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"For me, my first view of a beating heart was love at first sight! Till then, I had harbored ideas of

becoming a plastic surgeon and had done some work in microsurgery. The notion of working

on the heart and utilizing the physiology to make things better grabbed me in a visceral way, and

changed my life. I am constantly amazed and humbled, about the heart and its wondrous ways, even though I have been involved with this specialty of cardiothoracic surgery, since 1988. I am a doctor who believes in a simple, common sense approach to optimal cardiovascular health. My aim is to treat the whole person, not just the

heart or the symptoms. My holistic approach to patient care includes speaking directly about proper, healthy lifestyles, as well as informing the patient about the advances in the world of cardiovascular surgery and the best treatment approach. Some of this may involve extensive discussions about different

options. However, it is best to have a well informed patient and patient’s family, when confronted with heart disease."

-Dr. Jai Raman

Pioneering Surgical Procedures & Techniques (first of a kind):

  1. Performed the first digital replant in the Northern Territory of Australia 1986.

  2. Performed the first successful dynamic cardiomyoplasty in the state of Victoria, Australia in 1995.

  3. Performed the first successful Ventricular Containment procedure in the world in Melbourne, Australia in April,1999.

  4. Performed the first successful Basal Ventricular Stabilization procedures in the world in 2000 at Melbourne, Australia.

  5. Performed Modified techniques of ventricular reconstruction, simplifying the Dor procedure -1998.

  6. Performed and reported on the first 10 cases of tricuspid vegetectomy in adult patients under vena caval inflow occlusion, in the world - 2000.

  7. Applied the use of High Volume Hemofiltration peri-operatively for Infective Endocarditis, for the first time in the world - 2001.

  8. Evaluated and used the first Cool Cobra Radio-Frequency Ablation Catheters for Surgical treatment of Atrial Fibrillation in animals and in human, in the world - 2002.

  9. Performed the first two robotically assisted diaphragmatic plications for phrenic nerve injury, University of Chicago, 2003.

  10. Among the first to use Aquapheresis with CHF Solutions, a new form of ultrafiltration for peri-operative fluid management of patients undergoing surgery for heart failure - 2005.

  11. Identified defibrillator induced tricuspid regurgitation and described a technique to repair such valves – in association with my partner Dr Jeevanandam -2006.

  12. Helped perform first human implant of BACE (Basal Annuloplasty of the Cardia Externally) in Chennai, India for the treatment of ischemic mitral regurgitation – Dec 4,2008.

  13. Developed Rib Fixation with titanium plates and performed this routinely as an adjunct in over 150 patients (first large experience with plate fixation of ribs)

  14. Developed the Arrowhead Modified Mini-sternotomy which allows and facilitates the expanded use of mini-sternotomy and allows plate fixation of the sternum afterwards.  Performed the 1st 25 of these procedures.

  15. Evolved the technique of trans-aortic balloon pump placement, facilitated through a graft to the subclavian artery as an ambulatory bridge to transplantation. Performed the 1st 15 of these procedures – 2007 onwards.

  16. Adapted use of the trans-aortic balloon pump through the subclavian artery, as a long-term assist device in complex patients as a bridge to recovery – 2010 onwards.

  17. Adapted the use of ECMO in cardiogenic shock in Bridging to conventional cardiac surgery in patients with correctable conditions.

  18. Demonstrated the safety of early surgical intervention (within 10 days of stroke) in patients with cardio-embolic stroke from infective endocarditis.

  19. Demonstrated the efficacy of low or no heparin utilization in patients supported by veno-arterial ECMO (extra-corporeal membrane oxygenation) in over 60 patients.

  20. Described the use of Normothermic Cardiopulmonary Bypass approach for Simplified Resection of Renal Tumors growing along the Inferior Vena Cava Through a Single Incision– in 20 patients.

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