Ralph James Damiano, Jr., M.D.

Cardiothoracic Surgery
John M. Shoenberg Professor, Surgery
Chief of Cardiac Surgery


Board Certification:
Surgery--Certified
Thoracic Surgery--Certified

Areas of Specialty and Clinical Interest:
Dr. Damiano specializes in coronary artery bypass graft (CABG), valve repair and replacement, surgery for atrial fibrillation, and hypertrophic cardiomyopathy and minimally invasive cardiac surgery.

Other areas of clinical interest include endoscopic coronary artery bypass grafting; surgery for ventricular tachycardia; and transmyocardial laser revascularization (TMR).

Medical School:
Duke University School of Medicine, Durham, North Carolina, 1980

Postdoctoral Education:
Residency: Surgery, Duke University Medical Center, Durham, North Carolina, 1982

Research Fellow: Duke University Medical Center, Durham, North Carolina, 1984

Senior Residency: Surgery, Duke University Medical Center, Durham, North Carolina, 1988

Patients Seen At:
Center for Advanced Medicine
Heart and Vascular Center
4921 Parkview Place, Suite A, Floor 8
St. Louis, MO 63110
(314) 362-7327
Fax: (314) 747-0917

Patient Appointments:
(314) 362-7260 or 1-888-800-9484

Research Interest:
Surgical treatment of arrhythmias
Pathophysiology of surgical ischemia
Hyperpolarizing cardioplegia
Cell volume regulation during cardioplegia
Transplant preservation (donor heart)
Surgical robotics
Minimally invasive cardiac surgery

Funding:
NIH RO1
U.S. Surgical Corporation
Computer Motion
Boston Scientific Corporation
AFX, Inc.
Medtronic
NIH NRSA
NIH R44

Awards/Honors:
2006, Clinical Teacher of the Year Award.

2007, Listed in Best Doctors in America, (Best Doctors, Inc.)

2007, Listed in America's Top Doctors, seventh edition, Castle Connolly Medical Ltd.

American College of Surgeons Faculty Fellowship Award

ComputerWorld Smithsonian Award

Selected or Recent Publications:
Lall SC, Melby SJ, Voeller RK, Zierer A, Bailey MS, Guthrie TJ, Moon MR, Moazami N, Lawton JS, Damiano RJ Jr. The impact of ablation technology on surgical outcomes following the Cox-Maze procedure: A propensity study. Journal of Thoracic and Cardiovascular Surgery. 2007;133:389-396.

Melby SJ, Gaynor SL, Lubahn JG, Lee AM, Rahgozar P, Caruthers SD, Williams TA, Schuessler RB, Damiano RJ Jr. Efficacy and safety of right and left atrial ablations on the beating heart using irrigated bipolar radiofrequency energy: A chronic animal study. Journal of Thoracic and Cardiovascular Surgery. 2006;132:853-860.

Melby SJ, Zierer A, Voeller RK, Lall S, Bailey MS, Moon MR, Huddleston CB, Crabtree TD, Damiano RJ Jr. A new era in the surgical treatment of atrial fibrillation: The impact of ablation technology and lesion set on procedural efficacy. Annals of Surgery. 2006;244:583-592.

Moon MR, Pasque MK, Munfakh NA, Melby SJ, Lawton JS, Moazami N, Codd JE, Crabtree TD, Barner HB, Damiano RJ Jr. Prosthesis-patient mismatch following aortic valve replacement: Impact of age and body size on late survival. Annals of Thoracic Surgery. 2006;81:481-489.

Gaynor SL, Byrd GD, Diodato MD, Ishii Y, Lee AM, Prasad SM, Gopal J, Schuessler RB, Damiano RJ Jr. Microwave ablation for atrial fibrillation: Dose response curves in the cardioplegia-arrested and beating heart. Annals of Thoracic Surgery. 2006;81:72-77.

Diodato MD, Shah NR, Prasad SM, Racen EL, Mizutani S, Lawton JS, Damiano RJ Jr. Progress towards a more physiologic approach to donor heart preservation: The advantages of hyperpolarized arrest. Journal of Heart and Lung Transplantation. 2005;24(9):1362-1368.

Byrd GD, Prasad SM, Ripplinger CM, Cassilly TR, Schuessler RB, Boineau JP, Damiano RJ Jr. Importance of geometry and refractory period in sustaining atrial fibrillation. Circulation. 2005;112(suppl I):I-7-I-13.

Kreisel D, Bailey M, Lindsay BD, Damiano RJ Jr. A minimally invasive surgical treatment for inappropriate sinus tachycardia. Journal of Thoracic and Cardiovascular Surgery. 2005;130:598-599.

Ishii Y, Schuessler RB, Gaynor SL, Yamada K, Fu AS, Boineau JP, Damiano RJ Jr. Inflammation of the atrium following cardiac surgery is associated with inhomogeneity of atrial conduction and atrial fibrillation. Circulation. 2005;111:2881-2888.

Maniar HS, Prasad SM, Prasad SM, Chu CM, Damiano RJ Jr. Comparison of skill training with robotic systems and traditional endoscopy: Implications on training and adoption. Journal of Surgical Research. 2005;125:23-29.

Gaynor SL, Schuessler RB, Bailey MS, Ishii Y, Boineau JP, Gleva MJ, Cox JL, Damiano RJ Jr. Surgical treatment of atrial fibrillation: Predictors of late recurrence. Journal of Thoracic and Cardiovascular Surgery. 2005;129:104-111.

Prasad SM, Prasad SM, Maniar HS, Chu C, Schuessler RB, Damiano RJ Jr. Surgical robotics: Impact of motion scaling on task performance. Journal of the American College of Surgeons. 2004;199:863-868.

Ishii Y, Gleva MJ, Gamache MC, Schuessler RB, Boineau JP, Bailey MS, Damiano RJ Jr. Atrial tachyarrhythmias following the Maze procedure: Incidence and prognosis. Circulation. 2004;110(suppl II):II-164-II-16.

Diodato MD, Moon MR, Pasque MK, Barner HB, Moazami N, Lawton JS, Bailey MS, Guthrie TJ, Meyers BF, Damiano RJ Jr. Repair of ischemic mitral regurgitation does not increase mortality in patients undergoing coronary artery revascularization: A propensity analysis. Annals of Thoracic Surgery. 2004;78:794-799.

Mokadam NA, Gaynor SL, McCarthy PM, Gillnov AM, Ryan WH, Moon MR, Mack MJ, Prasad SM, Wickline SA, Bailey MS, Barnett KM, Damiano NR, Ishii Y, Schuessler RB, Damiano RJ Jr. A prospective multi-center trial of bipolar radiofrequency ablation for atrial fibrillation: Early results. Annals of Thoracic Surgery. 2004;78:1665-1670.

Pub Med page for Ralph James Damiano, Jr., M.D.

Selected or Recent Chapters:
Melby SJ, Lee AM, Damiano RJ Jr. Advances in Surgical Ablation Devices for Atrial Fibrillation. In: Naccarelli GV, Rosen MR, Estes III, NAM et al. (eds.).New Arrhythmia Technologies. Malden, Massachusetts: Blackwell Publishing; 2005:233-241.

Mokadam NA, Moazami N, Damiano RJ. “Cardiac Surgery.” In: Klingensmith, et al. (eds.). The Washington University Manual of Surgery. 4th edition. Philadelphia: Lippincott, Williams & Wilkins; 2005:579-600.

Diodato MD Jr, Prasad SM, Klingensmith ME, Damiano RJ Jr. Robotics in Surgery. Current Problems in Surgery. 2004;41:752-810.

Damiano RJ Jr, Maniar HS. An Overview of the Computer Motion System. In: Cox JL (ed.). Operative Techniques in Thoracic and Cardiovascular Surgery. A Comparative Atlas. Philadelphia: WB Saunders Company;2001.

Damiano RJ Jr. Beating Heart Coronary Artery Surgery. Salerno, et al. Book Review. J Interven Cardiol. 2001;14(4):487-488.

Damiano RJ Jr, Reichenspurner H, Ducko CT. Endoscopic Robotically-assisted Coronary Artery Bypass Grafting: Present State-of-the-Art and Future Directives. Advances in Cardiac Surgery. 2000;12:37-57.

Damiano RJ, Jr. Minimal Access Cardiothoracic Surgery (Book Review). Annals of Thoracic Surgery. 2000;69:1611.

Ducko CT, Stephenson ER, Sankholkar S, Damiano RJ Jr. Computer-assisted endoscopic coronary artery bypass grafting: The Penn State experience. Surgical Technology International 1999;8:195-200.

Damiano RJ Jr. Minimally Invasive Cardiac Surgery. Cohen RG, Mack MJ, Forger JD, Landereneau RJ (eds.). (Book Review) J Laparoendoscopic and Adv Surgical Techniques. 1999;9:365.

Yim AP, Hazler SR, Izzat MB, Landreneu RJ, Mack MJ, Naunhen KS. Future Technologies for Surgical Application in Minimal Access Cardiac Surgery. Philadelphia: WB Saunders (in press)

Ducko CT, Kuenzler R, Bholat OT, Murray WB, Haluck R, Damiano RJ Jr. The benefits of a three-dimensional video system in robotically-assisted endoscopic surgery. J. Laparoendoscopic and Adv Surgical Techniques. (submitted)

Editorial Positions:
Editorial Board
Journal of Cardiovascular Surgery
Journal of Thoracic and Cardiovascular Surgery
Journal of Laparoendoscopic and Advanced Surgical Techniques

Associate Editor
Journal of Thoracic & Cardiovascular Surgery

Editorial Review Group Chair
Cardiothoracic Surgery, Doody Publishing

Academic Office:
Barnes - Jewish Hospital
Queeny Tower Suite 3108
One Barnes-Jewish Hospital Plaza
St. Louis, MO 63110
(314) 362-7327

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