A thoracic and cardiovascular surgery specialist (Sp.BTKV) is a doctor who has completed specialized training in surgical procedures involving the chest organs and circulatory system, including the heart, lungs, major blood vessels, and other structures within the chest cavity. Doctors with this specialization handle a wide range of serious conditions, such as coronary artery disease, damaged or narrowed heart valves, aortic aneurysms, lung tumors, and congenital heart defects. Given the complexity of the procedures involved, Sp.BTKV doctors possess a high level of competence in performing surgeries that require exceptional precision and advanced technical expertise.
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Recommended Heart Bypass & Valve Surgery Specialists in West Jakarta
1. dr. Wirya A. Graha, Sp.BTKV, Subsp. JD (K)

Dr. Wirya is a specialist in thoracic, cardiac, and vascular surgery with a subspecialization in adult cardiac surgery. He brings extensive experience across a wide range of cardiac and vascular surgical procedures. He completed his specialist training at the Faculty of Medicine, University of Indonesia, where he also deepened his knowledge of modern cardiac surgical techniques, including minimally invasive approaches.
One of Dr. Wirya’s key areas of expertise is Minimally Invasive Cardiac Surgery (MICS) — a cardiac surgical technique that uses small incisions without the need to fully open the sternum (breastbone). Compared to conventional open-heart surgery, this approach offers several significant advantages for patients, including less postoperative pain, a lower risk of complications, and a considerably shorter recovery time.
To continuously advance his competencies, Dr. Wirya actively participates in various international training programs and conferences, including:
- 2017: 25th Annual Meeting of the Asian Society for Cardiovascular and Thoracic Surgery, Seoul, South Korea
- 2018: 28th Annual Meeting of the Association of Thoracic and Cardiovascular Surgeons of Asia
- 2019: 1st Joint Biennial South East Asian Regional Congress on Cardiovascular and Thoracic Surgery, alongside the 20th MATCVS Annual Scientific Meeting, Malacca
- 2021: 25th European Vascular Course and 5th European Cardiovascular Course
Practice Schedule at Mandaya Royal Puri Hospital:
- Tuesday: 4:30 PM – 8:00 PM
- Thursday: 4:30 PM – 8:00 PM
- Saturday: 10:00 AM – 1:00 PM
When Should You See Dr. Wirya at Mandaya Royal Puri Hospital?
Not every chest complaint requires surgical intervention. However, there are certain conditions and symptoms that should not be ignored and warrant prompt evaluation by a doctor — especially if they are new, worsening, or beginning to interfere with daily activities.
Here are some signs that may indicate the need to consult a thoracic and cardiovascular surgery specialist:
1. Recurring Chest Pain or Pressure
If you experience tightness, heaviness, or a sense of pressure in your chest — particularly while walking, climbing stairs, or under stress — this may be a sign of reduced blood flow to the heart. This can be a symptom of coronary artery disease, which in certain cases may require heart bypass surgery or other procedures depending on its severity.
2. Shortness of Breath
Shortness of breath can result from heart valve disease, heart failure, lung conditions, or fluid accumulation. If breathlessness continues to worsen or occurs even at rest, further medical evaluation is needed, as the underlying condition may require surgical treatment — such as heart valve disease or lung disease.
3. Swelling in the Legs or Ankles and Unusual Fatigue
Persistent swelling and prolonged fatigue can occur when the heart is no longer pumping blood efficiently. If diagnostic results reveal significant heart failure or valve disease, surgery may become part of the treatment plan in certain cases.
4. Irregular Heartbeat with Complications
Some arrhythmias (irregular heart rhythms) can be managed with medication or catheter-based procedures. However, in more complex cases — particularly when structural heart problems are also present — surgical evaluation may be necessary.
5. Structural Heart Abnormalities Found on Imaging
Sometimes a person feels perfectly well, yet results from an echocardiogram or other imaging reveal serious valve abnormalities, an enlarged aorta, or other structural defects. In such situations, surgery may be recommended before complications arise.
6. Conditions That Cannot Be Managed with Medication or Minor Procedures
A referral to a thoracic and cardiovascular surgery specialist is generally made when other treatment options are no longer adequate and surgical intervention becomes the necessary course of action.
To make your visit to Mandaya Royal Hospital Puri easier, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter application available on Google Play and the App Store to simplify visits, check queue numbers, and access complete information.
The information available on this page is provided for educational and general informational purposes only and does not represent the full range of medical services that may be performed by each doctor. To ensure treatment that suits your medical condition, direct consultation with the relevant doctor is recommended.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.

