Nesralla has made a fundamental contribution to the visual arts in the state. He was at the head of the II and III Mercosur Visual Arts Biennial (1998 – 2002), concreting this event’s role as the most important visual arts exhibition in Latin America. In 2001, in Brasília, he was awarded a Commendation of the Order of Cultural Merit by the president of Brazil, Fernando Henrique Cardoso. In 2015, he was given the Farroupilha Merit Medal by the Legislative Assembly of the State of Rio Grande do Sul.
In the field of heart surgery, Nesralla continued undertaking ground-breaking procedures. In 1999, he implanted the first electric heart in Brazil and, in 2000, conducted the first robot-assisted surgery in Latin America. He was the Director President of the Cardiology Institute for several years, where he initiated his career as a surgeon.