Minimally invasive Mitral valve surgery

Minimally invasive Mitral valve surgery is an alternative to sternotomy which became a routine approach in our experience around 10 years ago. Rather than a large incision in the middle of the chest, a 4-5 cm incision is performed between the ribs, using a mini spreader with peripheral cannulation to repair the valve. Procedure time is 3-4 hours and average hospital stay is about 6-7 days.

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This procedure provides the same outcome with a smaller incision.  The operation allows a faster recovery of 3-4 weeks, a lower risk of bleeding, infection and stroke, and can be related with more stamina after surgery and a quicker return to normal activity.

As a result cosmesis, pain and recovery is even much superior and quicker with Total Endo as compared to Min invasive approach for Mitral valve surgery in our experience as well as other centres around the world that specialise in Minimally invasive Mitral surgeries.

Mr. Bahrami has performed more than 1500 Mitral valve surgeries in his career till date out of which more than 500 have been through a minimally invasive , and totally Endoscopic approach (Key hole)

He’s currently the most experienced practising Mitral valve surgeon in UK with expertise in Minimally invasive and Endoscopic 3D valve repair with repair rate over 99% and risk 1%.

Our Team

Toufan Bahrami

Mr Toufan Bahrami is a senior consultant in cardiac surgery , working at both Royal Brompton and Harefield Hospital, where he treats both NHS and private patients.

He also works at The Harley street clinic in central London .With more than 4000 cardiac operations of which 1500 are minimally invasive procedures over past 21 years, He is the   only consultant in UK expert in all aspects of minimally invasive cardiac surgery including , Mitral , Aortic valve and root and CABG with a longstanding track record.

Saeed Mirsadraee

Dr Mirsadraee’s specialist interest is cardiovascular imaging and in particular imaging of the heart valves, surgical and transcatheter aortic and mitral valve procedure planning, and complex aortic conditions. He is the radiology lead for aortic and mitral imaging at the Royal Brompton and Harefield hospitals. Dr Mirsadraee uses CT images in planning Mitral valve procedures such as minimal access mitral valve surgery, transcatheter mitral valve implantation (eg. Tendyne, Sapien in ring/MAC), cord and left ventricular remodelling procedures (eg. Accucinch, Neocord).

Ali Vazir

Dr Ali Vazir is a consultant cardiologist based at the Royal Brompton and Harefield Hospitals, part of Guy’s and St Thomas’ NHS Foundation Trust. He is also an Honorary Clinical Senior Lecturer at National Heart and Lung Institute, Imperial College London. 

He is an expert in heart failure and echocardiography. He is the clinical lead for heart failure at the Royal Brompton Hospital. He trained in London and was a Post-doctoral research fellow at the Brigham and Women’s Hospital and Harvard Medical School, Boston, USA. He is a principal investigator for several multicenter trials. 

Lauren Connolly

Lauren has worked within the cardiology and cardiac surgery care setting for seven years. In recent years she has worked within the structural heart team as clinical nurse specialist and co-ordinator for the trans catheter team, specifically focusing in mitral and tricuspid valve disease.

Dr Robert Smith

Dr Smith’s specialist interest is Mitral valve disease and interventions. He leads one of the largest structural heart disease programmes in Europe at the world renowned Royal Brompton & Harefield Hospitals. It is also the first centre of excellence for MitraClip in the world.