Richard D. Mainwaring

Clinical Professor, Cardiothoracic Surgery

Professional Education

Residency: University of Virginia Medical Center (06/1988) VA

Fellowship: University of Pennsylvania Hospital (06/1990) PA

Medical Education: Duke University School of Medicine (06/1982) NC

Board Certification: Thoracic Surgery, American Board of Thoracic Surgery (1992)

Fellowship, University of Pennsylvania, Cardiothoracic Surgery, adult and pediatric

Residency, University of Virginia, General Surgery

MD, Duke University School of Medicine, Medicine

Surgical repair of anomalous aortic origin of a coronary artery†.
Mainwaring, R. D., Reddy, V. M., Reinhartz, O., Petrossian, E., Punn, R., & Hanley, F. L. (2014). Surgical repair of anomalous aortic origin of a coronary artery†. European journal of cardio-thoracic surgery , 46(1), 20-26.

Early complete repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals.
Watanabe, N., Mainwaring, R. D., Reddy, V. M., Palmon, M., & Hanley, F. L. (2014). Early complete repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals. Annals of thoracic surgery, 97(3), 909-915.

Innominate artery cannulation and antegrade cerebral perfusion for aortic arch reconstruction in infants and children.
Nasirov, T., Mainwaring, R. D., Reddy, V. M., Sleasman, J., Margetson, T., & Hanley, F. L. (2013). Innominate artery cannulation and antegrade cerebral perfusion for aortic arch reconstruction in infants and children. World journal for pediatric & congenital heart surgery, 4(4), 356-361.

Aortic valve disease in pulmonary atresia and major aortopulmonary collaterals.
Mainwaring, R. D., Dimeling, G., Punn, R., & Hanley, F. L. (2013). Aortic valve disease in pulmonary atresia and major aortopulmonary collaterals. Annals of thoracic surgery, 95(6), 2122-2125.

Surgical reconstruction of pulmonary stenosis with ventricular septal defect and major aortopulmonary collaterals.
Mainwaring, R. D., Punn, R., Reddy, V. M., & Hanley, F. L. (2013). Surgical reconstruction of pulmonary stenosis with ventricular septal defect and major aortopulmonary collaterals. Annals of thoracic surgery, 95(4), 1417-1421.

Hemodynamic Assessment After Complete Repair of Pulmonary Atresia With Major Aortopulmonary Collaterals
Mainwaring, R. D., Reddy, V. M., Peng, L., Kuan, C., Palmon, M., & Hanley, F. L. (2013). Hemodynamic Assessment After Complete Repair of Pulmonary Atresia With Major Aortopulmonary Collaterals. ANNALS OF THORACIC SURGERY, 95(4), 1397-1402.

Surgical reconstruction of peripheral pulmonary artery stenosis in Williams and Alagille syndromes
Monge, M. C., Mainwaring, R. D., Sheikh, A. Y., Punn, R., Reddy, V. M., & Hanley, F. L. (2013). Surgical reconstruction of peripheral pulmonary artery stenosis in Williams and Alagille syndromes. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 145(2), 476-481.

Prevalence of Anomalous Coronary Arteries in Pulmonary Atresia with Ventricular Septal Defect and Major Aortopulmonary Collaterals.
Muralidaran, A., Mainwaring, R. D., Reddy, V. M., & Hanley, F. L. (2013). Prevalence of Anomalous Coronary Arteries in Pulmonary Atresia with Ventricular Septal Defect and Major Aortopulmonary Collaterals. Journal of the American College of Cardiology.

Late Outcomes in Patients Undergoing Aortopulmonary Window for Pulmonary Atresia/Stenosis and Major Aortopulmonary Collaterals
Mainwaring, R. D., Reddy, V. M., Perry, S. B., Peng, L., & Hanley, F. L. (2012). Late Outcomes in Patients Undergoing Aortopulmonary Window for Pulmonary Atresia/Stenosis and Major Aortopulmonary Collaterals. ANNALS OF THORACIC SURGERY, 94(3), 842-849.

Surgical outcomes for patients with pulmonary atresia/major aortopulmonary collaterals and Alagille syndrome
Mainwaring, R. D., Sheikh, A. Y., Punn, R., Reddy, V. M., & Hanley, F. L. (2012). Surgical outcomes for patients with pulmonary atresia/major aortopulmonary collaterals and Alagille syndrome. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 42(2), 235-241.

Surgical Reconstruction of Tracheal Stenosis in Conjunction With Congenital Heart Defects
Mainwaring, R. D., Shillingford, M., Davies, R., Koltai, P., Navaratnam, M., & Hanley, F. L. (2012). Surgical Reconstruction of Tracheal Stenosis in Conjunction With Congenital Heart Defects. ANNALS OF THORACIC SURGERY, 93(4), 1266-1273.

Late Repair of the Native Pulmonary Valve in Patients With Pulmonary Insufficiency After Surgery for Tetralogy of Fallot
Mainwaring, R. D., Pirolli, T., Punn, R., & Hanley, F. L. (2012). Late Repair of the Native Pulmonary Valve in Patients With Pulmonary Insufficiency After Surgery for Tetralogy of Fallot. ANNALS OF THORACIC SURGERY, 93(2), 677-679.

Anomalous Aortic Origin of a Coronary Artery: Medium-Term Results After Surgical Repair in 50 Patients
Mainwaring, R. D., Reddy, V. M., Reinhartz, O., Petrossian, E., Macdonald, M., & Hanley, F. L. (2011). Anomalous Aortic Origin of a Coronary Artery: Medium-Term Results After Surgical Repair in 50 Patients. ANNALS OF THORACIC SURGERY, 92(2), 691-697.

Congenital Anomalies of the Mitral Valve.
Mainwaring RD, & and Lamberti JJ. (2011). Congenital Anomalies of the Mitral Valve. In: Mavroudis C, and Backer CL, Eds. Pediatric Cardiac Surgery Fourth Edition, Wiley-Blackwell, Inc..

Surgical Results and Follow-up in Patients with Pulmonary Atresia and Multiple Aortopulmonary Collaterals in Association with Total Anomalous Pulmonary Venous Connection.
Mainwaring RD, Reddy VM, Reinhartz O, Punn R, Tacy T, & Hanley FL. (2011). Surgical Results and Follow-up in Patients with Pulmonary Atresia and Multiple Aortopulmonary Collaterals in Association with Total Anomalous Pulmonary Venous Connection. Ann Thorac Surg, (92).

Triiodothyronine Supplementation in Infants and Children Undergoing Cardiopulmonary Bypass (TRICC) A Multicenter Placebo-Controlled Randomized Trial: Age Analysis
Portman, M. A., Slee, A., Olson, A. K., Cohen, G., Karl, T., & Danzi, S. (2010). Triiodothyronine Supplementation in Infants and Children Undergoing Cardiopulmonary Bypass (TRICC) A Multicenter Placebo-Controlled Randomized Trial: Age Analysis. CIRCULATION, 122(11), S224-S233.

Unusual Manifestations of Vascular Rings
Mainwaring, R. D., Jacobson, J. L., Reinhartz, O., & Gates, R. L. (2010). Unusual Manifestations of Vascular Rings. JOURNAL OF CARDIAC SURGERY, 25(1), 79-83.

Double-Orifice Tricuspid Valve in Association with Complete Atrioventricular Septal Defect
Mainwaring, R. D., Reddy, V. M., & Wright, S. B. (2009). Double-Orifice Tricuspid Valve in Association with Complete Atrioventricular Septal Defect. PEDIATRIC CARDIOLOGY, 30(4), 564-565.

Octreotide for Management of Chylothorax following Bidirectional Glenn in a Three-Month-Old Infant
Wright, S. B., & Mainwaring, R. D. (2009). Octreotide for Management of Chylothorax following Bidirectional Glenn in a Three-Month-Old Infant. JOURNAL OF CARDIAC SURGERY, 24(2), 216-218.

Outcome Analysis for a Small, Start-up Congenital Heart Surgery Program
Mainwaring, R. D., Reddy, V. M., Reinhartz, O., Lamberti, J. J., Jacobson, J. G., & Hanley, F. L. (2008). Outcome Analysis for a Small, Start-up Congenital Heart Surgery Program. JOURNAL OF CARDIAC SURGERY, 23(6), 622-626.

Brain natriuretic peptide levels before and after ventricular septal defect repair
Mainwaring, R. D., Parise, C., Wright, S. B., Juris, A. L., Achtel, R. A., & Fallah, H. (2007). Brain natriuretic peptide levels before and after ventricular septal defect repair. ANNALS OF THORACIC SURGERY, 84(6), 2066-2069.

Pentalogy of Cantrell: a rare congenital abnormality.
Dinice, J., & Mainwaring, R. D. (2007). Pentalogy of Cantrell: a rare congenital abnormality. JAAPA : official journal of the American Academy of Physician Assistants, 20(11), 26-27.

The extracardiac conduit Fontan operation using minimal approach extracorporeal circulation: Early and midterm outcomes
Petrossian, E., Reddy, V. M., Collins, K. K., Culbertson, C. B., MacDonald, M. J., & Hanley, F. L. (2006). The extracardiac conduit Fontan operation using minimal approach extracorporeal circulation: Early and midterm outcomes. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 132(5), 1054-1063.

Unifocalization of major aortopulmonary collaterals in single-ventricle patients
Reinhartz, O., Reddy, V. M., Petrossian, E., Suleman, S., Mainwaring, R. D., & Hanley, F. L. (2006). Unifocalization of major aortopulmonary collaterals in single-ventricle patients. ANNALS OF THORACIC SURGERY, 82(3), 934-939.

Atrial Septal Defects.
Mainwaring RD, & and Lamberti JJ. (2006). Atrial Septal Defects. In: Kaiser LR, Kron IL, and Spray TL, Eds. Mastery of Cardiothoracic Surgery Second Edition..

The Lexington physicians of General Robert E. Lee
Mainwaring, R. D., & Riley, H. D. (2005). The Lexington physicians of General Robert E. Lee. SOUTHERN MEDICAL JOURNAL, 98(8), 800-804.

Supplementation of thyroid hormone in children undergoing cardiac surgery
Mainwaring, R. D., & Nelson, J. C. (2002). Supplementation of thyroid hormone in children undergoing cardiac surgery. CARDIOLOGY IN THE YOUNG, 12(3), 211-217.

Pharmacokinetic evaluation of triiodothyronine supplementation in children after modified Fontan procedure
Mainwaring, R. D., Capparelli, E., Schell, K., Acosta, M., & Nelson, J. C. (2000). Pharmacokinetic evaluation of triiodothyronine supplementation in children after modified Fontan procedure. CIRCULATION, 101(12), 1423-1429.

Effect of accessory pulmonary blood flow on survival after the bidirectional Glenn procedure.
Mainwaring, R. D., Lamberti, J. J., Uzark, K., Spicer, R. L., Cocalis, M. W., & Moore, J. W. (1999). Effect of accessory pulmonary blood flow on survival after the bidirectional Glenn procedure. Circulation, 100(19), II151-6.

Effect of accessory pulmonary blood flow on survival after the bidirectional Glenn procedure
Mainwaring, R. D., Lamberti, J. J., Uzark, K., Spicer, R. L., Cocalis, M. W., & Moore, J. W. (1999). Effect of accessory pulmonary blood flow on survival after the bidirectional Glenn procedure. CIRCULATION, 100(19), 151-156.

Extracardiac conduit fontan for children with heterotaxy and functionally single ventricle
Mainwaring, R. D., & Lamberti, J. J. (1998). Extracardiac conduit fontan for children with heterotaxy and functionally single ventricle. CARDIOLOGY IN THE YOUNG, 8(4), 479-485.

Complement activation and cytokine generation after modified Fontan procedure
Mainwaring, R. D., Lamberti, J. J., & Hugli, T. E. (1998). Complement activation and cytokine generation after modified Fontan procedure. ANNALS OF THORACIC SURGERY, 65(6), 1715-1720.

Neurodevelopmental outcomes in children with Fontan repair of functional single ventricle
Uzark, K., Lincoln, A., Lamberti, J. J., Mainwaring, R. D., Spicer, R. L., & Moore, J. W. (1998). Neurodevelopmental outcomes in children with Fontan repair of functional single ventricle. PEDIATRICS, 101(4), 630-633.

Mid- to long-term results of the two-stage approach for type B interrupted aortic arch and ventricular septal defect
Mainwaring, R. D., & Lamberti, J. J. (1997). Mid- to long-term results of the two-stage approach for type B interrupted aortic arch and ventricular septal defect. ANNALS OF THORACIC SURGERY, 64(6), 1782-1785.

Tetralogy of Fallot repair results in activation of the renin-angiotensin-aldosterone system
Mainwaring, R. D., Lamberti, J. J., Moore, J. W., Billman, G. F., Carter, T. L., & Nelson, J. C. (1996). Tetralogy of Fallot repair results in activation of the renin-angiotensin-aldosterone system. EUROPEAN HEART JOURNAL, 17(9), 1421-1425.

Aortopulmonary collateral vessels and prolonged pleural effusions after modified Fontan procedures
Spicer, R. L., Uzark, K. C., Moore, J. W., Mainwaring, R. D., & Lamberti, J. J. (1996). Aortopulmonary collateral vessels and prolonged pleural effusions after modified Fontan procedures. AMERICAN HEART JOURNAL, 131(6), 1164-1168.

Factors influencing perioperative morbidity during palliation of the univentricular heart
Lamberti, J. J., Mainwaring, R. D., Spicer, R. L., Uzark, K. C., & Moore, J. W. (1995). Factors influencing perioperative morbidity during palliation of the univentricular heart. ANNALS OF THORACIC SURGERY, 60(6), S550-S553.

PERCUTANEOUS USE OF STENTS TO CORRECT PULMONARY-ARTERY STENOSIS IN YOUNG-CHILDREN AFTER CAVOPULMONARY ANASTOMOSIS
Moore, J. W., Spicer, R. L., Perry, J. C., Mathewson, J. W., Kirkpatrick, S. E., & Lamberti, J. J. (1995). PERCUTANEOUS USE OF STENTS TO CORRECT PULMONARY-ARTERY STENOSIS IN YOUNG-CHILDREN AFTER CAVOPULMONARY ANASTOMOSIS. AMERICAN HEART JOURNAL, 130(6), 1245-1249.

Bidirectional Glenn. Is accessory pulmonary blood flow good or bad?
Mainwaring, R. D., Lamberti, J. J., Uzark, K., & Spicer, R. L. (1995). Bidirectional Glenn. Is accessory pulmonary blood flow good or bad?. Circulation, 92(9), II294-7.

BIDIRECTIONAL GLENN - IS ACCESSORY PULMONARY BLOOD-FLOW GOOD OR BAD
Mainwaring, R. D., Lamberti, J. J., Uzark, K., & Spicer, R. L. (1995). BIDIRECTIONAL GLENN - IS ACCESSORY PULMONARY BLOOD-FLOW GOOD OR BAD. CIRCULATION, 92(9), 294-297.

RENIN, ANGIOTENSIN-II, AND THE DEVELOPMENT OF EFFUSIONS FOLLOWING BIDIRECTIONAL GLENN AND FONTAN PROCEDURES
Mainwaring, R. D., Lamberti, J. J., Carter, T. L., Moore, J. W., & Nelson, J. C. (1995). RENIN, ANGIOTENSIN-II, AND THE DEVELOPMENT OF EFFUSIONS FOLLOWING BIDIRECTIONAL GLENN AND FONTAN PROCEDURES. JOURNAL OF CARDIAC SURGERY, 10(2), 111-118.

Tracheoesophageal Compressive Syndromes of Vascular Origin: Rings and Slings.
Mainwaring RD, & and Lamberti JJ. (1995). Tracheoesophageal Compressive Syndromes of Vascular Origin: Rings and Slings. In: Baue AE, Ed. Glenn?s Thoracic and Cardiovascular Surgery Sixth Edition, Stamford, CA. Appleton and Lange..

Palliation of the Univentricular Heart.
Lamberti JJ, Uzark K, Mainwaring RD, Moore JE, & Spicer RL. (1995). Palliation of the Univentricular Heart. Heart Surgery..

DAMUS-KAYE-STANSEL PROCEDURE - MIDTERM FOLLOW-UP AND TECHNICAL CONSIDERATIONS
Carter, T. L., Mainwaring, R. D., & Lamberti, J. J. (1994). DAMUS-KAYE-STANSEL PROCEDURE - MIDTERM FOLLOW-UP AND TECHNICAL CONSIDERATIONS. ANNALS OF THORACIC SURGERY, 58(6), 1603-1608.

SUPPRESSION OF THE PITUITARY-THYROID AXIS AFTER CARDIOPULMONARY BYPASS IN THE NEONATE
Mainwaring, R. D., Lamberti, J. J., Billman, G. F., & Nelson, J. C. (1994). SUPPRESSION OF THE PITUITARY-THYROID AXIS AFTER CARDIOPULMONARY BYPASS IN THE NEONATE. ANNALS OF THORACIC SURGERY, 58(4), 1078-1082.

REDUCTION IN TRIIODOTHYRONINE LEVELS FOLLOWING MODIFIED FONTAN PROCEDURE
Mainwaring, R. D., Lamberti, J. J., Carter, T. L., & Nelson, J. C. (1994). REDUCTION IN TRIIODOTHYRONINE LEVELS FOLLOWING MODIFIED FONTAN PROCEDURE. JOURNAL OF CARDIAC SURGERY, 9(3), 322-331.

The Bidirectional Glenn: Palliation of the Univentricular Heart.
Mainwaring RD, Lamberti JJ, & Uzark K. (1994). The Bidirectional Glenn: Palliation of the Univentricular Heart. In: Karp RD, Laks H, and Wechsler AS, Eds. Advances in Cardiac Surgery, Vol. 5, St. Louis Mosby-Year Book, Inc..

The bidirectional Glenn procedure: palliation of the univentricular heart.
Mainwaring, R. D., Lamberti, J. J., & Uzark, K. (1994). The bidirectional Glenn procedure: palliation of the univentricular heart. Advances in cardiac surgery, 5, 115-140.

COMPARISON OF THE HORMONAL RESPONSE AFTER BIDIRECTIONAL GLENN AND FONTAN PROCEDURES
Mainwaring, R. D., Lamberti, J. J., Moore, J. W., Billman, G. F., & Nelson, J. C. (1994). COMPARISON OF THE HORMONAL RESPONSE AFTER BIDIRECTIONAL GLENN AND FONTAN PROCEDURES. ANNALS OF THORACIC SURGERY, 57(1), 59-64.

Congenital Anomalies of the Mitral Valve.
Lamberti JJ, & and Mainwaring RD. (1994). Congenital Anomalies of the Mitral Valve. In: Mavroudis C, and Backer CL, Eds. Pediatric Cardiac Surgery Second Edition, St. Louis Mosby- Year Book, Inc..

MANAGEMENT OF SYSTEMIC ATRIOVENTRICULAR VALVE REGURGITATION IN INFANTS AND CHILDREN
Lamberti, J. J., Mainwaring, R. D., George, L., & Oury, J. H. (1993). MANAGEMENT OF SYSTEMIC ATRIOVENTRICULAR VALVE REGURGITATION IN INFANTS AND CHILDREN. JOURNAL OF CARDIAC SURGERY, 8(6), 612-621.

PULMONARY ATRESIA WITH INTACT VENTRICULAR SEPTUM - SURGICAL APPROACH BASED ON VENTRICULAR SIZE AND CORONARY ANATOMY
Mainwaring, R. D., & Lamberti, J. J. (1993). PULMONARY ATRESIA WITH INTACT VENTRICULAR SEPTUM - SURGICAL APPROACH BASED ON VENTRICULAR SIZE AND CORONARY ANATOMY. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 106(4), 733-738.

Bioprosthetic Valves in Children: Results.
Lamberti JJ, & and Mainwaring RD. (1993). Bioprosthetic Valves in Children: Results. Heart Surgery..

Palliation of the Univentricular Heart.
Lamberti JJ, Uzark K, Mainwaring RD, & Spicer RL. (1993). Palliation of the Univentricular Heart. Heart Surgery..

THE INUTERO LEFT-VENTRICLE OF THE FETAL SHEEP - THE EFFECTS OF ISOPRENALINE
Anderson, P. Aw., FAIR, E. C., KILLAM, A. P., Nassar, R., Mainwaring, R. D., & WHYTE, L. M. (1990). THE INUTERO LEFT-VENTRICLE OF THE FETAL SHEEP - THE EFFECTS OF ISOPRENALINE. JOURNAL OF PHYSIOLOGY-LONDON, 430, 441-452.

INUTERO RIGHT VENTRICULAR OUTPUT IN THE FETAL LAMB - THE EFFECT OF HEART-RATE
Anderson, P. Aw., KILLAM, A. P., Mainwaring, R. D., & Oakeley, A. E. (1987). INUTERO RIGHT VENTRICULAR OUTPUT IN THE FETAL LAMB - THE EFFECT OF HEART-RATE. JOURNAL OF PHYSIOLOGY-LONDON, 387, 297-316.

THE EFFECT OF HEART-RATE ON INUTERO LEFT-VENTRICULAR OUTPUT IN THE FETAL SHEEP
Anderson, P. Aw., GLICK, K. L., KILLAM, A. P., & Mainwaring, R. D. (1986). THE EFFECT OF HEART-RATE ON INUTERO LEFT-VENTRICULAR OUTPUT IN THE FETAL SHEEP. JOURNAL OF PHYSIOLOGY-LONDON, 372, 557-573.

THE ROLE OF ADENOSINE IN THE REGULATION OF CORONARY BLOOD-FLOW IN NEWBORN LAMBS
Mainwaring, R. D., MENTZER, R. M., Ely, S. W., Rubio, R., & Berne, R. M. (1985). THE ROLE OF ADENOSINE IN THE REGULATION OF CORONARY BLOOD-FLOW IN NEWBORN LAMBS. SURGERY, 98(3), 540-546.