New Clinical Advances in Minimally Invasive Cardiac Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 30 September 2025 | Viewed by 312

Special Issue Editor


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Guest Editor
Department of Thoracic and Cardiovascular Surgery, German Cardiac Competence Center, Eberhard-Karls-University of Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany
Interests: adult cardiac surgery; heart failure; coronary artery bypass grafting; valve ssurgery

Special Issue Information

Dear Colleagues,

Minimally invasive cardiac surgery (MICS) represents a transformative approach in cardiovascular medicine, offering significant advantages over traditional open-heart surgery. This Special Issue aims to explore the latest clinical advances, techniques, and outcomes in MICS, with a focus on improving patient outcomes, reducing hospital stays, and minimizing surgical complications.

Recent years have seen substantial progress in the field, including the development of sophisticated surgical tools, enhanced imaging techniques, and innovative procedural approaches. Despite these advancements, several challenges remain, such as optimizing patient selection, refining surgical methods, and managing postoperative complications.

We welcome original insightful research articles and comprehensive reviews that address the core problems in MICS in the broadest sense. Areas of interest include, but are not limited to, advancements in valve surgery, coronary artery bypass grafting, and heart failure management through minimally invasive procedures. This includes all aspects related to MICS, including the surgical approach, but also encompassing preoperative screening, postoperative care, and both short- and long-term outcomes.

This Special Issue seeks to gather contributions from leading experts in the field to provide a comprehensive overview of current practices and future directions. We encourage submissions that present new data, share clinical experiences, and propose novel solutions to existing challenges in MICS.

Dr. Christian Rustenbach
Guest Editor

Manuscript Submission Information

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Keywords

  • minimally invasive cardiac surgery
  • valve surgery
  • coronary artery bypass grafting
  • heart failure management
  • surgical techniques

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Published Papers (1 paper)

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Review

14 pages, 249 KiB  
Review
New Clinical Advances in Minimally Invasive Coronary Surgery
by Shahzad G. Raja
J. Clin. Med. 2025, 14(9), 3142; https://doi.org/10.3390/jcm14093142 (registering DOI) - 1 May 2025
Abstract
Background: Minimally invasive coronary surgery (MICS) has emerged as an alternative approach in the surgical management of coronary artery disease (CAD), offering potential advantages such as reduced surgical trauma, shorter hospital stays, and faster recovery. While conventional coronary artery bypass grafting (CABG) remains [...] Read more.
Background: Minimally invasive coronary surgery (MICS) has emerged as an alternative approach in the surgical management of coronary artery disease (CAD), offering potential advantages such as reduced surgical trauma, shorter hospital stays, and faster recovery. While conventional coronary artery bypass grafting (CABG) remains the standard treatment for severe CAD, MICS has seen variable adoption due to concerns over procedural complexity, the risk of incomplete revascularization, and the increasing role of percutaneous interventional techniques. Objectives: This review examines recent clinical developments in MICS, analyzing its techniques, technological advancements, and the impact on patient outcomes, while also addressing its limitations. Methods: This narrative review incorporates studies from PubMed, tracing the evolution of coronary surgery, the refinement of minimally invasive approaches, and the innovations that have enabled the selective implementation of MICS. This review evaluates robot-assisted coronary surgery and totally endoscopic coronary revascularization, discussing their clinical indications and comparative outcomes. Results: Advances in imaging, surgical instrumentation, and anesthesia have improved procedural safety and precision, yet MICS remains a selectively utilized technique rather than a universally preferred alternative. Comparative studies demonstrate mixed clinical outcomes, highlighting both the recovery benefits and technical challenges associated with MICS. Discussion: Patient selection, preoperative planning, and individualized surgical strategies play a crucial role in optimizing the effectiveness of MICS. Challenges include technical complexity, integration into broader clinical practice, and the need for procedural refinement. While ongoing research continues to address these hurdles, the role of MICS in CAD management remains context-dependent, influenced by case complexity and institutional expertise. Conclusion: MICS presents an evolving surgical approach with defined benefits and limitations, requiring careful patient selection and procedural optimization for the best outcomes. This review provides a comprehensive evaluation of recent advances in MICS while acknowledging its challenges and selective application in coronary surgery. Full article
(This article belongs to the Special Issue New Clinical Advances in Minimally Invasive Cardiac Surgery)
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