1st Edition

Minimally Invasive Cardiac Surgery A Practical Guide

Edited By Theo Kofidis Copyright 2020
    471 Pages 269 Color Illustrations
    by CRC Press

    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



    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





    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."
    -Marc Ruel MD, MPH, FRCSC, FCCS, FAHA

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

    -Wiley Nifong, MD, East Carolina University