Surgical Sub-Specialization
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 disease
    • TECAB-Robotic Totally Endoscopic Coronary Artery Bypass Grafting Operations
    • ACAB/MIDCAB/AXILLARY/TRANSABDOMINAL/THORACOCAB–Atraumatic Coronary Artery Bypass Grafting
  • Minimal Access Valve Surgery
    • Minimal Access Aortic Valve Replacement
    • Minimal Access Mitral Valve Repair
  • Other Minimally Invasive Procedures  
    • Endoscopic Vein harvesting and endoscopic Radial artery harvesting
    • Use of coronary anastomotic  Magnetic Device-Ventrica

2. Lead clinician in Complex aortic surgery
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.