Department of Cardio Thoracic Surgery in Madurai Medical College and Government Rajaji Hospital, Madurai started functioning in the year 1965 with one Reader and two Assistant Professors. From that period, the department was carrying out the Closed Heart Surgeries and other Thoracic Surgeries including Lung and Oesophageal Surgeries. The quantum of work in Closed Heart Surgeries like Closed Mitral Valvotomy and Patent Ductus Arteriosus Surgeries were more in the initial period of our department. Gradually the programme of Open Heart Surgery started in the year 1984 with the sanction of one Additional Professor and two more Assistant Professors. From the day of inception of Open Heart Surgical Programme, the quantum of work in Open Heart Surgery is gradually increasing up to date.
To start with Congenital Heart Disease like Atrial Septal Defect, Ventricular Septal Defect, etc., and Valvular Heart Diseases like Mitral Regurgitation and Aortic Regurgitation were dealt with and Valve Replacements were done on regular basis. We are making use of Artificial valves for the replacements of Mitral Valve and Aortic Valve. These patients are mostly all in the category of Rheumatic Etiology. Among the congenital cases, Atrial Septal Defect is occupying a large volume. We prefer Starr Edwards Ball valves in the Mitral position and Disc valves in the Aortic position. The morbidity and mortality is as equal to any other international center, even though we deal with this type of Open Heart Surgery patients in our post-operative ward with the least availability of post-operative care equipments.
From the year 1997, we started the programme of Coronary Bypass Surgery and we are now doing regular coronary intervention surgical procedures and we are in a position to deal with all types of conduits in the coronary bypass surgery. We are making use of saphenous veins, radial arteries and internal mammary arteries, both in on pump and off pump bypass surgeries. Regarding the Thoracic Surgical work, we do the required surgeries for Thoracic Tumours, Lung Cancer, Oesophageal Surgeries and surgeries connected with Chest Injuries etc. etc., our department activity is extended to other departments which are in need of our help to deal with the surgical procedures conducted in other theatres like Trauma Ward and Ortho department, etc. Thoracoscopic surgical procedures and the minimal invasive thoracic procedures are also conducted in our department.
Our department is having the Post-graduate teaching programme and every year Two (02) candidates are admitted since 2001 and from 2019, Four (04) candidate are admitted for the Super speciality Postgraduate course of M.Ch. (Cardio Thoracic Surgery) Our department is giving special Cardio Thoracic training to M.S. (General Surgery) postgraduate students and regular teaching programme is being conducted to the Undergraduates. Our department is the tertiary care /Referral center for all cardiac and lung surgical cases from south zone of Tamilnadu. From the date of commencement of Open Heart Surgery, the quantum of surgical excise is increasing till date.
AIM & OBJECTIVE:
The syllabus for M.Ch. (Cardiovascular and Thoracic Surgery) Course comprehensively covers all subjects related to Cardiovascular and Thoracic Surgery during the 3-year study period. The student will gain exposure to all facets of the specialty and develop adequate knowledge and skills to treat patients competently upon acquiring the degree.
Theory Syllabus includes:
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Applied Anatomy and Developmental Anatomy of the chest wall, diaphragm; Pleura, Lungs, Mediastinum, Oesophagus, Heart, Pericardium, Great Vessels, and branches; Congenital cardiovascular and thoracic anomalies.
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Applied Physiology: Respiration, Pulmonary function tests, Blood Pressure, Cardiac cycle, Cardiac output, Heart sounds and murmurs, Extracorporeal circulation, Hypothermia, Cardiac metabolism, Acid-base balance, Fluid and electrolyte balance, Oesophageal physiology, Gastro-oesophageal reflux.
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Applied Pathology: Thoracic injuries, Chest wall tumours, Emphysema, Pleural tumours, Pulmonary suppuration, Congenital anomalies of great vessels, Oesophageal conditions (benign strictures, cancer, achalasia, oesophagitis), Diaphragmatic hernia, Cardiac tumours, Pulmonary embolism.
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Applied Bacteriology: Thoracic and pulmonary infections, bacterial and fungal endocarditis, infections during open heart surgery, nosocomial infection/HIV in cardiac and pulmonary disease.
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Clinical examination and management of chest injuries, deformities, pleural infections, pulmonary tuberculosis, lung abscesses, bronchiectasis, lung cysts, mediastinal tumours, and congenital oesophageal anomalies.
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Diseases of the pericardium, myocardium, endocardium, rheumatic heart disease, conduction system diseases, coronary diseases, congenital cyanotic and acyanotic heart diseases, aneurysm of great vessels, detailed treatment knowledge of cardiac, vascular, and thoracic surgery problems.
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Knowledge of extracorporeal circulation, recent advances like ECMO, heart/lung transplant, robotic surgery, genetic engineering in cardiac diseases, minimally invasive and video-assisted thoracic surgery.
Bioethics:
Respect human life, treat patients with compassion and competence, maintain confidentiality, collaborate in medical advances, educate the public, advocate for social change, and mentor future professionals.
| S.No | Photo | Name of the Faculty | Designation | TNMC Registration No. |
|---|---|---|---|---|
| 1 |  |
Dr. P. Amirtharaj, M.S., M.Ch. | Professor & HOD | 64873 |
Clinical Training:
Students receive hands-on training in the parent department and related departments through structured postings:
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Cardiology – 1 month
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Vascular Surgery – 1 month
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Advanced procedure institutions – 1 month
During the 2nd year, students can take special postings at reputed centers to learn advanced techniques without affecting their parent department duties.
Skill Training Requirements:
Surgical skills are developed progressively over 3 years by assisting or performing surgeries under supervision:
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Year 1: Assist in valve replacements, congenital heart surgery, coronary artery bypass grafting, lung resection, decortication, pericardectomy; Perform sternotomy, pleurocentesis, pericardiocentesis, intercostal drainage, thoracotomy, saphenous vein harvesting.
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Year 2: Assist in beating heart CABG, atrial septal defect repair, minimally invasive cardiac surgery, video-assisted thoracic surgery; Perform mitral valve replacement, proximal coronary anastomosis, bronchoscopy, traumatic lung injury repair.
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Year 3: Assist complex congenital heart surgeries, aortic/double valve replacements, Bentall procedure, multiple valve replacements, redo cardiac surgeries, vascular repair; Perform distal coronary anastomosis, lung resection, decortication.
Teaching Methodology:
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Weekly planning sessions with faculty and students
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OP clinics 1-3 days/week
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Ward rounds 3 days/week
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Per-operative teaching 2 days/week
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Classroom lectures thrice weekly
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Weekly video sessions, journal reading, symposiums
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Guest lectures bi-monthly
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Monthly CME programs
Research Work:
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Training in clinical and laboratory research in cardiovascular and thoracic surgery
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Ability to frame research questions, plan studies, collect and evaluate data
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Reporting results in papers and presentations
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Organizing and submitting a research paper at course end
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Mandatory Research Methodology workshop within first 6 months
Log Book:
Students maintain detailed records of training, surgical procedures assisted or performed, reviewed regularly by faculty and department head.
Competency Assessment:
Evaluation based on communication, commitment, innovation, documentation, case presentations, academic achievements – total 50 marks across six periodic assessments, plus a final viva and competency exam worth 100 marks.
Examinations:
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Theory: Four papers covering basic sciences, thoracic and cardiovascular surgery, and recent advances.
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Clinical: Long and short case exams, ward rounds, OSCE stations, viva voce, and log book assessment.
Reference Books & Journals:
Includes standard textbooks and journals like Sabiston, Kirklin, Indian Journal of Thoracic and Cardiovascular Surgery, The Annals of Thoracic Surgery, and others.
DEPARTMENT OF CARDIO VASCULAR THORACIC SURGERY
MADURAI MEDICAL COLLEGE, MADURAI
JOURNALS AND PUBLICATION, RESEARCH DETAILS
|
S. No. |
Name of the Faculty |
Designation |
Title of the Article |
Name of the journal |
Year of publication |
Name of the 1st Author |
Name of the 2nd Author |
Corresponding Author |
|
1 |
Dr. Marvin Manoah Baylis, M.S., M.Ch., |
Professor and HOD |
1. A Study of pneumonectomy patients in tertiary care centre, Tirunelveli |
IJSR |
Oct 2018 |
Dr. Marvin Manoah Baylis |
Dr. Marvin Manoah Baylis |
Dr. E. Kandasamy Alias Kumar |
|
2. An Analytical study of Impacted foreign bodies in thorax |
IJSR |
Oct 2018 |
Dr. Marvin Manoah Baylis |
Dr. Marvin Manoah Baylis |
Dr. E. Kandasamy Alias Kumar |
|||
|
3. Analytical study of complication in chest trauma TVMCH |
IJAR |
Feb 2019 |
Dr. Marvin Manoah Baylis |
Dr. Marvin Manoah Baylis |
Dr. Arul Vijaykumar |
|||
|
4. Factors associated with arterio venous fistula maturation in patients with CKD |
IJSR |
Feb 2019 |
Dr. Marvin Manoah Baylis |
Dr. Marvin Manoah Baylis |
Dr. Arul Vijaykumar |
|||
|
2 |
Dr.P. Amirtharaj, MS., M.Ch., |
Professor |
1.Comparison of Post Operative Analgesic Effects of Ketamine Versus Midazolam with 0.5% Lignocaine for Intravenous Regional Anaesthesia |
IJCAR |
Sep 2018 |
Dr.P. Amirtharaj |
Dr.P. Amirtharaj |
Dr.P. Amirtharaj |
|
2. To Study Retrograde Autologus Priming (Rap) As An Important Blood Conservation Modality And Its Role In Post Operative Outcome - A Study Of 200 Cases In Madras Medical College, Chennai. |
GJRA |
Nov 2018 |
Dr.P. Amirtharaj |
Dr.P. Amirtharaj |
Dr.P. Amirtharaj |
|||
|
3. Outcome After Coronary Artery Bypass Grafting In Coronary Artery Disease With Left Ventricular Systolic Dysfunction |
IJSR |
Oct 2018 |
Dr.P. Amirtharaj |
Dr.P. Amirtharaj |
Dr.P. Amirtharaj |
|||
|
4. Atrioventricular Canal Defects Retrospective Analysis Over The Last Ten Years In Our Institute |
GJRA |
Sep 2018 |
Dr.P. Amirtharaj |
Dr.P. Amirtharaj |
Dr.P. Amirtharaj |
|||
|
3 |
Dr.T. Muthuvijayan, MS., M.Ch., |
Associate Professor |
1.Surgical Outcomes in Native Valve Endocartitis |
GJRA |
Feb 2019 |
Dr.T. Muthuvijayan |
Dr.T. Muthuvijayan |
Dr.N. Jothilingam |
|
2. A Retrospective study of surgically treated primary mediastinal tumours in Adults over a 3 year period |
GJRA |
Feb 2019 |
Dr.T. Muthuvijayan |
Dr.T. Muthuvijayan |
Dr.N. Jothilingam |
|||
|
4 |
Dr.M. Muthukumar, MS., M.Ch., |
Senior Assistant Professor |
Pericardiectomy for Constrictive Pericarditis – A Comprehensive Study Between Total and Subtotal Pericardiectomy by Left Aterolateral Thoracotomy |
LJSS |
July 2017 |
Dr. Josephraj |
Dr.Muthukumar |
Dr.Muthukumar |
|
Comparative Study of Pedicled versus Skeletonized Left Internal Mammary Artery Graft in Coronary Artery Bypass Graft Surgery |
LJSS |
August 2017 |
Dr. Josephraj |
Dr.Muthukumar |
Dr. B. Karthikeyan |
|||
|
5 |
Dr. B. Karthikeyan, MS., M.Ch., |
Assistant Professor |
ANTERIOR MEDIASTINAL MASS - HOW DO WE MANAGE IT - OUR INSTITUTIONAL EXPERIENCE- CASE SERIES |
JAMP |
27.02 2023 |
Dr. B. Karthikeyan |
Dr. K. J. Vignesvaran |
Dr. B. Rajesh Kumar |
|
OUR INSTITUTIONAL EXPERIENCE IN THE MANAGEMENT OF TRACHEAL STENOSIS – CASE SERIES |
JAMP |
27.02 2023 |
Dr. K. J. Vignesvaran |
Dr. B. Karthikeyan, |
Dr. A. Senthilkumar |
|||
|
A Novel Calculation of Priming Volume and Required Packed Cell Transfusion to Maintain Optimal Haematocrit During Cardiopulmonary Bypass |
IJCMR |
May 2019 |
Dr. B. Karthikeyan, |
Dr.R.Vijay Anand |
Dr. Meenakshi Sundaram |
|||
|
Prosthesis mismatch in Mitral Valve replacement with TTK-CHITRA valves A retrospective study |
IACTSCON |
Jan 2018 |
Dr. B. Karthikeyan, |
Dr. B. Karthikeyan, |
Dr. B. Karthikeyan, |
|||
|
The Beneficial effects of Oxygen Blender During Cardiopulmonary Bypass in reducing Lactate levels in patients undergoing Open heart surgery |
PJMS |
April 2024 |
Dr. B. Karthikeyan |
Dr. B. Karthikeyan, |
Dr. B. Karthikeyan |
|||
|
A Comparative study on tricuspid valve repair using De Vega’s annuloplasty technique and modified De Vega’s technique using polytetrafluoroethylene band |
ISJ |
June 2022 |
Dr. B. Karthikeyan |
Dr. Anbukumar Palanisamy |
Dr.T. Muthuvijayan |
|||
|
Effects of Cardiopulmonary Bypass on Thyroid function and need of prophylactic Low-Dose Thyroxine for post operative cardiac surgery patient |
IJSS |
April 2020 |
Dr. K. J. Vignesvaran |
Dr. B. Karthikeyan, |
Dr. P. Rani |
|||
|
6. |
Dr.N.Nikhilan, MS., M.Ch., |
Assistant Professor |
A COMPARATIVE STUDY OF THE IMMEDIATE SHORT TERM POSTOPERATIVE OUTCOME OF PATIENTS WITH HIGH SYNTAX SCORE, UNDERGOING CABG USING ARTERIAL VERSUS VENOUS CONDUIT TO LAD |
JAMP TNMGR University E-Journal |
2025 |
Dr.N.Nikhilan |
Dr. B. Karthikeyan |
Dr.T. Muthuvijayan |
|
Research Project |
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|
Sl.No |
Name of the Research Project |
Name of the Supporting National Research Body like ICMR/DST/DBT |
Research Investigator Status |
|||||
|
Principal Investigator (PI) |
Co -Principal Investigator (CoPI) |
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|
1 |
CardioWatch-India: Safeguarding Young Hearts Through Early Multi-Biomarker Precision Diagnostics for Myocardial Infarction and Cardiovascular Disease |
ICMR |
Dr. MARVIN MANOAH BAYLIS M.s., M.ch., |
Dr. B. KARTHIKEYAN M.s., M.ch., |
||||
CME Programme
The Department of Cardio Thoracic Surgery conducts Continuing Medical Education (CME) programmes to update medical professionals and students on recent advancements in cardiac surgery and patient care.
ECMO CME Programme:
Click here to view the CME Programme PDF
UNIVERSITY RANK HOLDER:
THE TAMIL NADU Dr. M.G.R MEDICAL UNIVERSITY, CHENNAI - 600032
D.M. / M.Ch. SUPER SPECIALITY DEGREE COURSES
TOPPER LIST FOR (A.Y.2021 – 2022 BATCH CANDIDATES)
EXAMINATION FEBRUARY 2025 SESSION
|
SL.NO. |
NAME OF THE CANDIDATES & REGISTER NO. |
NAME OF THE COLLEGE |
BRANCH |
|
1. |
Dr. V. Nikhilan (Reg.No. 185121101502) |
Madurai Medical College, Madurai |
M.Ch. Cardio Vascular & Thoracic Surgery |
THE TAMIL NADU Dr. M.G.R MEDICAL UNIVERSITY, CHENNAI - 600032
D.M. / M.Ch. SUPER SPECIALITY DEGREE COURSES
TOPPER LIST FOR (A.Y.2022 – 2023 BATCH CANDIDATES)
EXAMINATION JANUARY 2026 SESSION
|
SL.NO. |
NAME OF THE CANDIDATES |
NAME OF THE COLLEGE |
BRANCH |
|
1. |
Dr.P.Bharath
|
Madurai Medical College, Madurai |
M.Ch. Cardio Vascular & Thoracic Surgery |
Dissertation Topics of PGs Current
|
S.No. |
Name of the Post Graduate |
Dissertation Topics of PGs Current |
|
1. |
Dr.P.Isakki Rajan |
A prospective study to assess the effectiveness of PML preservation in mitral valve replacement |
|
Madurai ICD removal scoring system - a systemic and scientific system for ICD removal. |
||
|
2. |
Dr.R.Balavignesh |
Early Postoperative Complications in Single Versus Multi-Graft CABG - A Comparative Studey |
|
3. |
Dr.V.Senthil Raja |
Spectrum of coronary artery anamolies in adult- A case series |
|
Prevalence risk Factors and Patterns of Readmission After Cardiac Surgery |
||
|
4. |
Dr.S.Amrit Kumar |
Tissue Perfusion and Myocardial Protection After On Pump Cardiac Surgery |
|
Central venous to arterial carbon dioxide difference as prognostic tool: post off pump CABG ( ongoing ) |
||
|
Intubation’s aftermath: Tracheal stenosis requiring tracheal resection and anastomosis - A case series |
7. Other Research Activates by the Faculty:
|
S.No. |
Name of the Fcaulty |
Topic of ICMR Project |
|
1. |
Dr.B.Karthikeyan, M.S., M.Ch., Assistant Professor of CVTS
|
CardioWatch-India: Safeguarding Young Hearts Through Early Multi-Biomarker Precision Diagnostics for Myocardial Infarction and Cardiovascular Disease |
|
S.No. |
Former HOD’s Name |
Period |
Photo |
|
1. |
Prof.Dr.V.SRINIVASAN, MS.,M.Ch., |
1965 to 1970 |
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2. |
Prof.Dr.B.GOWRISANKAR, MS.,M.Ch., |
1970 to 1974 |
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3. |
Prof.Dr.P.ANDAPPAN, MS.,M.Ch., |
1974 to 1979 & 1980 to 1988 & 1991 to 1995 & 1996 to 1998 |
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4. |
Prof.Dr.S.RAJARAM, MS.,M.Ch., |
1979 to 1980 |
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5. |
Prof.Dr.S.RAJENDRAN, MS.,M.Ch., |
1988 to 1991 & 1995 to 1996 |
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6. |
Prof.Dr.J.REVI KAMALASEKAR, MS.,M.Ch., |
02/1998 to 12/1998 |
|
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7. |
Prof.Dr.C.SUBRAMANIAN, MS.,M.Ch., |
1998 to 2011 |
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8. |
Prof.Dr.MANOHARAN, MS.,M.Ch., |
2001 to 2002 |
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9. |
Prof.Dr.MUTHURANGAN, MS.,M.Ch., |
2002 to 2004 |
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10. |
Prof.Dr.R.SELVARAJ, MS.,M.Ch., |
2007 to 2010 |
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11 |
Prof.Dr.R.RAGHUNATHAN, MS.,M.Ch., |
2011 to 2014 |
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12. |
Prof.Dr.N.BALANAYAGAM, MS.,M.Ch., FICS., FAIS., FAES., FIACTS., |
2011 to 2015 |
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13. |
Prof.Dr.G.JOSEPHRAJ, MS.,M.Ch., |
2015 to 2015 |
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14. |
Prof. Dr.A.Rathinavel, MS.,M.Ch.,Ph.D |
2015 to 2019 |
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15. |
Dr.Marvin Manoah Basylis, MS.,M.Ch., |
2019 to 2025 |
|
Click to view PDF –> Courses – Cardio Thoracic Surgery
|
S.No. |
Year |
Name of the Post Graduates
|
|
1. |
2001-2002 |
1. Dr.A. Rathinavel 2. Dr.R. Benedict Raj |
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2. |
2002-2003 |
1. Dr.S. Suresh Kumar 2. Dr.N. Balanayagam
|
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3. |
2003-2004 |
1. Dr. Siva.Muthukumar 2. Dr.K. Dhamodaran
|
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4. |
2004-2005 |
1. Dr. Marvin Manoah Baylis 2. Dr.G. Joseph Raj
|
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5. |
2005-2006 |
1. Dr.E. Seenivasan 2. Dr.P. Amirtharaj
|
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6. |
2006-2007 |
1. Dr.Titus 2. Dr.S. Ashiq Nihmathullah
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7. |
2007-2008 |
1. Dr. Riaz |
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8. |
2008-2009 |
1. Dr.N. Job |
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9. |
2009-2010 |
1. Dr. Dinesh 2. Dr.A. Kumaravel
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10. |
2010-2011 |
1.Dr.R. Vijay Anand 2.Dr.T. Muthuvijayan
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11. |
2011-2012 |
1.Dr.S.P. Ramanathan 2.Dr. Muthukumar
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12. |
2012-2013 |
1.Dr.P. Rani
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13. |
2013-2014 |
1.Dr.K. Joseph Sahayaraj
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14. |
2014-2015 |
1. Dr. V.T. Siddharth 2. Dr. P. Senthil
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15. |
2016-2017 |
1.Dr.B. Karthikeyan 2.Dr.S. Naveen |
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16. |
2017-2018 |
1.Dr.K.J.Vignesvaran
|
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17. |
2018- 2019 |
1.Dr.A.S.Mughilan |
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18. |
2019-2020 |
1.Dr.P.Anbukumar |
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19. |
2021-2022 |
1.Dr.V.Nikhilan 2.Dr.Joshinth Joseph 3.Dr.P.Niveetha 4.Dr.S.V. Srinath Sarma |
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20. |
2022-2023 |
1.Dr.P.Bharath |
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21. |
2023-2024 |
1.Dr.V.Senthil Raja 2.Dr.P.Isakki Rajan 3.Dr.S.Amrit kumar 4.Dr.R.Balavignesh |
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22. |
2024-2025 |
1. Dr.S.Iniya 2. Dr.R.Vikram |