By Claire Bates
The patient stares out at the camera, his fragile heart exposed during life-saving surgery.
The astonishing picture of Swaroup Anand shows just how far open-heart surgery has come in the last decade.
The 23-year-old went under the knife in Bangalore at Wockhardt Hospital while he was still very much awake.
Doctors chose to numb his body with an epidural to the neck rather than send him to sleep with general anaesthesia.
Lead surgeon Dr Vivek Jawali, said they had performed more than 600 operations this way since 1999.
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