Sitaram Emani · Decision guide

Sitaram Emani: complex biventricular congenital repair

Complex two-ventricle reconstruction and conduction protection · Boston, United States

Research by Yevhenii Kozlov · Co-Founder of BookimedUpdated 8 October 2026Sources linked throughout

At a glance

Sitaram Emani co-directs Boston Children’s Complex Biventricular Repair Program. The work focuses on whether unusual ventricular connections, valves and outflow routes can be reconstructed so that both ventricles support circulation.

Anatomy-specific reconstruction

The programme uses detailed planning and 3D models for difficult ventricular relationships, with tailored outflow and valve reconstruction.

Sources: Biventricular repair linked to better outcomes in superior-inferior ventricles treatment

Mapping the conduction pathway

A 2019–2022 study compared 149 mapped with 201 unmapped repairs; lower heart-block/pacemaker frequency occurred in selected anatomical subgroups.

Sources: Intraoperative Conduction Mapping to Reduce Postoperative Atrioventricular Block in Complex Congenital Heart Disease.

Future conduit procedures matter

In a 25-patient Yasui series, freedom from right-ventricle-to-pulmonary-artery conduit reoperation was 48% at median five-year follow-up.

Sources: The Yasui operation: A single institutional experience over 30 years.

Sitaram Emani, MDPortrait source ↗

cardiac surgeon

Sitaram Emani

Boston Children’s Hospital →

Cardiac surgeon; co-director, Complex Biventricular Repair Program

Cardiac surgeon; co-director, Complex Biventricular Repair Program · Boston, United States.

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Benefits and limitations

Potential advantages

Trade-offs and limits

Procedure-specific research

Planning for later conduit procedures

The historical Yasui series describes preservation of ventricular function alongside a substantial later burden of right-ventricle-to-pulmonary-artery conduit reoperation.

How to interpret this: Only 25 selected patients treated across 1989–2021; no personal success rate or prediction for a new child.

Sources: The Yasui operation: A single institutional experience over 30 years.

Clinical programme

Boston Children’s Hospital →

Boston, United States

Boston Children’s Complex Biventricular Repair Program evaluates difficult ventricular relationships using detailed imaging and 3D models. Its research addresses both protection of the conduction system during repair and the later burden of conduit procedures.

Sources: Biventricular repair linked to better outcomes in superior-inferior ventricles treatment · Intraoperative Conduction Mapping to Reduce Postoperative Atrioventricular Block in Complex Congenital Heart Disease. · The Yasui operation: A single institutional experience over 30 years. · Sitaram Emani — research and clinician directory

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