- American Heart Association
- American Society of Echocardiography
Claudio Ramaciotti, M.D.
- Pediatrics - Cardiology
- Echocardiography
- Pediatric Cardiology
Biography
Claudio Ramaciotti, M.D., is a Professor in the Department of Pediatrics at UT Southwestern Medical Center. His clinical interests include echocardiography and pediatric cardiology.
Dr. Ramaciotti earned his medical degree at Universidade Federal do Rio de Janeiro, followed by a residency in pediatrics at Hospital Federal dos Servidores do Estado. He gained advanced training through the completion of three fellowships – a clinical fellowship in pediatric cardiology at the University of London, a research fellowship in pediatric cardiography at UCSF School of Medicine, and a clinical fellowship in pediatric cardiology at Children’s Hospital of Philadelphia.
Certified by the American Board of Pediatrics in general pediatrics and pediatric cardiology, he joined the UT Southwestern faculty in 1996.
Dr. Ramaciotti is the Director of Pediatric Cardiology Imaging at Children’s Medical Center Dallas. He also serves on the Executive Committee for Quality, Safety, and Value at the Children’s Heart Center.
He is an ad hoc reviewer for Early Human Development, Circulation, and the Journal of the American Society of Echocardiography and a member of the American Heart Association and the American Society of Echocardiography.
Dr. Ramaciotti has delivered numerous lectures and published widely in his areas of research interest, which include diagnosis of congenital heart disease, Duchenne muscular dystrophy, and ventricular function. His recent publications include a contribution to Echocardiography in Pediatric and Congenital Heart Disease: From the Fetus to the Adult.
Dr. Ramaciotti has been included in D Magazine’s list of Best Pediatric Specialists numerous times and named a Texas Monthly Super Doctor.
Education & Training
- Medical School - Universidade Federal Fluminense (1973-1977)
- Residency - Hospital dos Servidores de Estado (1978-1979), Pediatrics
- Research Fellowship - UCSF School of Medicine (1984-1985), Pediatric Cardiography
- Residency - Emory University Hospital (1987-1989), Pediatrics
- Fellowship - University of London (1982-1984), Pediatric Cardiology
- Fellowship - Children's Hospital of Philadelphia (1989-1993), Pediatric Cardiology
- Internship - Universidad Federal De Rio De Janeiro (1977-1978), Pediatrics
Professional Associations & Affiliations
Honors & Awards
- D Magazine Best Doctor 2022-2025
- D Magazine Best Pediatric Specialist, 2004-2017, 2020-2021
- Super Doctor 2018, Texas Monthly
- Ann Newman Fellowship Award 1990, Children’s Hospital of Philadelphia, Division of Cardiology
- Premio Universidade Federal do Rio de Janeiro 1977, Awarded for graduating in top 3%
Books & Publications
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Books
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Anomalies of the Right Ventricular Outflow Tract and Pulmonary Valve in Lai WW, Mertens LL, Geva T, Cohen MS, eds. Echocardiography in Pediatric and Congenital Heart Disease: From Fetus to Adult. 2nd ed.
Lemler MS, Ramaciotti C. (2016), Oxford: Wiley-Blackwell. -
Persistencia do Canal Arterial in Semiologia e Propedeutica Cardiologicas
Ramaciotti C (1988), Rio de Janeiro, Atheneu
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Anomalies of the Right Ventricular Outflow Tract and Pulmonary Valve in Lai WW, Mertens LL, Geva T, Cohen MS, eds. Echocardiography in Pediatric and Congenital Heart Disease: From Fetus to Adult. 2nd ed.
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Publications
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Case 1: A Neonate Presenting in Shock
Doctor PN, Ramaciotti C, Fares M Pediatrics in review 2024 Oct 45 573-576 -
Echocardiography evaluation of neonatal vein of Galen aneurysmal malformation
Doctor P, Ramaciotti C, Angelis D, Cory M Cardiology in the Young 2024 Apr 34 759-764 -
Comparison of the effect of three steroid regimens on cardiac function in Duchenne muscular dystrophy
Sanchez MJ, Scott W, Pessana F, Castro D, Ramaciotti C Progress in Pediatric Cardiology 2022 Dec 67 -
Coronary Artery Origins Pattern in Pediatric Patients with Right-Left Fusion Bicuspid Aortic Valve
Beauchamp DN, Ramaciotti C, Brown P, Thankavel PP Pediatric Cardiology 2022 Aug 43 1229-1238 -
Anomalies of the Right Ventricular Outflow Tract and Pulmonary Valve
Lemler MS, Thankavel PP, Ramaciotti C 2021 Jan 321-339 -
Kawasaki’s disease and onychomadesis in a 17-month-old girl with non–SARS-CoV2 coronavirus
Pineider JL, Haugh IM, Ramaciotti C, Agim NG Baylor University Medical Center Proceedings 2021 34 409-411 -
Echocardiographic evaluation of left ventricular systolic function by the M-mode lateral mitral annular plane systolic excursion in patients with Duchenne muscular dystrophy age 0-21 years
Webb MK, Thankavel PP, Ramaciotti C Health Science Reports 2020 Dec 3 -
Sinus of Valsalva Aneurysm in a Patient With Mosaic Trisomy 13: Case Report and Brief Review of the Literature
Ghawi H, Engelhardt K, Dixon K, Thankaval P, Ramaciotti C, Lemler MS, Guleserian KJ World Journal for Pediatric and Congenital Heart Surgery 2020 Jul 11 NP1-NP6 -
Decrease in the frequency of treatment for patent ductus arteriosus after implementation of consensus guidelines: a 15-year experience
Pavageau L, Brion LP, Rosenfeld CR, Brown LS, Ramaciotti C, Burchfield PJ, Jaleel MA Journal of Perinatology 2019 Nov 39 1569-1576 -
Feasibility of real-time cine cardiac magnetic resonance imaging to predict the presence of significant retrosternal adhesions prior to redo-sternotomy
Abou Zahr R, Gooty V, Tandon A, Greil G, Pirolli T, Davies R, Jaquiss R, Ramaciotti C, Hussain T Journal of Cardiovascular Magnetic Resonance 2019 Oct 21 -
Rationalising the use of cardiac catheterisation before Glenn completion
James L, Tandon A, Nugent A, Malik S, Ramaciotti C, Greil G, Zabala L, Forbess J, Hussain T Cardiology in the Young 2018 May 28 719-724 -
Mortality among infants with evolving bronchopulmonary dysplasia increases with major surgery and with pulmonary hypertension
Devries LB, Heyne RJ, Ramaciotti C, Brown LS, Jaleel MA, Kapadia VS, Burchfield PJ, Brion LP Journal of Perinatology 2017 Sep 37 1043-1046 -
Implantation of a left ventricular assist device to provide long-term support for end-stage Duchenne muscular dystrophy-associated cardiomyopathy
Stoller D, Araj F, Amin A, Fitzsimmons C, Morlend R, Thibodeau JT, Ramaciotti C, Drazner MH, Meyer DM, Mammen PP ESC Heart Failure 2017 Aug 4 379-383 -
Increased prevalence of potential right-to-left shunting in children with sickle cell anaemia and stroke
Dowling MM, Quinn CT, Ramaciotti C, Kanter J, Osunkwo I, Inusa B, Iyer R, Kwiatkowski JL, Johnson C, Rhodes M, Owen W, Strouse JJ, Panepinto JA, Neumayr L, Sarnaik S, Plumb PA, Dlamini N, Kirkham F, Hynan LS British Journal of Haematology 2017 Jan 176 300-308 -
Early echocardiographic predictor of heart failure in cerebral arteriovenous malformations
Thankavel PP, Ramaciotti C Cardiology in the Young 2016 Apr 1-5 -
Isolated Mitral Cleft in Trisomy 21: An Initially ‘Silent’ Lesion
Thankavel PP, Ramaciotti C Pediatric Cardiology 2016 Feb 37 405-408 -
Anomalies of the Right Ventricular Outflow Tract and Pulmonary Valve
Lemler MS, Ramaciotti C 2016 Jan 279-296 -
Utility and importance of new echocardiographic screening methods in diagnosis of anomalous coronary origins in the pediatric population: Assessment of quality improvement
Thankavel PP, Lemler MS, Ramaciotti C Pediatric Cardiology 2015 Jan 36 120-125 -
Neonatal double switch for congenitally corrected transposition with Ebstein anomaly and bilateral superior venae cavae
Sebastian VA, Cooley A, Ramaciotti C, Guleserian KJ, Forbess JM Journal of Thoracic and Cardiovascular Surgery 2014 Dec 148 e241-e242 -
Double-outlet right atrium associated with hypoplastic right heart structures and aortic stenosis: Echocardiographic features
Thankavel PP, Gabbert B, Ramaciotti C Echocardiography 2014 May 31 E163-E165 -
Unruptured sinus of Valsalva aneurysm in a neonate with hypoplastic left heart syndrome: Echocardiographic diagnosis and features
Thankavel PP, Lemler MS, Ramaciotti C Echocardiography 2014 Mar 31 E85-E87 -
Anomalous left main coronary artery origin from the right sinus of valsalva: A novel echocardiographic screening method
Thankavel PP, Balakrishnan PL, Lemler MS, Ramaciotti C Pediatric Cardiology 2013 Apr 34 842-846 -
Early echocardiographic prediction of ductal closure in neonates ≤30 weeks gestation
Thankavel PP, Rosenfeld CR, Christie L, Ramaciotti C Journal of Perinatology 2013 Jan 33 45-51 -
Hypertrophic cardiomyopathy in a neonate associated with nemaline myopathy
Mir A, Lemler M, Ramaciotti C, Blalock S, Ikemba C Congenital Heart Disease 2012 Jul 7 E37-E41 -
Atherotome dislodgement and successful retrieval during cutting balloon pulmonary angioplasty
DeSena HC, Ramaciotti C, Nugent AW Circulation: Cardiovascular Interventions 2012 Jun 5 e37-e38 -
Imaging the coronary artery: Is it really normal? How to avoid common echocardiographic pitfalls
Thankavel PP, Brown PS, Carron HD, Ramaciotti C Circulation: Cardiovascular Imaging 2012 May 5 415-418 -
Prevalence of pulmonary hypertension in hereditary spherocytosis
Crary SE, Ramaciotti C, Buchanan GR American Journal of Hematology 2011 Dec 86 E73-E76 -
A neonate with left congenital diaphragmatic hernia and transient retrograde flow in the aortic arch
Thankavel PP, Ramaciotti C, Lemler MS Pediatric Cardiology 2011 Dec 32 1207-1208 -
Diagnosing a patent foramen ovale in children: Is transesophageal echocardiography necessary?
Hubail Z, Lemler M, Ramaciotti C, Moore J, Ikemba C Stroke 2011 Jan 42 98-101 -
Oxygen supplementation is helpful for the echocardiographic detection of anomalous left coronary artery from the pulmonary artery
Blanco VM, Blalock SE, Ramaciotti C, Lemler M, Heistein L, Moore J, Ikemba C Journal of the American Society of Echocardiography 2010 Oct 23 1099-1102 -
Cardiac findings in congenital muscular dystrophies
Finsterer J, Ramaciotti C, Wang CH, Wahbi K, Rosenthal D, Duboc D, Melacini P Pediatrics 2010 Sep 126 538-545 -
Echocardiographic predictors of symptomatic patent ductus arteriosus in extremely-low-birth-weight preterm neonates
Ramos FG, Rosenfeld CR, Roy L, Koch J, Ramaciotti C Journal of Perinatology 2010 Aug 30 535-539 -
Prevalence of Intracardiac Shunting in Children with Sickle Cell Disease and Stroke
Dowling MM, Lee N, Quinn CT, Rogers ZR, Boger D, Ahmad N, Ramaciotti C, Buchanan GR Journal of Pediatrics 2010 Apr 156 645-650 -
Anomalies of the Right Ventricular Outflow Tract and Pulmonary Valve
Lemler MS, Ramaciotti C 2009 Aug 249-263 -
Clinical and echocardiographic diagnosis of patent ductus arteriosus in premature neonates
Chiruvolu A, Punjwani P, Ramaciotti C Early Human Development 2009 Mar 85 147-149 -
Echocardiography, not chest radiography, for evaluation of cannula placement during pediatric extracorporeal membrane oxygenation
Thomas TH, Price R, Ramaciotti C, Thompson M, Megison S, Lemler MS Pediatric Critical Care Medicine 2009 Jan 10 56-59 -
Aspirin resistance in children with heart disease at risk for thromboembolism: Prevalence and possible mechanisms
Heistein LC, Scott WA, Zellers TM, Fixler DE, Ramaciotti C, Journeycake JM, Lemler MS Pediatric Cardiology 2008 Mar 29 285-291 -
Spatial relationship between the ventricular septal defect and the anomalous muscle bundle in a double-chambered right ventricle
Hubail ZJ, Ramaciotti C Congenital Heart Disease 2007 Nov 2 421-423 -
The aortic translocation (Nikaidoh) procedure: Midterm results superior to the Rastelli procedure
Yeh T, Ramaciotti C, Leonard SR, Roy L, Nikaidoh H Journal of Thoracic and Cardiovascular Surgery 2007 Feb 133 461-469 -
Left Ventricular Function and Response to Enalapril in Patients With Duchenne Muscular Dystrophy During the Second Decade of Life
Ramaciotti C, Heistein LC, Coursey M, Lemler MS, Eapen RS, Iannaccone ST, Scott WA American Journal of Cardiology 2006 Sep 98 825-827 -
The extracardiac lateral tunnel Fontan, constructed with bovine pericardium: Comparison with the extracardiac conduit Fontan
Lemler MS, Ramaciotti C, Stromberg D, Scott WA, Leonard SR American heart journal 2006 Apr 151 928-933 -
Chloral hydrate sedation for pediatric echocardiography: Physiologic responses, adverse events, and risk factors
Heistein LC, Ramaciotti C, Scott WA, Coursey M, Sheeran PW, Lemler MS Pediatrics 2006 Mar 117 e434-e441 -
Prevalence of spontaneous closure of the ductus arteriosus in neonates at a birth weight of 1000 grams or less
Koch J, Hensley G, Roy L, Brown S, Ramaciotti C, Rosenfeld CR Pediatrics 2006 117 1113-1121 -
Atrial septal defect treatment options.
Moake L, Ramaciotti C AACN Clinical Issues 2005 16 252-266 -
Trisomy 21 and congenital heart disease: Effect of timing of initial echocardiogram
Malik S, Lemler MS, Fixler DE, Ramaciotti C Clinical Pediatrics 2005 Jan 44 39-42 -
Myocardial cell damage in Duchenne muscular dystrophy
Ramaciotti C, Iannaccone ST, Scott WA Pediatric Cardiology 2003 Sep 24 503-506 -
Echocardiographic characteristics of perimembranous ventricular septal defects associated with aortic regurgitation
Eapen RS, Lemler MS, Scott WA, Ramaciotti C Journal of the American Society of Echocardiography 2003 Mar 16 209-213 -
Echocardiographic diagnosis of anomalous drainage of the superior vena cava into the left atrium
Kahwaji I, Ramaciotti C, Nikaidoh H, Leonard S, Harris K, Lemler M Circulation 2003 Mar 107 1560-1561 -
Comprehensive assessment of patent ductus arteriosus by echocardiography before transcatheter closure
Ramaciotti C, Lemler MS, Moake L, Zellers TM Journal of the American Society of Echocardiography 2002 Oct 15 1154-1159 -
Sedation for pediatric echocardiography: Evaluation of preprocedure fasting guidelines
Ghaffar S, Haverland C, Ramaciotti C, Scott WA, Lemler MS Journal of the American Society of Echocardiography 2002 Sep 15 980-983 -
Bedside balloon atrial septostomy is safe, efficacious, and cost-effective compared with septostomy performed in the cardiac catheterization laboratory
Zellers TM, Dixon K, Moake L, Wright J, Ramaciotti C American Journal of Cardiology 2002 Mar 89 613-615 -
Fenestration improves clinical outcome of the Fontan procedure: A prospective, randomized study
Lemler MS, Scott WA, Leonard SR, Stromberg D, Ramaciotti C Circulation 2002 Jan 105 207-212 -
Assessment of cardiac function in adolescents with duchenne muscular dystrophy: Importance of neurohormones
Ramaciotti C, Scott WA, Lemler MS, Haverland C, Iannaccone ST Journal of child neurology 2002 17 191-194 -
Serial echocardiographic changes in a child with hypereosinophilia syndrome
Eapen RS, Lemler MS, Ramaciotti C Pediatric Cardiology 2001 22 426 -
Pressure recovery in pediatric patients with congenital aortic stenosis: Correlation with doppler/catheter pressure discrepancies
Spodick DH, Lemler MS, Carron H, Ramaciotti C Cardiovascular Reviews and Reports 2001 22 349-352 -
Coarctation index: Identification of recurrent coarctation in infants with hypoplastic left heart syndrome after the Norwood procedure
Lemler MS, Zellers TM, Harris KA, Ramaciotti C American Journal of Cardiology 2000 Sep 86 697-699 -
Regional wall motion and strain of transplanted hearts in pediatric patients using magnetic resonance tagging
Donofrio MT, Clark BJ, Ramaciotti C, Jacobs ML, Fellows KE, Weinberg PM, Fogel MA American Journal of Physiology - Regulatory Integrative and Comparative Physiology 1999 Nov 277 R1481-R1487 -
Neonatal cardiology casebook
Newfeld E, Heragu NP, Ramaciotti C, Leonard S, Kao JM, Lemler MS Journal of Perinatology 1999 Mar 19 159-161 -
Extravascular Doppler measurement of cardiac output in infants and children after operations for congenital heart disease
Lequier LL, Leonard SR, Nikaidoh H, Lemler MS, Ramaciotti C Journal of Thoracic and Cardiovascular Surgery 1999 117 1223-1225 -
The four-chamber view and its sensitivity in detecting congenital heart defects
Fernandez CO, Ramaciotti C, Martin LB, Twickler DM Cardiology 1998 Dec 90 202-206 -
Isolation of the left innominate artery
Bornemeier RA, Ramaciotti C Echocardiography 1996 13 435-437 -
Aortic atresia with interruption of the aortic arch and an aortopulmonary fistulous tract: Case report
Donofrio MT, Ramaciotti C, Weinberg PM, Murphy JD Pediatric Cardiology 1995 May 16 147-149 -
Prevalence, relation to spontaneous closure, and association of muscular ventricular septal defects with other cardiac defects
Ramaciotti C, Vetter JM, Bornemeier RA, Chin AJ The American journal of cardiology 1995 Jan 75 61-65 -
Magnetic resonance and echocardiographic imaging of pulmonary artery size throughout stages of Fontan reconstruction
Fogel MA, Donofrio MT, Ramaciotti C, Hubbard AM, Weinberg PM Circulation 1994 Dec 90 2927-2936 -
Reply
Ramaciotti C American heart journal 1993 Dec 126 1494 -
Cardiac endothelial cells modulate contractility of rat heart in response to oxygen tension and coronary flow
Ramaciotti C, McClellan G, Sharkey A, Rose D, Weisberg A, Winegrad S Circulation research 1993 May 72 1044-1064 -
Endothelial cells are required for the cAMP regulation of cardiac contractile proteins
Mcclellan G, Weisberg A, Lin LE, Rose D, Ramaciotti C, Winegrad S Proceedings of the National Academy of Sciences of the United States of America 1993 Apr 90 2885-2889 -
Noninvasive evaluation of newborns with congenital heart disease
Ramaciotti C, Chin AJ Journal of Intensive Care Medicine 1993 8 130-143 -
Noninvasive diagnosis of coarctation of the aorta in the presence of a patent ductus arteriosus
Ramaciotti C, Chin AJ American heart journal 1993 Jan 125 179-185 -
Contractile proteins in myocardial cells are regulated by factor(s) released by blood vessels
McClellan G, Weisberg A, Kato NS, Ramaciotti C, Sharkey A, Winegrad S Circulation research 1992 Apr 70 787-803 -
Endothelial cells regulate cardiac contractility
Ramaciotti C, Sharkey A, McClellan G, Winegrad S Proceedings of the National Academy of Sciences of the United States of America 1992 89 4033-4036 -
Importance of (perimembranous) ventricular septal aneurysm in the natural history of isolated perimembranous ventricular septal defect
Ramaciotti C, Keren A, Silverman NH The American journal of cardiology 1986 Feb 57 268-272
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Case 1: A Neonate Presenting in Shock
Research
- Diagnosis of congenital heart disease
- Duchenne muscular dystrophy
- Ventricular function
Clinical Focus
- Echocardiography
- Pediatric Cardiology
Children's Medical Center of Dallas
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