Narain Moorjani is a cardiothoracic surgeon providing the full range of cardiac surgical procedures, including coronary artery bypass grafting and aortic valve replacement.  He forms part of the specialist valve group, performing complex mitral valve repair surgery, as well as surgery of the thoracic aorta.

He also performs procedures to control abnormal heart rhythms, as well as minimally invasive cardiac surgery (including valve surgery through small incisions and coronary surgery without the use of the heart-lung bypass machine). He was the first surgeon to introduce minimally invasive cardiopulmonary bypass to Royal Papworth Hospital.

Narain Moorjani came to Royal Papworth Hospital having previous worked as a consultant cardiac surgeon at the Royal Brompton Hospital, London and Assistant Professor in Cardiothoracic Surgery in Philadelphia, USA. Prior to that, he completed a research doctorate of medicine (MD) at the University of Oxford and National Heart and Lung Institute, investigating the genes involved in the development of heart failure.

His research interests are currently focussing on the genes responsible for enlargement of the thoracic aorta.

In addition, he has published several international best-selling, award-winning cardiac surgery textbooks, including 'Operative Mitral and Tricuspid Valve Surgery', 'Key Questions in Cardiac Surgery' and 'Cardiac Surgery: Recent Advances and Techniques', with further cardiothoracic surgery textbooks due out soon.

More recently, he has been awarded the National Cardiac Benchmarking Collaborative (NCBC) Cardiac Service Improvement and Best Practice Award and 2nd place in the National Patient Safety Awards for the introduction of the Papworth Haemostasis Checklist, which has significantly reduced the amount blood transfusion required and number of patients returning to theatre for bleeding following cardiac surgery.

From an educational point of view, he has developed a unique portfolio of award-winning, simulation-based, curriculum-aligned, cardiothoracic surgery training courses, which are run in Great Britain and Europe.

Positions of Responsibility

Consultant Cardiothoracic Surgeon, Papworth Hospital, Cambridge
Clinical Lead for Cardiac Surgery, Papworth Hospital, Cambridge
Associate Lecturer, University of Cambridge
Honorary Secretary, Society for Cardiothoracic Surgery of Great Britain & Ireland

Specialist Clinical Interests

Complex mitral valve repair surgery, including implantation of artificial chords and valve reconstruction, as well as mitral valve replacement. In addition, I perform minimally invasive mitral valve surgery, through a small incision in the chest wall.
Coronary artery bypass grafting (CABG) surgery, including minimally invasive off-pump coronary surgery.
Aortic valve replacement, including minimally invasive aortic valve surgery and sutureless aortic valve replacement.
Surgery of the thoracic aorta, including aortic root replacement and ascending aortic replacement
Tricuspid valve surgery
Arrhythmia surgery, including atrial fibrillation (AF) surgery
Minimally invasive cardiopulmonary bypass
 

Research Interests

Gene expression in the thoracic aorta and myocardium 

Education and Training

MB ChB  1995
MRCS (Eng)  1999
MD   2005
FRCS (C-Th) (Eng) 2007
MA (Cantab) 2016

Current membership(s) of professional, national and regional bodies and university posts

Fellow of the Royal College of Surgeons of England
Member of the Society for Cardiothoracic Surgery in Great Britain and Ireland
Member of the European Association for Cardiothoracic Surgery
Registered with the General Medical Council (specialist register for Cardiothoracic Surgery)

Recent and Important Publications

Benedetto U, Sinha S, Dimagli A, Cooper G, Mariscalco G, Uppal R, Moorjani N, Krasopoulos G, Kaura A, Field M, Trivedi U, Kendall S, Angelini GD, Akowuah EF, Tsang G; UK Aortic Group. Decade-long trends in surgery for acute Type A aortic dissection in England: A retrospective cohort study. Lancet Reg Health Eur. 2021 Jun 5;7:100131.

COVIDSurg Collaborative Co-authors. Machine learning risk prediction of mortality for patients undergoing surgery with perioperative SARS-CoV-2: the COVIDSurg mortality score. Br J Surg. 2021

Sumal AS, Ali JM, Kyriacou H, Tuttle CJ, Moorjani N. Aortic valve replacement in patients over 60: Real-world surgical outcomes. J Card Surg. 2021 Apr;36(4):1468-1476.

Ali JM, Kovzel M, McPhilimey E, Colah S, De Silva R, Moorjani N. Minimally invasive extracorporeal circulation is a cost-effective alternative to conventional extracorporeal circulation for coronary artery bypass grafting: propensity matched analysis. Perfusion. 2021 Mar;36(2):154-160.

Nair SK, Sudarshan CD, Thorpe BS, Singh J, Pillay T, Catarino P, Valchanov K, Codispoti M, Dunning J, Abu-Omar Y, Moorjani N, Matthews C, Freeman CJ, Fox-Rushby JA, Sharples LD. Mini-Stern Trial: A randomized trial comparing mini-sternotomy to full median sternotomy for aortic valve replacement. J Thorac Cardiovasc Surg. 2018 Dec;156(6):2124-2132

Kenny L, Booth K, Freystaetter K, Wood G, Reynolds G, Rathinam S, Moorjani N. Training cardiothoracic surgeons of the future: The UK experience. J Thorac Cardiovasc Surg. 2018 Jun;155(6):2526-2538.

Moorjani N, Lewis M, Shah R, Barnard S, Graham T, Rathinam S. Implementation of a novel portfolio of structured, curriculum-aligned, simulation-based, cardiothoracic surgery training courses: evolving the delivery of surgical education. J Thorac Cardiovasc Surg. 2017 Dec;154(6):2009-2016.

Farid S, Povey H, Ladwiniec A, Caruna E, Ali A, Moorjani N, Abu-Omar Y. Early outcomes after mitral valve repair versus replacement in the elderly: a propensity matched analysis. Heart Lung Circ. 2017 Dec 5. pii: S1443-9506(17)31503-2.

Harrison OJ, Moorjani N, Torrens C, Ohri SK, Cagampang FR. Endogenous Reference Genes for Gene Expression Studies on Bicuspid Aortic Valve Associated Aortopathy in Humans. PLoS One. 2016 Oct 11;11(10):e0164329.

Sastry P, Hughes V, Hayes P, Vallabhaneni S, Sharples L, Thompson M, Catarino P, Moorjani N, Vale L, Gray J, Cook A, Elefteriades J, Large S, on behalf of the ETTAA collaborators. The ETTAA study protocol: a UK-wide observational study of ‘Effective Treatments for Thoracic Aortic Aneurysm’. BMJ Open 2015;5:e008147.

Moorjani N, Viola N, Janusauskas V, Livesey SA.  Adjusting the length of artificial Gore-tex chords in mitral valve repair using a single loop technique.  Journal of Thoracic and Cardiovascular Surgery 2009; 138(6):1441-2

Moorjani N, Modi A, Mattam K, Barlow C, Tsang G, Haw M, Livesey S, Ohri S.  Aortic root replacement using a Biovalsalva prosthesis in comparison to a handsewn composite bioprosthesis.  Journal of Cardiac Surgery 2010; 25(3): 321-6