Tommaso Hinna Danesi | Endoscopic Cardiac Surgeon

TCS

Thoracoscopic Cardiac Surgery

Closed-Chest Procedures

Several cardiac procedures can be performed without opening the chest. Three small 5 to 12 mm trocars allow the Surgeon to bring into the chest instruments and supplies needed. This technique is well known and widely adopted in thoracic surgery, experienced Endoscopic Cardiac Surgeons apply this micro-invasive approach to several procedure avoiding opening of the chest. Benefits of a completely thoracoscopic procedure include potentially no wound infection, fast recovery and better aesthetic results. Usually these procedures don't need any cardio-pulmonary by-pass. It's a really micro-invasive beating heart cardiac surgery. Unfortunately this technique is not applicable to every heart disease

Epicardial Pacing Electrodes

When the heart is skipping more than a beat a permanent pace-maker might be needed. To work these small kicking-engines need small wires be placed into the heart or on its surface. With a throacoscopic approach the Surgeon can easily and efficiently secure the pacing-wire directly to the heart muscle. Recovery from the procedure is fast and usually the Patient can leave the hospital 24-36 hours later

Pericardial Effusion Drainage

When the heart doesn't have enough space to perform and is struggling compressed by surrounding fluid a pericardiocentisis is needed. As for epicardial pacing wire placement an Endoscopic Cardiac Surgeon can take the fluid out with a thoracoscopic approach  

Left Atrial Appendage Exclusion

Irregular heart beat is often due to an atrial fibrillation.
Atrial fibrillation is one of the most represented cardiac arrhythmia. This arrhythmia itself rarely is a lifethreatening condition, but without an appropriate anticoagulation strategy might lead to several catastrophic neurological issue like clots and strokes. The left atrial appendage, a small portion of the left atrium, is the place where thormbus occour during atrial fibrillation. Its ligation provides huge benefits in terms o cardioembolic stroke rate. With a thoracocopic procedure  the Surgeon can deploy a specific device to occlude the left atrial appendage. Recovery after a thoracoscopic atrial appendage ligation is fast and usually the Patient can leave the hospital within 24-36 hours

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Clinic

Brigham and Women's Hospital, Heart and Vascular Center

Carl J. and Ruth Shapiro Cardiovascular Center

70 Francis Street

Boston, MA 02115

United States

 
PHONE
Clinic (513) 475-8521

Tommaso Hinna Danesi | Endoscopic Cardiac Surgeon

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