Moorjani Narain

GMC: 4183484

Hospital(s):

Special Interests: Adult Cardiac Surgery

Current Positions:
Consultant Cardiothoracic Surgeon, Papworth Hospital, Cambridge
Assistant Director of Surgery, Papworth Hospital, Cambridge
Associate Lecturer, University of Cambridge
National Cardiac Surgical Tutor, 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
Coronary artery bypass grafting (CABG) surgery, including minimally invasive off-pump coronary surgery
Aortic valve replacement, including minimally invasive aortic valve surgery
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

Professional Profile:
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 Papworth Hospital.

Narain Moorjani came to Papworth 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. More recently, he has published several international best-selling, award-winning cardiac surgery textbooks, including ‘Key Questions in Cardiac Surgery’ and ‘Cardiac Surgery: Recent Advances and Techniques’, with further cardiothoracic surgery textbooks due out soon.

Memberships of professional bodies:
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)

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Risk-adjusted in-hospital survival rate

This graph shows the “in hospital” survival rate of patients who are operated on by the individual surgeon/unit you have selected. “In hospital” means time the patient is in the hospital where they have had their operation. It does not include any time that patients may have spent in other hospitals, either before or after their heart operation.

The data has been through a complex methodology, including the variations in patient risk factors in order to give you a comparative base from which to work from. This means that the survival rates take into account the type and risk of patients being operated on for each surgeon/unit. This is known as risk adjusted survival.

The vertical axis shows the GMC number of the surgeon or the Hospital identifier. In brackets is the total number of patients operated on by the surgeon/unit and the percentage of patients for whom the survival is known. The horizontal axis is the percentage survival. The dashed vertical line shows the risk adjusted survival rate for the UK as a whole. The solid black horizontal line represents the surgeon/unit. What is important here is that the horizontal line crosses the vertical dashed line. If this occurs, it means that the surgeon/unit are within the expected outcomes given the case-mix and risk factors of the patients they operate on.

The icons that sit on the horizontal line should give you more information about your surgeon/team.

For example

The open square is the survival rate with no risk adjustments:
The X is the predicted survival with adjustments
The solid dot is the survival probability after the methodology has been applied.

• If the solid dot is red it means survival is worse than expected
• If the solid dot is black it means that it is within limits
• If the solid dot is green it means that there is significantly higher survival than expected

There is a lot of information on these plots, but the takeaway message is that if the solid black line crosses the dashed vertical line then the survival rate for the surgeon/unit is within expectations and that there is no reason for any concern.

A more detailed explanation about these graphs and methodology can be found here: Graph Explanations