| Dr. Ramaiah grew up on a farm 20 miles north of Bangalore in south India. He was accepted by Bangalore Medical College and received a scholarship to complete his medical school training. He graduated from Medical School in 1989 and finished a one year rotating internship at the BMC Hospitals. After that he worked with a busy general and pediatric surgeon for a year before joining the All India Institute of Medical Sciences where he began an internship in Neurosurgery. In September 2002 he joined the University of Kentucky as a post doctoral scholar in Neurosurgery. He started 6 years of General Surgery Residency in July of 1993 and completed training in June of 1999.
Next he completed a 2 year Cardiothoracic Surgery residency from New England Medical Center in Boston Massachusetts. He returned to the University of Kentucky as an Assistant professor of Surgery in the division of Cardiothoracic Surgery. Over the last 3 years he has introduced Endoscopic Vein harvesting for Coronary Artery Bypass Grafting Surgery (CABG), which now has become the standard of care. Dr. Ramaiah started endoscopic radial artery harvesting for the first time in Lexington and last year his division entered the new era of minimally invasive cardiac surgery with the introduction of the da Vinci Robot for IMA procurement. Currently they are offering the Robotic Surgery for IMA procurement and performing Beating Heart Bypass Surgery with a small chest incision instead of splitting the sternum.
As the Director of Minimally Invasive Cardiac Surgery, Dr. Ramaiah is proud to be part of the Minimally Invasive Surgery Center at the University of Kentucky. Plans for the near future include the introduction of Robotic Mitral Valve Surgery and Endoscopic Bypass Surgery using the Robot.
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ENDOSCOPIC VEIN HARVESTING
The Greater saphenous vein from the lower extremity is used for bypass surgery to bypass the blocked coronary arteries

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OLD METHOD
This was done by opening the leg from ankle to thigh. This long incision used to result in much pain and frequently was a source of infection.
NEW METHOD
Today we can procure the vein with a small two centimeter incision, The result is minimal discomfort, less scarring and les chance of infection.
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ENDOSCOPIC RADIAL ARTERY HARVESTING
Radial Artery is gaining popularity as an alternative and a better conduit for bypass compared to vein.
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OLD METHOD
Harvesting the Radial artery was done with a long incision from the wrist to elbow.
NEW METHOD
Today at the University of Kentucky we can harvest Radial Artery with a 2 centimeter incision at the wrist avoiding a long scar and damage to nerves. UK was the first hospital to offer this in the Lexington area and at this time, it is the only facility in Lexington to offer this technique.
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ROBOTIC INTERNAL MAMMARY ARTERY HARVESTING
Internal mammary artery (IMA) is shown to be the best bypass graft for CABG. Almost all the patients undergoing CABG surgery will have an IMA used for bypass.
Traditionally IMA is harvested by splitting the sternum. At the University of Kentucky we are using the da Vinci Robot for the first time in the state to harvest IMA for bypass.
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We have also gone a step further to perform beating heart bypass surgery with small chest incision after harvesting the IMA with the Robot.
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