Totally endoscopic surgery for mitral valve repair and aortic valve replacement.
The surgeon enters the chest through a tiny cut and spreads the soft tissue. With another incision, he uses a 4K resolution 3D camera that shows the inside of the chest via a high-definition TV monitor in the operating theatre.
Endoscopic instruments are mechanically manipulated, though the surgeon is next to the patient to intervene manually if required.
Speaker: Mr Toufan Bahrami, Consultant cardiac surgeon, Royal Brompton & Harefield Hospitals Specialists Care, part of Guy’s and St Thomas’ NHS Foundation Trust
Mr Toufan Bahrami leads Royal Brompton and Harefield Hospitals' minimally invasive and endoscopic cardiac surgery service, including mitral valve repair surgery.
Mr Bahrami is nationally and internationally recognised in minimally invasive, endoscopic (keyhole) cardiac surgery including mitral valve repair and aortic valve replacement. He has completed between 3,000 and 4,000 surgical procedures on the heart.
Mr Bahrami's expertise in cardiac and endoscopic surgery includes:
- mitral valve repair - Mr Bahrami trained and worked in France with Professor Alain Carpentier who pioneered the technique
- minimally invasive endoscopic mitral valve repair
- minimally invasive endoscopic coronary artery bypass graft (CABG) - MIDCAB
- endoscopic atraumatic coronary artery bypass - EndoACAB
- endoscopic vein harvesting
- endoscopic surgical treatment of atrial fibrillation
- minimally invasive aortic valve replacement (sutureless valve and Resilia valve).
Mr Bahrami gives all his patients a personalised approach to care. His multidisciplinary team evaluates every patient to first determine whether they need surgery and then appropriate guideline therapy and timing of intervention will be applied.
Mr Bahrami is at the forefront of developments in endoscopic minimally invasive heart surgery. Instead of conventional surgery, heart valves are replaced or repaired by gaining access to the heart through a small incision between the ribs. For this, he uses a thoracoscope to view the chest cavity and to guide his movements.
In addition, Mr Bahrami performs coronary artery bypass grafts (CABG) through a mini-incision on the side of the chest while the heart is beating (called off-pump CABG) rather than using a heart bypass machine.
Mr Bahrami has been the forerunner in utilising innovative surgical techniques, including:
- In 2007, he performed the first double-lung transplant from a non-heart-beating donor.
- In 2007, he performed the UK's first endoscopic vein harvesting surgery.
- In 2014, he performed the first sutureless aortic valve replacement through a minimally invasive minithoracotomy.
- In 2016, he implanted the first Inspiris Resilia aortic valve using a minimally invasive technique.
- In 2017, he performed the first worldwide mitral valve repair, valve repair ablation and CABG using a
minimally invasive technique.
Publications
Mr Toufan Bahrami has published research papers on valve repair (mitral and tricuspid) and transplantation in peer-reviewed journals including the European Journal for Cardio-Thoracic Surgery, the Annals of Thoracic Surgery and the Journal of Thoracic and Cardiovascular Surgery.
Teaching
Mr Toufan Bahrami has a strong clinical research programme with the development of new technology in cardiac surgery including 3D endoscopy in cardiac surgery and robotic-assisted heart surgery. He is participating in three multi-centric national trials in mitral valve surgery, TAVI and minimally access aortic valve. He organises regular courses in Geneva for consultants for minimally invasive aortic valve surgery and sutureless aortic valve surgery.
Location: ABHI & DIT Stand: Hall 2, D30