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Surgical Specialist, Cardiothoracic Surgeon
39 years of experience
Accepting new patients

Credentials

Education ?

Medical School
Royal College Of Surgeons In Ireland (1972)
Foreign school

Awards & Distinctions ?

Appointments
Virginia Commonwealth University School Of Medicine Previously Mcv - Richmond Va
Instructor
Associations
American Board of Thoracic Surgery
Cardiothoracic Surgery Network
Society of Thoracic Surgeons

Affiliations ?

Dr. Skantharaja is affiliated with 3 hospitals.

Hospital Affiliations

Score

Rankings

  • Odessa Regional Hospital
    Thoracic Surgery (Cardiothoracic Vascular Surgery)
    520 E 6th St, Odessa, TX 79761
    •  
    Top 50%
  • Midland Memorial Hospital – West Campus
    4214 Andrews Hwy, Midland, TX 79703
  • Texoma Medical Center
  • Publications & Research

    Dr. Skantharaja has contributed to 1 publication.
    Title Off-pump Complete Revascularization Through a Left Lateral Thoracotomy (thoracab): the First 200 Cases.
    Date October 2003
    Journal The Annals of Thoracic Surgery
    Excerpt

    BACKGROUND: Conventional coronary bypass surgery is associated with substantial morbidity caused by cardiopulmonary bypass (CPB) and median sternotomy. This report describes an innovative technique to perform complete revascularization through a lateral thoracotomy without CPB (thoraCAB). METHODS: From February 2000 to April 2001 a total of 200 patients underwent thoraCAB. The patient is positioned with the left side elevated to 45 degrees. A 5- to 6-inch incision is made over the left fourth or fifth intercostal space from just medial to the nipple to the anterior axillary line. The left internal thoracic artery is harvested as a pedicle graft under vision. Proximal anastomoses are first completed on the ascending aorta, followed by the distal coronary anastomoses on the beating heart using a stabilizer. Intercostal nerve freezing is done using a cryoprobe. RESULTS: Complete revascularization was achieved in all patients. The number of grafts averaged 2.9 +/- 1.08 per patient. One patient (0.5%) died of renal failure. Two patients (1%) were converted to CPB. No strokes were observed. Three patients (1.5%) required prolonged ventilation (>48 hours). Five patients (2.5%) had postoperative bleeding requiring reexploration. Of the patients, 16 (8%) developed new-onset postoperative atrial fibrillation. CONCLUSIONS: ThoraCAB has been feasible in the vast majority of patients requiring coronary bypass surgery. The prevalence of postoperative atrial fibrillation was low. Postoperative pain maybe lessened with intercostal nerve freezing.

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