Specialist procedures

Below are some examples and explanations of Mr. Casula’s areas of expertise within the minimal access and minimal invasive cardiothoracic field.

These examples show Mr. Casula’s aim to perform effective heart operations with minimal chest invasion for the patients. Wherever possible the use of a cardiopulmonary bypass (CPB) machine is avoided.

Presently aortic valve operations can also be performed in suitable cases without a CPB machine (known as T.A.V.I).

Advantages of minimal invasive techniques

  • Tremendous cosmetic advantage
  • Reduced surgical trauma
  • Minimal or no bone incisions required
  • Reduced need for blood transfusions
  • Less use of pain killers after surgery
  • Faster return to daily activities after surgery

Disadvantages of minimal invasive techniques

  • Technically challenging procedures compared to equivalent traditional ones
  • Steep learning curves for the surgeons, requiring further dedicated and time-consuming training
  • Increased cost of technology and surgical tools