Robotic Cardiac Surgery: Mitral Valve Repair, Coronary Bypass, and More

Purchase a comprehensive online curriculum in robotic cardiac surgery for surgeons and teams of all levels of experience.

The course includes six sessions composed of prerecorded, narrated video lectures, and demonstrations that can be viewed at your own pace. Each session concludes with a recorded panel discussion featuring faculty from that session and audience Q&A. Purchasers will receive unlimited access to the course content in the STS Learning Center until December 31, 2021.


This online course is supported by an educational grant from Intuitive Surgical, Inc.

Course Description

This STS course is a series of on-demand sessions that offers cutting-edge information on robotic cardiac surgery, including mitral valve repair, coronary bypass, and other procedures. The online curriculum is led by world-renowned surgeon instructors with successful track records in robotic surgery. 

The course is designed for surgeons and teams interested in starting a robotic cardiac surgery program, as well as experienced surgeons, anesthesiologists, nurses, perfusionists, supporting program administrators, and other team members seeking to enhance their skills. The course includes six sessions composed of prerecorded, narrated video lectures and demonstrations, each enhanced by an interactive panel discussion. A course director moderates each panel, which features faculty from each session and an audience Q&A.

Agenda

Session 1–Building & Maintaining a Robotic Cardiac Surgery Program

This session serves as an introduction to robotic cardiac surgery for surgeons who are interested in starting a program. The content includes the history, evidence, and finances for robotic cardiac surgery, as well as training options, credentialing, and perspectives from hospital administrators and CEOs.

Recorded Lectures

The History of Robotic Cardiac Surgery
Randall K. Wolf, MD, Houston, TX

The Evidence for Robotic Cardiac Surgery
A. Marc Gillinov, MD, Cleveland, OH

Financial Aspects of Robotic Cardiac Surgery
Arman Arghami, MD, Rochester, MN

Value of Robotic Cardiac Surgery: Perspective of a CEO and a Surgeon
Rakesh M. Suri, MD, Abu Dhabi, UAE

Building a Robotic Cardiac Surgery Program: Hospital Administrator Perspective
Robert J. Cerfolio, MD, MBA, New York, NY

Perfusion Issues in Robotic Cardiac Surgery
Eric J. Lehr, MD, Seattle, WA

Overview of Training Options in Robotic Cardiac Surgery
Evelio Rodriguez, MD, Nashville, TN

Credentialing & Skill Verification in Robotic Cardiac Surgery
Richard J. Shemin, MD, Los Angeles, CA

Prerequisites and How to Successfully Start a Program: Step by Step
Eugene A. Grossi, MD, New York, NY 

The Role of Cardiac Anesthesia in Robotic Cardiac Surgery
Jordan E. Goldhammer, MD, Philadelphia, PA

Starting a Robotic Cardiac Program within a Regulated National Health Service
Paul Modi, MD, Liverpool, UK

The Real World: How to Successfully Navigate Program-Building Obstacles
W. Randolph Chitwood Jr., MD, Greenville, NC

Interactive Panel Discussion
(Recorded on Thursday, October 1, 2020)

Session 2–Robotic Mitral Valve Repair & Other Intracardiac Procedures: Basic Considerations

The second session provides an overview of the basics for robotic mitral valve repair, including a review of the procedural steps, incisional options, cannulation, and other considerations such as when to use a balloon. It also features detailed cases and information on avoiding complications and deciding when to convert.

Recorded Lectures 

Overview of Robotic Mitral Valve Repair Procedural Steps
Douglas A. Murphy, MD, Atlanta, GA

Case in a Box: Simulated Mitral Valve Repair—How I Do It
T. Sloane Guy, MD, MBA, Philadelphia, PA 

Lessons from Recently Starting a Robotic Surgery Program from Scratch
Arnar Geirsson, MD, New Haven, CT

Cannulation & Myocardial Protection Options
T. Sloane Guy, MD, MBA, Philadelphia, PA

Endoballoon 101
Douglas A. Murphy, MD, Atlanta, GA

To Balloon or Not Balloon? That Is the Question!
Eugene A. Grossi, MD, New York, NY

Complications in Robotic Mitral Valve Surgery: How to Avoid, When to Convert
Danny Ramzy, MD, Los Angeles, CA

Incisional Options in Robotic Mitral Valve Repair
Louis A. Brunsting III, MD, Cincinnati, OH

Simplified Robotic Mitral Valve Repair Techniques
Richard Daly, MD, Rochester, MN

Robotic Cox-Maze Procedure
Vinay Badhwar, MD, Morgantown, WV

Case in a Box: Robotic Mitral Valve Repair Case (20 minutes)
Douglas A. Murphy, MD, Atlanta, GA

Interactive Panel Discussion
(Recorded on Thursday, October 15, 2020)

Session 3–Robotic Mitral Valve Repair & Other Intracardiac Procedures: Advanced Considerations

Advanced techniques and considerations for robotic mitral valve repair and replacement and other intracardiac procedures are covered in this session. Topics include lateral and anterior approaches to robotic mitral repair, robotic treatment of atrial fibrillation, robotic septal myectomy. Additionally, hybrid approaches and expanded patient selection criteria are presented.

Recorded Lectures 

Options for Robotic Treatment of Atrial Fibrillation
Vinay Badhwar, MD, Morgantown, WV

Robotic Tricuspid Valve Repair and Replacement Options
Clifton T.P. Lewis, MD, Birmingham, AL

Transareolar Robotic Mitral Valve Repair: Technique and Results
Francesco Musumeci, MD, Rome, Italy

Pushing the Limits: Advanced Robotic Mitral Valve Repair Case Presentations
Vinay Badhwar, MD, Morgantown, WV

The Toughest Lessons I Have Learned in Robotic Mitral Valve Surgery
J. Michael Smith, MD, Cincinnati, OH

Robotic Mitral Valve Replacement Techniques
Leland G. Siwek, MD, Spokane, WA

Hybrid Robotic Mitral Valve Procedures
Marc R. Katz, MD, Charleston, SC

Patient Selection in Robotic Mitral Valve Surgery 
Stephanie L. Mick, MD, New York, NY

Advanced Robotic Mitral Repair Cases: Extending the Selection Criteria
Douglas A. Murphy, MD, Atlanta, GA

Robotic Atrial Septal Defect Repair
Branden R. Reynolds, MD, Spokane, WA

Robotic Mitral Valve Repair: A European Perspective
Emiliano Navarra, MD, Brussels, Belgium

Robotic Aortic Valve Replacement: The Lateral Approach
Vinay Badhwar, MD, Morgantown, WV

Robotic Aortic Valve Replacement: The Anterior Approach
Husam H. Balkhy, MD, Chicago, IL 

Interactive Panel Discussion
(Recorded on Monday, November 9, 2020)

Session 4–Robotic Coronary Artery Bypass: Basic Considerations

An overview of basic considerations for robotic coronary artery bypass, including port placement, minithoracotomy, anastomosis, and internal mammary artery (IMA) takedown, are provided in this session. Detailed procedural steps are included, as well as perspectives on achieving expertise and on operating in a private practice environment.

Recorded Lectures 

Overview of Steps in Robotic MIDCAB (45 minutes)
Francis P. Sutter, DO, Wynnewood, PA

Avoiding Pitfalls during Port Placement and IMA Takedown
Michael E. Halkos, MD, Atlanta, GA

Making the Minithoracotomy and Performing the Anastomosis: Technical Considerations
Bradley S. Taylor, MD, Baltimore, MD

Robotic MIDCAB Simplified: How I Do It
Phillip G. Rowse, MD, Rochester, MN

Routinely Taking Down the Second IMA: How I Do It
Husam H. Balkhy, MD, Chicago, IL 

How I Became an Expert Robotic Coronary Surgeon
Michael E. Halkos, MD, Atlanta, GA

Robotic Coronary Bypass in a Private Practice Environment
Karen A. Gersch, MD, Charleston, SC

Interactive Panel Discussion
(Recorded live on November 30, 2020)

Session 5–Robotic Coronary Artery Bypass: Advanced Considerations

An international faculty of experts lead the fifth session and address advanced considerations for robotic coronary artery bypass, including imaging modalities, hybrid cases, prevention and management of complications, and advanced patient selection considerations. They also will cover technical considerations, tips, and tricks for totally endoscopic coronary artery bypass (TECAB).

Recorded Lectures 

The Case for Hybrid Coronary Revascularization
Nirav C. Patel, MD, New York, NY

The Evidence for Robotic and Non-Robotic Hybrid Coronary Artery Bypass
L. Wiley Nifong, MD, Greenville, NC

Do We Need Fancy Anatomic Imaging to Perform Robotic Coronary Surgery?
Bob B. Kiaii, MD, London, ON, Canada

Transitioning to Robotics: Perspective of an Experienced MICS CABG Surgeon
Marc Ruel, MD, Ottawa, ON, Canada

Prevention & Management of Common Complications in Robotic Coronary Bypass
Daniel M. Bethencourt, MD, Rolling Hills, CA

Examples of Robotic Hybrid Cases I Did This Year
John D. Puskas, MD, New York, NY

Examples of Robotic Hybrid Cases I Did Not Do This Year
Nirav C. Patel, MD, New York, NY

Patency Outcomes in Robotic Coronary Surgery
Bob B. Kiaii, MD, London, ON, Canada

Technical Considerations in TECAB
Husam H. Balkhy, MD, Chicago, IL 

What Is the Future of TECAB?
Johannes Bonatti, MD, Vienna, Austria

Advanced Technical Tips in TECAB
Jean-Luc Jansens, MD, Brussels, Belgium

Interactive Panel Discussion
(Recorded live on December 14, 2020)

Session 6–Robotic Cardiac Surgery Program Building: Advanced Considerations

The final session of the course provides a detailed examination of advanced considerations for building and maintaining a successful robotic cardiac surgery program, including team training, bedside assistant options, advanced training and fellowship opportunities. 

Recorded Lectures 

Overview of Surgeon and Team Training Options in Robotic Cardiac Surgery
Eugene A. Grossi, MD, New York, NY 

Critical Role of the Bedside Assistant: Options, Training, and More — Intracardiac
Richard L. Stephens, PA-C, Birmingham, AL

Critical Role of the Bedside Assistant: Options, Training, and More — Coronary
Kimberly Schwartz, PA-C, Pasadena, MD

Evolving Alternative Robotic Surgical Platforms
Gianluca Torregrossa, MD, Chicago, IL  

How Young Surgeons Approach Robot-Assisted Coronary Bypass
Wouter Oosterlinck, MD, Leuven, Belgium

My Experience as a Proctor for Robotic Cardiac Surgery in Europe
Stepan Cerny, MD, PhD, Prague, Czech Republic

STS/TSF Advanced Fellowship Program in Robotic Cardiac Surgery
T. Sloane Guy, MD, MBA, Philadelphia, PA 

How I Teach It: Robotic Cardiac Surgery
W. Randolph Chitwood Jr., MD, Greenville, NC

AATS Advanced Fellowship in Robotic Cardiac Surgery
W. Randolph Chitwood Jr., MD, Greenville, NC

How I Teach It: Robotic Coronary Surgery
Francis P. Sutter, MD, Wynnewood, PA

How I Learned It: Robotic Cardiac Surgery
Gianluca Torregrossa, MD, Chicago, IL  

Starting a Robotic Cardiac Surgery Program in Canada: Lessons Learned
Emmanuel Moss, MD, Hampstead, QC, Canada

How to Set Up a Robotic Cardiac Surgery Training Center
L. Wiley Nifong, MD, Greenville, NC

Robotic Cardiac Surgery: How I Learned It (30 minutes)
Vinay Badhwar, MD, Morgantown, WV; Arnar Geirsson, MD, New Haven, CT; Eric J. Lehr, MD, Seattle, WA; John D. Puskas, MD, New York, NY;  Robert L. Smith, MD, Plano, TX; Bradley S. Taylor, MD, Baltimore, MD; and Randall K. Wolf, MD, Houston, TX
Moderator: Eugene A. Grossi, MD, New York, NY 

Interactive Panel Discussion
(Recorded on Monday, January 11, 2021)

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Summarize surgical plans for robotic cardiac procedures from beginning to end 
  • Formulate preop evaluation, patient selection, and postoperative care pathways
  • Describe the multidisciplinary components of building a robotic cardiac surgery program from hospital administration to health care team personnel
  • Identify the ideal prerequisites for surgeon selection and hospital/program selection for starting and sustaining a robotic cardiac surgery program
  • Describe the steps and finances needed for creating a robotic cardiac surgery program within a hospital setting

Target Audience

This course is designed for the entire cardiac surgical team, including cardiothoracic surgeons, bedside assistants, physician assistants, nurse practitioners, operating room staff, cardiac anesthesiologists, perfusionists, and others involved with robotic cardiac procedures.

Course Directors

Husam H. Balkhy, MD, Chicago, IL
Joseph A. Dearani, MD, Rochester, MN 
Eugene A. Grossi, MD, New York, NY 
T. Sloane Guy, MD, MBA, Philadelphia, PA 
Douglas A. Murphy, MD, Atlanta, GA


Pricing
  Member Price Non-member Price
Full Course (6 sessions) $200 $300
Individual Session $50 $75

Purchase the full course (six sessions) or individual sessions. Purchasers will receive unlimited access through December 31, 2021.  

To purchase the online curriculum, you’ll first log into the STS Web Portal with your username and password. (If you don’t have login credentials yet, click the “Get Started” button to create an account.) 


Accreditation Statement

The Society of Thoracic Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Society of Thoracic Surgeons designates this internet activity for a maximum of 16.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit will be granted for each session upon viewing all videos in that session, passing an assessment quiz, and completing an evaluation.

Purchasers can also obtain a certificate of participation.