AV Fistula for Dialysis Access
Arteriovenous fistula creation for patients with end-stage kidney disease requiring reliable dialysis access.
Lahore · Punjab, Pakistan
Consultant Cardiac Surgeon
Evidence-based surgery for complex heart disease — from coronary bypass to valve surgery and aortic reconstruction.
MBBS · FCPS Cardiac Surgery
Assistant Professor of Cardiac Surgery
Punjab Institute of Cardiology (PIC), Lahore
Why Choose Dr. Ahmed Zain Subhani
Operating and teaching at Punjab Institute of Cardiology — one of Pakistan's foremost tertiary cardiac centres, where complex and high-risk cases are managed with full institutional support.
Every recommendation — surgery, stenting, or medical therapy — is grounded in current ACC/AHA and ESC guidelines and discussed openly with patients and families.
Experienced in on-pump and beating-heart (off-pump) bypass, so the technique is chosen to fit the patient's anatomy and risk profile — not the other way round.
Structured post-operative follow-up and a bilingual Urdu/English cardiac rehabilitation programme guide every patient from ICU through full recovery.
Clinical Expertise
Precise operative care with a focus on optimal outcomes and a structured, compassionate recovery.
Coronary
On-pump and off-pump bypass surgery for single, double, triple, and complex multi-vessel coronary artery disease — commonly called bypass or open heart surgery.
About CABG →Coronary
Bypass performed while the heart continues to beat, without the heart-lung machine — reducing the risk of stroke and kidney complications in selected patients.
About beating heart surgery →Valvular
Surgical correction of mitral, aortic, and tricuspid valve disease — including repair techniques and biological or mechanical valve prostheses.
About valve surgery →Aortic
Complex reconstruction of the aortic root for aneurysm, dissection, and aortic valve disease, performed with full tertiary cardiac surgical support.
About aortic surgery →Arteriovenous fistula creation for patients with end-stage kidney disease requiring reliable dialysis access.
Guideline-driven consultations on CABG versus stenting, valve disease, and surgical planning — in person or online.
Professional Credentials

Evidence-Based Care
Every patient receives structured post-operative follow-up and access to a bilingual Urdu/English cardiac rehabilitation guide — diet, exercise, wound care, warning signs, and a week-by-week recovery pathway built on AHA 2024 and ESC 2023 guidance.
Patient Information
CABG restores blood flow to the heart by creating new pathways around blocked coronary arteries using a vein or artery graft. It is recommended for significant multi-vessel coronary artery disease, left main disease, or when medication and angioplasty have not succeeded. Dr. Zain Subhani performs both on-pump and beating-heart CABG at Punjab Institute of Cardiology, Lahore.
Off-pump CABG is bypass surgery performed while the heart continues to beat, without a heart-lung machine. In carefully selected patients it can reduce the risk of stroke, acute kidney injury, and cognitive complications. Dr. Zain Subhani is experienced in both techniques and selects the approach based on each patient's anatomy and risk profile.
The choice depends on your coronary anatomy, number of vessels affected, kidney function, diabetes status, and heart function. International guidelines (ACC/AHA, ESC) recommend CABG over stenting for most patients with three-vessel disease, left main disease, or diabetes with multi-vessel disease. A formal surgical consultation is essential before deciding.
The cost of CABG varies with the hospital, room category, surgical technique, and any additional procedures or ICU requirements. Public-sector tertiary centres such as PIC offer substantially subsidised treatment, while private hospitals offer package-based pricing. An accurate estimate is provided after surgical assessment — WhatsApp 0335 1115330 to discuss your case.
OPD at Punjab Institute of Cardiology (New OPD Block), Monday to Friday, 3:00–5:00 PM. Private consultations are also available at selected hospitals in Lahore — see consultation locations. Online consultations are offered. Call or WhatsApp 0335 1115330.
CABG is a well-established and safe operation. Major risks include bleeding, infection, stroke, and rarely heart attack or death; overall risk varies with age, heart function (EF), kidney function, and comorbidities such as diabetes. At high-volume centres such as PIC, outcomes are closely monitored and mortality is comparable to international benchmarks.
Most patients spend 5–7 days in hospital after CABG, including 1–2 days in cardiac ICU. Full recovery typically takes 6–8 weeks with a gradual, guided return to activity — supported by structured follow-up and the bilingual cardiac rehab guide.
Patient Experiences
★★★★★
"I have had heart surgeries performed for three to four close relatives — Alhamdulillah, all were successful. The doctor's hands are truly skilled and precise. The team and facilities are excellent."Google Review Ch. Ajmair Hussain — Patient Family
★★★★★
"A very competent cardiac surgeon. He did my uncle's bypass surgery and the recovery was smooth. He visited our patient regularly after surgery and was available whenever we needed him."Google Review Ahmad Hassaan — Patient Family
★★★★★
"Very satisfied — he operated very well, then guided us, gave us advice, and kept looking after us throughout recovery. The doctor is like an angel."MMarham Review Umar Farooq — Patient
Consultations & Appointments
In person in Lahore, or online from anywhere in Punjab and beyond.
دل کی بائی پاس سرجری، دھڑکتے دل کی سرجری، والو سرجری اور شہ رگ کی سرجری کے ماہر۔ پوری ویب سائٹ اردو میں پڑھنے کے لیے نیچے بٹن دبائیں۔