Minimally Invasive Strategies and New Techniques in Cardiovascular Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 30 January 2026 | Viewed by 727

Special Issue Editors


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Guest Editor
Department of Thoracic and Cardiovascular Surgery, West German Heart and Vascular Center Essen, University Hospital of Essen, University Duisburg-Essen, Essen, Germany
Interests: ventricular assist devices; artificial hearts; heart failure surgery; redo cardiac surgery; heart and lung transplantation; extra corporeal life support; aortic and mitral valve surgery; minimally invasive surgery; critical care
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Guest Editor Assistant
Department of Cardiovascular Surgery, Emergency Institute for Cardiovascular Diseases and Transplantation Targu Mures, 540136 Targu Mures, Romania
Interests: cardiac; mitral valve surgery; heart transplant; cardiovascular surgery

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Guest Editor Assistant
Department of Surgery IV, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania
Interests: aneurysm; heart failure; cardiomyopathies; left ventricular assist devices; implantation; blood pumps; mitral valve regurgitation; leaflet; tricuspid valve disease

Special Issue Information

Dear Colleagues,

Over the past three decades, cardiac surgery has witnessed a dynamic and profound transformation, marked by the continuous refinement of techniques that aim to reduce operative trauma without compromising surgical efficacy. Minimally invasive strategies, once regarded as experimental adjuncts, have evolved into established pillars of modern cardiovascular therapy. Pioneering efforts in limited-access cardiac interventions, alongside advances in imaging, instrumentation, and robotic assistance, have redefined surgical standards, ushering in a new era of precision, safety, and patient-centered care. The historical trajectory of this evolution highlights an unwavering commitment to innovation, interdisciplinary collaboration, and enhanced postoperative outcomes.

This Special Issue, entitled "Minimally Invasive Strategies and New Techniques in Cardiovascular Surgery", seeks to curate a collection of high-impact manuscripts that advance our current understanding and clinical application of minimally invasive cardiac interventions, but also innovations in classical cardiac and vascular surgery. The scope of this Special Issue includes, but is not limited to, the following topics:

  • Novel surgical techniques and protocols for valve repair and replacement, coronary artery bypass grafting, congenital cardiac anomalies, and vascular pathologies;
  • Robotic, hybrid, and endovascular approaches that bridge the gap between surgical and percutaneous therapies;
  • Innovations in intra- or perioperative imaging, 3D modeling, artificial intelligence applications, and enhanced recovery protocols;
  • Anesthetic and perioperative strategies tailored to the needs of minimally invasive cardiac procedures.
  • The novel techniques employed in cardiac surgery.

Through this Special Issue, we aim to stimulate scholarly exchange, promote interdisciplinary innovation, and chart new directions in the field of cardiac surgery.

Prof. Dr. Alexander Weymann
Guest Editor

Dr. Horatiu Suciu
Dr. Marius Mihai Harpa
Guest Editor Assistants

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Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • minimally invasive
  • endoscopic surgery
  • mitral repair
  • mini-thoracotomy
  • hybrid approach
  • percutaneous therapy

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Published Papers (1 paper)

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Research

12 pages, 836 KB  
Article
CT-Derived Aortic Valve Anatomy and Acute Complications After Self-Expanding and Balloon-Expandable TAVI
by Alexandru Antoniu Stan, Ayman Elkahlout, Marius Mihai Harpa, Marian Pop, Mihaly Veres, Antonela Delia Stan, Paul-Adrian Călburean, David Emanuel Aniței, Anda-Cristina Scurtu, Klara Brînzaniuc and Horațiu Suciu
Medicina 2025, 61(9), 1650; https://doi.org/10.3390/medicina61091650 - 11 Sep 2025
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Abstract
Background and Objectives: This study aimed to assess the clinical and anatomical predictors of acute cardiac complications after transcatheter aortic valve implantation (TAVI). Materials and Methods: All patients who underwent a TAVI procedure for severe aortic stenosis between November 2016 and [...] Read more.
Background and Objectives: This study aimed to assess the clinical and anatomical predictors of acute cardiac complications after transcatheter aortic valve implantation (TAVI). Materials and Methods: All patients who underwent a TAVI procedure for severe aortic stenosis between November 2016 and May 2025 at a tertiary center in Romania were screened for inclusion. Of those, patients who had available computer tomography valvular sizing reports were included in the present study. Results: A total of 485 patients were included in this study. Balloon-expandable valves were implanted in 381 patients (78.5%), while self-expanding valves were used in 104 patients (21.4%). A total of sixty-nine (14.2%) patients suffered at least one acute cardiac complication following TAVI, and in-hospital death occurred in nine (1.8%) patients. In the multivariable analysis, clinical parameters—such as diabetes mellitus, left bundle branch block, or left ventricular diameter—and anatomic parameters, such as left coronary artery height and sinotubular junction height, were predictors of acute complications. Similarly, periprocedural characteristics, such as maximum transprosthetic gradient and the use of the Portico/Navitor valve platform was also associated with the occurrence of acute complications. Conclusions: A high acute complications rate is typical for TAVI, although most complications can be successfully treated and the in-hospital death rate is low. Left coronary artery height and sinotubular junction height were predictors of acute complications, among other clinical and procedural characteristics. Full article
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