Aldo Rafael

Aldo E. Rafael, MD, a cardiac surgeon at Baylor University Medical Center, specializes in coronary artery bypass, aortic surgery, minimally invasive heart valve procedures, and heart/lung transplants. With roots in Peru, he engages in humanitarian work and founded the Hispanic Cardiovascular Institute at Baylor. Dr. Rafael, affiliated with various professional organizations, has authored articles, presents at conferences, and contributes significantly to cardiothoracic surgery.

Home Address:           901 Savannah Trail, Southlake. TX 76092

Work Address:           Baylor University Medical Center

                                      Cardiac & Thoracic Surgery

                                      621 North Hall St.

                                      Suite 120

                                      Dallas, TX, 75226

Phone number:            469-800-7760 (office)

Marital Status:             Married: Yuliana La Serna

Citizenship:                 Permanent Resident of U.S.

Languages:                  Spanish, English, Portuguese, Quechua.

2001-2002, Alberto Sabogal Sologuren National Hospital – San Marcos University. Lima, Peru

Intern in General Surgery

2002-2006, Dos de Mayo National Hospital – San Marcos University, Lima, Peru

Resident in Thoracic and Cardiovascular Surgery

2002-2006, Dos de Mayo National Hospital – San Marcos University, Lima, Peru

Chief Resident in Thoracic and Cardiovascular Surgery

2012, Cleveland Clinic Foundation, Cleveland, OH

Fellowship in Thoracic and Cardiovascular Surgery

2012-2013, Cleveland Clinic Foundation, Cleveland, OH 

Fellowship in Lung and Lung-Heart Transplantation Surgery

2012-2013, Cleveland Clinic Foundation, Cleveland, OH

Chief Resident in Lung and Lung-Heart Transplantation Surgery

2006, Cardiothoracic Surgery Department at Medical Center of South Arkansas

Thoracic and Cardiovascular Surgery Observership. El Dorado, AR

2007, Peruvian American Medical Association - Huancavelica Medical Mission.

Pulmonary Hydatid Cyst Surgical Management Training Course. Huancavelica, Peru

2007, Medtronic – Cayetano Heredia National Hospital.

Physiologic Pacing and Pacemaker Implantation Training Course. Lima, Peru

2010-2013, Peruvian American Medical Association - Medical Mission.

Cardiothoracic and Vascular Surgery Department – Dos de Mayo Hospital. Lima, Peru

2010, Medtronic Endovascular Innovation. The Talent Thoracic Stent Graft with Captivia Delivery System Training Program. Minneapolis, Minnesota.

2010, Heart, Lung and Esophageal Institute at University of Pittsburgh Medical Center

Cardiothoracic Transplantation Program Observership – October 2010. Pittsburgh, PA

2011, Heart, Lung and Esophageal Institute at University of Pittsburgh Medical Center

Cardiothoracic Transplantation Program Observership – February 2011. Pittsburgh, PA

2011, Heart, Lung and Esophageal Institute at University of Pittsburgh Medical Center

Cardiothoracic Transplantation Program Observership – November 2011. Pittsburgh, PA

2009-2012, Cardiothoracic Surgery Department at Cleveland Clinic Foundation

Advanced Cardiothoracic Surgery Fellowship. Cleveland, OH

2012-2013, Cardiothoracic Surgery Department at Cleveland Clinic Foundation

Lung and Heart and Lung Transplantation Fellowship. Cleveland, OH

2012-2013, Department of Pathobiology. Lerner Research Institute. Cleveland Clinic Foundation

Ex-Vivo Lung Perfusión Experimental Research. Dr. Kenneth McCurry

2013, Thoracic Surgery Division at Toronto General Hospital.

Ex-Vivo Lung Perfusion – Workshop – April 2013. Toronto, Canada. Dr. Marcelo Cypel

2013, Thoracic Surgery Division at Toronto General Hospital.

Lung Transplantation Observership – April 2013. Toronto, Canada. Dr. Shaf Keshavjee

2013, Cardiothoracic Surgery Department at Lund University.

Ex-Vivo Lung Perfusion – Workshop – May 2013. Lund, Sweden. Dr. Stig Steen

2014, HeartWare – Cardiothoracic Surgery Department at Baylor University Medical Center.

Clinical Training Program for HeartWare Ventricular Assist System – Hands on training (Wetlab) – April 2014. Dallas, Texas. Dr. Gonzo Gonzalez.

2014, ABIOMED, Inc. – Impella® 5.0 Physician Training Program – August 2014. Atlanta, Georgia.

2014, Edwards Professional Education - Reconstructive Valve Surgery – Icahn School of Medicine at Mount Sinai – November 6 -7, 2014. New York, NY. Dr. David H. Adams.

2014, Thoratec – Heartmate II Web Training Program – Hands on training (Wetlab) – November 13, 2014. Dallas, Texas. Thoratec Corporation.

2015, Maquet Professional Education – Off Pump CABG Surgery – Plaza Medical Center – February 26, 2015. Fort Worth, Texas. Dr. Reza Khalafi

2015, Professional Education - ThruPort Systems for Minimal Incision AVR and MVR Surgery Edwards – Banner Boswell Medical Center – March 4 -5, 2015. Phoenix, AZ. Dr. Rajeev Kathuria.

2015, Thoratec – Heartmate III Implantation Training Program – Hands on training (Wetlab) – December 07, 2015. Dallas, Texas. Thoratec Corporation.

2016, St. Jude Medical – Heartmate II Surgical Training Program – Sharp Memorial Hospital – June 8 & 9, 2016. San Diego, California. Dr. Robert Adamson

2016, Minimally Invasive Heart Surgery Observation Training - The Baylor Heart Hospital in Plano, TX. August – December 2016. Dr. Robert Smith

2017, St. Jude Medical – Heartmate III LVAS Product and Surgical Training – Hands on training (Wetlab) – February 28, 2017. Orlando, Florida. St. Jude Medical.

2017, Edwards Professional Education - Mitral Valve Repair – Northwestern Memorial Hospital – July 10-11, 2017. Chicago, Illinois. Dr. Patrick McCarthy.

2017, Medtronic – Medical Education Academia. Minimally Invasive Cardiac Surgery - Valve Peer to Peer Training – Lafayette General Medical Center– July 30-31, 2017. Lafayette, LA. Dr. Victor Tedesco.

2017, Medtronic – Minimally Invasive Valve Surgery – Hands on training (Wetlab) – August 9, 2017. Platinum Lab. Plano, TX.

2017, Medtronic – Minimally Invasive Cardiac Surgery National Symposia – November 10-11, 2017. Las Vegas, Nevada

2018, Medtronic – Medical Education Academia – Minimally Invasive Cardiac Surgery - Valve Peer to Peer Training - Baylor St. Luke's Medical Center - February 22-23, 2018. Houston, Texas. Dr. Joseph Lamelas

2018, AtriCure – Maze IV Advanced Course – October 7, 2018. Tampa, Florida

2018, Medtronic – Medical Education Academia – TAVR Product & Procedure Training - June 11 -13, 2018. Houston, TX

2018, Edwards Intuity Elite Experience - Minimally Invasive Cardiac Surgery - Valve Peer to Peer Training - Penrose St. Francis Hospital - July 7, 2018. Colorado Springs, Colorado. Dr. John Mehall

2019,  Syncardia – SynCardia Temporary Total Artificial Heart Surgical Skills Course. Houston, Texas. May 23, 2019

2019,  Abbot - HM3 Lateral training, Austria. Medical University of Vienna. September 23, 2019

2022,  TransMedics – Organ Care System for Heart Preservation Training, Boston. June 27-28, 2022

Certifications

2000, Medical Doctor – Peruvian Medical Council, Peru

2004, USMLE Step 1 (88/100)

2006, USMLE Step 2 CK (96/100)

2006, USMLE Step 2 CS (Passed)

2007, ECFMG Certification, USA

2008, Methodology of the Scientific Investigation in Health – San Marcos University, Peru

2008, Thoracic and Cardiovascular Surgery Certification– Peruvian Medical Council, Peru

2009, Clinical Instructor in Thoracic & Cardiovascular Surgery – San Marcos University, Peru

2009, Bachelor of Medicine – Ministry of Science and Innovation, Spain

2010, USMLE Step 3 (92/100)

2012, Advanced Cardiac Life Support, American Heart Association

2013, Lung Transplant Certification, United Network of Organ Sharing (UNOS)

2013, DEA Registration Number (# FR3946499)

2013, Texas Controlled Substances Registration Certificate (# B0199477)

2013, Texas Physician Jurisprudence Examination (96/100)

2023, BLS - American Heart Association, exp. 03/25

Licensure:

2000, Peruvian Medical License: Medico - Cirujano (#35871)

2007, Peruvian Medical License: Thoracic and Cardiovascular Surgery (#18881)

2012, Ohio Medical License (#35.099738, expired 4/1/2022)

2013, Texas Medical License (# P7335, expires 08/31/2023)

Texas Medical License - P7335, exp. 8/31/2025

1994, Teaching Assistant – Anatomy, San Fernando Medical School, Lima, Peru

1997, Principal Coordinator – Thoracic and Cardiovascular Surgery Course, San Fernando Medical School, Lima, Peru

2007, Director/Instructor of Lung Hydatid Surgery, Peruvian American Medical Society – Huancavelica Hospital, Huancavelica, Peru

2007, Clinical Instructor - Medical students rotating internship, San Luis Gonzaga University Medical School, Ica, Peru.

2007-2009, Clinical Instructor – Thoracic and Cardiovascular Surgery Residency, San Marcos University, Lima, Peru

2008, Adjunct Professor – Cardiovascular Anatomy and Physiology, Daniel A. Carrion University, Lima, Peru

2008-2009, Adjunct Professor – Thoracic and Cardiovascular Surgery, San Juan Bautista Medical School

2014-Current, Clinical Assistant Professor – Surgery, Texas A&M Health Science Center College of Medicine

Society Memberships:

2008, The Peruvian Society of Cardiac, Thoracic and Cardiac Surgery, Member

2012, Peruvian American Medical Society, Member

2013, The International Society for Heart and Lung Transplantation, Member

2013, Sociedad Latinoamericana de Cirugía Cardiovascular y Torácica, Member

2014, North Texas Latin American Physicians Association (NTLAPA), Member

2014,  American Society of Transplantation, Member

2014, The Society of Thoracic Surgery, Member

2017, International Society for Minimally Invasive Cardiothoracic Surgery, Member

2017, Texas Medical Board, Member

2018, Texas Transplant Society, Member

Consulting Activities:

2013, Consultant for Minimally Invasive Cardiac Surgery Development at Hospital Dos de Mayo. Lima - Peru

2018, Consultant on Implementation of Heart Transplantation at Hospital Dos de Mayo, Ministry of Health. Lima – Peru

2019, Proctor for HeartMate 3, Abbott

2019, Consultant on Feasibility of Mechanical Circulatory Support Program at Hospital Calderon La Guardia. San Jose – Costa Rica

2022, Consultant on Feasibility of Mechanical Circulatory Support Program at Hospital Guillermo Almenara. Lima - Peru

2022, Consultant on Feasibility of Mechanical Circulatory Support Program at Fundación Cardio-Infantil. Bogota - Colombia

2001, Ranked 1st in the “Annual Thoracic and Cardiovascular Surgery Residency Admission Test”, San Marcos University, Lima, Peru.

2002-2006, Administrative Chief Resident in Thoracic and Cardiovascular Surgery, San Marcos University, Lima, Peru.

2002-2006, Highest in-service score award – Thoracic and Cardiovascular Surgery Residency – Dos de Mayo Hospital, San Marcos University, Lima, Peru.

2003-2004, Honorary President of the Residents Association, Dos de Mayo Hospital, Lima, Peru.

2006, Resident of the Year Award. San Marcos University. Lima, Perú.

2006, Resident in Thoracic and Cardiovascular Surgery, Dos de Mayo National Hospital – San Marcos University, Lima, Peru.

2007, Recognition for Outstanding Labor as an Acting/Interim Head, Department of Thoracic and Cardiovascular Surgery, Dos de Mayo Hospital, Lima, Peru.

2007, Visiting Professor, International Course of Lung Hydatid Cyst Surgery, Peruvian American Medical Society, Huancavelica, Peru.

2007, Visiting Teaching Surgeon of Lung Hydatid Surgery, Huancavelica Hospital, Huancavelica, Peru.

2008, Best Instructor of Residents Award, Department of Thoracic and Cardiovascular Surgery, Dos de Mayo Hospital, Lima, Peru.

2009, Bachelor of Medicine – Ministry of Science and Innovation, Spain.

2010-2019, Recognition for Humanitarian Medical Mission, Department of Thoracic and Cardiovascular Surgery, Dos de Mayo Hospital, Lima, Peru.

2012, Advanced Fellow in Cardiac Surgery, Cleveland Clinic Foundation, Cleveland, OH.

2012,  Active Doctor of Medicine License, State Medical Board of Ohio.

2013, Fellow in Lung Transplantation Surgery, Cleveland Clinic Foundation, Cleveland, OH.

2013, Active Doctor of Medicine License, Texas Medical Board.

2013, 0-1 Visa, Extraordinary ability in the Sciences, Arts, Education, Business and Athletics as demonstrated by sustained National or International acclaim. USA Immigration Service.

2014, 100 Heart Transplants Recognition, Baylor Simmons Transplant Institute. Baylor University Medical Center.

2014, Lung Transplant Outstanding Member Recognition, Baylor Simmons Transplant Institute. Baylor University Medical Center.

2015, Honor Certificate in Recognition of Excellent Scientific Contribution in the field of Cardiac Surgery in Peru – Peruvian Society of Cardiac, Thoracic and Vascular Surgery.

2015, Minimally Invasive Surgery Pioneer in the Peru Recognition – Peruvian American Medical Society.

2016, Nationally Recognized Trainer and Consultant in Cardiac Surgery – Health Ministry of Peru.

2016, 400 Lung Transplants Recognition, Baylor Simmons Transplant Institute, Baylor University Medical Center.

2016, Best Doctors in Dallas – Named one of Dallas’s Top Surgeons in the 2014 D Magazine.

2018, International Cardiac Surgical Outreach Award, The Thoracic Surgery Foundation (20, 000 dollars).

2019, Matching Grant Award, Peruvian American Medical Society (5,000 dollars).

2021, EB-1 Visa, Extraordinary ability in the Sciences, Arts, Education, Business and Athletics as demonstrated by sustained National or International acclaim. USA Immigration Service.

2022, Peruvian of the Year – Named Peruvian of the Year in 2022 by the Peruvian Ministry of Foreign Affairs.

2022, Best Doctors in Dallas – Named one of Dallas’s Top Surgeons in the 2022 D Magazine.

2022, TSF Every Heartbeat Matters Award for the project, “Regional and Registry Capacity Building for Rheumatic Heart Disease - Cardiac Surgery Intersociety Alliance”. Thoracic Surgery Foundation (35,000 dollars).

2023, TSF Every Heartbeat Matters Award for the project, “Regional and Registry Capacity Building for Rheumatic Heart Disease - Cardiac Surgery Intersociety Alliance”. Thoracic Surgery Foundation (35,000 dollars).

2023, Best Doctors in Dallas – Named one of Dallas’s Top Surgeons in the 2023 D Magazine.

2001-2006, Volunteer and Spanish translator, Medical Mission Peruvian American Medical Association. Lima, Peru.

Mrs. Maria Montesinos (Medical Mission Program Coordinator of PAMS)

2006, Clinical guidelines for cardiac surgery critical intensive care. Cardiovascular and Thoracic Surgery Program - Dos de Mayo Hospital. Lima, Peru. Dr. Efrain Montesinos Mosqueira (Chairman of the Department).

2006, A surgery center policy and procedures manual. Cardiovascular and Thoracic Surgery Program - Dos de Mayo Hospital. Lima, Peru.

Dr. Efrain Montesinos Mosqueira (Chairman of the Department).

2010-2022, Visiting teaching surgeon, Cardiovascular Surgery, Dos de Mayo Hospital. Lima, Peru

Dr. Julio Peralta - Rodriguez (Chairman of the Department)

2011-2012, Didactic, clinical-surgical teaching, Cardiac Surgery, Junior Board Residents and Fellows. Cleveland Clinic Foundation. Cleveland, OH

Dr. Douglas Johnston (Program Director) and Dr. Gabriel Loor (Administrative Chief Resident)

2012, Novel method to harvest the Internal Thoracic Artery for Coronary Artery Bypass Graft Surgery. Cleveland Clinic Foundation.

Dr. Douglas Johnston (Program Director).

2012, Resident Handbook. Cleveland Clinic Lung Transplant Program. Cleveland, OH.

Dr. Kenneth Mc Curry (Surgical Director).

2012-2013, Didactic, laboratory, clinical-surgical teaching, Lung Transplant Surgery, Junior Board Residents and Fellows. Cleveland Clinic Foundation. Cleveland, OH

• Assistant Coordinator: Ex - Vivo Lung Perfusion Lab using Lung pigs.

Kenneth Mc Curry MD – Aldo Rafael MD

• Assistant Coordinator: New mechanical ventilation strategies for Lung Recruitment in pigs.

David Wheeler BA, RRT-NPS – Aldo Rafael MD

• Assistant Coordinator: Portable bypass system training in pigs.

Kenneth Mc Curry MD – Aldo Rafael MD

• Principal Coordinator: Surgical Skills Lab in Lung Transplantation using Lung pigs. Aldo Rafael MD - Kenneth Mc Curry MD
• Principal Coordinator: Extracorporeal Membrane Oxygenation (ECMO) Cannulation Skills Wet Lab in pigs.

Aldo Rafael MD - Kenneth Mc Curry MD.

• Principal Coordinator: Academic activities in Lung Transplantation (Pre-operative, Intra-operative and Postoperative management).

Aldo Rafael MD - Kenneth Mc Curry MD.

• Principal Instructor of Lung Transplant Surgery.

Aldo Rafael MD - Kenneth Mc Curry MD.

2013, Lung Procurement Protocol. Cleveland Clinic Lung Transplant Program. Cleveland, OH. This document provides a checklist and sets of prepared packages to assist the assigned lung transplantation surgeon with the equipment necessary for the donor operation.

Dr. Aldo Rafael and Dr. Kenneth McCurry (Surgical Director)

2013, Mechanical Ventilation Protocol in Lung Transplantation. Cleveland Clinic Lung Transplant Program. Cleveland, OH. This protocol suggests the course of action in the post- operative management of lung transplant patients regarding mechanical ventilation.

Mr. David Wheeler BA, RRT-NPS – Dr. Aldo Rafael

2013, First case of axillary artery cannulation in surgery for acute ascending aortic dissection in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital/Peruvian American Medical Association. Lima, Peru.

Dr. Julio Peralta - Rodriguez (Chairman of the Department) and Dr. Lleni Pach (President of PAMS).

2013, First case of successful mini-aortic valve replacement in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital/Peruvian American Medical Association. Lima, Peru

Dr. Julio Peralta - Rodriguez (Chairman of the Department) and Dr. Lleni Pach (President of PAMS).

2013, First case of successful mini-mitral valve replacement and tricuspid valve repair in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital/Peruvian American Medical Association. Lima, Peru

Dr. Julio Peralta - Rodriguez (Chairman of the Department) and Dr. Lleni Pach (President of PAMS).

2013, First case of successful mini-aortic valve and mitral valve replacement in Peru. Cardiothoracic and Vascular Surgery Department-Dos de Mayo Hospital/Peruvian American Medical Association. Lima, Peru

Dr. Julio Peralta - Rodriguez (Chairman of the Department) and Dr. Lleni Pach (President of PAMS).

2013, First case of successful aortic valve reimplantation (David Technique) in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital/Peruvian American Medical Association. Lima, Peru.

Dr. Julio Peralta - Rodriguez (Chairman of the Department) and Dr. Lleni Pach (President of PAMS).

2013, More than 700 surgical cases performed during Fellowship. Cardiovascular and Thoracic Surgery Department- Cleveland Clinic Foundation. Dr. Douglas Johnston (Program Director).

2013-2016, Didactic, clinical-surgical teaching, Advanced Cardiac Surgery, Heart Transplantation and MCS, Lung Transplantation, Fellows and Residents. Baylor University Medical Center. Dallas, TX. Dr. Gonzalo Gonzalez-Stawinski (Chief of Heart Transplantation and MCS), Dr. Mike Foreman (Director of the Division of Trauma in the Department of Surgery), Dr. Robert Goldstein (Director of Surgical Residency Program)

2013, First case of successful Lung Transplantation from Donor after Cardiac Death (DCD) at Baylor University Medical Center. (Implant co-surgeon and principal harvesting surgeon: UNOS ID: AAJ2290 – Wichita, KS). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Alexis Shafii.

Patient: HKR 22 yo F MRN: 10117934 Date of Surgery: 10/29/2013

2014, First case of successful North Texas' first heart – lung transplantation in block at Baylor University Medical Center. (Implant co-surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Alexis Shafii and Dr. David Mason.

Patient: TJO 34 yo F MRN: 00592061 Diagnosis: End-Stage Pulmonary HTN secondary to Eisenmenger Syndrome. Date of surgery: 09/12/2014

2015, First case of successful Post Myocardial Infarction Ventricular Septal Defect Repair Using ECMO Support Pre-operatively and Post-operatively at Baylor University Medical Center and North Texas. (Main surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Gonzalez -Stawinski.

Patient: SJR 71 yo M MRN: 10210893 Diagnosis: Post MI VSD. Date of Surgery:08/01/2014

2015, First case of successful mini-mitral valve replacement via right mini thoracotomy (4ICE) in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital/Baylor University Medical Center. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department).

2015, First case of successful mini-aortic valve replacement via right mini thoracotomy (2ICE) in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital/Baylor University Medical Center. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department).

2015, Director of the First Medical Mission of Baylor University Medical Center in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department).

2016, Director of the Second Medical Mission of Baylor University Medical Center in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department).

2016, First case of successful Total Artificial Heart "Bridge to Transplant" in North Texas. (Implant co-surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Themis Chamogeorgakis.

Patient: TBL 52 yo M MRN: 10298432 Diagnosis: End-Stage Ischemic Cardiomyopathy. Date of Surgery:01/15/2016

2016, First case of successful Left Ventricular Assist Device HeartMate II, left atrial appendage isolation, tricuspid valve repair, left atrial appendage and left ventricle thrombectomy in a patient with heparin-induced thrombocytopenia using perioperative plasmapheresis in North Texas. (Implant surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Gonzo Gonzalez-Stawinski (Chairman).

Patient: AMC 27 yo F MRN: 00026391 Diagnosis: End-stage left ventricle non-compaction cardiomyopathy with interlaced left ventricle and mobile left atrial appendage thrombus. Moderate tricuspid regurgitation. Heparin-induced thrombocytopenia positive. Date of Surgery:07/08/2016

2016, More than 2100 major surgical cases (10/2013-06/2022) performed as a staff Member. Cardiac and Thoracic Surgery Department- Baylor University Medical Center. Dr. Charles Roberts

2017, Director of the Third Medical Mission of Baylor University Medical Center in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department).

2017, First case of successful Heart Transplantation with Left Ventricular Assist Device Explant HeartMate III in North Texas. (Implant surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Gonzo Gonzalez-Stawinski (Chairman).

Patient: CCA 56 yo M MRN: 10337278 Diagnosis: End-Stage Ischemic Cardiomyopathy. Date of Surgery:07/20/2017

2017, Director of the Fourth Medical Mission of Baylor University Medical Center in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department).

October 2017

2018, Director of the Fifth Medical Mission of Baylor University Medical Center in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department).

March 2018

2018, Director of the Sixth Medical Mission of Baylor University Medical Center in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department).

October 2018

2019, Director of the Seventh Medical Mission of Baylor University Medical Center in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department).

March 2019

2019, First case of successful mini-mitral valve replacement and tricuspid valve repair via left mini thoracotomy (4ICE) in Situs Inversus Totalis with dextrocardia in Peru and South America. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital/Baylor University Medical Center. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department). Date of Surgery: March 2019

2019, First case of successful Heart Transplantation for Left Ventricular Assist Device HeartMate III extrinsic occlusion of outflow graft (at the level of bend relief) in North Texas. (Implant co-surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Dan Meyer (Chief of Heart Transplantation).

Patient: KNJ 24 yo M MRN: 104234444 Diagnosis: Non-ischemic dilated cardiomyopathy, status post LVAD, LVAD malfunction, UNOS status 2. Date of Surgery:04/09/2019

2019, First case of successful HeartMate III left ventricular assist device exchange due to outflow graft twisting with acute pump thrombosis in North Texas. (Implant surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Dan Meyer (Chief of Heart Transplantation).

Patient: SGG 21 yo M MRN: 10441188 Diagnosis: Non-ischemic cardiomyopathy s/p DT HeartMate III left ventricular assist device 2018, morbid obesity, now with twisting of the outflow graft and pump thrombosis of LVAD. Date of Surgery: 06/17/2019

2019, First case of successful HeartMate II left ventricular assist device exchange to HearMate III via left anterolateral thoracotomy extending towards a subcostal approach in North Texas. (Implant surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Dan Meyer (Chief of Heart Transplantation).

Patient: CRM 38 yo M MRN: 10343184 Diagnosis: Non-ischemic cardiomyopathy s/p HeartMate II left ventricular assist device 2016 now with pump thrombosis of LVAD. Date of Surgery: 07/12/2019

2019, First case of successful HeartMate III left ventricular assist device explant via left anterolateral thoracotomy in North Texas. (Implant surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Dan Meyer (Chief of Heart Transplantation).

Patient: EJA 36 yo M MRN: 10406463 Diagnosis: Non-ischemic cardiomyopathy (presumed secondary to substance abuse, ethanol abuse) s/p HeartMate III left ventricular assist device 05/04/2018. Recovery of cardiac function after mechanical circulatory support of the left ventricle. Date of Surgery: 07/24/2019

2019, First case of successful HeartWare left ventricular assist device exchange to HeartMate III via left anterolateral thoracotomy extending towards a subcostal approach in North Texas. (Implant surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Dan Meyer (Chief of Heart Transplantation).

Patient: SNB 64 yo F MRN: 10508639 Diagnosis: Non-ischemic cardiomyopathy s/p HeartWare left ventricular assist device 2017 now with pump thrombosis of LVAD. Date of Surgery: 07/26/2019

2019, Director of the Eight Medical Mission of Baylor University Medical Center in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department).

October 2018

2019, First case of successful HeartMate III left ventricular assist device implantation in Central America. (Implant surgeon). Hospital Calderon Guardia – San Jose, Costa Rica. Hispanic Cardiovascular Institute, BSW - Dallas. Dr. Rodrigo Chamorro Castro. (Chief of Cardiac Surgery Department).

Patient: JAV 36 yo M Diagnosis: Non-ischemic cardiomyopathy (viral) s/p Central Centrimag support. Date of Surgery: 11/28/2019

2020, First case of successful HeartMate III left ventricular assist device implantation via left anterolateral thoracotomy and third time redo mini-upper sternotomy, deep hypothermic circulatory arrest with selective antegrade cerebral perfusion, right axillary artery cannulation, left femoral vein cannulation in North Texas. (Implant surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Dan Meyer (Chief of Heart Transplantation).

Patient: MS 70 yo M MRN: 13643656 Diagnosis: Iischemic cardiomyopathy, s/p CABG, s/p AV ECMO, s/p Impella, Severe Ascending Aorta Calcification. Date of Surgery: 07/22/2020

2020, First series of minimally invasive Left Ventricular Assist Device Implantations (Heart Mate 3 or HeartWare) via left anterolateral thoracotomy and mini-upper sternotomy (including redo-sternotomy) or mini right thoracotomy with central/axillary artery/femoral artery cannulation and right atrium/femoral vein cannulation in North Texas. (Implant surgeon/co-surgeon). Baylor Simmons Transplant Institute. Baylor University Medical Center. Dr. Dan Meyer (Chief of Heart Transplantation).

2022, Director of the Tenth Medical Mission of Baylor University Medical Center in Peru. Cardiovascular and Thoracic Surgery Department-Dos de Mayo Hospital. Lima, Peru

Dr. Aldo Rafael and Dr. Julio Peralta - Rodriguez (Chairman of the Department). October 2022

2022, First case of successful Heart Transplantation using DCD Donor. Baylor Simmons Transplant Institute (Implanting surgeon). Baylor University Medical Center. Dr. Dan Meyer (Chief of Heart Transplantation).

Patient: JF 54 yo F MRN: 15825228 Diagnosis: Non-ischemic cardiomyopathy, s/p MVR. Date of Surgery: 04/03/2022

2022, First case of successful Heart Transplantation using DCD Donor with Organ Care System Preservation. Baylor Simmons Transplant Institute (Implanting surgeon). Baylor University Medical Center. Dr. Dan Meyer (Chief of Heart Transplantation).

Patient: MB 64 yo M MRN: 1235638 Diagnosis: Non-ischemic cardiomyopathy. Date of Surgery: 04/07/2022

2022, First case of successful HeartMate III left ventricular assist device implantation in Bogota - Colombia. (Implant surgeon). Hospital CardioInfantil, Colombia. Hispanic Cardiovascular Institute, BSW - Dallas. Dr. Juan Carlos Umana. (Chief of Cardiac Surgery Department).

Patient: OLB 54 yo M Diagnosis: Non-ischemic cardiomyopathy (Chagas). Date of Surgery: 06/30/2020

Original Articles

1. Castillo LA, Rafael AE. Pulmonary Aspergilloma: A Review of Surgical Cases at Dos de Mayo National Hospital. IV Health Research Meetings. The Annals of San Fernando Medical School - Universidad Nacional Mayor de San Marcos. Vol. 63. Suplemento 2002. Pages: 41-42.

2. Montesinos E, Rafael A.  Cardiovascular Surgery at Dos de Mayo National Hospital. IV Health Research Meetings. The Annals of San Fernando Medical School - Universidad Nacional Mayor de San Marcos. Vol. 63. Suplemento 2002. Pages: 41-42.

3. Rafael AE.  Cardiopericardic Penetrating Trauma: Experience at Dos de Mayo National Hospital. Sixth Cases during 1999 – 2002. IV Health Research Meetings. The Annals of San Fernando Medical School - Universidad Nacional Mayor de San Marcos. Vol. 63. Suplemento 2002. Pages: 41-42.

4. Montesinos E, Rafael AE. Surgical Management of Congenital Cardiopathies in Adolescent and Adult Patients at Dos de Mayo National Hospital. National Institute of Angioplasty/Angioplasty Peru Journal 2002; 15(1): 86-99.

5. Montesinos E, Rafael AE. Valvular Surgery at Dos de Mayo National Hospital. National Institute of Angioplasty/Angioplasty Peru Journal 2002; 15(1): 86-99.

6. Rafael AE, Ramos W, Peralta JE, Montesinos E. Pulmonary Hydatidosis in General Hospital from Lima, Peru: Experience in 113 patients. Revista Peruana de Medicina Experimental y Salud Publica. Setiembre 2008; 25(3):285-89.

7. Chamogeorgakis T, Shafii AE, Rafael AE, Lima B, Nagpal D, Gonzalez-Stawinski GV. Which is Better, Percutaneous Miniaturized Ventricular Assist Devices or Extracorporeal Membrane Oxygenator (ECMO) for Patients with Cardiogenic Shock? Journal of Cardiac Failure. Vol. 18 No. 8S August 2012

8. Roselli EE, Rafael AE, Soltesz EG, Canale L, Lytle BW. Simplified Frozen Elephant Trunk Repair for Acute Debakey Type I Dissection. The Journal of Thoracic and Cardiovascular Surgery. March 2013. Volume 145, Issue 3, Supplement, Pages S197–S201

9. Svensson L, Sepulveda E, Rafael AE. Modifications, Classification, and Outcomes of Elephant Trunk Procedure. Southern Thoracic Surgical Association 2012. Naples, FL. Meeting Date: 2012-11-07 Abstract Date: 2012-04-09. The Annals of Thoracic Surgery. August 2013, Volume 96, Issue 2, Pages 548–558

10. Okamoto T, Rafael AE. Are Donor Lungs with Prolonged Cold Ischemic Time Re-Conditioned by EVLP? The Journal of Heart and Lung Transplantation. Vol.32, Issue 4, Supplement, Page S67, April 2013

11. Chamogeorgakis T, Rafael AE, Gonzalez-Stawinski GV. Which is Better, Percutaneous Miniaturized Ventricular Assist Devices or Extracorporeal Membrane Oxygenator (ECMO) for Patients with Cardiogenic Shock? ASAIO Journal. November/December 2013 - Volume 59 - Issue 6 - p 607–611. 

12. Rafael AE, Keshavarmurthy S, Okamoto T, Pettersson G. Intracardiac Abscess with Cutaneous Fistula Secondary to Ventricular Septal Defect Repair Simulating Sternal Wound Infection. Texas Heart Institute Journal. June 2014, Vol. 41, No. 3, pp. 324-326

13. Masabni K, Rafael AE, Johnston D. Role of hepatic dysfunction in outcomes after cardiac surgery. Journal of American College of Surgeons. Volume 219, Issue 3, Supplement, Page S28, September 2014.

14. Roselli EE, Loor G, Rafael AE. Distal Aortic Interventions after Repair of Ascending Dissection: The Argument for a More Aggressive Approach. The Journal of Thoracic and Cardiovascular Surgery. February 2015; Volume 149, Issue 2, Supplement, Pages S117–S124.e3

15. Loor G, Rafael AE, McCurry K. The Carpentier-Edwards Perimount Magna Mitral Valve Bioprosthesis: Intermediate Term Efficacy and Durability. Journal of Cardiothoracic Surgery. January 2016; 11:20

16. Squiers JJ, Rafael AE, Gonzalez-Stawinski G. High Donor Sequence Number Grafts Can Be Safely Transplanted into Select Patients. The Journal of Heart and Lung Transplantation. Vol 35, No 4S, Page S86, April 2016

17. Lima B, Rafael AE, Gonzalez-Stawinski G. Application of the ISHLT Criteria for Primary Graft Dysfunction after Cardiac Transplantation: Risk Factors and Outcomes from a High-Volume Center.  The Journal of Heart and Lung Transplantation Vol 35, No 4S, Page S167, April 2016

18. Chamogeorgakis T, Rafael AE, Lima B. Impact of Donor Age on Cardiac Transplantation Outcomes and on Cardiac Function. Interactive Cardiovascular and Thoracic Surgery. Volume 23, Issue 4, Pages 580–583. October 2016.

19. Jacob S, Lima B, Rafael AE. Using Extracorporeal Membrane Oxygenation Support Preoperatively and Postoperatively as a Successful Bridge to Recovery in a Patient with a Large Infarct-Induced Ventricular Septal Defect. Baylor University Medical Center Proceedings. Vol 29, No 3, Page 301-304, July 2016.

20. Chamogeorgakis T, Shafii AE, Rafael AE, Lima B, Nagpal D, Gonzalez-Stawinski GV. Which is Better, Percutaneous Miniaturized Ventricular Assist Devices or Extracorporeal Membrane Oxygenator (ECMO) for Patients with Cardiogenic Shock? Journal of Cardiac Failure. Vol. 18 No. 8S August 2012

21. Roselli EE, Rafael AE, Soltesz EG, Canale L, Lytle BW. Simplified Frozen Elephant Trunk Repair for Acute Debakey Type I Dissection. The Journal of Thoracic and Cardiovascular Surgery. March 2013. Volume 145, Issue 3, Supplement, Pages S197–S201

22. Jacob S, Rafael AE, MacHannaford J, Lima B. Ambulatory Extracorporeal Membrane Oxygenation with Subclavian Venoarterial Cannulation to Increase Mobility and Recovery in a Patient Awaiting Cardiac Transplantation. Baylor University Medical Center Proceedings. 2017 April; 30(2): 224–225.

23. Lima B, Rafael AE, Gonzalez-Stawinski G. Reoperative Sternotomy Is Not Associated with Increased Rates of Primary Graft Dysfunction Following Cardiac Transplantation.  The Journal of Heart and Lung Transplantation. April 2017, Volume 36, Issue 4, Supplement, Pages S400–S401.

24.Gong T, Rafael AE, Gonzalez-Stawinski G. Donor Predicted Heart Mass Is Superior to Total Body Weight in Predicting Primary Graft Dysfunction in Undersized Donors.  The Journal of Heart and Lung Transplantation. April 2017, Volume 36, Issue 4, Supplement, Pages S148.

25. Shaikh A, Rafael AE, Lima B. Experience with Extracorporeal Membranous Oxygenation Support for Cardiocirculatory Arrest Following Acute Myocardial Infarction.  The Journal of Heart and Lung Transplantation. April 2017, Volume 36, Issue 4, Supplement, Pages S329-S330.

26.Shaikh A, Rafael AE, Lima B. Vasoplegia in the Absence of Primary Graft Dysfunction Is Not Associated with Increased Mortality Following Cardiac Transplantation.  The Journal of Heart and Lung Transplantation. April 2017, Volume 36, Issue 4, Supplement, Pages S399-S400.

27. Sherwood M, Rafael AE, Lima B. Severe Obesity in Heart Transplant Correlates with Increased Primary Graft Dysfunction but Not with One-Year Mortality.  The Journal of Heart and Lung Transplantation. April 2017, Volume 36, Issue 4, Supplement, Pages S304-S305.

28. Howard C, Velasco C, Rafael AE. Aorto-right atrial fistula after Bentall repair. Baylor University Medical Center Proceedings. July 2017; 30(3): 301–302.

29. Shaikh AF, Joseph SM, Lima B, Hall SA, Malyala R, Rafael AE, Gonzalez-Stawinski GV, Chamogeorgakis T. HeartMate II Left Ventricular Assist Device Pump Exchange: A Single-Institution Experience. The Thoracic and Cardiovascular Surgeon. August 2017;65(5):410-414.

30. Collier J, Lima B, Felius J, Saracino G, Rafael AE, Gonzalez-Stawinski GV. Outcomes after Cardiac Transplantation Using Donor Hearts with Low Ejection Fractions. Journal of the American College of Surgeons. October 2017, Volume 225, Issue 4, Supplement 1, Page S33.

31.Jamil A, Qin H, Felius J, Saracino G, Rafael AE, MacHannaford JC, Gonzalez-Stawinski GV, Lima B. Comparison of Clinical Characteristics, Complications, and Outcomes in Recipients Having Heart Transplants American Journal of Cardiology. December 15, 2017, Volume 120, Issue 12, Pages 2207–2212

32. Squiers JJ, DiMaio JM, Saracino G, Qin H, Felius J, Chamogeorgakis T, MacHannaford JC, Rafael AE, Kale P, Joseph SM, Hall SA, Gonzalez-Stawinski GV, Lima B. Utilization of High Donor Sequence Number Grafts in Cardiac Transplantation. Clinical Transplantation. 2018 Jan;32(1). doi: 10.1111/ctr.13128.

33. Still S, Shaik A, Felius J, Saracino G, Rafael AE, Gonzalez-Stawinski G, Lima B. Reoperative sternotomy is associated with primary graft dysfunction following heart transplantation.  Interactive Cardiovascular and Thoracic Surgery. March 2018; 27:343–9.

34. Gong T, Rafael AE, Gonzalez-Stawinski G, Hall S. Donor predicted heart mass as predictor of primary graft dysfunction.  The Journal of Heart and Lung Transplantation. July 2018, Volume 37, Issue 7, Pages 826-835

35. Felius J, Saracino G, Rafael AE, Gonzalez-Stawinski G, Lima B. Salvage of severe primary graft dysfunction following heart transplantation using extracorporeal life support. Baylor University Medical Center Proceedings. October 2018. 31(1):1-5.

36. Raza F, Rafael AE, Lima B, Bindra A. Relation of Vasoplegia in the Absence of Primary Graft Dysfunction to Mortality Following Cardiac Transplantation. The American Journal of Cardiology. December 2018, Volume 122, Issue 11, 1, Pages 1902-1908.

37. Martinez J, Rafael AE, Peralta-Rodriguez J, Terrance D, Murala J. A Tribute to Dr. Montesinos: 20 Years from Medical Missions to a Cardiothoracic Surgery Department. World Journal for Pediatric and Congenital Heart Surgery. January 2019, Vol. 10(2) 250-252.

Original Articles

38. Lee A, Afzal A, Barbin C, Rosol Z, Cedars A, Wang H, Lofthus D, Rafael AE, Roberts C, McCullough P. Superior Sinus Venosus Defect and Persistent Left-Sided Superior Vena Cava with Right Heart Enlargement in An Asymptomatic Middle-Aged Woman. Journal of the American College of Cardiology. Volume 73, Issue 9, Supplement 1, 12 March 2019, Page 2513

39. Patel N, Rafael AE, Guerrero-Miranda C. Combined Use of Veno Arterial Extracoroporeal Membrane Oxygenation and Percutaneous Left Ventricular Assist Device in The Management of Acute Post Infarct Ventricular Septal Defect. Journal of the American College of Cardiology. Volume 73, Issue 9, Supplement 1, 12 March 2019, Page 2674

40. Roberts WC, Jameson LC, Bahmanie A, Roberts CS, Rafael AE, and Hall SA. Morphological and Functional Characteristics of the Right Ventricle Functioning as a Systemic Ventricle for Decades After an Atrial Switch Procedure for Complete Transposition of the Great Arteries. The American Journal of Cardiology. Volume 123, Issue 11, 1 June 2019, Pages 1863-186

41. Roberts WC, Siddiquiz S, Rafael AE, Roberts CS. Management of Adults with Normally Functioning Congenitally Bicuspid Aortic Valves and Dilated Ascending Aortas. The American Journal of Cardiology. Volume 125, Issue 1, 1 January 2020, Pages 157-160

42. Alam A, Dib E, Guerrero-Miranda C, Lima B, Rafael AE, Meyer D, Hall S, Joseph S. A Twist on A Twist: A Case of Outflow Graft Rotation in A Heartmate II Patient. Journal of the American College of Cardiology. Volume 75, Issue 11, Supplement 1, 24 March 2020, Page 2482

43. Patel NH, Meyer D, Gottlieb R, Guerrero-Miranda C, Hall S, Jamil AK, Van Zyl JS, Felius J, Rafael AE. Heartmate III™ Implantation: A Novel Technique to Reduce the Incidence of Perioperative Bleeding and the Use of Intraoperative Blood Products. The Journal of Heart and Lung Transplantation. Volume 39, Issue 4, Supplement, S445, April 01, 2020

44. Hamman B, Henry C, Hebeler R, Rafael AE, Henry C, Gonzalez-Stawinski G, Enter D, Mercado-Reza A, Roberts CS. High-quality cardiac surgery through teamwork. Baylor University Medical Center Proceedings. July 2020; 0(0): 1-6.

45. Mathew C, Milligan G, Guerrero-Miranda C, Wencker D, Enter D, Rafael AE, Hall S. When Opportunity Strikes: A Case of a 67-year-old with History of Cardiac Transplant Developing New-onset Seizures. Journal of Cardiac Failure. Volume 26, Issue 10, Supplement, October 2020, Page S109.

46. Sudhakaran S, Tandon A, Rafael AE, and Choi J. Severe Mitral Paravalvular Leak Treated with Percutaneous Paravalvular Leak Closure with Underlying Severe Mitral Annular Calcium. The American Journal of Cardiology. Am J Cardiol 2021; 152:165−167.

47. Brown, KD, Shirkey, HW, Shock T, Thornton K, Rafael AE and Bindra A. Impact of symptom-guided, progressive cardiac rehabilitation after left ventricular assist device implantation. Baylor University Medical Center Proceedings. April 2021; 0(0):1–3

48. Squiers JJ, DiMaio JM, Van Zyl J, Lima B, Gonzalez-Stawinski G, Rafael AE, Meyer D and Hall S. Long-term outcomes of patients with primary graft dysfunction after cardiac transplantation. European Journal of Cardio-Thoracic Surgery 00 (2021) 1–6

49. Alam A, Mathew C, Dib E, Jamil A, Guerrero-Miranda C, Lima B, Meyer D, Rafael AE, Hall S, and Joseph S. Unexpected Twists: A 61-Year-Old Male with Repeated HeartMate II Complications and Subsequent Replacement with HeartMate III. Methodist Debakey Cardiovasc J. 2021 Apr 5; 17(1): 68–70.

50. Rengarajan R, Enter D, Meyer D, Rafael AE, and Guerrero-Miranda C. Less Invasive HeartMate 3 Left Ventricular Assist Device Implantation under Deep Hypothermic Circulatory Arrest for Severely Calcified Aorta. The Journal of Heart and Lung Transplantation. Vol 40, No 4S, April 2021

51. Patel N, Gong T, and Rafael AE. Temporary Mechanical Circulatory Support in Postinfarct Ventricular Septal Defect: Time for an Upgrade? J Am Coll Cardiol Intv. 2021 Sep, 14 (17) 1955

52. Arunthamakun J, Thorton K, Rafael AE, Wang H, Choi J, and Tandon A. Waring Blender Syndrome - The Mishaps of Prosthetic Heart Valve. J Am Coll Cardiol. 2021 May, 77 (18_Supplement_1) 2381

53. Jeong M, Rafael AE, and Roberts, WC. Active Infective Endocarditis of Both Aortic and Pulmonic Valves in Association with Ventricular Septal Defect Treated with Double Valve Replacement and Closure of the Defect. Baylor University Medical Center Proceedings. 2022, VOL. 35, NO. 3, 359-360

54. Patel N, Guerrero-Miranda C, Hall S, Rafael AE, Brown WM, and Bindra MS. Fusion of Bovine Tissue Aortic Valve Leaflets in a Patient with Left Ventricular Assist Device. Baylor University Medical Center Proceedings. J Am Coll Cardiol Case Rep. 2022 May, 4 (10) 604–609

55. Lam V, Rafael AE, Meyer D. HeartWare HVAD exchange to HeartMate3: Principles, Techniques, and Pitfalls. Submitted

Trials and Research

1. NIH. ClinicalTrials.gov Identifier: NCT02132767. CARDIOTHORACIC SURGICAL TRIALS Network (CTSN) Study site participant: Rate Control Versus Rhythm Control for Postoperative Atrial Fibrillation, Baylor University Medical Center. Rafael AE. (Sub-investigator)

2. NIH. ClinicalTrials.gov Identifier: NCT02389894. CARDIOTHORACIC SURGICAL TRIALS Network (CTSN) Study site participant: Neuroprotection in Patients Undergoing Aortic Valve Replacement, Baylor University Medical Center. Rafael AE (Sub-investigator)

3. UMBRELLA HEART STUDY. Protocol to conduct a broad range of retrospective data reviews on heart transplants, lung transplants, ventricular assist devices (VADs), advanced heart failure and cardiology. Rafael AE (Sub-investigator)

4. TYPE A AORTIC DISSECTIONS STUDY. Outcomes Following Type A Aortic Dissections: The Baylor University Medical Center Experience. Rafael AE (Sub-investigator)

5. NIH. ClinicalTrials.gov Identifier: NCT02362646. CARDIOTHORACIC SURGICAL TRIALS Network (CTSN) Study site participant: Safety & Efficacy of Intramyocardial Injection of Mesenchymal Precursor Cells on Myocardial Function in LVAD Recipients (LVAD Stem Cell trial), Baylor University Medical Center. Rafael AE (Principal-investigator)

6.NIH. ClinicalTrials.gov Identifier: NCT02224755. Thoratec Corporation MOMENTUM 3 U.S IDE Clinical Trial Site for the HeartMate III Left Ventricular Assist System (HM3™), Baylor University Medical Center. Rafael AE. (Surgical co Principal-investigator)

7. NIH. ClinicalTrials.gov Identifier: NCT02892955. Thoratec Corporation MOMENTUM 3 CAP Multi-Center Study of MagLev Technology in Patients Undergoing MCS Therapy with HeartMate 3™ Continued Access Protocol. Baylor University Medical Center. Rafael AE. (Sub-investigator)

8. NIH. ClinicalTrials.gov Identifier: NCT02836652. PREVENT II. Prevention of Non-Surgical Bleeding by Management of HeartMate II Patients Without Antiplatelet Therapy. Baylor University Medical Center. Rafael AE. (Sub-investigator).

9. CV Biobank. Bio-banking of Specimens for Cardiovascular Research. Baylor University Medical Center. Rafael AE. (Sub-investigator)

10. NIH. ClinicalTrials.gov Identifier: NCT02025621. A Double-Blind, Randomized, Placebo-Controlled Study of Levosimendan in Patients with Left Ventricular Systolic Dysfunction Undergoing Cardiac Surgery Requiring Cardiopulmonary Bypass; LEVO-CTS. Rafael AE. (Sub-investigator)

11. NIH. ClinicalTrials.gov Identifier: NCT02771509. GUARD - A Multicenter, Prospective, Parallel-Group, Double-Blind, Randomized, Placebo- Controlled, Phase 2 study of ANG-3777 (formerly BB3) to Assess the Safety and Efficacy of ANG-3777 in Patients Developing Acute Kidney Injury after Cardiac Surgery: The GUARD Study (Guard Against Renal Damage) Rafael AE. (Sub-investigator)

12. NIH. ClinicalTrials.gov Identifier: NCT01830920. A Phase II Multi-Center, Parallel-Group, Randomized, Double Blind, Proof-of-Concept, Adaptive Study Investigating the Safety and Efficacy of THR-184 Administered via Intravenous Infusion in Patients at Increased Risk of Developing Cardiac Surgery Associated-Acute Kidney Injury (CSA-AKI): The Thrasos Study. Rafael AE. (Sub-investigator)

13. NIH. ClinicalTrials.gov Identifier: NCT02610283. Quark 309 - A randomized, Double-Blind, Placebo Controlled, Phase 3 Study to evaluate the Efficacy and Safety of QPI-1002 for the prevention of major adverse kidney events (MAKE) in Subjects at High Risk for Acute Kidney Injury (AKI) Following Cardiac Surgery: QUARK309 Study. Rafael AE. (Sub-investigator).

14. NHI. ClinicalTrials.gov Identifier: NCT01187368. Prospective Multi-Center Randomized Study for Evaluating the EVAHEART 2 Left Ventricular Assist System: The COMPETENCE Trial. Rafael AE. (Sub-investigator).

15. ECMOCARD - COVID-19 CRITICAL CARE CONSORTIUM. Observational Study Incorporating the Extracorporeal Membrane Oxygenation for 2019 novel Coronavirus Acute Respiratory Disease. Rafael AE. (Sub-investigator).

16. NHI. ClinicalTrials.gov Identifier: NCT04142658. A Prospective, Randomized, Active (Warfarin) Controlled, Parallel-Arm Clinical Trial to Determine if Patients with an On-X Aortic Valve Can Be Maintained Safely and Effectively on The Factor Xa Inhibitor Apixaban (PROACT Xa). Rafael AE. (Sub-investigator).

17. NHI. ClinicalTrials.gov Identifier: NCT04069156. Aries HM3 - Antiplatelet Removal and Hemocompatibility Events with the HeartMate3 Pump. Rafael AE. (Sub-investigator).

18. NHI. ClinicalTrials.gov Identifier: NCT04117295. Carmat TAH - Carmat Total Artificial Heart Early Feasibility Study. Rafael AE. (Sub-investigator).

19. NHI. ClinicalTrials.gov Identifier: NCT04149535. PROTECTED TAVR: Stroke PROTECTion with SEntinel During Transcatheter Aortic Valve Replacement. Rafael AE. (Sub-investigator).

20. NHI. ClinicalTrials.gov Identifier: NCT04722250. SMART Trial - SMall Annuli Randomized to Evolut or Sapien Trial (SMART Trial). Rafael AE. (Sub-investigator).

21.NHI. ClinicalTrials.gov Identifier: NCT05172960. ALLIANCE: Safety and Effectiveness of the SAPIEN X4 Transcatheter Heart Valve. Rafael AE. (Sub-investigator)

1. Rafael AE. Intraoperatory Findings in Apendicectomy. Satipo Hospital. January - December 2000. II International Congress of General Surgery. Lima-Peru. Meeting Date: 2001-02-13

2. Rafael AE. Abdominal Trauma at Satipo Hospital. 1999-2000. VII International Congress of General Surgery. Lima-Peru. Meeting Date: 2001-02-13. Oral presentation

3. Garcia P, Rafael AE. Analysis of Surgical Bowel Obstruction. Manuel A. Higa Arakaki Hospital. 1998-2000. Satipo. VII International Congress of General Surgery. Lima-Peru. Meeting Date: 2001-02-13

4. Garcia P, Rafael AE. Acute Appendicitis Stages in Appendicectomized Patients at Satipo Hospital, VII International Congress of General Surgery. Lima-Peru. Meeting Date: 2001-02-13

5.Garcia P, Rafael AE. Most used Anesthetic Technics during Appendicectomies. Satipo Hospital. 2000. VII International Congress of General Surgery. Lima-Peru. Meeting Date: 2001-02-13

6. Garcia P, Rafael AE. Etiology and Clinical Manifestations of Surgical Acute Abdomen. Satipo Hospital-Junin. 1999-2000. VII International Congress of General Surgery. Lima-Peru. Meeting Date: 2001-02-13

7. Rafael AE. Injuries for Fire Arms at Satipo Hospital. 1999-2000. VII International Congress of General Surgery. Lima-Peru. Meeting Date: 2001-02-13

8. Rafael AE. Etiology of Acute Bowel Obstruction at Satipo Hospital. 1999-2000. VII International Congress of General Surgery. Lima-Peru. Meeting Date: 2001-02-13

9. Parra V, Rafael AE. Anemia in Children between 6 months to 3 years in three districts of Lucanas - Ayacucho. Agosto 2000. II Ecuatorian- Peruvian Congress of Internal Medicine Cuenca-Ecuador. Meeting date: 2001-04-14

10. Parra V, Rafael AE. Anemia in Pregnants at Laramate Health Center- Ayacucho. Between October 1998- August 2000. II Ecuatorian- Peruvian Congress of Internal Medicine. Cuenca-Ecuador. Meeting date: 2001-04-14

11. Morales H, Rafael AE. Prevalences of sexually transmitted infections in young adults and female sex workers in Satipo-Junin. II Ecuatorian - Peruvian Congress of Internal Medicine Cuenca-Ecuador. Meeting date: 2001-04-1

12. Morales H, Rafael AE. Thoracocentesis Findings of Pleural Tuberculosis at Alberto Sabogal Sologuren Hospital -Callao-1999. II Ecuatorian - Peruvian Congress of Internal Medicine Cuenca-Ecuador. Meeting date: 2001-04-1

13. Morales H, Rafael AE. Clinical Features of Selvatic Leishmaniasis at Satipo-Junin. II Ecuatorian - Peruvian Congress of Internal Medicine. Cuenca-Ecuador. Meeting date: 2001-04-14

14.Rafael AE. Prevalence of Intestinal parasitic infections in schoolchildren of different levels of education at Pampa Hermosa - Satipo. II Ecuatorian - Peruvian Congress of Internal Medicine. Cuenca-Ecuador. Meeting date: 2001-04-14

15.Rafael AE. Clinical and Epidemiologic Features of Malaria by Plasmodium Vivax at Satipo-Junin. 2000. II Ecuatorian - Peruvian Congress of Internal Medicine. Cuenca-Ecuador. Meeting date: 2001-04-14

16. Rafael AE. Epidemiologic Features of Selvatic Leishmaniasis at Satipo – Junin. II Ecuatorian - Peruvian Congress of Internal Medicine. Cuenca-Ecuador. Meeting date: 2001-04-14

17.Rafael AE, Epidemiologic Features of Malaria by Plasmodium Vivax at Satipo (Junin) 1,995 – 2000. II Ecuatorian - Peruvian Congress of Internal Medicine. Cuenca-Ecuador. Meeting date: 2001-04-14

18. Rafael AE. Clinical Features of Pleural Tuberculosis at Alberto Sabogal Sologuren Hospital - Callao-1999. II Ecuatorian - Peruvian Congress of Internal Medicine. Cuenca-Ecuador. Meeting date: 2001-04-14

19. Peralta J, Rafael AE. Pulmonary Hidatidic Disease at Dos de Mayo National Hospital during August 2001-September 2002. XII National Congress and XXIV International Course of Internal Medicine. Lima-Peru Meeting date: 2002-10-31

20. Rafael AE. Diagnosis and Treatment of Pulmonary Aspergilloma at Dos de Mayo National Hospital. XII National Congress and XXIV International Course of Internal Medicine. Lima-Peru. Meeting Date: 2002-10-31. Oral presentation

21. Rafael AE, Peralta J. Genetic variability of Echinococcus granulosus in Peru and its relation to clinical and epidemiological features of Hydatid disease. XII National Congress and XXIV International Course of Internal Medicine. Lima-Peru. Meeting Date: 2002-10-31. Oral presentation.

22. Castillo LA, Rafael AE. Pulmonary Aspergilloma: A Review of Surgical Cases at Dos de Mayo National Hospital. IV Health Research Meetings. The Annals of San Fernando Medical School - Universidad Nacional Mayor de San Marcos. Vol. 63. Suplemento 2002. Pages: 41-42.

23. Montesinos E, Rafael A.  Cardiovascular Surgery at Dos de Mayo National Hospital. IV Health Research Meetings. The Annals of San Fernando Medical School - Universidad Nacional Mayor de San Marcos. Vol. 63. Suplemento 2002. Pages: 41-42.

24. Rafael AE.  Cardiopericardic Penetrating Trauma: Experience at Dos de Mayo National Hospital. Sixth Cases during 1999 – 2002. IV Health Research Meetings. The Annals of San Fernando Medical School - Universidad Nacional Mayor de San Marcos. Vol. 63. Suplemento 2002. Pages: 41-42.

25. Rafael AE. Surgical Treatment for Pulmonary Hydatidosis at Dos de Mayo Hospital. 2001 -2005. (A review of 104 cases). Universidad Nacional Mayor de San Marcos. Cardiothoracic Surgery Residency Graduation Thesis. Lima-Peru. Date: 2006-05-01. Oral presentation.

26. Montesinos E, Rafael AE. A Humanitarian Year- Round Medical Mission of Cardiothoracic Surgery in Peru. 3rd Global Forum on Humanitarian Medicine in Cardiology and Cardiac Surgery. Geneva - Switzerland. Meeting Date: 2007-05-2. Oral presentation

27. Rafael AE, Peralta J. Minimally Invasive Treatment of Nuss for correction of Pectus Excavatum. XV International Congress of Cardiac, Thoracic and Vascular Surgery Publication. Lima - Peru. Meeting Date: 2009-03-19. Abstract date: 2009-03-20. Oral presentation.

28. Rafael AE, Peralta J. Surgical treatment of Atrial fibrillation through Cryoablation. Initial experience in Peru. XV International Congress of Cardiac, Thoracic and Vascular Surgery. Lima-Peru. Meeting Date: 2009-03-19. Abstract date: 2009-03-20. Oral presentation.

29. Rafael AE, Peralta J. Congenital giant aneurysm of the left atrial appendage in an infant. XV International Congress of Cardiac, Thoracic and Vascular Surgery. Lima-Peru. Meeting Date: 2009-03-19. Abstract date: 2009-03-20. Oral presentation.

30. Rafael AE, Peralta J. Neonatal Cardiac Tumors: a single-center experience. XV International Congress of Cardiac, Thoracic and Vascular Surgery. Lima- Peru. Meeting Date: 2009-03-19. Abstract date: 2009-03-20. Oral presentation.

31. Rafael AE, Peralta J. Endoscopic Thoracic Sympathectomy for the treatment of Hyperhidrosis of the upper limbs and facial blushing. XV International Congress of Cardiac, Thoracic and Vascular Surgery. Lima- Peru. Meeting Date: 2009-03-19. Abstract date: 2009-03-20. Oral presentation.

32. Rafael AE, Peralta J. Utility of Intraoperative Transesophageal Echocardiography. Institutional experience at the Dos de Mayo Hospital. XV International Congress of Cardiac, Thoracic and Vascular Surgery. Lima-Peru. Meeting Date: 2009-03-19. Abstract date: 2009-03-20. Oral presentation

33. Rafael AE, Peralta J. Multi-slice spiral CT in the Diagnosis of Congenital heart malformations. XV International Congress of Cardiac, Thoracic and Vascular Surgery. Lima- Peru. Meeting Date: 2009-03-19. Abstract date: 2009-03-20. Oral presentation.

Abstracts

34. Rafael AE, Roselli E. Treatment of coarctation and its late complications in the adult patient. Cleveland Clinic Cardiothoracic Surgery Research Day 2010. Meeting date: 2010-06-18. Southern Thoracic Surgical Association 2011.San Antonio, TX. Meeting Date: 2011-11-09. Abstract Date: 2011-04-13. Oral presentation

35. Rafael AE, Roselli E. Simplified Frozen Elephant Trunk Repair of Acute Debakey Type I Dissection. Cleveland Clinic Cardiothoracic Surgery Research Day 2011. Cleveland, Ohio. Meeting date: 2011-06-17. American Association for Thoracic Surgery 2012. San Francisco, CA. Meeting Date: 2012-04-28. Abstract Date: 2011-10-11. Submitted to JTCVS on 02/24/12. Oral presentation

36. Rafael AE, Peralta J. Right atrial myxoma with cyanosis and pulmonary hipoflux, XVII International Congress of Cardiac, Thoracic and Vascular Surgery. Lima- Peru. Meeting Date: 2012-03-17. Oral presentation

37. Rafael AE, Johnston D. Role of hepatic dysfunction in outcomes after cardiac surgery. Cleveland Clinic Cardiothoracic Surgery Research Day 2012. Cleveland, Ohio. Meeting date: 2012-06-15. Oral presentation

38. Chamogeorgakis T, Shafii AE, Rafael AE, Lima B, Nagpal D, Gonzalez-Stawinski GV. Which is Better, Percutaneous Miniaturized Ventricular Assist Devices or Extracorporeal Membrane Oxygenator (ECMO) for Patients with Cardiogenic Shock? 16th Annual Scientific Meeting - Heart Failure Society of America. Seattle, WA. Meeting date: 2012-09-09. Abstract date: 2012-09-11. Poster Presentation

39. Okamoto T, McCurry K, Rafael AE. Are Donor Lungs with Prolonged Cold Ischemic Time Re-Conditioned by EVLP? 33rd Annual Meeting and Scientific Sessions. International Society for Heart & Lung Transplantation. Montreal, Quebec. Meeting date: 2013-04-24. Abstract date: 2013-04-25. Oral presentation

40. Rafael AE, Svensson L. Long term comparison of outcomes with composite valve graft, aortic root remodeling & David procedure. Cleveland Clinic Cardiothoracic Surgery Research Day 2013. Cleveland, Ohio. Meeting date: 2013-06-15. Oral presentation

41. Rafael AE, Svensson L. Granularity of Neurologic Assessment after a Randomized Trial of Brain Protection during Total Aortic Arch Replacement. Cleveland Clinic Cardiothoracic Surgery Research Day 2013. Cleveland, Ohio. Meeting date: 2013-06-15. Oral presentation

42. Loor G, Rafael AE, Roselli E. Distal Aortic Interventions After Repair of Ascending Dissection: Should We Be More Aggressive at Initial Operation? Cleveland Clinic Cardiothoracic Surgery Research Day 2013. Cleveland, Ohio. Meeting date: 2013-06-15.

43.Loor G, Rafael AE, McCurry K. Initial Experience in 70 patients with the Carpentier-Edwards Magna Mitral Valve: A Low Profile Bioprosthesis with Good Hemodynamics. 93rd Annual Meeting and Scientific Sessions. American Association for Thoracic Surgery 2013. Minneapolis, MN. Meeting date: 2013-05-04. Poster presentation

44. Loor G, Rafael AE, Roselli E. Distal Aortic Interventions After Repair of Ascending Dissection: Should We Be More Aggressive at Initial Operation? American Association for Thoracic Surgery Aortic Symposium 2014. Scientific Sessions New York, USA. Meeting date: 2014-04-24. Abstract date: 2014-04-25. Oral Presentation.

45. Masabni K, Rafael AE, Johnston D. Role of Hepatic Dysfunction in Outcomes after Cardiac Surgery. American College of Surgeons Clinical Congress. San Francisco, California. Meeting date: 2014-10-28. Oral presentation

46. Rafael AE, Peralta J. Initial Experience of Heart Valve Replacement with Minimally Invasive Approaches at Dos de Mayo Hospital. XX International Congress of Cardiac, Thoracic and Vascular Surgery. Peruvian Society of Cardiac, Thoracic and Vascular Surgery, Lima – Peru. Meeting Date: 2015-07-01. Abstract date: 2015-07-03. Oral presentation

47. Villanueva O, Rafael AE. Clinical, Echocardiographic and Intraoperative Characteristics of Intracardiac Tumors: A 10-year experience at Dos de Mayo Hospital. XX International Congress of Cardiac, Thoracic and Vascular Surgery. Peruvian Society of Cardiac, Thoracic and Vascular Surgery, Lima – Peru. Meeting Date: 2015-07-01. Abstract date: 2015-07-03. Oral presentation

48. Peralta J, Rafael AE. Pseudoaneurysm Secondary to Osteochondroma. Presentation of Two Cases and Literature Review. XX International Congress of Cardiac, Thoracic and Vascular Surgery. Peruvian Society of Cardiac, Thoracic and Vascular Surgery, Lima – Peru. Meeting Date: 2015-07-01. Abstract date: 2015-07-03. Oral presentation

49. Peralta J, Rafael AE. Hybrid Management of Dissecting Thoracoabdominal Aortic Aneurysm: Case Presentation. XX International Congress of Cardiac, Thoracic and Vascular Surgery. Peruvian Society of Cardiac, Thoracic and Vascular Surgery, Lima – Peru. Meeting Date: 2015-07-01. Abstract date: 2015-07-03. Oral presentation

50. Squiers JJ, Rafael AE, Gonzalez-Stawinski G. High Donor Sequence Number Grafts Can Be Safely Transplanted into Select Patients; Cardiac and Thoracic Surgery, Baylor University Medical Center, Dallas, TX. 36th Annual Meeting and Scientific Sessions. International Society for Heart & Lung Transplantation. Washington DC, Meeting date: 2016-04-27. Abstract date: 2016-04-28. Oral presentation

51. Lima B, Rafael AE, Gonzalez-Stawinski G. Application of the ISHLT Criteria for Primary Graft Dysfunction after Cardiac Transplantation: Risk Factors and Outcomes from a High-Volume Center; Cardiac and Thoracic Surgery, Baylor University Medical Center, Dallas, TX. 36th Annual Meeting and Scientific Sessions. International Society for Heart & Lung Transplantation. Washington DC, Meeting date: 2016-04-27. Abstract date: 2016-04-28. Oral presentation

52. Steimer D, Rafael AE. ECMO Bridge to Recovery for Antibody Mediated Rejection after Lung Transplantation. Cardiac and Thoracic Surgery, Baylor University Medical Center, Dallas, TX. 36th Annual Meeting and Scientific Sessions. International Society for Heart & Lung Transplantation. Washington DC, Meeting date: 2016-04-27. Abstract date: 2016-04-28. Poster presentation

53. Steimer D, Rafael AE. Analysis of Early Clinical Outcomes Following the Commando Procedure: Aortic and Mitral Valve Replacement with Reconstruction of the Intervalvular Fibrous Body. International Academic of Cardiology. Annual Scientific Sessions 2016.21st World Congress on Heart Disease. The Westin Copley Place Boston, MA, USA. Meeting date: July 30 - August 1, 2016. Oral presentation

54. Schwartz G, Steimer D, Hernandez O, Malyala R, Lima B, Rafael AE, Mason D. Outcomes from a Hub-and-Spoke ECMO Program: Lessons Learned from 107 Respiratory ECMO Patients. 53rd Annual Meeting and Scientific Sessions. Society of Thoracic Surgeons. Houston, TX. Meeting date: January 21-25, 2017. Poster presentation

55. Gong TA, Gonzalez-Stawinski GV, Joseph SM, MacHannaford JC, Rafael AE, Saracino G, Kale P, Hall SA, Lima B. Donor Predicted Heart Mass is Superior to Total Body Weight in Predicting Primary Graft Dysfunction in Undersized Donors. 37th Annual Meeting and Scientific Sessions. International Society for Heart & Lung Transplantation. San Diego, CA, Meeting date: 2017-04-05. Abstract date: 2017-04-08. Oral presentation

56. Lima B, Still S, Shaikh A, Saracino G, Jamil AK, Felius J, Joseph SM, Hall SA, Rafael AE, MacHannaford JC, Gonzalez-Stawinski G. Reoperative Sternotomy is Not Associated with Increased Rates of Primary Graft Dysfunction Following Cardiac Transplantation. 37th Annual Meeting and Scientific Sessions. International Society for Heart & Lung Transplantation. San Diego, CA, Meeting date: 2017-04-05. Abstract date: 2017-04-08. Oral presentation

57. Raza FS, Gonzalez-Stawinski GV, Joseph SM, Saracino G, Jamil AK, Felius J, Hall SA, Rafael AE, MacHannaford JC, Bindra AS, Lima B. Vasoplegia in the Absence of Primary Graft Dysfunction is Not Associated with Increased Mortality Following Cardiac Transplantation. 37th Annual Meeting and Scientific Sessions. International Society for Heart & Lung Transplantation. San Diego, CA, Meeting date: 2017-04-05. Abstract date: 2017-04-08. Oral presentation

58. Shaikh AF, Gonzalez-Stawinski GV, Squiers JJ, Chamogeorgakis T, MacHannaford JC, Rafael AE, Vallabhan R, Choi JE, Schussler JM, DiMaio M, Stoler RC, Lima B. Experience with Extracorporeal Membranous Oxygenation support for Cardiocirculatory Arrest following Acute Myocardial Infarction. 37th Annual Meeting and Scientific Sessions. International Society for Heart & Lung Transplantation. San Diego, CA, Meeting date: 2017-04-05. Abstract date: 2017-04-08. Oral presentation

59. Sherwood MJ, Joseph SM, Saracino G, Carey SA, Felius J, Chamogeorgakis T, Rafael AE, MacHannaford JC, Gonzalez-Stawinski GV, Hall SA, Lima B. Severe obesity in heart transplant correlates with increased primary graft dysfunction but not with one-year mortality. 37th Annual Meeting and Scientific Sessions. International Society for Heart & Lung Transplantation. San Diego, CA, Meeting date: 2017-04-05. Abstract date: 2017-04-08. Oral presentation

60. Martinez J, Rafael AE, Peralta-Rodriguez J, Terrance D, Murala J. The Legacy of the “Spark Plug”, Dr. Efrain Montesinos: A 20-Year Follow-Up of a Short-Term Medical Mission Program to an Established Cardiothoracic Training Program. 6th Scientific Meeting of the World Society for Pediatric and Congenital Heart Surgery joins the 18th International Symposium on Congenital Heart Disease. Walt Disney World, FL. Meeting date: 2018-07- 22. Oral presentation

61. Patel N, Guerrero C, Rafael AE. Combined Use of Veno-Arterial Extracorporeal Membrane Oxygenation and Percutaneous Left Ventricular Assist Device in the Management of Acute Post Infarct Ventricular Septal Defect. American College of Cardiology's 68th Annual Scientific Session. New Orleans, LA. Meeting date: March 16-18, 2019. Poster presentation

62. Lee Andy, Afzal A, Barbin C, Rosol Z, Cedars A, Wang H, Lofthus D, Rafael AE, Roberts C, McCullough P. Superior Sinus Venosus Defect and Persistent Left-Sided Superior Vena Cava with Right Heart Enlargement in An Asymptomatic Middle-Aged Woman. American College of Cardiology's 68th Annual Scientific Session. New Orleans, LA. Meeting date: March 16-18, 2019. Poster presentation

63. Alam A, Dib E, Guerrero-Miranda C, Lima B, Rafael AE, Meyer D, Hall S, Joseph S. A Twist on A Twist: A Case of Outflow Graft Rotation in A Heartmate II Patient. Journal of the American College of Cardiology. Volume 75, Issue 11, Supplement 1, 24 March 2020, Page 2482. Poster presentation

64. Coney BJ, Rafael AE. First Series of Left Ventricular Assist Device Exchanges to Heartmate III Through Lateral Thoracotomy. The Journal of Heart and Lung Transplantation. Volume 39, Issue 4, Supplement, S445, April 01, 2020

65. Seliem A, Rafael AE. HeartMate 3 Explant Using a Custom Synthetic Plug. The Rafael-Meyer Technique. The Journal of Heart and Lung Transplantation. Volume 39, Issue 4, Supplement, S445, April 01, 2020

66. Seliem A, Rafael AE, Guerrero-Miranda C. A Novel Protocol for the Evaluation and Management of Patients for Successful HM III LVAD Explantation. The Journal of Heart and Lung Transplantation. Volume 39, Issue 4, Supplement, S445, April 01, 2020

67. Patel NH, Meyer D, Gottlieb R, Guerrero-Miranda C, Hall S, Jamil AK, Van Zyl JS, Felius J, Rafael AE. Heartmate III™ Implantation: A Novel Technique to Reduce the Incidence of Perioperative Bleeding and the Use of Intraoperative Blood Products. The Journal of Heart and Lung Transplantation. Volume 39, Issue 4, Supplement, S445, April 01, 2020

68. Outflow graft occlusion of the HeartMate 3 Left Ventricular assist Device: Report of two cases successfully managed. Aldo Rafael, Dan Meyer, Charles Roberts, Shelley Hall, Cesar Guerrero, Nishi Patel. Submitted.

69. Initiating a minimally invasive cardiac surgery program in a developing country -challenges and solutions. Aldo Rafael, Julio Peralta, Charles Roberts, Dan Meyer. Submitted.

70. Humanitarian cardiac surgery in Lima, Peru. Experiences of multidisciplinary American cardiovascular team. Aldo Rafael, Julio Peralta, Charles Roberts, Dan Meyer. Submitted.

71. Minimally Invasive Mitral Valve Replacement and Tricuspid Valve Repair in Situs Inversus Totalis With Dextrocardia. Dr. Aldo Rafael, Dr. Julio Peralta, Dr. Sergio Ricse, Dr. Charles Roberts, Dr. Dan Meyer and Dr. Zubair Hashmi. Case Report. Submitted.

February 2001, Abdominal Trauma at the Satipo Hospital. 1999-2000. VII International Congress of General Surgery. Peruvian Association of General Surgeons. Lima – Peru

October 2002,  Diagnosis and Treatment of Pulmonary Aspergilloma at Dos de Mayo National Hospital. XII National Congress and XXIV International Course of Internal Medicine. Peruvian Association of Internal Medicine. Lima – Peru.

February 2003,  Nursing Advances in Critical Patient’s Care. II International Nursing Course. Peruvian College of Nursing. Lima – Peru.

July 2006, Chest Tumor Conference. Area Health Education Center South Arkansas. University of Arkansas for Medical Sciences. El Dorado, AR

February 2007,  Procedures in Intensive Care Unit. V International Congress of Medicine and Surgery. Dos de Mayo Hospital. Lima – Peru

October 2007,  Thoracic and Cardiovascular Course. Hospital Departamental de Huancavelica. Huancavelica – Peru

October 2007,  International Course of Surgery of Hydatid Cysts Lung. Hospital ESSALUD – Peruvian American Medical Society. Huancavelica – Peru

June 2010, Contemporary Treatment Strategies for Aortic Coarctation and Related Complications in Adolescents and Adults. The Annual Research Day. Department of Thoracic and Cardiovascular Surgery-Cleveland Clinic. Cleveland – Ohio.

June 2011,  Simplified Hybrid Technique for Extended Repair of Acute Type A Dissection. The Annual Research Day. Department of Thoracic and Cardiovascular Surgery-Cleveland Clinic. Cleveland – Ohio.

September 2011, Endovascular Treatment of Thoracic Aortic Disease. International Congress on Cardiovascular Surgery “Efrain Montesinos Mosqueira. Dos de Mayo Hospital-Peruvian American Medical Society. Lima - Peru

September 2011, Minimally Invasive Mitral Valve Repair. International Congress on Cardiovascular Surgery “Efrain Montesinos Mosqueira. Dos de Mayo Hospital-Peruvian American Medical Society. Lima - Peru

September 2011, Surgical Strategies for Advanced Heart Failure. International Congress on Cardiovascular Surgery “Efrain Montesinos Mosqueira. Dos de Mayo Hospital-Peruvian American Medical Society. Lima - Peru

March 2012,  Surgery of Acute Type A Dissection. A Cleveland Clinic Experience. VI International Congress of the Latin American Society of Cardiovascular and Thoracic Surgery. Lima – Perú

June 2012, Hepatic Dysfunction after Cardiac Surgery. The Annual Research Day. Department of Thoracic and Cardiovascular Surgery-Cleveland Clinic. Cleveland – Ohio

May 2013,  Heart and Lung Transplantation: Effective Organ Procurement. XVIII International Congress of the Peruvian Society of Cardiac, Thoracic and Vascular

May 2013,  Lung Transplantation Surgery at the Cleveland Clinic. XVIII International Congress of the Peruvian Society of Cardiac, Thoracic and Vascular Surgery. Lima – Perú. Declined speaking invitation.

May 2014,  Minimally Invasive Valvular Surgery. XIX International Congress of the Peruvian Society of Cardiac, Thoracic and Vascular Surgery. Arequipa – Perú.

May 2014,  Heart Transplantation: A single Center Experience. XIX International Congress of the Peruvian Society of Cardiac, Thoracic and Vascular Surgery. Arequipa – Perú.

May 2014,  Lung Transplantation at the Baylor University Medical Center. XIX International Congress of the Peruvian Society of Cardiac, Thoracic and Vascular Surgery. Arequipa – Perú.

December 2014,  Minimally Invasive Valve Heart Surgery. II International Symposium in Medical‐Surgical Advances. Medellin - Colombia

December 2014,  Temporary Mechanical Circulatory Support – Hub & Spoke. II International Symposium in Medical‐Surgical Advances. Medellin – Colombia

July 2015,  Complex Mitral Valve Procedures. XX International Congress of the Peruvian Society of Cardiac, Thoracic and Vascular Surgery. Lima – Perú.

July 2015,  Surgical Treatment of Infective Endocarditis. XX International Congress of the Peruvian Society of Cardiac, Thoracic and Vascular Surgery. Lima – Perú.

July 2015,  Surgical Aspects of Lung Transplantation. XX International Congress of the Peruvian Society of Cardiac, Thoracic and Vascular Surgery. Lima – Perú.

February 2016,  Minimally Invasive Approaches to the Mitral Valve. XIII International Congress of Medicine and Surgery. Dos de Mayo Hospital, Lima - Peru.

February 2016,  Treatment of Endocarditis: Destruction and Reconstruction of the Fibrous Skeleton. XIII International Congress of Medicine and Surgery. Dos de Mayo Hospital, Lima - Peru.

September 2016,  Minimally Invasive Surgery for Coronary Bypass and Valvular Heart Repair. Cardiovascular Symposium. PAMS XLIII ANNUAL CONVENTION. Atlanta, GA

February 2019, Heart Transplant vs LVAD. How do we choose? Advanced Heart Failure Symposium 2019. Foundation for Advanced Cardiovascular Education and Training (FACET). Baylor University Medical Center. Dallas, Texas

April 2019,  ECMO Alternative Cannulation Strategies. AHF CME Lecture. The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott and White Health. University Medical Center. Dallas, Texas

February 2020,  HeartMate 3 Explantation for Myocardial Recovery. AHF CME Lecture. The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott and White Health. University Medical Center. Dallas, Texas

August 2020,  When and How to Replace a LVAD. AHF CME Lecture. The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott and White Health. University Medical Center. Dallas, Texas

November 2020,  The ABCs of Advanced Heart Failure. Learning with Clinical Cases. Colombian Society of Cardiology and Cardiovascular Surgery. Virtual Education.

December 2020,  The present and Future of Heart Transplantation. COVID Implications. International Course. Clinical Cardiology Update. Peruvian Cardiovascular National Institute.

December 2020,  ECMO as bridge of Heart Transplantation. COVID. International Course. Clinical Cardiology Update. Peruvian Cardiovascular National Institute.

June 2022,  Trends and Outcomes of Left Ventricular Assist Device Therapy. Cardiology Gran Rounds. Foundation CardioInfantil – Bogota, Colombia.

August 2022,  Left Ventricular Assist Device Therapy as a Destination Therapy: Myth or Reality. XIV International Congress of Cardiology. San Pablo Heart Institute. Lima – Peru.

August 2022,  Minimally Invasive Aortic Valve Surgery: State of Art. XIV International Congress of Cardiology. San Pablo Heart Institute. Lima – Peru

August 2022,  Humanitarian Medical Mission in Peru. AHF CME Lecture. The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott and White Health. University Medical Center. Dallas, Texas

1. Rafael AE. Chair of Meeting Session. Subject: Cardiothoracic Trauma. XIX International Congress of Medicine and Surgery. Dos de Mayo Hospital, Lima – Peru. 2006

2. Rafael AE. Chair of Meeting Session. Subject: Post-Operative Management of Cardiac Surgery. IV International Congress of Medicine and Surgery. Dos de Mayo Hospital, Lima – Peru. 2006.

3. Rafael AE. Judge of Work of Surgeons. Instructor and Director of Lung Hydatid Surgery at Huancavelica Hospital. Peruvian American Medical Society, Huancavelica – Peru. 2007.

4. Rafael AE. Judge of Research Project. Risk Factors associated with Myocardial Infarction in patients of the Edgardo Rebagliati Martins Hospital. School of Nursing. Postgraduate Unit – Cayetano Heredia University, Lima – Peru. 2008.

5. Rafael AE. Judge of work of Residents and Medical Students and Nurses. Cardiac Surgery Instructor - Department of Thoracic and Cardiovascular Surgery – Dos de Mayo Hospital, Lima – Peru. 2007 - 2009

6. Rafael AE. Chair of Meeting Session. Subject: Minimally Invasive Valve Surgery. XV International Congress of Cardiac, Thoracic and Vascular Surgery. Peruvian Society of Cardiac, Thoracic and Vascular Surgery, Lima – Peru. 2009.

7. Rafael AE. Chair of Meeting Session. Subject: Surgical Treatment of Thoracic Aorta Aneurysm. International Congress on Cardiovascular Surgery “Efrain Montesinos Mosqueira”. Dos de Mayo Hospital-Peruvian American Medical Society. Lima – Peru. 2010

8. Rafael AE. Judge of work of Junior Fellows, Residents and Medical Students. Senior Advanced Cardiac Surgery Fellow - Department of Thoracic and Cardiovascular Surgery - Cleveland Clinic, Cleveland – Ohio. 2011 – 2012. Dr. Kenneth McCurry (Program Director of Lung Transplantation Fellowship)

9. Rafael AE. Judge of work of Junior Fellows, Residents and Medical Students. Chief Fellow - Lung and Lung/Heart Transplant Surgery Program - Cleveland Clinic, Cleveland – Ohio. 2012 – 2013.

Dr. Douglas Johnston (Program Director of Cardiothoracic and Surgery Residency)

10. Rafael AE. Judge of work for Oral Abstract Presentation. Lung Transplantation in Patients with Prior Cardiothoracic Surgical Procedures. The Annual Research Day. Department of Thoracic and Cardiovascular Surgery-Cleveland Clinic, Cleveland – Ohio. 2013

11. Rafael AE. Judge of Work of Surgeons. Instructor of Hands on – Wet lab: Aortic Valve Surgery (David Technique). XIX International Congress of Cardiac, Thoracic and Vascular Surgery. Peruvian Society of Cardiac, Thoracic and Vascular Surgery, Arequipa – Peru. 2014.

12. Rafael AE. Chair of Meeting Session. Subject: Cardiothoracic Trauma. XIX International Congress of Cardiac, Thoracic and Vascular Surgery. 

Peruvian Society of Cardiac, Thoracic and Vascular Surgery, Arequipa – Peru. 2014.

13, Rafael AE. Judge of Work of Surgeons. Instructor of Hands on – Wet lab: Adults Cardiac Surgery (Mitral Valve Repair Technique). XX International Congress of Cardiac, Thoracic and Vascular Surgery. Peruvian Society of Cardiac, Thoracic and Vascular Surgery, Lima – Peru. 2015.

14. Rafael AE. Chair of Meeting Session. Subject: Lung Transplantation. XX International Congress of Cardiac, Thoracic and Vascular Surgery. Peruvian Society of Cardiac, Thoracic and Vascular Surgery, Lima – Peru. 2015.

15. Rafael AE. Chair of Meeting Session. Subject: Heart Transplantation. XX International Congress of Cardiac, Thoracic and Vascular Surgery. Peruvian Society of Cardiac, Thoracic and Vascular Surgery, Lima – Peru. 2015.

16. Rafael AE. Chair of Meeting Session. Subject: Valve Surgery. XX International Congress of Cardiac, Thoracic and Vascular Surgery. Peruvian Society of Cardiac, Thoracic and Vascular Surgery, Lima – Peru. 2015.

17. Rafael AE. Judge of Work of Critical Care Surgeons - URSA. Instructor of Extracorporeal Membrane Oxygenation. Cardiac Surgery Intensive Care Unit – Baylor University Medical Center, Dallas – Texas. 2014 – Dr. Michael Foreman (Director of the Division of Trauma in the Department of Surgery)

18. Rafael AE. Judge of work of Fellows, Residents, Physician Assistants and Medical Students.  Staff Surgeon - Heart Transplantation and MCS Fellowship Program - Department of Thoracic and Cardiac Surgery – Baylor University Medical Center, Dallas – Texas. 2013 -

Dr. Dan Meyer (Chief of Heart Transplantation and MCS) and Dr. Robert Goldstein (Director of Surgical Residency Program)

19. Rafael AE. Judge of work of Residents and Medical Students. Clinical Assistant Professor in the Department of Surgery - Texas A&M Health Science Center College of Medicine, Dallas – Texas. 2013-

Dr. Cristie Columbus (Vice Dean - Texas A&M Health Science Center College of Medicine – Dallas) and Dr. Robert Goldstein (Surgical Residency Program – Baylor University Medical Center)

20. Rafael AE. Judge of Work of Surgeons. Instructor and Director of Minimally Invasive Cardiac Surgery at Dos de Mayo Hospital. Peruvian American Medical Society, Lima – Peru. 2016

Dr. Julio Peralta (Chairman of Cardiothoracic Surgery Department)

21. Rafael AE. Chair of Meeting Session. Subject: ECMO for Heart and Lung Support in Adults. XIII International Congress of Medicine and Surgery. Dos de Mayo Hospital, Lima – Peru. 2016.

22. Rafael AE. Chair of Meeting Session. Subject: Minimally Invasive Surgery in Peru. An update. XIII International Congress of Medicine and Surgery. Dos de Mayo Hospital, Lima – Peru. 2016.

23. Rafael AE. Judge of Work of Surgeons. Instructor of Hands on – Wet lab: Heart transplantation and procurement. Dos de Mayo Hospital, Lima – Peru. 2018.

24. Rafael AE. Judge of Work of Surgeons. Instructor of Hands on – Wet lab: Left Ventricular Assist Device (LVAD) Implantation Technique. Dos de Mayo Hospital, Lima – Peru. 2018.

25, Rafael AE. Judge of Work of Perfusionist. Instructor of Hands on – Wet lab: Heart Mate III Left Ventricular Assist Device (LVAD) Implantation Technique. Baylor University Medical Center, Dallas - USA. 2018.

26. Rafael AE. Judge of Work of Surgeons. Instructor of Hands on – Wet lab: Heart Mate III Left Ventricular Assist Device (LVAD) Implantation Technique. Hospital Calderon Guardia, San Jose – Costa Rica and Abbott. November 2019

27. Rafael AE. Judge of Work of Surgeons. Proctor of Heart Mate III Left Ventricular Assist Device (LVAD) Implantation at Hospital Calderon Guardia, San Jose – Costa Rica. Abbott and Dr. Rodrigo Chamorro Castro (Chairman of Cardiothoracic Surgery Department), November 2019

28. Rafael AE. Chair of Webinar Session. Subject: Clinical Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19). The United States Experience. Peruvian American Medical Society – Hispanic Cardiovascular Institute, Baylor Scott and White Dallas, Dallas – Texas. July 2020.

29. Rafael AE. Judge of Work of Surgeons. Proctor of Virtual Hands on – Wet lab: Heart Mate III Left Ventricular Assist Device (LVAD) Implantation Technique. Fundación CardioInfantil, Bogotá – Colombia. Abbott and Dr. Carlos Eduardo Obando Lopez. August 29, 2020.

30. Rafael AE. Judge of Work of Surgeons. Proctor of Virtual Hands on – Wet lab: CentriMag Implantation Technique. Hospital Guillermo Almenara- Lima, Perú. Abbott and CardioMed. June 1st, 2022.

31.Rafael AE. Judge of Work of Surgeons. Proctor/Consultant of Heart Mate III Left Ventricular Assist Device (LVAD) Implantation at Fundación CardioInfantil. Instituto de Cardiologia, Bogota – Colombia. Abbott and Dra. Mariana Juliana Rodriguez (Heart Transplant and Heart Failure Director), June 2022

32. Rafael AE. Judge of Work of Surgeons. Proctor of Virtual Hands on – Wet lab: Heart Mate III Left Ventricular Assist Device (LVAD) Implantation Technique. Clinica CardioVid, Medellin – Colombia. Abbott and Dr. Juan Camilo Rendon. November 29, 2022

01/21/2014: “Big” Accomplishment for Heart Transplant Team at Baylor University Medical Center at Dallas. Surgical team performs 100th heart transplant. http://media.baylorhealth.com/channels/News-Releases/releases/big-accomplishment-for-heart-transplant-team-at-baylor-university-medical-center-at-dallas

03/15/2016: Patient Being Kept Alive with Total Artificial Heart Receives Donor Heart at Baylor University Medical Center. Surgeons perform first Total Artificial Heart “bridge to transplant” in North Texas.

http://media.baylorhealth.com/channels/News-Releases/releases/patient-being-kept-alive-with-total-artificial-heart-receives-donor-heart-at-baylor-university-medical-center

11/24/2020: Celebrating 1,000 grateful hearts. Baylor University Medical Center, part of Baylor Scott & White Health, is a pioneer in organ transplant. Since our first transplant in 1986, our goal has been to transform stories in our communities. As we celebrate our 1,000th heart transplant, we want to thank the families, care teams and donors who help hearts get Better.

https://www.youtube.com/watch?v=YbG8pDzXR9Q