Ralph Damiano Jr.

Ralph James Damiano, Jr., MD

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

Medical School

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

Post Doctoral 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

Board Certifications

Thoracic Surgery--Certified

Honors and Awards

Listed in Best Doctors in America, 2004-2017 (Best Doctors, Inc)

American College of Surgeons Faculty Fellowship Award

ComputerWorld Smithsonian Award

Association Leadership
President, Society of Clinical Surgery

President, International Society of Minimally Invasive Cardiothoracic Surgery (ISMICS)

Clinical Interests

Cardiac surgery, arrhythmia surgery,  off-pump cardiac surgery, coronary artery bypass graft (CABG) surgery, endoscopic CABG, beating heart surgery,  coronary artery revascularization, valve repair and replacement, minimally invasive cardiac surgery, myocardial preservation, surgical electrophysiology, transmyocardial laser revascularization, TMR, HCM, and robotic-assisted cardiac surgery

Center for Atrial Fibrillation

Research Interests

U.S. Surgical Corporation
Computer Motion
Boston Scientific Corporation
AFX, Inc.
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

Hospital Affiliations

Barnes-Jewish Hospital

Patients Seen At

Center for Advanced Medicine
Heart and Vascular Center
4921 Parkview Place, A, 8
St. Louis, MO 63110
314-362-7327 or 1-888-800-9484
Fax: 314-747-0917

Contact Information

Washington University School of Medicine
Department of Surgery
Campus Box 8234, 660 S. Euclid Ave
St. Louis, MO 63110
Barnes-Jewish Hospital (south)
Queeny Tower Suite 3106
One Barnes-Jewish Hospital Plaza
St. Louis, MO 63110
(314) 362-7327
Fax: (314) 367-8459

Selected Publications

Shen J, Lall S, Zheng V, Buckley P, Damiano RJ Jr, Schuessler RB. The persistent problem of new-onset postoperative atrial fibrillation: A single-institution experience over two decades. J Thorac Cardiovasc Surg. 2010 Apr 28. [Epub ahead of print]

Voeller RK, Zierer A, Lall SC, Sakamoto S, Schuessler RB, Damiano RJ Jr. Efficacy of a novel bipolar radiofrequency ablation device on the beating heart for atrial fibrillation ablation: A long-term porcine study. J Thorac Cardiovasc Surg 2010;140:203-208.

Lee AM, Melby SJ, Damiano RJ Jr. The surgical treatment of atrial fibrillation. Surg Clin North Am. 2009 Aug;89(4):1001-20.

Aziz A, Lee AM, Pasque MK, Lawton JS, Moazami N, Damiano RJ Jr, Moon MR. Evaluation of revascularization subtypes in octogenarians undergoing coronary artery bypass grafting. Circulation. 2009 Sep 15;120(11 Suppl):S65-9.

Sakamoto S, Schuessler RB, Lee AM, Aziz A, Lall SC, Damiano RJ Jr. Vagal denervation and reinnervation after ablation of ganglionated plexi. J Thorac Cardiovasc Surg. 2010 Feb;139(2):444-52.

Shen J, Bailey MS, Damiano RJ Jr. The surgical treatment of atrial fibrillation. Heart Rhythm. 2009 Aug;6(8 Suppl):S45-50.

Lawton JS, Moazami N, Pasque MK, Moon MR, Damiano RJ Jr. Early stenosis of Medtronic Mosaic porcine valves in the aortic position. J Thorac Cardiovasc Surg. 2009 Jun;137(6):1556-7.

Moon MR, Lawton JS, Moazami N, Munfakh NA, Pasque MK, Damiano RJ Jr. Prosthesis-patient mismatch does not affect survival for patients greater than 70 years of age undergoing bioprosthetic aortic valve replacement. J Thorac Cardiovasc Surg. 2009 Feb;137(2):278-83.

Moraca RJ, Moon MR, Lawton JS, Guthrie TJ, Aubuchon KA, Moazami N, Pasque MK, Damiano RJ Jr.
Outcomes of tricuspid valve repair and replacement: a propensity analysis. Ann Thorac Surg. 2009 Jan;87(1):83-8; discussion 88-9.

Sakamoto S, Voeller RK, Melby SJ, Lall SC, Chang NL, Schuessler RB, Damiano RJ Jr. Surgical ablation for atrial fibrillation: the efficacy of a novel bipolar pen device in the cardioplegically arrested and beating heart. J Thorac Cardiovasc Surg. 2008 Nov;136(5):1295-301.

Voeller RK, Zierer A, Lall SC, Sakamoto S, Chang NL, Schuessler RB, Moon MR, Damiano RJ Jr. The effects of the Cox maze procedure on atrial function. J Thorac Cardiovasc Surg. 2008 Nov;136(5):1257-64,

Melby SJ, Lee AM, Zierer A, Kaiser SP, Livhits MJ, Boineau JP, Schuessler RB, Damiano RJ Jr. Atrial fibrillation propagates through gaps in ablation lines: implications for ablative treatment of atrial fibrillation. Heart Rhythm. 2008 Sep;5(9):1296-301.

Damiano RJ Jr. What is the best way to surgically eliminate the left atrial appendage? J Am Coll Cardiol. 2008 Sep 9;52(11):930-1.

Ishii Y, Sakamoto S, Kronengold RT, Virmani R, Rivera EA, Goldman SM, Prechtel EJ, Hill JG, Damiano RJ Jr. A novel bioengineered small-caliber vascular graft incorporating heparin and sirolimus: excellent 6-month patency. J Thorac Cardiovasc Surg. 2008 Jun;135(6):1237-45; discussion 1245-6.

Crabtree TD, Bailey MS, Moon MR, Munfakh N, Pasque MK, Lawton JS, Moazami N, Aubuchon KA, Al-Dadah AS, Damiano RJ Jr. Recurrent mitral regurgitation and risk factors for early and late mortality after mitral valve repair for functional ischemic mitral regurgitation. Ann Thorac Surg. 2008 May;85(5):1537-42; discussion 1542-3.

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

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


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)