Totally Endoscopic Surgeryis the least invasive technique of surgical mitral valve repair

The incision in Totally endoscopic is much smaller around 2-3 cms as compared to conventional minimally invasive surgery where the incision is around 5-6 cms. There is no use of metal chest spreader for totally endoscopic surgery and hence we use special 3D camera and special instruments for the totally endoscopic approach. The procedure is performed with a 3D TV screen with magnified mitral valve, resulting in a precise repair with less trauma inside the chest.

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This procedure allows faster recovery with a hospital stay on average of 4-5 days.

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 or totally endoscopic approach (Keyhole). 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 overall risk of 1%.

Our Team

Toufan Bahrami


Mr Toufan Bahrami is a senior consultant in cardiac surgery , working at both Royal Brompton and Harefield Hospitalwhere 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.