If you have been told your blocked coronary artery cannot be treated, that bypass is your only option, or that you are too high-risk for surgery, a second opinion from Dr. Arun Kalyanasundaram may give you a different answer. Complex angioplasty can open arteries deemed untreatable and help many patients avoid bypass surgery. Submit your reports and receive a comprehensive written assessment.
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These are the conclusions many patients hear from a general interventional cardiologist. Often, they reflect the limits of routinely available techniques — not a true impossibility. A complete blockage labelled a “100% block” is, in specialist hands, a chronic total occlusion (CTO) — and CTOs can be opened in the great majority of cases using the full range of crossing strategies.
Through complex angioplasty performed by Dr. Arun Kalyanasundaram, many patients can avoid bypass surgery altogether — and avoid the chest incision, the longer hospital stay, and the extended recovery that open surgery involves. Where another cardiologist sees a procedure that “cannot be done,” a dedicated CTO and complex PCI specialist often sees a clear, structured path to opening the artery.
A second opinion is the first step to finding out whether your blockage — however it has been described to you — can be treated this way.
Send your coronary angiogram report, clinical history, echocardiogram, and any other relevant investigations via WhatsApp, email, or the secure upload form. All documents are handled with complete confidentiality. Dr. Arun’s team acknowledges receipt within one business day.
Dr. Arun Kalyanasundaram personally reviews your angiogram, clinical history, and investigations. He assesses whether your diagnosis is accurate, whether treatment is indicated, and what the best treatment options are for your specific anatomy and clinical context. Your case is not delegated to a junior physician.
A comprehensive personalised written second opinion report: clinical impression, treatment options analysis, recommended plan, feasibility assessment, and an honest assessment of whether and how intervention may help. If a follow-up call is needed to discuss the report, it is arranged at no additional charge.
A CTO can be opened in most cases by a specialist with the full range of crossing strategies. 2,500+ cases treated. See how CTO PCI works →
Complex angioplasty can often avoid bypass – opening the blockage with stents instead of open surgery, with a far shorter recovery. CTO PCI as an alternative to bypass →
CHIP PCI is designed for patients who cannot safely undergo surgery. Learn about CHIP →
Native vessel CTO PCI may offer a better long-term solution than graft re-intervention. Failed prior PCI & grafts →
Persistent chest pain is not inevitable if the underlying blockage can be treated.
In-stent restenosis is a treatable condition. A specialist assesses why it failed and what the best re-intervention approach is. Failed prior PCI →
A second opinion confirms diagnosis accuracy and that you have considered all available options before proceeding.
Independent assessment of your diagnosis — whether angiogram findings are accurately described and correctly interpreted.
Review of all available pathways — interventional, surgical, and medical — with honest appraisal of relative merits and risks.
Specific recommended approach based on current international evidence and Dr. Arun's experience with cases of similar complexity.
Explicit assessment of whether percutaneous treatment is technically feasible for your specific anatomy — in cases where it has been said to be impossible.
If additional tests are needed before a firm recommendation, stated clearly with rationale.
If the report raises questions better addressed verbally, a call is arranged at no additional charge.
Yes. The second opinion report is prepared by Dr. Arun Kalyanasundaram personally. Your case is not delegated to a junior physician or assistant. This is what makes the service meaningful — you are getting the clinical judgment of one of India's most experienced CTO and complex PCI specialists, applied to your specific anatomy.
In many cases, yes. When a general interventional cardiologist concludes that bypass is the only option — or that angioplasty cannot be done because of a "100% block" — it often reflects the limits of routinely available techniques rather than a true impossibility. Complex angioplasty using the full range of CTO crossing strategies can open arteries that have been deemed untreatable, allowing many patients to avoid bypass surgery and the longer recovery it involves. A second opinion assesses whether complex angioplasty is feasible for your specific anatomy.
Absolutely. Many patients seek a second opinion to validate the treatment plan recommended by their existing cardiologist before proceeding. If Dr. Arun's assessment confirms the recommended plan, you proceed with confidence. If it suggests an alternative, you have information to make a more informed decision. You are under no obligation to choose Dr. Arun as your treating physician.
Yes — and this is the recommended pathway for all international patients considering treatment in India. Submitting your reports remotely first allows Dr. Arun to confirm that intervention is feasible, establish the proposed treatment plan, and give you a realistic assessment of expected outcomes before you commit to travel. International patient pathway — full details →
A cardiac second opinion costs INR 3,000 for patients in India and USD 50 for international patients. The written report is delivered within 2–3 business days of receiving your complete documents. If a follow-up call is needed to discuss the report, it is arranged at no additional charge.
The essential documents are your coronary angiogram (CAG) — ideally a soft copy of the CD in digital DICOM format, or video via WeTransfer or MP4 — along with a recent echocardiogram, ECG, treadmill test, clinical history or discharge summary, and lab investigations. Prior angioplasty or bypass reports should be included if applicable. Avoid sending mobile-recorded videos of the angiogram, as they may not provide sufficient clarity for accurate evaluation.
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