Suresh Keshavamurthy, M.D.

Surgical Director of the Lung Transplant Program

Transplant

Cardiovascular and Thoracic Surgery
Lung Transplantation
Extracorporeal Membrane Oxygenation (ECMO)

Biography

Suresh Keshavamurthy, M.D., is an Associate Professor in the Department of Cardiovascular and Thoracic Surgery at UT Southwestern Medical Center. He specializes in lung transplantation, extracorporeal membrane oxygenation (ECMO), heart transplantation and mechanical circulatory support, adult cardiothoracic surgery (specifically, coronary artery bypass surgery), aortic and mitral valve replacement, pericardial diseases, and pulmonary thromboembolism.

Dr. Keshavamurthy earned his medical degree at J.J.M. Medical College in India. He completed a residency in general surgery at the Post Graduate Institute of Medical Education and Research in Chandigarh, India, as well as a residency in cardiothoracic and vascular surgery at the All India Institute of Medical Sciences in New Delhi. After working as a Registrar in Cardiothoracic Surgery in New Zealand and Australia, Dr. Keshavamurthy received advanced training through a thoracic and cardiovascular fellowship at the Cleveland Clinic.

He joined the UT Southwestern faculty in 2023.

Dr. Keshavamurthy was the Surgical Director for Lung Transplantation at Albert B. Chandler Hospital at the University of Kentucky College of Medicine before he joined UTSW.

He is a Fellow of the American College of Surgeons, the American College of Cardiology, and the Royal College of Surgeons (England, Edinburgh, and Glasgow), among other associations. In addition, he serves on the Thoracic Organ Transplantation Advisory Committee for the American Society of Transplant Surgeons.

A review editor for the journal Frontiers in Thoracic Transplantation, Dr. Keshavamurthy also serves as an ad hoc reviewer for many other journals, including the European Journal of Cardiothoracic Surgery, Interdisciplinary Cardiovascular and Thoracic Surgery, and the Journal of Cardiovascular Surgery.

He has delivered numerous presentations, contributed chapters to books including Organ Donation and Transplantation, and published several academic articles related to his areas of expertise.

Personal Note

When he’s not at work, Dr. Keshavamurthy enjoys watching sports, playing chess, listening to classical Indian Carnatic music and old Bollywood music, and taking his yellow Labrador, Leo, on walks. He speaks fluent English, Kannada, Telugu, Hindi, Tamil, and Urdu, as well as some Malayalam and Punjabi.

Education & Training

Fellowship - Cleveland Clinic (2008-2010)
Senior Resident - ALL INDIA INSTITUTE OF MED SCIENCES
Residency - All India Institute of Medical Sciences (1990-1993)
Junior Resident - Postgraduate Institute of Med Ed and Research
Other Post Graduate Training - Post Graduate Institute of Medical Education and Research, Chandigarh, India 160012 (1987-1990)
Graduate School - Chigateri General Hospital
Medical School - JJM Medical College, India

Professional Associations & Affiliations

American College of Cardiology
American College of Chest Physicians
American College of Surgeons
American Heart Association
American Society of Transplantation
American Society of Transplant Surgeons
Asian Society for Cardiovascular and Thoracic Surgeons
Eastern Cardiothoracic Surgical Society
European Association for Cardio-Thoracic Surgery
European Respiratory Society
European Society for Organ Transplantation
European Society of Thoracic Surgeons
Extracorporeal Life Support Organization
Indian Association of Cardiovascular-Thoracic Surgeons
International College of Angiology
International College of Surgeons
International Society for Heart and Lung Transplantation
International Society for Minimally Invasive Cardiothoracic Surgery
Michael E. DeBakey Surgical Society
Royal College of Physicians and Surgeons (Edinburgh, England, Glasgow)
Society of Thoracic Surgeons
The Transplantation Society

Honors & Awards

Best Outgoing Student (eight gold medals and three cash prizes) 1988, Mysore University 68th Annual Convocation
Rotary Club Gold Medal 1986, Rotary Club of Davangere, Karnataka, India
Pfizer Postgraduate Gold Medal and Citation 1988, Pfizer
Karnataka State Award 1986, Government of Karnataka

Books & Publications

Books
- Robotic and alternative approaches to coronary artery bypass grafting in Sabiston and Spencer Surgery of the Chest (9th ed.)
  Mick SL, Keshavamurthy S, Mihaljevic T, Bonatti J (2023), Cambridge, MA, Elsevier
- Recent advances and outcomes in heart and lung transplantation in Current Challenges and Advances in Organ Donation and Transplantation
  Kumar A, Thite S, Wazarkar V, Ayyat K, Gomez-Abraham J, Keshavamurthy S (2023), London, UK, IntechOpen
- Bicaval dual lumen ECMO for lung transplantation in Extracorporeal Membrane Oxygenation: An Interdisciplinary Problem-Based Learning Approach
  Keshavamurthy S, Bazan VM, Tribble TA, Zwischenberger JB (2021), New York, N.Y., Oxford University Press
- Thoracic organ procurement during multi-organ retrieval in Organ Donation and Transplantation
  Keshavamurthy S, Dulam V, Leotta E, Kashem MA, Toyoda Y (2021), London, U.K., IntechOpen
- ECMO in pediatric lung transplantation in Extracorporeal Membrane Oxygenation: An Interdisciplinary Problem-Based Learning Approach
  Keshavamurthy S, Rodgers-Fischl PM, Tribble TA, Zwischenberger JB (2021), New York, N.Y., Oxford University Press
- Thoracic organ procurement in TSRA Clinical Scenarios in Cardiothoracic Surgery (2nd ed.)
  Phillip R, Malyala R, Keshavamurthy S (2020), Chicago, IL, Thoracic Surgery Residents Association
- Advances in extracorporeal membrane oxygenation in the setting of lung transplantation in Advances in Extracorporeal Membrane Oxygenation, Volume 3
  Mazzei M, Keshavamurthy S, Toyoda Y (2019), London, U.K., IntechOpen
- Heart transplantation in the era of left ventricular assist devices in Heart Transplantation
  Mazzei M, Keshavamurthy S, Kashem A, Toyoda Y (2018), London, U.K., IntechOpen
- Current status of minimally invasive, robotic and hybrid CABG in Core Concepts in Cardiac Surgery
  Mick SL, Keshavamurthy S, Bonatti J (2018), Oxford, U.K., Oxford University Press
- Chapter 1 in Mitral Valve Disease: Diagnosis, Treatment and Future Therapy
  Albacker TB, Alsalihi N, Keshavamurthy S, Gillinov AM (2012), Nova Biomedical
Publications
- Lung transplant after cardiothoracic surgery.
  Gorton AJ, Keshavamurthy S, Toyoda Y, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 2023 Jun 63 6
- Right Coronary Artery Button Pseudoaneurysm After the Modified Bentall Procedure.
  Nguyen KA, Keshavamurthy S, Yoon J, Kashem MA, Toyoda Y, Cureus 2023 Jun 15 6 e40144
- A call to action in thoracic transplant surgical training.
  Siddique A, Parekh KR, Huddleston SJ, Shults A, Locke JE, Keshavamurthy S, Schwartz G, Hartwig MG, Whitson BA, The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation 2023 Jun
- The value of COPE therapy in the perioperative care of heart failure patients receiving left ventricular assist device implantation.
  Harris A, Parrish E, Keshavamurthy S, Saha S, Indian journal of thoracic and cardiovascular surgery 2023 May 39 3 258-261
- Bilateral Lung Transplantation in Kartagener's Syndrome and Situs Inversus.
  Faruqi MA, Keshavamurthy S, Hillenbrand KD, Anstead M, Nandavaram S, Cureus 2023 Mar 15 3 e35785
- Dispel the Myth! South Asians Do Not Have "Small Coronaries".
  Gorton AJ, Keshavamurthy S, Kumar AS, The Canadian journal of cardiology 2023 Mar
- Diffuse Coronary Vasospasm After Mitral Valve Replacement, Maze Procedure, and Tricuspid Valve Repair.
  Gorton AJ, Rodgers-Fischl P, Gurley J, Dorfling J, Keshavamurthy S, Cureus 2023 Feb 15 2 e35405
- Pulmonary alveolar proteinosis postlung transplantation: A causation conundrum."
  Matos, Harold, Ashish Maskey, Suresh Keshavamurthy, Jordan Miller, and Sravanthi Nandavaram JHLT Open 2023 https://doi.org/10.1016/j.jhlto.2023.100002 https://doi.org/10.1016/j.jhlto.2023.100002 https://doi.org/10.1016/j.jhlto.2023.100002
- Pathophysiology and Management of Heart Failure in the Elderly.
  Dewaswala N, Mishra V, Bhopalwala H, Minhas AK, Keshavamurthy S, The International journal of angiology : official publication of the International College of Angiology, Inc 2022 Dec 31 4 251-259
- Diagnosis and Management of Aortic Valvular Disease in the Elderly.
  Gorton AJ, Keshavamurthy S, Saha SP, The International journal of angiology : official publication of the International College of Angiology, Inc 2022 Dec 31 4 232-243
- Giant ventral hernia following left ventricular assist device bridge to heart transplantation.
  Dulam V, Keshavamurthy S, Kashem MA, Alvarez RJ, Hamad EA, Toyoda Y, Indian journal of thoracic and cardiovascular surgery 2022 Nov 38 6 672-674
- Donor lung inflation: are we doing it right?
  Keshavamurthy S, Hillenbrand K, Kumar A, Journal of thoracic disease 2022 Sep 14 9 3131-3132
- Classification and Stratification of Pulmonary Embolisms.
  Russell C, Keshavamurthy S, Saha S, The International journal of angiology : official publication of the International College of Angiology, Inc 2022 Sep 31 3 162-165
- Double Valve Replacement in a Patient With Hunter Syndrome.
  Keshavamurthy S, Duncan A, Kumar A, Trombetta C, Rodriguez R, Tan C, Roselli E, Cureus 2022 Sep 14 9 e28961
- Acute Massive and Submassive Pulmonary Embolism: Historical Considerations/Surgical Techniques of Pulmonary Embolectomy/Novel Applications in Donor Lungs with Pulmonary Emboli.
  Russell C, Keshavamurthy S, The International journal of angiology : official publication of the International College of Angiology, Inc 2022 Sep 31 3 188-193
- Extracorporeal Membrane Oxygenation to Facilitate Chemotherapy-Moving the Goalposts!
  Chishti EA, Marsden T, Harris A, Hao Z, Keshavamurthy S, Cureus 2022 Sep 14 9 e29576
- Postoperative Bronchial Complications After Lung Transplantation Related to Anastomosis Suture.
  Levy J, Kashem A, Sunagawa G, Zhao H, Minakata K, Keshavamurthy S, Brann S, Leotta E, Shigemura N, Toyoda Y, The Annals of thoracic surgery 2022 Jul 114 1 293-300
- Caught in a vice.
  Dulam V, Keshavamurthy S, Kumaran M, Hota P, Gutierrez C, Kashem MA, Toyoda Y, Indian journal of thoracic and cardiovascular surgery 2022 Jul 38 4 438-441
- Hyperammonemia in lung transplant patients and its management: a review.
  Kumar A, Advani S, Asim K, Mohamed MA, Wani F, Singh J, Albosta M, Shiwalkar N, Keshavamurthy S, Indian journal of thoracic and cardiovascular surgery 2022 Jul 38 Suppl 2 335-346
- Management of Thoracic and Cardiac Trauma: A Case Series and Literature Review.
  Kumar A, Shiwalkar N, Bhate S, Keshavamurthy S, Cureus 2022 Jun 14 6 e26465
- Double Lung Transplantation Bridged With Direct Central Ambulatory Veno-Arterial Extracorporeal Membrane Oxygenation in a Pulmonary Hypertension Patient With Extreme Mediastinal Shift.
  Lodhi SH, Nandavaram S, Malyala R, Anstead M, Keshavamurthy S, Cureus 2022 Mar 14 3 e23070
- Giant Right Atrial Myxoma Associated With Thrombocytopaenia.
  Disney L, Gunn T, Klimkina O, Keshavamurthy S, Heart, lung & circulation 2021 Dec 30 12 e127-e128
- Donor Pulmonary Vein Anomalies: What's in Your Toolbox?
  Keshavamurthy S, Dulam V, Leung SW, Kashem MA, Toyoda Y, The Annals of thoracic surgery 2021 Nov 112 5 e369-e371
- Ambulatory extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation.
  Keshavamurthy S, Bazan V, Tribble TA, Baz MA, Zwischenberger JB, Indian journal of thoracic and cardiovascular surgery 2021 Sep 37 Suppl 3 366-379
- An Anthropometric Study of Lung Donors.
  Suryapalam M, Kashem M, Zhao H, Shigemura N, Toyoda Y, Keshavamurthy S, Progress in transplantation (Aliso Viejo, Calif.) 2021 Sep 31 3 211-218
- Left Main Coronary Artery Disease in Diabetics: Percutaneous Coronary Intervention or Coronary Artery Bypass Grafting?
  Disney L, Ramaiah C, Ramaiah M, Keshavamurthy S, The International journal of angiology : official publication of the International College of Angiology, Inc 2021 Sep 30 3 194-201
- SARS-CoV-2 Spike Protein Regulation of Angiotensin Converting Enzyme 2 and Tissue Renin-Angiotensin Systems: Influence of Biologic Sex.
  Ensor CM, AlSiraj Y, Shoemaker R, Sturgill J, Keshavamurthy S, Gordon EM, Dong BE, Waters C, Cassis LA, bioRxiv : the preprint server for biology 2021 Sep
- Type 4 Hyperkalemic Renal Tubular Acidosis After Coronary Artery Bypass Grafting.
  Johnson AJ, Srour H, Hessel EA, Keshavamurthy S, Journal of cardiothoracic and vascular anesthesia 2021 Sep 35 9 2772-2774
- Donation after circulatory death (DCD)-lung procurement.
  Keshavamurthy S, Rodgers-Fischl P, Indian journal of thoracic and cardiovascular surgery 2021 Sep 37 Suppl 3 425-432
- Does Age Affect the Short- and Long-Term Outcomes of Coronary Bypass Grafting?
  Anand PA, Keshavamurthy S, Shelley EM, Saha S, The International journal of angiology : official publication of the International College of Angiology, Inc 2021 Sep 30 3 202-211
- Extracorporeal Life Support and Mechanical Circulatory Support in Out-of-Hospital Cardiac Arrest and Refractory Cardiogenic Shock.
  Gunn TM, Malyala RSR, Gurley JC, Keshavamurthy S, Interventional cardiology clinics 2021 Apr 10 2 195-205
- Sudden cardiac death: epidemiology, pathogenesis and management.
  Kumar A, Avishay DM, Jones CR, Shaikh JD, Kaur R, Aljadah M, Kichloo A, Shiwalkar N, Keshavamurthy S, Reviews in cardiovascular medicine 2021 Mar 22 1 147-158
- Extrapericardial Tamponade After Blunt Trauma.
  Rodgers-Fischl PM, Makdisi G, Keshavamurthy S, The Annals of thoracic surgery 2021 Jan 111 1 e49-e50
- Nutraceuticals in the Management of Cardiovascular Risk Factors: Where is the Evidence?
  Russell C, Keshavamurthy S, Saha S, Cardiovascular & hematological disorders drug targets 2021 21 3 150-161
- From leads to leadless: A convoluted journey.
  Dulam V, Cooper JM, Gangireddy C, Kashem MA, Toyoda Y, Keshavamurthy S, HeartRhythm case reports 2020 Oct 6 10 757-760
- Cardiac tamponade masquerading as headache: A diagnostic conundrum.
  Dulam V, Lakhter V, Kashem MA, Toyoda Y, Keshavamurthy S, Journal of cardiac surgery 2020 Aug 35 8 2081-2083
- Cannula migration through an undiagnosed patent foramen ovale and embolic cerebrovascular accident in a patient with femoral venoarterial extracorporeal membrane oxygenation.
  Gunn TM, Gurley JC, Keshavamurthy S, Journal of cardiac surgery 2020 Jul 35 7 1681-1682
- Prior and Perioperative Revascularization Does Not Affect Survival in Lung Transplant Patients.
  Kanaparthi J, Kashem MA, Suryapalam M, Zhao H, Brann S, Leotta E, Minakata K, Keshavamurthy S, Shigemura N, Toyoda Y, The Annals of thoracic surgery 2020 Jun 109 6 1677-1683
- Serum dilutions as a predictive biomarker for peri-operative desensitization: An exploratory approach to transplanting sensitized heart candidates.
  Timofeeva OA, Alvarez R, Pelberg J, Yoon E, Alsammak M, Geier SS, Ruggia-Check C, Hassler J, Hoosain J, Brisco MA, Afari-Armah N, Rakita V, Brann S, Keshavamurthy S, Gomez-Abraham J, Minakata K, Toyoda Y, Hamad E, Transplant immunology 2020 Jun 60 101274
- Proximal Anastomotic Device Malfunction: Salvage Using Alternative Option.
  Dulam V, McCarthy J, Guvakov D, Kashem MA, Toyoda Y, Keshavamurthy S, Innovations (Philadelphia, Pa.) 2020 15 5 487-489
- Massive Air Embolism Caused by a Central Venous Catheter During Extracorporeal Membrane Oxygenation.
  Kumar A, Keshavamurthy S, Abraham JG, Toyoda Y, The journal of extra-corporeal technology 2019 Mar 51 1 9-11
- Mediastinal Lymphoma Presenting in Cardiogenic Shock with Superior Vena Cava Syndrome in a Primigravida at Full Term: Salvage Resection after Prolonged Extracorporeal Life Support.
  Carro SE, Essex DW, Alsammak M, Bains A, Toyoda Y, Keshavamurthy S, Case reports in oncology 2019 12 2 401-410
- Is non-invasive indocyanine-green angiography a useful adjunct for the debridement of infected sternal wounds?
  Tyrell R, Kilmartin C, Acevedo E, Keshavamurthy S, Gassman A, JPRAS open 2018 Jun 16 117-120
- Management of a duplicated inferior vena cava in thoracoabdominal aortic aneurysm repair.
  Levack MM, Keshavamurthy S, Schoenhagen P, Johnston DR, The Journal of thoracic and cardiovascular surgery 2017 Mar 153 3 e39-e41
- Process Improvement in Thoracic Donor Organ Procurement: Implementation of a Donor Assessment Checklist.
  Loor G, Shumway SJ, McCurry KR, Keshavamurthy S, Hussain S, Weide GD, Spratt JR, Al Salihi M, Koch CG, The Annals of thoracic surgery 2016 Dec 102 6 1872-1877
- Substernal Colonic Interposition After Previous Coronary Artery Bypass Graft in a Patient With a Patent Left Internal Thoracic Artery Graft: A Surgical Challenge.
  Hussain ST, Zhen-Yu Tong M, Raja S, Keshavamurthy S, Dietz DW, The Annals of thoracic surgery 2016 Nov 102 5 e403-e405
- Bovine Pericardial Wrap for Intractable Bleeding After Graft Replacement of the Ascending Aorta.
  Keshavamurthy S, Mick SL, Damasiewicz H, Sabik JF, The Annals of thoracic surgery 2015 Aug 100 2 735-7
- Mitral valve repair versus replacement.
  Mick SL, Keshavamurthy S, Gillinov AM, Annals of cardiothoracic surgery 2015 May 4 3 230-7
- Spectroscopic limb monitoring in peripheral extracorporeal membrane oxygenation.
  Keshavamurthy S, Shafii AE, Soltesz E, Asian cardiovascular & thoracic annals 2015 Mar 23 3 347-8
- Clostridium difficile infection after cardiac surgery: prevalence, morbidity, mortality, and resource utilization.
  Keshavamurthy S, Koch CG, Fraser TG, Gordon SM, Houghtaling PL, Soltesz EG, Blackstone EH, Pettersson GB, The Journal of thoracic and cardiovascular surgery 2014 Dec 148 6 3157-65.e1-5
- Isolated anomalous retroaortic left brachiocephalic vein in an adult organ donor.
  Hussain ST, Vivacqua A, Keshavamurthy S, Soltesz EG, The Annals of thoracic surgery 2014 Sep 98 3 1115
- Hybrid repair is an effective strategy for repair of Kommerell diverticulum in the modern era.
  Keshavamurthy S, Idrees J, Roselli EE, The Journal of thoracic and cardiovascular surgery 2014 Jul 148 1 361
- Intracardiac abscess with cutaneous fistula secondary to ventricular septal defect repair simulating sternal wound infection.
  Rafael AE, Keshavamurthy S, Sepulveda E, Miranda CC, Okamoto T, Pettersson GB, Texas Heart Institute journal 2014 Jun 41 3 324-6
- Comment on: Retrograde cardioplegia revisited: open technique for long aortic cross clamping.
  Keshavamurthy S, Blackstone EH, Pettersson GB, Heart, lung & circulation 2014 Jun 23 6 589
- Hybrid repair of Kommerell diverticulum.
  Idrees J, Keshavamurthy S, Subramanian S, Clair DG, Svensson LG, Roselli EE, The Journal of thoracic and cardiovascular surgery 2014 Mar 147 3 973-6
- Surgical treatment of retroperitoneal tumors with cavoatrial extension.
  Keshavamurthy S, Krishnamurthi V, Navia JL, The Annals of thoracic surgery 2014 Feb 97 2 738-9
- Sternal closure technique for bilateral transverse thoracosternotomy after bilateral sequential lung transplantation.
  Keshavamurthy S, Murthy SC, Mason DP, The Journal of thoracic and cardiovascular surgery 2014 Jan 147 1 539
- Should less-invasive aortic valve replacement be avoided in patients with pulmonary dysfunction?
  Albacker TB, Blackstone EH, Williams SJ, Gillinov AM, Navia JL, Roselli EE, Keshavamurthy S, Pettersson GB, Mihaljevic T, Johnston DR, Sabik JF, Lytle BW, Svensson LG, The Journal of thoracic and cardiovascular surgery 2014 Jan 147 1 355-361.e5
- Renal cell carcinoma with extensive cavoatrial involvement.
  Keshavamurthy S, Navia JL, Krishnamurthi V, Brozzi NA, Sinkewich MG, Blackstone EH, Lytle BW, The Journal of heart valve disease 2013 Jul 22 4 607
- Lungs from donation after cardiac death for transplantation.
  Keshavamurthy S, Murthy SC, Pettersson GB, Mason DP, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 2013 Jul 44 1 189
- Extensive endarterectomy, onlay patch, and internal mammary bypass of the left anterior descending coronary artery.
  Keshavamurthy S, Sankar NM, Cherian KM, The Annals of thoracic surgery 2013 Mar 95 3 1136
- Extensive left anterior descending artery endarterectomy and reconstruction.
  Keshavamurthy S, Sankar NM, Cherian KM, The Journal of thoracic and cardiovascular surgery 2013 Jan 145 1 314
- Surgical management of right aortic arch with tailored surgical approach.
  Albacker TB, Roselli EE, Pettersson GB, Vivacqua A, Keshavamurthy S, Smedira NG, Lytle BW, Clair DG, Svensson LG, Journal of cardiac surgery 2012 Jul 27 4 511-7
- Salvage resection of a large chemorefractory mediastinal germ cell tumor.
  Konstantinov IE, Saxena P, Barrett TL, Venkitachalam S, Keshavamurthy S, Newman MA, Asian cardiovascular & thoracic annals 2011 Apr 19 2 160-2
- Invasive pulmonary aspergillosis with intraspinal extension in a non-immunocompromised host. A case report.
  Cherian SM, Keshavamurthy S, Madhu Sankar N, Kurian VM, Sivaraman A, Verghese S, Cherian KM, The Journal of cardiovascular surgery 2002 Apr 43 2 291-3

Clinical Focus

Lung Transplantation
Extracorporeal Membrane Oxygenation (ECMO)
Adult cardiac surgery
Heart Transplantation and Mechanical Circulatory Support
Coronary Artery Bypass Surgery
Aortic and Mitral Valve Replacement
Pericardial Diseases
Pulmonary Thromboembolism