Nagarajan Muthialu

Mr Nagarajan Muthialu is a surgeon with the Cardiothoracic team at Great Ormond Street Hospital.

He has special interests in cardiac, thoracic and tracheal diseases of children including transplantation.


Areas of expertise:

  • paediatric and neonatal cardiac

  • thoracic surgery

  • tracheal surgery and reconstruction

  • heart and lung transplantation

Areas of special interest:

  • paediatric thoracic surgery

  • cardiac surgery

  • tracheal surgery

  • lung transplantation in infants

Qualifications and training



  • Bangalore University, India

  • Royal College of Surgeons of Edinburgh, UK

Membership of professional bodies and societies:

  • International Society of Heart and Lung Transplantation (Member of Paediatric Council, Communications Workforce committee)

  • Society of Thoracic Surgeons (International Member)

  • European Association of Cardiothoracic Surgeons (Life Member)

  • Asian Society of Cardiovascular and Thoracic Surgery (Life Member)

  • World Society of Paediatric and Congenital Heart Surgery (Founder Member)

  • Indian Association of Cardiovascular and Thoracic Surgeons, India (Life Member)

  • Scandinavian Society for Research in Cardiothoracic Surgery (Life Member)

  • Royal College of Surgeons of Edinburgh, Edinburgh, U.K.

  • Cardiothoracic Surgery Network (CTSNET)

  • Member, The Ross Community


  • Price memorial Prize for securing highest mark in Medicine

  • K. C. Nambiar Gold Medal for highest mark in Surgery

  • Prize for excellence in Clinical Examination in Ophthalmology

  • Prize for excellence in Clinical Examination in Chest diseases

  • Prize for excellence in Examination in Pathology

Research interests

  • Involved in risk assessment of paediatric cardiac surgery – NIHR funded project for risk categorization of paediatric and congenital cardiac surgery in UK.

  • Change in lung volume following thoracic wall reconstruction – computerized risk model evaluating chest wall changes and consequent lung volume changes following reconstructive surgery in chest wall defects and Jeune syndrome.

  • Paediatric cardiac surgery

  • Chest wall reconstruction

  • Tracheal surgery

  • Transplantation


Dr Muthialu has published over 14 original articles, 12 case reports and has made over 26 presentations at national and international conferences.

Muthialu N. Plastic Bronchitis. Ann Thorac Surg 2012;94:864 (Invited Commentary).

Crowe S, Brown KL, Pagel C, Muthialu N, Cunningham D, Gibbs J, Bull C, Franklin R, Utley M, Tsang VT. Development of a diagnosis-and procedure-based risk model for 30-day outcome after pediatric cardiac surgery. J Thorac Cardiovasc Surg 2012;17. (Epub).

Brown KL, Crowe S, Pagel C, Bull C, Muthialu N, Gibbs J, Cunningham D, Utley M, Tsang VT, Franklin R. Use of diagnostic information submitted to the UK central cardiac audit database (CCAD): development of categorization and allocation algorithms. Heart (in print).

R Puranik, V T Tsang, V Muthurangu, A Broadley, J Nordmeyer, N Muthialu, G Derrick, F Walker, S Cullen, M de Leval. Functional outcomes after the Ross (Pulmonary Autograft) Procedure assessed with Magnetic Resonance Imaging and Cardiopulmonary exercise testing. Heart 2010;96(4):304-8.

Giardini A, Khambadkone S, Rizzo N, Riley G, Pace Napolene C, Muthialu N, Picchio FM, Derrick G. Determinants of exercise capacity after arterial switch operation for transposition of great arteries. Am J Cardiol 2009;104(7):1007-12.

Case reports

Muthialu N, Kostolny M, Rees PG. Phrenic nerve at greater risk: Congenital Absence of pericardium exposing the nerve. Ann Thorac Surg 2012;94:e27. (Images in cardiothoracic surgery)

Muthialu N, Hoskote A, Deshpande R, Lister P. Right pulmonary hilar pedicle injury secondary to blunt chest trauma in a child. Asian Cardiovasc Thorac Annals 2012. (print)

Muthialu N. Inflammatory myofibroblastic tumour occluding left main bronchus in a young boy. Ind J Thorac Cardiovasc Surg 2012 DOI:10.1007/s12055-012-0149-1 (online).

Ciliberti P, Muthialu N, Tann O, Kostolny M, Marek J. Multimodality imaging of a rare complex vascular ring in an infant: left pulmonary sling associated with aorto-pulmonary window, aberrant right subclavian artery and with complete tracheal rings. J Am Col Cardiol (in print).

Watson T, Calder A, Muthialu N. Multi-detector Thoracic CT findings in Cerebro-Costo-Mandibular syndrome: demonstration of rib gaps and failure of costo-vertebral separation. Paediat Radiol 2012 (in print)

Presentations at conferences

Over 26 national and international presentations.

Meet the experts – Current status of tracheal surgery in children (Invited Lecture), EUPSA/BAPS annual conference, Rome, Italy, June 2012

Current status of lung transplantation in pulmonary hypertension in children. (Invited Lecture) World Society of Cardiothoracic Surgery, Berlin June 2011

Bronchopulmonary Foregut malformations: Surgical Perspectives. (Invited Lecture) International Paediatric Radiology conference, London, May 2011

Surgical aspects of Extracorporeal Membrane Oxygenation. (Course Teaching) ECMO Course, Institute of Child Health / Great Ormond Street Hospital, May 2011

Surgery in Tetralogy of Fallot. (Course Teaching) Intensive Care unit study day, Great Ormond Street Hospital, Feb 2011