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1. Fellowship in Robotic and Minimally Invasive Adult Cardiac Surgery-Position Title: Senior Clinical Fellow in Robotic and Minimally Invasive Cardiothoracic Surgery St Mary’s Hospital, London (Trainers: Mr Roberto Casula, Mr Rex Stanbridge) 
 
Minimal Access Coronary Revascularization
Beating Heart Surgery – I have performed as primary surgeon more than 400 Beating Heart Operations for multi-vessel diseaseTECAB-Robotic Totally Endoscopic Coronary Artery Bypass Grafting OperationsACAB/MIDCAB/AXILLARY/TRANSABDOMINAL/THORACOCAB–Atraumatic Coronary Artery Bypass Grafting 
2. Lead clinician in Complex aortic surgery
Minimal Access Valve Surgery
Minimal Access Aortic Valve ReplacementMinimal Access Mitral Valve Repair
 
Other Minimally Invasive Procedures  
Endoscopic Vein harvesting and endoscopic Radial artery harvestingUse of coronary anastomotic  Magnetic Device-Ventrica
 
During the last 4 years I am part of a multidisciplinary team which has the responsibility and specializes in the treatment of complex aortic disease including surgical, endovascular and hybrid procedures.  I also introduced in my institution:
 a.   the axillary cannulation as standard approach for aortic arch surgery, b.   the Kasui technique for arch repair and c.   The conventional and frozen elephant trunk technique. Since 2004 appointed as a consultant I have performed the following operations:
1.    Aortic root replacement for ascending aortic aneurysms  using Valsalva graft -18 cases with no death
 2.    Aortic Dissection -14 cases icluding 6 root replacements and 8 interposition grafts with no death
 3.    Hemi Arch-Total Aortic arch repair -5 cases with no death
 4.    Elephant Trunk -3 cases with 1 death at 30 days postoperatively
 5.    Hybrid procedures with debranching of head and neck vessels -14 cases with 2 deaths.
 
 Total number 54 cases with 3 deaths.
 
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