collaboration with the College of Physicians and Surgeons Pakistan (CPSP). Led by our Consultant and Head of Department, Prof. Dr. Azam Jan, the program is designed to provide a balanced education in the treatment of cardiothoracic and vascular diseases.

The program builds on the pioneering work of Prof. Dr. Rehman, who has vast teaching experience and has remained an examiner at the College of Physicians and Surgeons since 1990. He organized fellowships in cardiac surgery from the CPSP, training 21 FCPS cardiac surgeons. At RMI, we are proud to have consistently ranked among the top hospitals in the country for providing exceptional services and training programs in the field of cardiothoracic and vascular surgery. Our alumni are spread all over the world and work in renowned hospitals, and patients come from all over Pakistan seeking our expertise.

We are renowned for our devotion to patient care, research, and education.

How to apply

If you're interested in joining our program, we welcome applications from candidates who have completed a two-year general surgery residency training program. Successful candidates are selected based on the PGMI merit list, and another track of coming to cardiac surgery RMI without PGMI can also be opted by submitting details to the dean's office and emailing Prof. Dr. Azam Jan. 

Applicants considered eligible for the training program will be invited for an interview, providing an opportunity to visit the institution and meet with the faculty and residents. Each applicant will be interviewed by faculty members and will have an opportunity to chat with the current residents and learn about the hospital's state-of-the-art facilities and cutting-edge research. 
 


•    Prof. Dr. Muhammad Rehman- Chairperson
•    Prof. Dr. Azam Jan - HOD
•    Dr Ameer Muhammad- Consultant  
•    Dr Bahauddin Khan- Consultant  
•    Dr Saifullah- Registrar 

  • Dr Shahkar  
  •  Dr Niaz Ali  
  • Dr Zahid Ullah  
  • Dr Haider Zaman  
  • Dr Sajjad Yousafzai  
  • Dr Rafat Shakil 
  • Dr. Haseeb Ahmed    
  • Dr. Ahmad Mehmood     
  • Dr. Waleed Shehzad    
  • Dr. Zaid Ali    
  • Dr. Muhammad Wasim Sajjad  
  • Dr. Muhammad Salman Farsi      
  • Dr. Syed Noman Shah   
  • Dr. Shehzad  
  • Dr. Imran Khan  
  • Dr. Nasir Ali 
  • Dr. Danish

Our department is highly committed to conducting cutting-edge research, and we take immense pride in our active involvement in various research endeavors. With a dedicated team, we strive to push the boundaries of knowledge in our field. Our research work has gained significant recognition, both at the national and international levels, resulting in numerous publications that have contributed to the advancement of our discipline. By engaging in rigorous research methodologies, collaborating with esteemed institutions, and staying updated with the latest developments, we continuously seek to make valuable contributions to our field and foster a culture of innovation and excellence. 

 

Outcomes of Surgical Repair of Tetralogy of Fallot: A Comparison Between the Adult and Pediatric Population Clap. Meenal S. Khan, Azam Jan, Haseeb Ahmed, Mudassar Khan, Ahmad D. Khan, Rafat Shakil, Bahauddin Khan, Zarkesha Aman, Waleed S. Ali, Ahmad Mahmood

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Effect of COVID-19 on the Cardiothoracic and Vascular Surgery Procedures Mix at a Tertiary Care Hospital. Ullah R, Hayat MK, Shakil R, Jan A, Rustam Z, Awan NI. Cureus. 2022 Jan 23;14(1):e21522. doi: 10.7759/cureus.21522. PMID: 35223298; PMCID: PMC8863118.

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Preoperative Anemia as a Predictor of Morbidity and Mortality in Coronary Artery Bypass Grafting Surgical Patients: Our Four Years' Experience
SAFAA, Rifat ShakilBahauddin Khan, Azam Jan,  Imtiaz Ahmad, Mujahid Ul Islam, ... PBMJ 5 (1)

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Trends in per-operative parameters and postoperative complications associated with coronary artery bypass graft surgery (CABG); A four-year retrospective study. A Jan, MK Hayat, MAA Khan, R Ullah. Pakistan Journal of Medical Sciences 37 (7), 1734

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Management of retrosternal goitres: A 4 year institutional review in a tertiary hospital.Ihsan Ullah, Sanaullah Khan, Nazish Izhar Khan, Azam Jan, Mohammad Ahmad Arsalan Khan, Muhammad Khizar Hayat. Professional Medical Journal. Vol. 28 No. 11 (2021): VOL. 28 No. 11

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The Lung Mass and Nodule: A Case Series: The Lung Mass and Nodule. Azam Jan, Naseer Ahmed, Nabil Iftikhar Awan, Bahauddin Khan, Mujahid Ul-Islam, Imtiaz Ahmed, Ahsan Shabbir, Amir Mohammad, Hussain ShahPakistan BioMedical Journal 4 (1)

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Early Chest Re-Exploration for Excessive Bleeding in Post Cardiac Surgery Patients: Does It Matter? M ul Islam, I Ahmad, B Khan, A Jan, N Ali, WH Khan, O Farooq, H Khan, ... Cureus 13 (5)

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Pulmonary Hypertension as a Predictor of Early Outcomes of Mitral Valve Replacement: A Study in Rheumatic Heart Disease Patients. Farooq O, Jan A, Ghani U, Qazi U, Hassan Khan W, Alam S, Khan MJ, Khan OA, Awan NI, Shah H. Cureus. 2021

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Comparison of magnesium sulphate with placebo for prevention of atrial fibrillation in post Coronary Artery Bypass Grafting (CABG) patients. Azam Jan, Adnan Tahir, Faridulah Khan, Naseer Ahmed, Humaira Achakzai, Marib Ghulam ... Interv. Cardiol. (2021) 13,S7: 160-165, 160-165

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A comparison of robotic, laparoscopic, and hand-sewn intestinal sutured anastomoses performed by residents. Marecik SJ, Chaudhry V, Jan A, Pearl RK, Park JJ, Prasad LM. Am J Surg. 2007 Mar;193(3):349-55; discussion 355. doi: 10.1016/j.amjsurg.2006.09.018. PMID: 17320533.

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Incidence and Causes of Reintubation Other Than Reopening of the Chest in Post-Cardiac Surgical Patients in a Tertiary Care Hospital I Ahmad, B Khan, A Jan, O Farooq, WH Khan, U Ghani Cureus 13 (5)

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Interventional Approach to Pulmonary Hydatid Cyst in Thoracic Surgery Unit of a Tertiary Care Hospital.I Tahir, M Ahmad, A Jan, SK Khattak, N Awan, AH Khan Ophthalmology Update 19 (2)

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Effect of concomitant tricuspid annuloplasty on early outcomes of mitral valve replacement: a study on rheumatic heart disease patients O Farooq, A Jan, U Ghani, A Khan, B Khan, NI Awan, H Shah, H Shah Sr Cureus 13 (3)

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Pulmonary Endarterectomy for Chronic Thromboembolic Pulmonary Hypertension T Iqbal, A Jan, N Ahmed, A Muhammad, SM Shah, S Khan, I Tahir, ... Pakistan Heart Journal 54 (2), 126-131

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Button Battery In Thoracic Esophagus-A Case Report. I Tahir, N i Awan, A Jan, N Anwar Journal of Saidu Medical College, Swat 11 (2), 118-120

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To determine the frequency of stroke and common factors leading to it after coronary artery bypass grafting SMA Shah, MU Rehman, NI Awan, A Jan Pakistan Journal of Medical Sciences 37 (1), 261

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The effect of ejection fraction on mortality in Coronary Artery Bypass Grafting (CABG) patients NI Awan, A Jan, MU Rehman, N Ayaz. Pakistan Journal of Medical Sciences 36 (7), 1454

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Fingolimod (FTY720) preserves high energy phosphates and improves cardiac function in heterotopic heart transplantation model N Ahmed, J Farooq, S Sadiq, SA Meo, A Jan, FH Cheema, G Faggian, ... International Journal of Molecular Sciences 21 (18), 6548

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Characteristics, morbidity and mortality factors associated with intra-aortic balloon pump in coronary artery bypass graft surgery patients SMA Shah, NI Awan, A Jan, MU Rehman Pakistan Journal of Medical Sciences 36 (6), 1318

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Labor-Induced Diaphragmatic Hernia Causing Emergency Azam Jan ,Nabil Awan, Syed Mumtaz Anwar Shah , Amir Mohammad Khan, Somaiya ... ctsnet

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Bronchogenic Cyst. Azam Jan ,Qazi Kamran Amin, Nabil Awan ,Amir Khan, Syed Shah, Somaiya Rehman

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Emergency Lobectomy for Congenital Lobar Emphysema
Thursday, April 11, 2019. Azam Jan Amir Khan

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A retrospective cohort study on coronary endarterectomy outcomes in coronary artery bypass graft patients HM Abdullah, A Khan, MK Afridi, A Jan, UI Khan, W Ullah, A Ahmad, ...Cureus 11 (3)

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Surgery for Chronic Thromboembolic Pulmonary Hypertension: Thromboendarterectomy of the Pulmonary Artery authored by Azam Jan, Syed Mumtaz Shah, Amir Muhammad, Somaiya Rehman, M Tariq Khan, Azam Khan, Kashif Anwar

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Comparison of outcome and cost in open and thoracoscopic pneumonectomy: A 13 years multicentre study Azam Jan , Nabil I. Awan , Amir Mohammad , Syed MA Shah , Somaiyya Rehman ... Global Surgery, DOI: 10.15761/GOS.1000203

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Surgical Resection and Reconstruction of a Large Anterior Chest Dermatofibrosarcoma Protuberans. Authored by Azam Jan, S. Asif Shah, Muhammad Tariq, S. Mumtaz Shah, Amir Muhammad

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Early operative outcome of pericardiectomy for symptomatic chronic tuberculous constrictive pericarditis A Jan, M Imran, KM Aqeel, MT Khan, S Begum, A Mohammad, SM Shah, ... International Journal of Endorsing Health Science Research.

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Patent Ductus Arteriosus and Left Coronary Ostium Stenosis: A Surgical Approach authored by Amir Khan, Azam Jan, Somayya Rehman, S. Mumtaz, A. Shah

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A Giant Ascending Aortic Aneurysm Pending Rupture. A Jan, A Muhammad, SM Shah, T Iqbal, J Ur Rehman, S Rehman J Rehman Med Inst. Vol. 3, Nos. 1-2, 2017

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Aortic surgery cost and outcome at teaching vs. non-teaching hospitals Azam Jan ,Naseer Ahmed ,S. Mumtaz Anwar Shah , Somiya Rehman , Alessio ... EJCM 4 (3), 56-62

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Hypertrophic obstructive cardiomyopathy and the cost of treatment Azam Jan , S. Mumtaz Anwar Shah , Somaiya Rehman, Alessio Rungatscher ... EJCM 4 (2), 27-32

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Hydatid Cyst of Interventricular Septum By Azam Jan Muhammad Aasim

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An Assessment of Religious Impediments to Polio Vaccination in Tehsil Khwazakhela, Swat L Ali, A Mussawar, M Shah, A Ullah, A Jan. J Pain Relief 5 (241), 2167-0846.10002

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Hypertrophic obstructive cardiomyopathy and the cost of treatment A Jan, MA Shah, S Rehman Am J Cardiol 117, S4

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Outcomes of open repair for chronic descending thoracic aortic dissection AL Estrera, A Jan, H Sandhu, S Shalhub, M Medina-Castro, TC Nguyen 

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Surgical outcomes based on resident involvement: what is the impact on vascular surgery patients? A Jan, DR Riggs, KL Orlando, FJ Khan Journal of Surgical Education 69 (5), 638-64

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Achalasia EAMD M Kusti,MD.T Caranasos,MD.,A Jan ,MD.,J Kupec MD. US Gastroenterology & Hepatology Review 6 (6), 11-16    

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Evaluation of midlevel and upper-level residents performing their first robotic-sutured intestinal anastomosis SJ Marecik, LM Prasad, JJ Park, A Jan, V Chaudhry

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The American journal of surgery 195 (3), 333-338 Tricuspid valve repair during left ventricular assist device insertion G Comas, KJ Glithero, T Naseem, A Jan, Y Naka Circulation 116 (suppl_16), II_572-II_572    

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A comparison of robotic, laparoscopic, and hand-sewn intestinal sutured anastomoses performed by residents. SJ Marecik, V Chaudhry, A Jan, RK Pearl, JJ Park, LM Prasad The American journal of surgery 193 (3), 349-355    

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Extended operative day affects performance on laparoscopic simulator JA Talarico, A Jan, VK Maker, M Rudnicki. GASTROENTEROLOGY 128 (4), A821-A821  

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Can a surgeon’s gentle touch be taught outside the operating room? JA Talarico, D Rathburn, A Jan, M Rudnicki, V Maker. Journal of the American College of Surgeons 3 (201), S77

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Comparison of outcome and cost in open and thoracoscopic pneumonectomy: A 13 years multicentre study A Jan, NI Awan, A Mohammad, SMA Shah, M Tariq, S Rehman, T Iqbal,... EACTS barcelona spain

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