AUTHOR=El-Sayed Ahmad Ali , Salamate Saad , Bakhtiary Farhad 

TITLE=Lessons learned from 10 years of experience with minimally invasive cardiac surgery

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=Volume 9 - 2022

YEAR=2023

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.1053572

DOI=10.3389/fcvm.2022.1053572

ISSN=2297-055X

ABSTRACT=Minimally invasive cardiac surgery gained gradually interest world-wide since its inception more than a quarter of a century ago. The need to offer patients smaller and better-tolerated incisions with high-quality clinical outcomes, particularly in structural heart disease, has become imperative to keep pace with the evolution of transcatheter valve implantation. We learned lessons from our experience in this field, especially in the endoscopic access via minithoracotomy.  In order to improve the safety and efficacy of this endoscopic minimally access, we summarized and highlighted the lessons as a template for newly established cardiac surgeons in minimally invasive techniques.