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Ralph James Damiano, Jr., MD

Evarts A. Graham Professor, Surgery
Chief, Division of Cardiothoracic Surgery

Specialty Areas

Cardiac Surgery
Cardiothoracic Surgery
Minimally Invasive Cardiac Surgery
Arrhythmia Surgery
Coronary Artery ByPass Graft (CABG)
Off Pump Cardiac Surgery
Robotic-Assisted Cardiac Surgery

Board Certifications

Surgery
Thoracic Surgery

Hospital Affiliations

Barnes-Jewish Hospital

Areas of Clinical Interest

Cardiac surgery, arrthymia surgery, endoscopic coronary artery bypass grafting, beating heart surgery, coronary artery revascularization, valve repair and replacement, arrhythmia surgery, minimally invasive cardiac surgery, myocardial preservation, surgical electrophysiology, transmyocardial laser revascularization, TMR, HCM, hypertrophic cardiomyopathy with obstruction

  • Maps & Directions
  • Education
  • Publication & Research
  • Videos

Maps & Directions

Maps & Directions

Center for Advanced Medicine
Heart & Vascular Center

4921 Parkview Place
St. Louis, MO 63110

Suite: A
Floor: 8
Office Phone: 314-362-7327
Fax: 314-747-0917

Education

Education

Senior Residency: Surgery, Duke University Medical Center, Durham, North Carolina 1988
Research Fellow: Duke University Medical Center, Durham, North Carolina 1984
Residency: Surgery, Duke University Medical Center, Durham, North Carolina 1982
Medical Degree: Duke University School of Medicine, Durham, North Carolina 1980
B.A.: Dartmouth College, Hanover, New Hampshire 1976

Publication & Research

Publication & Research

Evaluation of a Novel Cryoprobe for Atrial Ablation in a Chronic Ovine Model.
Schill MR, Melby SJ, Speltz M, Breitbach M, Schuessler RB, Damiano RJ Jr
Ann Thorac Surg. 2017 Sep; 104(3)1069-1073. doi: 10.1016/j.athoracsur.2017.02.041.

PMID:
    28838486
    [PubMed - indexed for MEDLINE]
Related citations


Surgical Ablation of Atrial Fibrillation in the United States: Trends and Propensity Matched Outcomes.
Badhwar V, Rankin JS, Ad N, Grau-Sepulveda M, Damiano RJ, Gillinov AM, McCarthy PM, Thourani VH, Suri RM, Jacobs JP, Cox JL
Ann Thorac Surg. 2017 Aug; 104(2)493-500. doi: 10.1016/j.athoracsur.2017.05.016.

PMID:
    28669501
    [PubMed - indexed for MEDLINE]
Related citations


The Cox-Maze IV procedure for atrial fibrillation is equally efficacious in patients with rheumatic and degenerative mitral valve disease.
Labin JE, Haque N, Sinn LA, Schuessler RB, Moon MR, Maniar HS, Melby SJ, Damiano RJ Jr
J Thorac Cardiovasc Surg. 2017 Sep; 154(3)835-844. doi: 10.1016/j.jtcvs.2017.03.152.

PMID:
    28583297
    [PubMed - in process]
Related citations


A Minimally Invasive Stand-alone Cox-Maze Procedure Is as Effective as Median Sternotomy Approach.
Schill MR, Sinn LA, Greenberg JW, Henn MC, Lancaster TS, Schuessler RB, Maniar HS, Damiano RJ Jr
Innovations (Phila). 2017 May/Jun; 12(3)186-191. doi: 10.1097/IMI.0000000000000374.

PMID:
    28549027
    [PubMed - in process]
Related citations


Association between hemodynamic modifications and clinical outcome of intracranial aneurysms treated using flow diverters.
Paliwal N, Damiano RJ, Davies JM, Siddiqui AH, Meng H
Proc SPIE Int Soc Opt Eng. 2017 Feb 11; 10135pii: 101352F. doi: 10.1117/12.2254584.

PMID:
    28515570
    [PubMed]
Related citations


Expert consensus guidelines: Examining surgical ablation for atrial fibrillation.
Ad N, Damiano RJ Jr, Badhwar V, Calkins H, La Meir M, Nitta T, Doll N, Holmes SD, Weinstein AA, Gillinov M
J Thorac Cardiovasc Surg. 2017 Jun; 153(6)1330-1354.e1. doi: 10.1016/j.jtcvs.2017.02.027.

PMID:
    28390766
    [PubMed - in process]
Related citations


Postoperative atrial fibrillation: The role of the inflammatory response.
Ishii Y, Schuessler RB, Gaynor SL, Hames K, Damiano RJ Jr
J Thorac Cardiovasc Surg. 2017 Jun; 153(6)1357-1365. doi: 10.1016/j.jtcvs.2016.12.051.

PMID:
    28274566
    [PubMed - in process]
Related citations


Late results of the Cox-maze IV procedure in patients undergoing coronary artery bypass grafting.
Schill MR, Musharbash FN, Hansalia V, Greenberg JW, Melby SJ, Maniar HS, Sinn LA, Schuessler RB, Moon MR, Damiano RJ Jr
J Thorac Cardiovasc Surg. 2017 May; 153(5)1087-1094. doi: 10.1016/j.jtcvs.2016.12.034.

PMID:
    28187972
    [PubMed - in process]
Related citations


Compacting a Single Flow Diverter versus Overlapping Flow Diverters for Intracranial Aneurysms: A Computational Study.
Damiano RJ, Tutino VM, Paliwal N, Ma D, Davies JM, Siddiqui AH, Meng H
AJNR Am J Neuroradiol. 2017 Mar; 38(3)603-610. doi: 10.3174/ajnr.A5062.

PMID:
    28057633
    [PubMed - in process]
Related citations


The Society of Thoracic Surgeons 2017 Clinical Practice Guidelines for the Surgical Treatment of Atrial Fibrillation.
Badhwar V, Rankin JS, Damiano RJ Jr, Gillinov AM, Bakaeen FG, Edgerton JR, Philpott JM, McCarthy PM, Bolling SF, Roberts HG, Thourani VH, Suri RM, Shemin RJ, Firestone S, Ad N
Ann Thorac Surg. 2017 Jan; 103(1)329-341. doi: 10.1016/j.athoracsur.2016.10.076.

PMID:
    28007240
    [PubMed - indexed for MEDLINE]
Related citations


Strategies to Improve the Efficacy of Epicardial Linear Ablation on the Beating Heart.
Watanabe Y, Schill MR, Kazui T, Melby SJ, Schuessler RB, Damiano RJ Jr
Innovations (Phila). 2016 Nov/Dec; 11(6)414-419.

PMID:
    27930603
    [PubMed - indexed for MEDLINE]
Related citations


2015 Best Manuscript Awards.
Damiano RJ Jr
Innovations (Phila). 2016 Nov/Dec; 11(6)383-385.

PMID:
    27922991
    [PubMed]
Related citations


Learning Alternative Access Approaches for Transcatheter Aortic Valve Replacement: Implications for New Transcatheter Aortic Valve Replacement Centers.
Henn MC, Percival T, Zajarias A, Melby SJ, Lindman BR, Quader N, Damiano RJ Jr, Moon MR, Lasala JM, Rao RS, Bell J, Damiano MS, Maniar HS
Ann Thorac Surg. 2017 May; 103(5)1399-1405. doi: 10.1016/j.athoracsur.2016.08.068.

PMID:
    27765175
    [PubMed - indexed for MEDLINE]
Related citations


The Electrophysiologic Effects of Acute Mitral Regurgitation in a Canine Model.
Lawrance CP, Henn MC, Miller JR, Kopek MA, Zhang AJ, Schuessler RB, Damiano RJ Jr
Ann Thorac Surg. 2017 Apr; 103(4)1277-1284. doi: 10.1016/j.athoracsur.2016.08.011.

PMID:
    27756468
    [PubMed - indexed for MEDLINE]
Related citations


Minimally Invasive Mitral Valve Surgery: Moving Toward Consensus and Standardization.
Damiano RJ Jr
Innovations (Phila). 2016 Jul-Aug; 11(4)233. doi: 10.1097/IMI.0000000000000302.

PMID:
    27635475
    [PubMed - indexed for MEDLINE]
Related citations


Potassium and Magnesium Supplementation Do Not Protect Against Atrial Fibrillation After Cardiac Operation: A Time-Matched Analysis.
Lancaster TS, Schill MR, Greenberg JW, Moon MR, Schuessler RB, Damiano RJ Jr, Melby SJ
Ann Thorac Surg. 2016 Oct; 102(4)1181-8. doi: 10.1016/j.athoracsur.2016.06.066.

PMID:
    27596917
    [PubMed - indexed for MEDLINE]
Related citations


Left Ventricular Assist Device Inflow Angle and Pump Positional Change Over Time Adverse Impact on Left Ventricular Assist Device Function.
Kazui T, Zhang A, Greenberg J, Itoh A, Tran PL, Keith AD, Ewald GA, Damiano RJ Jr, Silvestry SC
Ann Thorac Surg. 2016 Dec; 102(6)1933-1940. doi: 10.1016/j.athoracsur.2016.05.025.

PMID:
    27469340
    [PubMed - indexed for MEDLINE]
Related citations


Pulmonary Valve Replacement With Small Intestine Submucosa-Extracellular Matrix in a Porcine Model.
Miller JR, Henn MC, Lancaster TS, Lawrance CP, Schuessler RB, Shepard M, Anderson M, Kovacs A, Matheny RG, Eghtesady P, Damiano RJ, Boston US
World J Pediatr Congenit Heart Surg. 2016 Jul; 7(4)475-83. doi: 10.1177/2150135116651113.

PMID:
    27358303
    [PubMed - indexed for MEDLINE]
Related citations


Message From the Editor.
Damiano RJ Jr
Innovations (Phila). 2016 May; 11 Suppl 1S26. doi: 10.1097/IMI.0000000000000262.

PMID:
    27280876
    [PubMed - indexed for MEDLINE]
Related citations


Complete Coronary Revascularization Improves Survival in Octogenarians.
Melby SJ, Saint LL, Balsara K, Itoh A, Lawton JS, Maniar H, Pasque MK, Damiano RJ Jr, Moon MR
Ann Thorac Surg. 2016 Aug; 102(2)505-11. doi: 10.1016/j.athoracsur.2016.01.065.

PMID:
    27101730
    [PubMed - indexed for MEDLINE]
Related citations

Videos

Videos

Areas of 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