Lokeswara Rao Sajja, MS., MCh, FACS (USA)
Personal Allusion
I am humbled to be a Senior Consultant Cardiac Surgeon in the Department of Cardiothoracic Surgery at STAR Hospitals, Hyderabad, India. Throughout my academic career, I have been lucky enough to train with the giants of coronary artery bypass surgery. While bypass surgery may appear as one of the more basic cardiac operation, the complexities of the patient and the variations of the operation require exquisite attention to detail to keep patients safe, which is my main priority. With the support of the incredible staff, including the cardiac anesthesia team, nurses, technicians and surgeons, I have the utmost confidence that I am in the best possible environment to provide the highest level of care to my patients.
Specialties
and Expertise
Specialties
- Adult Cardiac Surgery
- Coronary Bypass Surgery
- Cardiac Surgery
- Valvular Heart Surgery
Expertise
- Coronary Bypass Surgery
- On-pump and off-pump CABG.
- Multiple arterial grafting (Internal
mammary arteries, radial artery grafts)
- Redo Cardiac bypass surgery
- Cardiac Bypass Surgery
- Open Heart Surgery
- Aortic Aneurysm Surgery
- Repair Aortic Dissection and
Aneurysm
- Minimally Invasive Cardiac
Surgery
- Repair of Cardiac Aneurysm
- Mitral valve surgery
(repair/replacement).
- Aortic valve replacement.
- Aortic and Mitral Valve Surgery
- Aneurysmectomy of Heart (left
ventricle)
- Aortic Stent Graft
- Surgical Repair of Aortic
Dissection
- Aortic Aneurysm Repair
- Surgery of Ascending Aortic
Aneurysm
- Aortic Arch Surgery
- Repair of Thoracic Aortic Aneurysm
Biography
Dr. Lokeswara Rao Sajja is a Senior Consultant
Cardiothoracic Surgeon and In-charge of Academics, Director of Cardiovascular
Research at STAR Hospitals, Hyderabad, India.
Dr. Sajja completed his undergraduate studies
and earned his medical degree in Guntur, India at the Guntur Medical College.
He subsequently completed his MS at the JIPMER, Pondicherry, and also completed
his super-specialization in Cardiothoracic and Vascular Surgery at the AIIMS,
New Delhi. He obtained advanced training under world-renowned
Cardiac Surgeon, Prof. Denton A. Cooley at the Texas Heart Institute, Houston,
Texas, USA.
In addition to his clinical expertise, Dr. Sajja
is currently the In-charge of Academics and Director of Research in the
Department of Cardiothoracic Surgery. Throughout his academic career, Dr. Sajja
has authored more than 75 peer-reviewed journal articles. He was the lead
investigator of an Indian, multi-centric randomized, controlled trial, the
first multi-centric RCT in Cardiac Surgery in India, which aimed to determine
the optimal strategy for coronary artery bypass surgery (the PROMOTE Patency
Trial). He also conducted mono-centric RCT in Cardiac Surgery to determine the
optimal strategy for CABG in patients with renal insufficiency. He is
also an Investigator in Arterial Revascularization Trial, the largest
multi-national RCT in Cardiac Surgery, lead center at Oxford. He has given
expert presentations at national and international meetings to share his
knowledge of coronary artery bypass surgery and the use of multiple arterial
grafts. He currently serves as the President of the Society of Coronary
Surgeons and also as the Vice-President of the Indian Association of Cardiovascular-Thoracic Surgeons.
Dr. Sajja's interests include all aspects of
adult cardiac surgery. Along with his expert training and knowledge in coronary
artery bypass surgery, including the use of multiple arterial grafting (radial
artery conduits, the use of bilateral internal mammary arteries), Dr. Sajja
also specializes in structural heart disease, valvular dysfunction, and complex
aortic procedures. He designed a mechanical prosthetic valve that does not
require long-term anticoagulation, for which he was granted patency by the
United States Patent and Trademark Office.
As a Chairman of Sajja Heart Foundation, Dr.
Sajja oversees ongoing clinical trials and provides strategic growth plans to
increase investigator-initiated trials, pragmatic trials, and ongoing
improvements and enhancements to the existing clinical trial infrastructure.
Clinical
Trials Experience
(i)
He is a keen researcher
and a master clinical trialist in Cardiac Surgery. He conducted India's first
multicentre Randomized Control Trial (RCT) in Cardiac Surgery (PROMOTE Patency
Trial).
(ii)
He has represented India
as a Site Principal / Co- Investigator in multinational clinical Trials in
Cardiac Surgery (Arterial Revascularization Trial, ROMA Trial).
Coronary Artery Bypass
Graft (CABG)
Increased
prevalence of CAD in India has led to an increase in number of coronary artery
bypass grafting. CABG accounts for more than 60% of all cardiac operations and
every year more than 1, 50,000 coronary bypass operations are being carried out
in India.
The
STAR Hospitals Department of Cardiothoracic Surgery has long history of
performing coronary artery bypass surgery; the most commonly performed surgical
procedure for treating multi-vessel coronary artery disease. The mortality rate among these patients was less
than 1%. Our outcomes are consistently
among the best in India, and routinely exceed national average and match the
best centers in the US.
The
coronary artery disease affects many of the younger individuals at the prime of
their productive life, about a decade earlier than our western counterparts. The
most common surgical treatment for coronary artery disease is coronary artery
bypass graft (CABG). This procedure has proven to lower the risk of future
heart attack and the need for additional procedures. It has also proven to
result in a longer life expectancy.
Dr. Sajja's publications
1. Talukder S, Dimagli A, Benedetto U, et al and on behalf of the ART Investigators, Prognostic factors of 10-year mortality after coronary artery bypass graft surgery: a secondary analysis of the arterial revascularization trial, Eur J of Cardio-Thorac Surg, 2022; ezac043
2. Taggart DP, Gaudino M, Gerry S, et al and on behalf of the ART Investigators. Effect of total arterial grafting in the Arterial Revascularization Trial, J Thorac Cardiovasc Surg ,2022;163: 1002-1009.e6,
3. Yadava, O.P., Narayan, P., Padmanabhan, C. et al. IACTS position statement on “2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularizationâ€: section 7.1—a consensus document. Indian J Thorac Cardiovasc Surg 2022; 38, 126–133.
4. Gaudino M, Audisio K, Rahouma M, et al. and on behalf of the ART Investigators. Comparison of Long-term Clinical Outcomes of Skeletonized vs Pedicled Internal Thoracic Artery Harvesting Techniques in the Arterial Revascularization Trial. JAMA Cardiol. 2021; 6:1380–1386
5. Taggart DP, Gaudino M, Gerry S, Gray A, Lees B, Sajja LR, Zamvar V, Flather M, Benedetto U, and on behalf of the ART Investigators Ten-year outcomes after off-pump versus on-pump coronary artery bypass grafting: Insights from the Arterial Revascularization Trial. J Thorac Cardiovasc Surg ,2021; 162,591-599.e8,
6. Gaudino M, Audisio K, Rahouma M, et al and on behalf of the ART Investigators Association between sternal wound complications and 10-year mortality following coronary artery bypass grafting,The Journal of Thoracic and Cardiovascular Surgery,2021 S0022-5223(21)01812-2
7. Sajja LR. Prediction of perioperative mortality in cardiac surgery – Risk scoring systems: In quest of the holy grail. J Indian Coll Cardiol 2021; 11:41-3
8. Sajja LR. A narrative review of redo coronary artery bypass grafting. AME Med J 2020; 6:20.
9. Benedetto U, Gaudino MF, Dimagli A, Gerry S, Gray A, Lees B, Flather M, Taggart DP, ART Investigators. Postoperative Atrial Fibrillation and Long-Term Risk of Stroke After Isolated Coronary Artery Bypass Graft Surgery Circulation 2020;142: 1320-1329
10. Sajja LR, Sarkar K, Mannam G. et al One-year outcomes of off- and on-pump coronary artery bypass grafting: PROMOTE patency trial 2020;36:469-475.
11. Sajja, L.R., Sarkar, K., Mannam, G. et al. Graft patency at 3 months after off- and on-pump coronary bypass surgery: a randomized trial. Indian J Thorac Cardiovasc Surg 2019; 36:93-104.
12. Sajja, L.R., Singh, S., Mannam, G. et al. Impact of occult renal disease on the outcomes of off- pump and on-pump coronary artery bypass grafting Indian J Thorac Cardiovasc Surg 2019;35:150-157.
13. Taggart DP, Benedetto U, Gerry S, Altman DG, Gray AM, Lees B, Gaudino M, Zamvar V, Bochenek A, Buxton B, Choong C, Clark S, Deja M, Desai J, Hasan R, Jasinski M, O'Keefe P, Moraes F, Pepper J, Seevanayagam S, Sudarshan C, Trivedi U, Wos S, Puskas J, Flather M; Arterial Revascularization Trial Investigators. Bilateral versus Single Internal-Thoracic-Artery Grafts at 10 Years. N Engl J Med. 2019; 380:437-446
14. Yadava OP, Sajja L. Coronary: at par with rest of the world. Section 10: cardiac Surgery in India. In CSI textbook of Cardiology. The Indian Perspective, 2018.pp 576-590. Ed. Deb P K. Jay Pee Brothers, New Delhi.
15. Mitra K. Nadim, Lui G. Forni, Azra Bihorac, Charles Hobson, Jay L. Koyner, Andrew Shaw, George J. Arnaoutakis, Xiaoqiang Ding, Daniel T. Engelman, Hrvoje Gasparovic, Vladimir Gasparovic, Charles A. Herzog, Kianoush Kashani, Nevin Katz, Kathleen D. Liu, Ravindra L. Mehta, Marlies Ostermann, Neesh Pannu, Peter Pickkers, Susanna Price, Zaccaria Ricci, Jeffrey B. Rich, Lokeswara R. Sajja, Fred A. Weaver, Alexander Zarbock, Claudio Ronco, John A. Kellum. Cardiac and Vascular Surgery–Associated Acute Kidney Injury: The 20th International ConsensusConference of the ADQI (Acute Disease Quality Initiative) Group Journal of the American Heart Association. 2018;7:e008834
16. Benedetto U, Douglas G Altman, Flather M, Gerry S, Gray A, Lees B, Taggart DP. On behalf of the Arterial revascularization trial investigators. Incidence and clinical implications of intraoperative bilateral internal thoracic artery graft conversion: Insights from the Arterial Revascularization Trial. J Thorac Cardiovasc Surg 2018; 155:2346-2355.
17. Umberto Benedetto, Douglas G.Altman, Stephen Gerry, Alastair Gray, Belinda Lees , Marcus Flather , David PTaggart MD,on behalf of the Arterial Revascularization Trial investigators. Off- pump versus on-pump coronary artery bypass grafting: Insights from the Arterial Revascularization Trial. J Thorac Cardiovasc Surg 2018;155: 1545-1553.e7
18. Umberto Benedetto, Douglas G. Altman, Stephen Gerry, Alastair Gray, Belinda Lees, Gianni D. Angelini, Marcus Flather, David P. Taggart, on behalf of the ART (Arterial Revascularization Trial) Investigators. Safety of Perioperative Aprotinin Administration During Isolated Coronary Artery Bypass Graft Surgery: Insights from the ART (Arterial Revascularization Trial) J Am Heart Assoc 2018;7: e007570. DOI: 10.1161/JAHA.117.007570
19. Taggart DP, Altman DG, Flather M, Gerry S, Gray A, Lees B, Benedetto U, Arterial Revascularization Trial Investigators. Associations Between Adding a Radial Artery Graft to Single and Bilateral Internal Thoracic Artery Grafts and Outcomes Insights From the Arterial Revascularization Trial. Circulation 2017;136: 454–463.
20. Sajja LR, Beri P. Bilateral internal thoracic artery grafting in India —Time to raise the bar. Ind Heart J. 2017; 69: 640-645.
21. Benedetto U, Altman DG, Gerry S, Gray A, Lees B, Flather M, Taggart DP, on behalf of the ART Investigators, Impact of dual antiplatelet therapy after coronary artery bypass surgery on 1-year outcomes in the Arterial Revascularization Trial. Eur J Cardio-Thorac Surg 2017; 52:456–461.
22. Taggart DP, Altman DG, Gray AM , Lees B, Gerry S, Benedetto U, Flather M, , for the ART Investigators. Randomized trial of bilateral versus single internal-thoracic-artery grafts. N Engl J Med 2016;375:2540-9.
23. Benedetto U, Altman DG, Gerry S, Gray A, Lees B, Pawlaczyk R, Flather M, Taggart DP; Arterial Revascularization Trial investigators. Pedicled and skeletonized single and bilateral internal thoracic artery grafts and the incidence of sternal wound complications: Insights from the Arterial Revascularization Trial. J Thorac Cardiovasc Surg. 2016 ;152:270-6.
24. Sajja LR, Strategies to reduce deep sternal wound infection after bilateral internal mammary artery grafting. Int J Surg. 2015; 16: 171-178.
25. Sajja LR, Mannam G. Internal thoracic artery: anatomical and biological characteristics revisited. Asian Cardiovascular & Thoracic Annals.2015; 23:88-99.
26. Sajja LR, “The Journey of Surgery for Coronary Artery Disease in India: Adoption, Customization and Innovationâ€. Sadasivan Oration. Indian J Thorac Cardiovasc Surg. 2014; 30:116-128.
27. David P. Taggart, Douglas G. Altman, Alastair M. Gray, Belinda Lees, Fiona Nugara, Ly-Mee Yu, Marcus Flather, on behalf of the ART Investigators, Effects of on-pump and off-pump surgery in the Arterial Revascularization Trial. Eur J Cardio-Thorac Surg 2015; 47: 1059–1065.
28. Sajja LR, Mannam G. Reduction of Sternal Infection in Off-pump CABG by Modified Pedicle Harvesting (Correspondence). Ann Thorac Surg 2013; 96:2283–90.
29. Sajja L R, Mannam G C, Dandu SBR, Sompalli S. Reduction of sternal wound infections in diabetic patients undergoing off pump coronary artery bypass surgery and using modified pedicle bilateral internal thoracic artery harvest technique. J Thorac Cardiovasc Surg; 2012;144:480-485.
30. Sajja LR and Mannam G. The less blood product the less renal impairment? Ann Thorac Surg 2012; 94:332-333.
31. Sajja L R, Mannam G C, Chakravarthi R.M, Guttikonda J, Sompalli S, Bloomstone J. Impact of preoperative renal dysfunction on outcomes of off-pump coronary artery bypass grafting. Ann ThoracSurg 2011; 92: 2161-2167.
32. Taggart DP, Altman DG, Gray AM, Lees B, Nugara F, Yu LM, Campbell H, Flather M; ART Investigators. Randomized trial to compare bilateral vs. single internal mammary coronary artery bypass grafting: 1-year results of the Arterial Revascularisation Trial (ART). Eur Heart J. 2010; 31:2470-81.
33. Sajja LR, Mannam GC. Nonobstructive ectopic accessory mitral valve tissue in association with left ventricular apical aneurysm. J Thorac CardiovascSurg 2010; 139:218-220.
34. Sajja LR, Mannam GC. Mitral valve repair for chronic ischemic mitral regurgitation: A review. Valves & Chambers, The Journal of Cardiology 2009;1:1-10.
35. Sajja LR, Mannam GC, Dandu SBR, Pathuri SN, Saikiran KVSS, Sompalli S. Outcomes of mitral valve repair for chronic ischemic mitral regurgitation. Asian Cardiovasc Thorac Ann 2009; 87:1721 -1727.
36. Sajja LR, Mannam GC. Rare variants of internal thoracic artery in patients with coronary artery disease. Ind J ThoracCardiovasc. Surg 2009; 25: 68-70.
37. Mannam GC, Sajja LR, Dandu SBR, Pathuri SN, Saikiran KVSS, Sompalli S. Off-pump coronary revascularization for left main coronary artery stenosis.Asian CardiovascThorac .Ann. 2008; 16: 473-78.
38. Sajja LR, Koneti NR, Mannam GC,Kalyanasundaram M. Correction of anomalous drainage of right superior vena cava to left atrium. Asian Cardiovasc Thorac Ann 2008; 16: e32-4.
39. Sajja LR, Mannam GC,Gutti RS, Goli NR,Sompalli S, Penumatsa RR. Post infarction ventricular septal defect: repair by patch with infarct exclusion. Asian Cardiovasc Thorac Ann 2008; 16: 215- 220.
40. Sajja LR, Mannam GC, Dandu SBR, Pathuri SN, Saikiran KVSS, Sompalli S. Off – pump coronary artery bypass grafting in patients with significant left ventricular dysfunction. Ind J Thorac Cardiovasc. Surg, 2008; 24:110-115.
41. Sajja LR. Assessment of ulnar collateral circulation by the Allen test in patients undergoing radial artery harvest. Eur J Cardiothorac Surg 2008; 33:755.
42. Sajja, L.R., Mannam, G.C. Chakravarthi, R.M. In search of strategies for optimizing outcomes in patients with compromised renal function undergoing coronary artery bypass grafting. Cardiology 2008; 111:21-22.
43. Sajja LR, Mannam GC, Chakravarthi RM, Sompalli S, Naidu SK, Bhupathiraju S, Penumatsa RR. Coronary artery bypass grafting with or without cardiopulmonary bypass in patients with preoperative non-dialysis dependent renal insufficiency: A randomized study. J Thorac Cardiovasc Surg 2007; 133:378-88.
44. Sajja LR, Mannam GC. Angiographic patency of the radial artery conduit in coronary artery bypass grafting (Reply) Ann Thorac Surg. 2006; 81:1551-1552.
45. Sajja L R, Mannam G C, Sompalli S R, Simhadri C S R, Hasan A. Multinodular goiter compressing trachea following open heart surgery. Asian Cardiovasc Thorac Ann.2006;14: 416- 417.
46. Sajja L R, Mannam G C, Panthula N R, Sompalli S. The role of radial artery graft in coronary artery bypasses grafting. Ann Thorac Surg 2005:79: 2180-8.
47. Sajja LR, Mannam G, Sompalli S. Extrafacially harvested radial artery graft in CABG: Immediate arm complications and midterm clinical and angiographic results. J Card Surg 2005; 20:440-8.
48. Sajja LR, Mannam GC, Pantula NR, Sompalli S, Raju ARG, Raju BS. Reoperation for coronary artery disease in the young: early and mid-term results. (Ind J Thorac Cardiovasc. Surg, 2005:21:199-203).
49. Sajja L R, Mannam G C, Sompalli S, Reddy K V, Bala Raju S, Raju B S, Raju P K. Does multi vessel off-pump coronary artery bypass grafting reduce post-operative morbidity compared to on- pump CABG? Ind J Thorac Cardiovasc Surg 2004; 20:173-177.
50. Sajja L R, Mannam G, Sompalli S, Reddy K V, Raju R B, Anjaneyulu A V. Mid-term angiographic patency of radial artery graft: Does the site of proximal anastomosis effect the patency? Ind J Thorac Cardiovasc Surg 2004; 20:178-182.
51. Sajja L.R, Mannam GC. Right internal mammary artery and radial artery composite insitu pedicle graft in CABG. Ann Thorac Surg. 2002; 73:1856 – 1859.
52. Sajja LR, Mannam GC, Sompalli S. Neurologic hand complications after radial artery harvest for coronary bypass grafting. J Thorac Cardiovasc Surg. 2002;123: 585 – 586.
53. Sajja L.R., Mannam GC, Sompalli S. Is Allen’s test not reliable in selection of patients for radial artery harvest? Ann. Thorac Surg. 2002;74: 296
54. Sajja LR, Benjaram SR, Sahariah S, Devaraj VK. A giant aneurysm of renal artery: surgical management. Asian Cardiovasc Thorac Ann. 2002; 10:176 – 77.
55. L.R. Sajja, Mannam G.C. Role of closed mitral commissurotomy in mitral stenosis with severe pulmonary hypertension. J Heart Valve Dis 2001; 10:288-293.
56. Sajja L.R. Mannam G.C, Sompalli SR, Missula SK, Accessory mitral valve tissue obstructing left ventricular outflow tract. Asian Cardiovasc Thorac Ann. 2001; 9:325-6.
57. Mannam G.C, Sajja L.R., Yarlagadda R.B, Pothineni R.B, Repair of left ventricular outflow tract diverticulum in association with aortic stenosis. Ind J Thorac Cardiovasc Surg. 2001; 17: 90-92.
58. Sajja L.R. Mannam G.C, Krishnam Raju, S.Sompalli, R.S. Angajala. Right atrial myxoma arising from crista terminalis in septugenarian. Asian Cardiovasc Thorac Ann. 2001:9.322-4.
59. Sajja L.R., Mannam G.C, Alluri RGR, Sompalli SR. Off -pump coronary artery bypass grafting: a single centre experience Ind J Thorac Cardiovasc Surg. 2001; 17:77-81.
60. Sajja L.R, Farooqi A, Shaik M.S, Yarlagadda R.B, Baruah D.K, Pothineni R.B, Surgical revascularization in patients with dual left anterior descending coronary artery. Tex Heart inst J: 2000:27:292-6.
61. Sajja LR, Farooqi A, Yarlagadda R.B, Shaik M.S, Pothineni R.B, Retrograde coronary sinus perfusion for severe left main coronary artery stenosis. Asian Cardiovasc Thorac Ann 2000:8:290-1.
62. Sajja L.R, Farooqi. A, Yarlagadda R.B, Spontaneous dissection of left main coronary artery: surgical management. Asian Cardiovasc Thorac Ann 2000; 8: 54-5.
63. Sajja L.R, Kulshreshth P., Yarlagadda R.B, Continuous intravenous insulin infusion reduces infections in diabetics after CABG. Ann Thorac Surg 2000; 69: 667-68.
64. Sajja L.R, Farooqi A, Yarlagadda R.B, Shaik M.S, Surgical management of eventration of diaphragm in an elderly patient. Asian Cardiovasc Thorac Ann 2000; 8: 181-3.
65. Kulshreshtha P., L. Rao, Grab J.L., Rousou J.A., Englemen R.M, Wait R.B. use of extrafascially harvested radial artery for coronary artery revascularization: technical considerations. J Card Surg. 1999; 14: 26-31.
66. Sajja L.R., Rao S.P., Madhusudan KN, Naresh Kumar Reddy CR, Reddy BSR. Aorto-innominate vein fistula: a rare complication following open heart surgery Asian Cardiovascular Thorac Ann 1996:4:54-56.
67. Sampath Kumar A, Bhan A, Bajaj R, Lokeswara Rao S, P.Venugopal P, Srivastava S. Mitral Valve Repair : Techniques and Results. Indian Heart J: 1990:42:135-37.
68. E.V. Ussiri, GopiChand Mannam, Lokeswara Rao Sajja, J. Viswanath, D.S. Bhaskara Raju, S.Pathuri, S. Sompalli, N.K. Rao. Clinico-Surgical Outcome of Repair of Isolated Atrial Septal Defect at Care Hospital, Banjara Hills-Hyderabad India, 2004-2006. East and Central African Journal of Surgery 2007; 12:148-153.
69. Ussiri E.V, Nyawawa ETM, Mannam GC, Sajja LR, Bhaskara Raju DS, Pathuri SN, Saikiran KVSS, Sompalli S. Patterns of anomalous pulmonary venous connection as seen at Care Hospital, Hyderabad - India. East and Central African Journal of Surgery 2007; 12:18-22.
70. E.V. Ussiri, E.T.M. Nyawawa, U. Mpoki, E.R. Lugazia, G.C. Mannam, L.R. Sajja. S. Sompalli. Modified Blalock-Taussig Shunt in Palliative Cardiac Surgery. East and Central African Journal of Surgery 2007; 12:23-27.
Published Discussions
1. Sajja LR Discussion of Fuster RG, Paredes
F, Pelez AG, Martin E, C novas S, Gil O, et al. Impact of increasing degrees
of renal impairment on outcomes of coronary artery bypass grafting: the
off-pump advantage Eur J Cardio-Thorac Surg 2013 44:732-42.
2. Sajja LR. Discussion of Lemma MG, Coscioni E, Tritto FP,
Centofanti P, Fondacone, Salica A, et al. On-pump versus off-pump coronary
artery bypass surgery in high-risk patients: Operative vessels of a prospective
randomized trial (on-off study). J Thorac Cardiovasc Surg 2012; 143:625-631.
3. Sajja LR. Discussion of Glineur D, Dhoore W,
de Kerchove L, Noirhomme P, Price J, Hanet C et al . Angiographic predictors of 3-year patency of bypass grafts
implanted on the gastroepiploic artery, saphenous vein, and right internal
thoracic artery grafts right coronary artery system: A prospective randomized
comparison of gastroepiploic artery, saphenous vein, and right internal
thoracic artery grafts. J Thorac Cardiovasc Surg.2011; 142:980-988.
4. Sajja LR. Discussion of Elmistekawy E,
Chan V , Bourke M E, Dupuis J-Y,. Rubens F D, Mesana T G and Ruel M. Off-pump coronary artery bypass grafting
does not preserve renal function better than on-pump coronary artery bypass
grafting: Results of a case-matched study. J ThoracCardiovascSurg2012;143:85-92
5. Sajja LR. Discussion of Paone G et al. Preoperative predicted risk
does not fully explain the association between red blood cell transfusion and
mortality in coronary bypass surgery.J Thorac Cardiovasc Surg 2012;
143:184-185.
The list of the books
where Dr. Sajja's work has been cited
1.
State of the Art Surgical Coronary Revascularization-Page 297
avid P Taggart, John D Puskas2021
- Sajja LR, Mannam G,
Dandu SB, Sompalli S. Reduction of sternal wound infections in diabetic patients
undergoing off-pump coronary artery bypass surgery and using modified
pedicle bilateral internal thoracic artery harvest technique. J Thorac
Cardiovasc Surg. 2012; 144(2):480-5. (Harvesting arterial conduits,
Technical aspects of coronary artery bypass graft surgery)
- Taggart DP, Gaudino
MF, Gerry S, Gray A, Lees B, Sajja LR, et al. Ten-year outcomes after
off-pump versus on-pump coronary artery bypass grafting: insights from the
Arterial Revascularization Trial. J Thorac Cardiovasc Surg. 2020 Feb 19:S0022-5223(20)30427.
2. Technical Aspects of Modern Coronary Artery Bypass Surgery-Page 184Mario Gaudino 2020
- Sajja L.R. Strategies
to reduce deep sterna wound infection after bilateral internal mammary
artery grafting Int J Surg 2015; 16 (Pt B):171-8. (Techniques to avoid
sternal complications after CABG with bilateral internal mammary artery)
- Sajja LR, Mannam G.
Internal thoracic artery: anatomical and biological characteristics
revisited. Asian Cardiovasc Thorac Ann 2015; 23:88-99. (Bilateral internal
thoracic artery grafting strategies, Techniques to avoid sternal
complications after CABG with bilateral internal mammary artery)
- Sajja LR, Mannam G,
Dandu SBR, Sompalli S. Reduction of sternal wound infections in diabetic
patients undergoing off-pump coronary artery bypass surgery using modified
pedicle bilateral internal thoracic artery harvest technique. J Thorac
Cardiovasc Surg 2012; 144(2):480-5. (Bilateral internal thoracic artery
grafting strategies)
3.
Sabiston and Spencer Surgery of the Chest E-Book-Page 1601
Frank Sellke, Pedro J. del
Nido, Scott J. Swanson 2015
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-388.
4.
Cardiac Surgery in the Adult, Third Edition
Lawrence
H. Cohn 2007
- Sajja LR, Mannam G., Pantula, NR.,
Sompalli S. Role of radial artery Y-graft in coronary artery bypass
grafting. Ann Thorac Surg. 2005. 79(6):2180-8.
5.
Cardiac Surgery in the Adult, Fourth Edition
Lawrence
H. Cohn 2012
Sajja et al.
demonstrated that the use of cardiopulmonary bypass was significantly
associated with an adverse renal outcome.
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-38.
6.
Cardiac Surgery in the Adult Fifth Edition-Page 536
Lawrence H. Cohn, David H. Adams 2017
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with preoperative
non-dialysis dependent renal insufficiency: a randomized study. J Thorac
Cardiovasc Surg 2007; 133:378-388.
7.
Anatomic Exposures in Vascular Surgery-Page 215
Gary G. Wind, R. James
Valentine 2013
- Sajja LR, Mannam G.,
Pantula, N.R. and Sompalli S. 2005. Role radial artery graft in coronary
artery bypass grafting. Ann Thorac Surg. 79(6): 2180-8.
8.
Arteri�ln� revaskularizace myokardu-Page 113
Gwozdziewicz
Marek 2007
Language: Czech
- Sajja LR, Mannam G., Pantula, NR.,
Sompalli S. Role of radial artery Y-graft in coronary artery bypass
grafting. Ann Thorac Surg. 2005. 79(6):2180-8.
9.
Anesthetic and Obstetric Management of High-Risk Pregnancy
Sanjay Datta.2006
- Sajja LR, Mannam GC. Role of closed
mitral commissurotomy in mitral stenosis with severe pulmonary
hypertension. J Heart Valve Dis. 2001; 10(3):288-93.
10. Cardiac Surgery
Essentials for Critical Care Nursing-Page 126
Sonya Hardin,
?Roberta Kaplow 2010
- Sajja L.R, Mannam G.,
& Sompalli S, (2005). Extrafascially harvested radial artery in CABG:
Technique of harvest, complications, and midterm angiographic patency.
Journal of Cardiac Surgery, 20(5), 440-448.
11. Cardiac Surgery
Essentials for Critical Care Nursing (Second Edition)-Page 97
- Sajja L.R. (2008). Assessment
of ulnar collateral circulation by the Allen test in patients undergoing
radial artery harvest. European Journal of Cardio-Thoracic Surgery, 33(4),
755-756.
12. Cardiac
Regeneration and Repair- Biomaterials and Tissue Engineering
Richard D.
Weisel 2014
- Sajja LR, Mannam G.,
Pantula, N.R. and Sompalli S. 2005. Role radial artery graft in coronary
artery bypass grafting. Ann Thorac Surg. 79(6): 2180-8.
13. Coronary Artery Bypass Grafting Surgery for Atherosclerotic Cardiac
Disease-Page 72
Mehmet
Erdem Toker 2021
A prospective randomized trial showed
that ONCAB as compared with OPCAB was more deleterious to renal function in
diabetic patients with non-dialysis-dependent renal insufficiency (Sajja et al.
2007).
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-388.
14. Coronary
Artery Bypass Advances in Research and Application: 2012 Edition
Q. Ashton Acton,
PhD 2012
- Sajja and colleagues published
their study in Annals of Thoracic Surgery (Impact of Preoperative Renal
Dysfunction on Outcomes of off-pump Coronary Artery Bypass Grafting.
Annals of Thoracic Surgery, 2011:92(6):2161-2167).
15. Coronary
Graft Failure: State of the Art-Page 262
Aamer
Abbas, Hironori Kitabata, Ion C. ?intoiu, Malcolm John Underwood, Stephane
Pierre Cook
- Sajja L.R, Mannam G.,
& Sompalli S, (2005). Extrafascially harvested radial artery in CABG:
Technique of harvest, complications, and midterm angiographic patency. Journal
of Cardiac Surgery, 20(5), 440-448.
16. Comprehensive
Cardiovascular Medicine in the Primary Care Setting-Page 309
Christopher
P. Cannon, Peter P. Toth 2018
- Sajja L.R. Strategies
to reduce deep sterna wound infection after bilateral internal mammary
artery grafting Int J Surg 2015;16 (Pt B):171-8.
17. Conduits for
Myocardial Revascularization
Michel Carrier, L. Conrad
Pelletier 1993
18. Cumulated
Index Medicus (1991)-Page 6096
(1991)
- Sajja LR, Kulshreshth
P, Yarlagadda R.B. Continuous intravenous insulin infusion reduces
infection in diabetics after CABG. Ann Thaorac Surg 2000; 69:667-68.
19. Cardiology E-Book-Page 1951
Michael H.
Crawford, John P. DiMarco, Walter J. Paulus 2009
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-388.
20. Cardiovascular
Imaging E-Book-Page 476
Vincent Ho, Gautham P. Reddy 2010
- Sajja LR, Farooqi A,
Shaik MS, Yarlagadda RB, Baruah DK, Pothineni RB. (2000). Dual left
anterior descending coronary artery: surgical revascularization in 4
patients. Tex Heart Inst J 27(3):292-296.
21. Ecocardiografia
clinica
Michael Y.
Henein, Mary Sheppard, John Pepper, Michael Rigby 2007
Language: Italian
- Sajja LR, Mannam GC. Role of closed
mitral commissurotomy in mitral stenosis with severe pulmonary
hypertension. J Heart Valve Dis. 2001; 10(3):288-93
22. Degenerative
Aortic Valve Disease, Its Mechanism on Progression, Its Effect on the Left
Ventricle and the Postoperative Results-Page 223
Wilhelm Peter
Mistiaen 2013
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-388.
23. Indian
Science Abstracts (Volume 44)-Page 95
Indian National
Scientific Documentation Centre, Delhi 2008
- Mannam G, Sajja LR, Raju B, Dandu S,
Pathuri S N, Raju B S et al. Indian J Thorac Surg. 2007;23(1):88-9. (CARE
Hospitals, the Institute of Medical Sciences, Hyderabad).
24. Implantable
Defibrillator Therapy: A Clinical Guide-Page 109
Antonio Pacifico, Gust H. Bardy, Philip D. Henry, Martin Borggrefe, Francis E.
Marchlinski, Andrea Natale, Bruce L. Wilkoff �
2012
- Sajja LR, Kulshresth
P, Yarlagadda RB. Continuous insulin infusion reduces infection in
diabetics after CABG. Ann Thorac Surg 2000; 69:667-668.
25. Manual of
Perioperative Care in Adult Cardiac Surgery-Page 724
Robert M. Bojar 2020
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-388.
26. Medical
Management of the Surgical Patient-Page 328
A Textbook of Perioperative Medicine
2013
Michael
F. Lubin, Neil H. Winawer, Thomas F. Dodson
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-388.
27. Off-Pump
Coronary Artery Bypass-Page 108
Hitoshi
Yokoyama, Masami Ochi, Tohru Asai 2015
- Sajja LR, Mannam G
(2002) Right internal mammary artery and radial artery composite in situ
pedicle graft in coronary artery bypass grafting. Ann Thorac Surg 73:1856-1859.
28. Off-Pump
Coronary Artery Bypass Grafting- Outcomes, Concerns and Controversies
Mohamed Amrani,
Shahzad G. Raja 2012
29. Oxford
Textbook of Clinical Nephrology-Page 1903
Neil Turner 2015
Since many of the recent trials were not yet published
at time of writing the guidelines, the KDIGO Work Group concluded that there
was not enough evidence to recommend off-pump coronary artery bypass for
reducing AKI or the need for RRT (Kidney Disease: Improving Global Outcomes
(KDIGO) Acute Kidney Injury Work Group, 2012). Based on the study by Sajja et al. (2007), this opinion
should probably be modified for patients with advanced CKD.
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-388.
30. Perioperative
Kidney Injury-Principles of Risk Assessment, Diagnosis and Treatment-Page 79
Charuhas
V. Thakar, Chirag R. Parikh 2014
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-388.
31. Revisiting
Cardiac Anatomy: A Computed-Tomography-Based Atlas and Reference
Farhood Saremi �
2011
- Sajja LR, Farooqi A,
Shaik MS, Yarlagadda RB, Baruah DK, Pothineni RB. (2000). Dual left
anterior descending coronary artery: surgical revascularization in 4
patients. Tex Heart Inst J 27(3):292-296.
32. Special
Topics in Cardiac Surgery-Page 24
Cuneyt
Narin 2012
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-388.
33. The Complete
Guide to Cardiac CT-Page 324
Simeon Abramson 2011
- Sajja LR, Mannam G.,
Pantula, N.R. and Sompalli S. 2005. Role radial artery grafts in coronary
artery bypass grafting. Ann Thorac Surg. 79(6): 2180-8.
34.
CSI Textbook of Cardiology:
The Indian Perspective
Editor-in-Chief:
Pradip K Deb
- Sajja LR, Beri P.
Bilateral internal thoracic artery grafting in India: Time to raise the
bar. Indian Heart J. 2017; 69:640-5.
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-388.
- Mannam G, Sajja LR,
Dandu SB, et al. Off-pump coronary revascularization for left main coronary
artery stenosis. Asian Cardiovasc Thorac Ann. 2008; 16: 473-8.
- Sajja LR, Yarlagadda
RB, Shaik MS, et al. Retrograde coronary sinus perfusion for severe left
main stenosis. Asian Cardiovasc Thorac Ann. 2000; 8:290-1.
- Sajja LR, Mannam G,
Dandu SB, et al. Analysis of thirty-day outcomes of off-pump versus
on-pump coronary artery bypass grafting: A large cohort study. Interact
CardiVasc Thorac Surg. 2012; 15(Suppl2): i-xxvii.
- Sajja LR, Mannam G, Dandu SB, et al.
Reduction of sterna wound infections in diabetic undergoing off-pump
coronary artery bypass surgery and using modified pedicle bilateral
internal thoracic artery harvest technique. J Thorac Cardiovasc Surg.
2012; 144:480-5.
- Sajja LR, Mannam G,
Sompalli S. Extrafascially harvested radial artery in CABG: Technique of harvest,
complications and mid-term angiographic patency. J Card Surg.
2005;20:440-8
- Sajja LR, Mannam G.
Right internal mammary artery and radial artery composite in situ pedicle
graft in coronary artery bypass grafting. Ann Thorac Surg. 2002;73:1856-9.
- Sajja LR, Mannam GC,
Gutti RS, et al. Post infarction ventricular septal defect: Repair by patch
with infarct exclusion. Asian Cardiovasc Surg Ann. 2008; 16:215-20.
- Sajja LR, Mannam GC,
Dandu SBR, et al. Outcomes of mitral valve repair for chronic ischemic
mitral regurgitation. Asian Cardiovasc Surg Ann. 2009; 87:1721-7.
35.
Deep Sternal wound Infections
Raymund
E. Horch, ?Christian Willy, ?Ingo Kutschka 2017
36. Clinical Ecocardiography
Michael
Y. Henein 2012
- Sajja LR, Mannam GC. Role of closed
mitral commissurotomy in mitral stenosis with severe pulmonary
hypertension. J Heart Valve Dis. 2001; 10(3):288-93
37. Master Techniques in Surgery
Frederick Grover, ?Michael J. Mack 2016
38. Multimodal Cardiovascular Imaging: Principles
and Clinical Applications
Olle Pahlm,
?Galen S. Wagner 2011
- Sajja LR, Farooqi A,
Shaik MS, Yarlagadda RB, Baruah DK, Pothineni RB. (2000). Dual left
anterior descending coronary artery: surgical revascularization in 4
patients. Tex Heart Inst J 27(3):292-296.
39. STS Cardio thoracic Surgery E-Book
- Sajja L.R, Mannam G,
Chakravarthi RM, Sompalli S, Naidu SK, Somaraju B et al. Coronary artery
bypass grafting with or without cardiopulmonary bypass in patients with
preoperative non-dialysis dependent renal insufficiency: a randomized
study. J Thorac Cardiovasc Surg 2007; 133:378-388.
40. Sabiston & Spencer Surgery of
the Chest - Volume 2
Frank W. Sellke 2005