{"schema_version":"bookimed.page-context.v1","id":"doctor-sitaram-emani","url":"https://hub.bookimed.com/heart-surgery/doctor-sitaram-emani/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-sitaram-emani.json","index_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/index.json","full_dataset_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/content.json","content_revision":"source-driven-rankings-20261008","date_modified":"2026-10-08","language":"en","kind":"doctor-profile","title":"Sitaram Emani: complex biventricular congenital repair","summary":"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.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research personally prepared and reviewed","assistance":"AI tools assisted source research."},"editorial_scope":"Source-based patient information; an individual treatment plan requires clinical review.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov . We link clinical guidance, primary studies and named hospital or offer sources beside the relevant statements. Comparisons distinguish individual operators from programme results and preserve the study population, follow-up and limitations. Prices are dated examples with their stated scope. Research and editorial preparation are separate from clinical review; no named clinician has medically reviewed this edition. Bookimed provides care coordination. Partner and reference programmes are identified from their sources; paid ordering is not used in our published-cohort comparison. Read the editorial policy .","key_takeaways":[{"label":"Anatomy-specific reconstruction","text":"The programme uses detailed planning and 3D models for difficult ventricular relationships, with tailored outflow and valve reconstruction.","sources":["SP02"]},{"label":"Mapping the conduction pathway","text":"A 2019–2022 study compared 149 mapped with 201 unmapped repairs; lower heart-block/pacemaker frequency occurred in selected anatomical subgroups.","sources":["SP14"]},{"label":"Future conduit procedures matter","text":"In a 25-patient Yasui series, freedom from right-ventricle-to-pulmonary-artery conduit reoperation was 48% at median five-year follow-up.","sources":["SP15"]}],"benefits":[{"text":"Tailored reconstruction can establish two-ventricle circulation in selected complex congenital anatomy, while conduction mapping addresses an important repair risk.","sources":["SP02","SP14"]}],"limitations":[{"text":"Yasui evidence applies to two adequate ventricles with VSD and aortic atresia or interrupted arch, not an isolated VSD. The mapping study was observational and did not eliminate pacemaker risk.","sources":["SP02","SP14","SP15","SP01"]}],"sections":[{"id":"benefit-balance","title":"Benefits and limitations","text":"Benefits and limitations Potential advantages Tailored reconstruction can establish two-ventricle circulation in selected complex congenital anatomy, while conduction mapping addresses an important repair risk. 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. Trade-offs and limits Yasui evidence applies to two adequate ventricles with VSD and aortic atresia or interrupted arch, not an isolated VSD. The mapping study was observational and did not eliminate pacemaker risk. 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","links":[{"label":"Biventricular repair linked to better outcomes in superior-inferior ventricles treatment","url":"https://answers.childrenshospital.org/specialized-ventricular-surgery/"},{"label":"Intraoperative Conduction Mapping to Reduce Postoperative Atrioventricular Block in Complex Congenital Heart Disease.","url":"https://pubmed.ncbi.nlm.nih.gov/39537250/"},{"label":"Biventricular repair linked to better outcomes in superior-inferior ventricles treatment","url":"https://answers.childrenshospital.org/specialized-ventricular-surgery/"},{"label":"Intraoperative Conduction Mapping to Reduce Postoperative Atrioventricular Block in Complex Congenital Heart Disease.","url":"https://pubmed.ncbi.nlm.nih.gov/39537250/"},{"label":"The Yasui operation: A single institutional experience over 30 years.","url":"https://pubmed.ncbi.nlm.nih.gov/37808042/"},{"label":"Sitaram Emani — research and clinician directory","url":"https://research.childrenshospital.org/researchers/sitaram-emani"}]},{"id":"research","title":"Procedure-specific research","text":"Procedure-specific research Protecting the conduction system A 2024 programme study compared intraoperative conduction mapping with unmapped complex repairs. Lower postoperative heart-block/pacemaker frequency occurred in selected anatomical subgroups. How to interpret this: Observational comparison; risk was not eliminated and not every subgroup benefited. Results belong to the programme. Sources: Intraoperative Conduction Mapping to Reduce Postoperative Atrioventricular Block in Complex Congenital Heart Disease. 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.","links":[{"label":"Intraoperative Conduction Mapping to Reduce Postoperative Atrioventricular Block in Complex Congenital Heart Disease.","url":"https://pubmed.ncbi.nlm.nih.gov/39537250/"},{"label":"The Yasui operation: A single institutional experience over 30 years.","url":"https://pubmed.ncbi.nlm.nih.gov/37808042/"}]},{"id":"team","title":"Clinical programme","text":"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 Explore the programme and other specialists →","links":[{"label":"Boston Children’s Hospital →","url":"https://hub.bookimed.com/heart-surgery/clinic-boston-childrens/"},{"label":"Biventricular repair linked to better outcomes in superior-inferior ventricles treatment","url":"https://answers.childrenshospital.org/specialized-ventricular-surgery/"},{"label":"Intraoperative Conduction Mapping to Reduce Postoperative Atrioventricular Block in Complex Congenital Heart Disease.","url":"https://pubmed.ncbi.nlm.nih.gov/39537250/"},{"label":"The Yasui operation: A single institutional experience over 30 years.","url":"https://pubmed.ncbi.nlm.nih.gov/37808042/"},{"label":"Sitaram Emani — research and clinician directory","url":"https://research.childrenshospital.org/researchers/sitaram-emani"},{"label":"Explore the programme and other specialists →","url":"https://hub.bookimed.com/heart-surgery/clinic-boston-childrens/"}]}],"introduction":"Heart surgery guide / Sitaram Emani 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 Bookimed Updated 8 October 2026 Sources 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. Portrait 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. Read the clinical or research source ↗","related_documents":[{"id":"heart-surgery","title":"Heart surgery abroad: treatments, clinics and costs","kind":"home","url":"https://hub.bookimed.com/heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-surgery.json"},{"id":"surgeons","title":"Find cardiac surgeons and heart specialists by procedure","kind":"surgeons","url":"https://hub.bookimed.com/heart-surgery/surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeons.json"},{"id":"congenital-heart-surgery","title":"Congenital heart surgery: children and adults","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/congenital-heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/congenital-heart-surgery.json"},{"id":"surgeon-rankings","title":"Heart surgeon rankings by reported experience, method and results","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/surgeon-rankings/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeon-rankings.json"},{"id":"clinic-boston-childrens","title":"Boston Children’s Hospital: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-boston-childrens/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-boston-childrens.json"}],"entity":{"id":"sitaram-emani","name":"Sitaram Emani","programme_id":"boston-childrens","role":"Cardiac surgeon; co-director, Complex Biventricular Repair Program","procedure_relevance":["Complex congenital reconstruction, assessment for two-ventricle circulation, and VSD-associated outflow obstruction."],"source_ids":["SP02","SP14","SP15","SP01"],"official_url":"https://research.childrenshospital.org/researchers/sitaram-emani","clinical_role_type":"surgeon","topic_slugs":["congenital-heart-surgery"],"method_tags":["complex-congenital","biventricular-repair","complex-vsd"],"profile":{"intro":"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.","clinical_focus":[{"label":"Anatomy-specific reconstruction","text":"The programme uses detailed planning and 3D models for difficult ventricular relationships, with tailored outflow and valve reconstruction.","source_ids":["SP02"]},{"label":"Mapping the conduction pathway","text":"A 2019–2022 study compared 149 mapped with 201 unmapped repairs; lower heart-block/pacemaker frequency occurred in selected anatomical subgroups.","source_ids":["SP14"]},{"label":"Future conduit procedures matter","text":"In a 25-patient Yasui series, freedom from right-ventricle-to-pulmonary-artery conduit reoperation was 48% at median five-year follow-up.","source_ids":["SP15"]}],"evidence":[{"title":"Protecting the conduction system","summary":"A 2024 programme study compared intraoperative conduction mapping with unmapped complex repairs. Lower postoperative heart-block/pacemaker frequency occurred in selected anatomical subgroups.","source_ids":["SP14"],"limitations":"Observational comparison; risk was not eliminated and not every subgroup benefited. Results belong to the programme."},{"title":"Planning for later conduit procedures","summary":"The historical Yasui series describes preservation of ventricular function alongside a substantial later burden of right-ventricle-to-pulmonary-artery conduit reoperation.","source_ids":["SP15"],"limitations":"Only 25 selected patients treated across 1989–2021; no personal success rate or prediction for a new child."}],"consultation_questions":[],"current_role_note":"Cardiac surgeon; co-director, Complex Biventricular Repair Program · Boston, United States.","key_takeaways":[{"label":"Anatomy-specific reconstruction","text":"The programme uses detailed planning and 3D models for difficult ventricular relationships, with tailored outflow and valve reconstruction.","sources":["SP02"]},{"label":"Mapping the conduction pathway","text":"A 2019–2022 study compared 149 mapped with 201 unmapped repairs; lower heart-block/pacemaker frequency occurred in selected anatomical subgroups.","sources":["SP14"]},{"label":"Future conduit procedures matter","text":"In a 25-patient Yasui series, freedom from right-ventricle-to-pulmonary-artery conduit reoperation was 48% at median five-year follow-up.","sources":["SP15"]}],"benefits":[{"text":"Tailored reconstruction can establish two-ventricle circulation in selected complex congenital anatomy, while conduction mapping addresses an important repair risk.","sources":["SP02","SP14"]}],"limitations":[{"text":"Yasui evidence applies to two adequate ventricles with VSD and aortic atresia or interrupted arch, not an isolated VSD. The mapping study was observational and did not eliminate pacemaker risk.","sources":["SP02","SP14","SP15","SP01"]}],"patient_sections":[{"id":"benefit-balance","title":"Benefits and limitations","paragraphs":[],"items":[],"sources":[],"kind":"benefit-balance","links":[],"table":null},{"id":"research","title":"Procedure-specific research","paragraphs":[],"items":[],"sources":[],"kind":"doctor-evidence","links":[],"table":null},{"id":"team","title":"Clinical programme","paragraphs":[],"items":[],"sources":[],"kind":"doctor-clinic","links":[],"table":null}]},"bookimed_route":null,"portrait":{"url":"https://hub.bookimed.com/wp-content/uploads/2026/10/sitaram-emani-233x300.webp","source_page":"https://research.childrenshospital.org/researchers/sitaram-emani","width":252,"height":325,"alt":"Sitaram Emani, MD"},"topics":["congenital"],"headline":"complex biventricular congenital repair","profile_slug":"doctor-sitaram-emani","discipline":"cardiac surgeon"},"sources":{"SP01":{"title":"Sitaram Emani — research and clinician directory","publisher":"Boston Children’s Hospital","url":"https://research.childrenshospital.org/researchers/sitaram-emani","read_at":"2026-10-08","source_kind":"official-institution","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/emani-research.txt","supports":"Active institutional affiliation, Harvard professor of surgery, linked clinician profile and publication list.","limitations":"The linked patient profile returned an Incapsula block; current operating role and programme are corroborated by SP02."},"SP02":{"title":"Biventricular repair linked to better outcomes in superior-inferior ventricles treatment","publisher":"Boston Children’s Hospital","url":"https://answers.childrenshospital.org/specialized-ventricular-surgery/","read_at":"2026-10-08","source_kind":"official-institution","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/recovered-official-web.json","supports":"Names Emani as cardiac surgeon and co-director of Complex Biventricular Repair Program; describes operative reconstruction and 3D planning.","limitations":"Institutional explanation of research, not an independently audited outcome report. Direct HTTP failed; web-reader body recovered.","published_at":"2026-05-13"},"SP14":{"title":"Intraoperative Conduction Mapping to Reduce Postoperative Atrioventricular Block in Complex Congenital Heart Disease.","publisher":"Journal of the American College of Cardiology","url":"https://pubmed.ncbi.nlm.nih.gov/39537250/","read_at":"2026-10-08","published_at":"2024-11-01","doi":"10.1016/j.jacc.2024.07.054","pmid":"39537250","source_kind":"primary-research-abstract","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/pmid-39537250.json","supports":"Complex congenital repair conduction mapping: 149 mapped patients versus 201 controls, 2019–2022. Associations vary by anatomy; Emani coauthor.","limitations":"Nonrandomized programme comparison; not a universal pacemaker reduction or personal outcome rate."},"SP15":{"title":"The Yasui operation: A single institutional experience over 30 years.","publisher":"JTCVS open","url":"https://pubmed.ncbi.nlm.nih.gov/37808042/","read_at":"2026-10-08","published_at":"2023-07-18","doi":"10.1016/j.xjon.2023.06.019","pmid":"37808042","source_kind":"primary-research-abstract","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/pmid-37808042.json","supports":"Boston Yasui programme retrospective cohort, 25 patients 1989–2021; Emani coauthor; conduit reintervention remains important.","limitations":"Small, long-era, selected cohort; applies to two adequate ventricles with VSD and aortic atresia or interrupted arch, not ordinary isolated VSD."}}}