Ohio State Navbar

Sign In

Juan A. Crestanello, MD

Contact Us

Call us at 1-800-293-5123

 

Assistant Professor of Surgery

Division of Cardiothoracic Surgery at the Ross Heart Hospital

 

 

 

Clinical Background and Robotic Expertise

Specialty: Cardiothoracic Surgery
Years in Practice: 6 years
Board Certification: American Board of Surgery and American Board of Thoracic Surgery
Medical School: University of the Republic of Uruguay Medical School, Montevideo, Uruguay
Residencies: General Surgery, MCP Hahnemann University.(Philadelphia)
General Surgery, University of Maryland Medical System. (Baltimore); Cardiothoracic Surgery
The Mayo Clinic Cardiothoracic Surgery. (Rochester, MN)
Robotic Surgery Training: The Ohio State University, Columbus, Ohio
Clinical Interest: Minimally invasive and robotic cardiac surgery. Cardiac valve repair. Aortic surgery.
Number of robotic procedures performed: More than 150 robotic cardiac operations.

Dr. Crestanello trained in general surgery at MCP Hahnemann University in Philadelphia and at the University of Maryland in Baltimore. He then moved to the Mayo Clinic in Rochester, MN where he trained in cardiac and thoracic surgery. During his training, he acquired expertise in minimally-invasive cardiac and thoracic surgery and in valve surgery, particularly in cardiac valve repair.

In 2004, he became Assistant Professor of Surgery at the Division of Cardiothoracic Surgery at The Ohio State University Medical Center where he started a comprehensive training program in cardiac robotic surgery that included extensive laboratory training as well as visits to the leading robotic cardiac centers of that time. Since then, he has established a busy clinical robotic cardiac surgery program at The Ohio State University Medical Center for the treatment of a variety of cardiac diseases.  He has performed more than 150 cardiac robotic procedures that include robotic-assisted coronary artery bypass surgery, robotic-assisted mitral valve repairs, resection of cardiac tumors, closure of patent foramen ovale and atrial septal defects, pericardial resections, and placement of epicardial pacemaker leads. The robotic cardiac surgery team at The Ohio State University Medical Center also includes Dr. Paul Vesco. Dr. Crestanello and Dr. Vesco collaborate in performing robotic procedures.

Dr. Crestanello in collaboration with his colleagues from the Division of Interventional Cardiology, has developed a protocol that combines robotic coronary artery bypass and percutaneous coronary revascularization (PCI) with stents for the treatment of patients with triple vessel coronary artery disease. This “hybrid” approach to coronary revascularization is effective, safe, complete and associated with a short recovery time. It achieves arterial revascularization of the left anterior coronary artery, which has a high long-term patency rate and minimizes the morbidity and mortality of the procedure by avoiding median sternotomy, cutting through the sternum to spread apart the ribcage. PCI to the right and circumflex coronary arteries with drug eluting stents substitutes saphenous vein grafts. PCI not only helps to avoid median sternotomy, but also provides a revascularization with stents that may equal or exceed the long-term patency of saphenous vein grafts.

Dr. Crestanello’s research interests include hybrid coronary revascularization, mitochondria function during ischemia reperfusion, and mitral valve repair for cardiomyopathy.

Scholarly Publications

Crestanello, J., & Kamelgard, J., Whitman, G.. The cumulative nature of pyruvate’s dual mechanisms for myocardial protection. J.Surg. Res. 59:198-204,1995.

Yokoyama, H., Lingle, D. & Crestanello, J.; et al. CoQ10 Protects Coronary Endothelial Function From Ischemic Reperfusion Injury Via An Antioxidant Effect. Surgery 120:189-96,1996. 

Crestanello, J., Lingle, D., Millili, J., & Whitman, G.. Pyruvate improves myocardial tolerance to reperfusion injury acting as an antioxidant: a chemiluminescence study. Surgery 124:92-9,1998.

Crestanello, J., Doliba, N., ,& Babsky, A., et al. Opening of potassium channels protects mitochondria function from calcium overload. J.Surg. Res.  94:116-23,2000.

Crestanello, J., Doliba, N., Babsky, A., Niibori, K., Osbakken, M., & Whitman, G.. Mitochondrial function during ischemic preconditioning. Surgery 131:172-8, 2002

Crestanello, J., Allen, M., Jett, J., & Cassivi, S., etal.Thoracic surgical procedures in patients enrolled in a CT screening trial. J.Thorac. Cardiovasc. Surg. 128:254-9,2004.

Crestanello, J., McGregor, C., Danielson, G., & Daly, R., et al. Cardiac valve repair in patients with previous mediastinal radiation therapy. Ann.Thorac.Surg. 78:826-31,2004.

Crestanello,  J., Deschamps, C., & Cassivi, S., et al. Selective management of intrathoracic anastomotic leak after esophagectomy. J.Thorac. Cardiovasc. Surg. 129: 254-60;2005.

Crestanello, J., & Zehr, K., et al. The effect of adjuvant perfusion techniques on the incidence of paraplegia after repair of traumatic thoracic aortic transections. Mayo Clinic Proc 81:625-630;2006.

Armen, T., Vandse, R., Crestanello, J., Raman S., Bickle, K., & Nathan, N. Mechanisms of valve competency after mitral valve annuloplasty for ischaemic mitral regurgitation using the Geoform ring: insights from three-dimensional echocardiography Eur. J. Echocar. 2009 Jan;10(1):74-81.

Contact Information

For more information about Dr. Crestanello and robotic surgery at Ohio State or to make an appointment to speak with one of our robotic surgery experts, please call us at
1-800-293–5123.