Evarts Graham Professor of Surgery, Chief of Cardiothoracic Surgery Washington University St Louis

Thoracic Surgery

Ralph Damiano works in the field of Thoracic Surgery. He went to Duke University School of Medicine. Duke University School of Medicine is a one of the best medicals schools. Duke University School of Medicine has a rank of 8 in research and a 29 in primary care He received 5 awards: "CMS Meaningful Use Stage 1 Certification", "Fellow (FACC)", "Fellow (FACS)", "Whos Who in Medicine and Healthcare" and "Top MD". Ralph J. Damiano Jr., MD is a published doctor. He has 98 papers published. The most current publication "A Simple Porcine Model of Inducible Sustained Atrial Fibrillation." He accepts Medicare payments and is listed with Medicare.gov.

Publications

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• Delirium after surgical and transcatheter Aortic valve replacement is associated with increased mortality.
• A Simple Porcine Model of Inducible Sustained Atrial Fibrillation.
• Preoperative pulmonary function tests predict mortality after surgical or transcatheter Aortic valve replacement.
• Late outcomes after the Cox maze IV procedure for Atrial fibrillation.
• 50th Anniversary Landmark Commentary on Cox JL, Boineau JP, Schuessler RB, Kater KM, Lappas DG. Five-Year Experience With the Maze Procedure for Atrial Fibrillation. A...
• Detection of Atrial Fibrillation After Surgical Ablation: Conventional Versus Continuous Monitoring.
• Concomitant Cox-Maze IV techniques during mitral Valve surgery.
• Systemic inflammatory response Syndrome after transcatheter or surgical aortic valve replacement.
• Surgical ablation for Atrial fibrillation: techniques, indications, and results.
• Left Main Disease Progression Following Left Branch Vessel Percutaneous Intervention in Patients Who Are Referred for Coronary Artery Bypass Grafting.
• Successful repair of Benign left atriogastric fistula after transhiatal esophagectomy.
• A minimally invasive Cox maze IV procedure is as effective as sternotomy while decreasing major morbidity and hospital stay.
• Innovations Announces a New Affiliation.
• Epicardial ablation performance of a novel radiofrequency device on the beating Heart in pigs.
• Quantification of the functional consequences of Atrial fibrillation and surgical ablation on the left atrium using cardiac magnetic resonance imaging.
• Concomitant tricuspid Valve surgery during implantation of continuous-flow left ventricular assist devices: A Society of Thoracic Surgeons database analysis.
• How I do it: minimally invasive Cox-Maze IV procedure.
• Illustrated techniques for performing the Cox-Maze IV procedure through a right mini-thoracotomy.
• Comparison of the stand-alone Cox-Maze IV procedure to the concomitant Cox-Maze IV and mitral Valve procedure for atrial fibrillation.
• Prospective evaluation of patients readmitted after cardiac surgery: Analysis of outcomes and identification of risk factors.
• The CURE-AF trial: A prospective, multicenter trial of irrigated radiofrequency ablation for the treatment of persistent Atrial fibrillation during concomitant cardiac...
• Importance of Atrial surface area and refractory period in sustaining Atrial fibrillation: Testing the critical mass hypothesis.
• The Impact of Previous Catheter-Based Ablation on the Efficacy of the Cox-Maze IV Procedure.
• Incremental risk of the Cox-maze IV procedure for patients with atrial fibrillation undergoing mitral Valve surgery.
• The impact of CHADS(2) score on late stroke after the Cox maze procedure.
• Predictors and Risk of Pacemaker Implantation After the Cox-Maze IV Procedure.
• Importance of blood pressure control after repair of acute type a aortic Dissection: 25-year follow-up in 252 patients.
• Evaluation of a Novel Cryoablation System: In vitro Testing of Heat Capacity and Freezing Temperatures.
• Evaluation of a Novel Cryoablation System: In vivo Testing in a Chronic Porcine Model.
• The Cox-Maze Procedure for Lone Atrial Fibrillation: A Single Center Experience over Two Decades.
• "The Effects of Inflammation on Heart Rate and Rhythm in a Canine Model of Cardiac Surgery"
• Exclusion of the left Atrial appendage with a novel device: Early results of a multicenter trial.
• Impact of pulmonary hypertension on outcomes after Aortic valve replacement for Aortic valve stenosis.
• The Cox-maze IV procedure for lone Atrial fibrillation: a single center experience in 100 consecutive patients.
• The persistent problem of new-onset postoperative Atrial fibrillation: a single-institution experience over two decades.
• The Cox maze IV procedure: predictors of late recurrence.
• Absence of deterioration of vascular function of the donor limb at late follow-up after radial Artery harvesting.
• Noninvasive characterization of epicardial activation in humans with diverse Atrial fibrillation patterns.
• A Minimally Invasive Cox-Maze Procedure: Operative Technique and Results.
• Efficacy of a novel bipolar radiofrequency ablation device on the beating Heart for atrial fibrillation ablation: a long-term porcine study.
• Vagal denervation and reinnervation after ablation of ganglionated plexi.
• Animal studies of epicardial Atrial ablation.
• Surgery for Lone Atrial Fibrillation: Present State-of-the-Art.
• Evaluation of revascularization subtypes in octogenarians undergoing Coronary artery bypass grafting.
• The surgical treatment of Atrial fibrillation.
• Early stenosis of Medtronic Mosaic porcine valves in the Aortic position.
• POINT: Prosthesis-patient mismatch does not affect survival for patients greater than 70 years of age undergoing bioprosthetic Aortic valve replacement.
• Outcomes of tricuspid Valve repair and replacement: a propensity analysis.
• Surgical ablation for atrial fibrillation: the efficacy of a novel bipolar pen device in the cardioplegically arrested and beating Heart.
• The effects of the Cox maze procedure on Atrial function.
• What is the best way to surgically eliminate the left Atrial appendage?
• Atrial fibrillation propagates through gaps in ablation lines: implications for ablative treatment of Atrial fibrillation.
• A novel bioengineered small-caliber vascular graft incorporating heparin and sirolimus: excellent 6-month patency.
• Mortality associated with bloodstream infection after Coronary artery bypass surgery.
• NORMAL QUALITY OF LIFE AFTER THE COX MAZE PROCEDURE FOR Atrial FIBRILLATION.
• Pulmonary vein isolation and the Cox maze procedure only partially denervate the atrium.
• Isolating the entire posterior left atrium improves surgical outcomes after the Cox maze procedure.
• Curing Atrial fibrillation: Two decades of progress.
• Mechanisms of human Atrial fibrillation: Lessons learned from 20 years of Atrial fibrillation surgery.
• Noninvasive electrocardiographic imaging (ECGI) of scar-related atypical Atrial flutter.
• Surgery for Atrial fibrillation: current state-of-the-art.
• Surgical ablation devices for Atrial fibrillation.
• BiAtrial lesion sets.
• Patient-specific surgical strategy for Atrial fibrillation: promises and challenges.
• Robotics in cardiac surgery: the Emperor's new clothes.
• Successful management of unremitting spasm of the nongrafted right Coronary artery after off-pump Coronary artery bypass grafting.
• The effect of ablation technology on surgical outcomes after the Cox-maze procedure: a propensity analysis.
• Surgical treatment of Atrial fibrillation: a look into the future.
• Laser assistance for extraction of chronically implanted endocardial leads: infectious versus noninfectious indications.
• Spatial and temporal stability of the dominant frequency of activation in human Atrial fibrillation.
• A new era in the surgical treatment of Atrial fibrillation: the impact of ablation technology and lesion set on procedural efficacy.
• Efficacy and safety of right and left atrial ablations on the beating Heart with irrigated bipolar radiofrequency energy: a long-term animal study.
• Surgical and minimally invasive ablation for Atrial fibrillation.
• Management of Arterial injuries caused by laser extraction of indwelling venous pacemaker and defibrillator leads.
• Epicardial microwave ablation on the beating Heart for atrial fibrillation: the dependency of lesion depth on cardiac output.
• Morbidity and mortality of cardiac surgery following renal transplantation.
• Deterioration and mortality among patients with United Network for Organ Sharing status 2 Heart disease: caution must be exercised in diverting organs.
• Outcome of Lung transplantation for patients requiring concomitant cardiac surgery.
• Progress towards a more physiologic approach to donor Heart preservation: the advantages of hyperpolarized arrest.
• Importance of geometry and refractory period in sustaining Atrial fibrillation: testing the critical mass hypothesis.
• Myocyte volume and function in response to osmotic stress: observations in the presence of an adenosine triphosphate-sensitive potassium channel opener.
• A minimally invasive surgical treatment for inappropriate sinus tachycardia.
• Bartonella species-induced prosthetic Valve endocarditis associated with rapid progression of valvular stenosis.
• Inflammation of atrium after cardiac surgery is associated with inhomogeneity of Atrial conduction and Atrial fibrillation.
• Comparison of skill training with robotic systems and traditional endoscopy: implications on training and adoption.
• Surgical treatment of Atrial fibrillation: predictors of late recurrence.
• Dose response curves for microwave ablation in the cardioplegia-arrested porcine Heart.
• Strategies for temporary mechanical support: contemporary experience with pulsatile and non-pulsatile support systems.
• Mechanical support for isolated right ventricular Failure in patients after cardiotomy.
• Surgical robotics: impact of motion scaling on task performance.
• Failure of medical therapy for pulmonary "thromboembolic" Disease: beware the unsuspected primary sarcoma of the pulmonary artery.
• A prospective, single-center clinical trial of a modified Cox maze procedure with bipolar radiofrequency ablation.
• Atrial tachyArrhythmias after the maze procedure: incidence and prognosis.
• Robotics in surgery.
• Does functional mitral regurgitation improve with isolated Aortic valve replacement?
• Long-term neurologic hand complications after radial Artery harvesting using conventional cold and harmonic scalpel techniques.
• Donor Heart preservation with pinacidil: the role of the mitochondrial K ATP channel.

Schools

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• Duke University

Procedures Preformed

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• Ablation for Treatment of Cardiac Arrhythmias
• Aortic Repair, Open or Repair of Arterial Aneurysm, Open
• Cardiac Catheterization (incl. Coronary Angiography)
• Cardiac MRI (Magnetic Resonance Imaging) of Heart or Chest
• View All

Conditions Treated

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• Aneurysm and Dissection of Heart
• Angina and Acute Coronary Syndrome
• Aortic Aneurysm
• Aortic Dissection
• View All

Doctors Specialties

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• Cardiac Surgery
• Thoracic Surgery

Accepted Insurances

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Awards

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• CMS Meaningful Use Stage 1 Certification
• Fellow (FACC)
• Fellow (FACS)
• Whos Who in Medicine and Healthcare
• Top MD

Education

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• Duke University Hospital
• Duke University School of Medicine

Hospital

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• Barnes-Jewish Hospital

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