Minimally Invasive Cardiac Surgery : A Practical Guide book cover
1st Edition

Minimally Invasive Cardiac Surgery
A Practical Guide

Edited By

Theo Kofidis

ISBN 9781498736466
Published March 26, 2021 by CRC Press
471 Pages 269 Color Illustrations

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Book Description

Minimally invasive cardiac surgery(MICS) is an integral component of every future cardiac surgeon’s training. There continues to be a growing global demand towards less invasive surgical techniques. Both cardiologist and cardiac surgeon form "heart teams" to provide patients with novel, minimally invasive procedures, with all their benefits.

Less invasive techniques are often complex and require special knowhow and skills. This book offers an innovative approach to learning, utilizing QR code technology, which refers the reader to essential audio-visual material, which, along with the didactic text, focuses on practical aspects of minimally invasive cardiac surgery. In modern Heart Teams, and with the advent of the hybrid era, surgeons will only be able to survive if they have state-of-the-art skills in less invasive technologies, which can be incorporated in the hybrid theatre and/or trans-catheter arena. This text accompanies the surgeon along this path, and provides clinical advice and practical solutions, beyond the necessary basic knowledge. Which courses to visit, which videos to watch, which centres to join for serious training? How best to exploit public and multimedia? How to consent a patient into a MICS procedure? How to set up a MICS program or practice? In the era of value driven outcomes, and a shift towards shorter and better patient journeys, MICS is a skill that no heart surgeon can be without.

Minimally Invasive Cardiac Surgery: A Practical Guide is a teaching resource, reference book and manual written by surgeons who both operate and teach the procedures described within.

  • Provides access to online resources via QR codes
  • Includes links to videos and the e-version of the text
  • Acts as a gateway to a huge choice of minimally invasive cardiac surgery materials

Table of Contents



Our Editorial Team


1. Foreword/Introduction

Theo Kofidis

2. History of Minimally Invasive Cardiac Surgery

Chang Guohao and Theo Kofidis

3. How to Set up a Minimally Invasive Program

Theo Kofidis and Chang Guohao

4. Instrumentation and Operating Theater Set up in Minimally Invasive Cardiac Surgery

Faizus Sazzad and Theo Kofidis

5. Anesthesia for Minimally Invasive Cardiac Surgery

Ti Lian Kah, Sophia Ang Bee Leng, Wei Zhang, Lalitha Manickam and Jai Ajitchandra Sule

6. Surgical Approaches in Minimally Invasive Cardiac Surgery

Faizus Sazzad and Theo Kofidis

7.1. The Aortic Valve: Minimally Invasive Aortic Valve Replacement: The Right Anterior Minithoracotomy

Igo B Ribeiro and Marc Ruel

7.2. Minimally Invasive Aortic Valve Replacement: Upper "J" Sternotomy

Faizus Sazzad and Theo Kofidis

7.3. The Aortic Valve: Sutureless Valves in the Setting of MICS AVR

Theodor Fischlein and Giuseppe Santarpino

7.4. The Aortic Valve: Endoscopic Aortic Valve Surgery

Giovanni Domenico Cresce and Loris Salvador

8.1. Transcatheter Aortic Valve Implantation (TAVI): Transapical Transcatheter Aortic Valve Replacement

Amalia Winters, Jessica Forcillo and Vinod H Thourani

8.2. Transfemoral Transcatheter Aortic Valve Implantation

Ivandito Kuntjoro and Edgar Tay

8.3. Transcatheter Aortic Valve Implantation (TAVI): Alternative Approaches for Transcatheter Aortic Valve Implantation

Faizus Sazzad and Theo Kofidis

9.1. The Mitral Valve: Minimally Invasive Mitral Valve Surgery

Hugo Vanermen

9.2. The Mitral Valve: Alternative Approaches to Minimally Invasive Mitral Valve Surgery

Chang Guohao and Theo Kofidis

9.3. The Mitral Valve: Robotic Mitral Valve Surgery

Nirav C Patel, Meghan K Torres and Jonathan M Hemli

9.4. The Mitral Valve: Percutaneous Mitral Valve Repair: MitraClip

Mohammad Abdulrahman Al Otaiby

10. Minimally Invasive Tricuspid Valve Surgery

Christos Alexiou and Theo Kofidis

11. Minimally Invasive Combined Heart Valve Surgery

Faizus Sazzad and Theo Kofidis

12.1. The Coronaries: Minimally Invasive Coronary Artery Bypass Grafting Surgery

Janet M. C. Ngu, Ming Hao Guo and Marc Ruel

12.2. The Coronaries: Robot Facilitated Coronary Artery Bypass Grafting

László Göbölös and Johannes Bonatti

12.3. Anaortic, Off-Pump, Total-Arterial Coronary Artery Bypass Grafting Surgery: The Coronaries

Michael Seco, J James B Edelman, Fabio Ramponi, Michael K Wilson, and Michael P Vallely

12.4. The Coronaries: Hybrid Coronary Artery Bypass Grafting Surgery

Claudio Muneretto, Chang Guohao and Theo Kofidis

13. Minimally Invasive Atrial Ablation Surgery

Anil K Gehi and Andy C Kiser

14.1. Aortic Surgery: Minimally Invasive Ascending Aortic Surgery

Ourania Preventza

14.2. Aortic Surgery: Endovascular and Hybrid Approaches for Distal Arch and Descending Thoracic Aorta

Cem Alhan, Sahin Senay, Julian Wong and Andrew MTL Choong

15. Minimally Invasive Heart Failure Surgery

Faizus Sazzad and Theo Kofidis

16. Epilogue

Theo Kofidis




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Professor Theo Kofidis is Head of the Department of Cardiac-, Thoracic- and Vascular Surgery, at the National University Hospital of Singapore, Senior Consultant Cardiothoracic Surgeon, an expert minimally invasive heart surgeon and avid researcher. He is a renowned Cardiac Surgeon and strongly sought-for proctor and surgical teacher around the world. One of only 2 AATS members in SE Asia. He is Founder and Owner of the Company Kardia Pte Ltd, aiming at the development of disruptive heart valve- and minimally invasive heart surgery technology. He is Chairman of I.R.I.S. (Initiative for Research and Innovation in Surgery), has introduced various new technologies, and launched new types of less invasive surgery. Over the last 10 years in Singapore, he has established the most complete, pioneering and advanced Minimally Invasive Heart Surgery program in the region, and set up the most advanced hemodynamic research laboratory and Cardiovascular Surgical Research Group in Singapore, after winning numerous grants. His enthusiastic involvement in the field of Minimally Invasive cardiac surgery now encompasses a prototype simulation center in Minimally Invasive Cardiac, Thoracic and Vascular Surgery, featuring manual and digital surgical simulators, Virtual Reality and more, in a high-tech environment at NUS.

Professor Kofidis has trained in some of the world’s leading institutions (Rochester, NY/Texas Heart, Houston/Hannover Germany, Stanford, CA, USA). He is decorated with various international Awards and carries various offices and commitments internationally. He has lectured for the American Medical Association, the FDA, the Bill Gates Research Institute and more. As an academic teacher, proctor and Consultant for a number of companies in the field-related industry, he is holding events and workshops in various countries around the world, bringing Minimally Invasive knowhow to doctors and patients alike.

Professor Theo Kofidis lives in Singapore with his wife Persephone and daughter Danae, loves to fly airplanes, photograph, work out and read


“This book is a first-class inspiration for a lot of young surgeons, who would like to stay relevant in todays’ landscape. A must read and a professional companion for the rest of their career”.
-Hugo Baron Vanermen

"Cardiac surgery is a difficult, high-stakes, reconstructive surgical field, which has slowed down the uptake of minimal invasive procedures. But we are there, finally. This book represents the must-have reference on the topic."

"A very practical guide to caring for patients with operative heart disease"

-Wiley Nifong, MD, East Carolina University