Endoscopic Cardiac Surgery: Tips, Tricks and Traps

Mr Zacharias is a Consultant Cardiothoracic Surgeon at the Lancashire Cardiac Centre in Blackpool and past Chairman and current President of the British and Irish society of Minimally invasive cardiac surgeons (BISMICS). He trained in cardiothoracic surgery at James Cook University Hospital, Middlesbrough, The Royal Brompton Hospital, London and The Freeman Hospital, Newcastle. He did a observership/ fellowship in cardiac surgery at The Cleveland Clinic Ohio, USA, The OLV Clinic, Aalst, Belgium, and St Paul's Hospital, Vancouver, Canada. He was appointed to the consultant post in 2004 and was Clinical Director and Head of department from 2010 to 2015.

His interests lie in developing minimally invasive endoscopic techniques in cardiothoracic surgery. He has successfully developed a programme of minimally invasive mitral valve and tricuspid valve surgery and atrial fibrillation ablation using an Endoscopic approach. Blackpool was one of the first centres to adopt endoscopicconduit harvesting of saphenous vein and radial artery for coronary artery surgery in the UK and has published excellent 10 year results. Since 2015 all isolated aortic valve replacements have been done by a non sternotomy approach (ART/ Endoscopic) and in excess of 150 cases have been completed with excellent outcomes using sutured valves. Mr Zacharias acts as a proctor for minimally invasive surgery and has successfully proctored many surgeons and teams across UK and Europe. He is secretary to the global Endoscopic cardiac Surgeons Club (ECSClub).

扎卡里亞斯先生是位於布萊克浦的蘭開夏心臟中心的顧問心胸外科醫生，也是英國和愛爾蘭微創心臟外科醫生協會（BISMICS）的前主席及現任會長。他在米德爾斯堡的詹姆斯·庫克大學醫院、倫敦的皇家布朗普頓醫院以及紐卡斯爾的弗里曼醫院接受心胸外科訓練。他在美國俄亥俄州的克里夫蘭診所、比利時奧斯特的OLV診所以及加拿大溫哥華的聖保羅醫院進行了心臟外科的觀察/研究員訓練。他於2004年被任命為顧問醫生，並在2010年至2015年間擔任臨床主任及科主任。

他的興趣在於發展心胸外科的微創內視鏡技術。他成功開發了一個微創二尖瓣和三尖瓣手術以及心房顫動消融的內視鏡方法。布萊克浦是英國最早採用內視鏡導管採集大隱靜脈和橈動脈進行冠狀動脈手術的中心之一，並已發表出色的十年結果。自2015年以來，所有孤立的主動脈瓣置換手術均採用非胸骨切開的方法（ART/內視鏡），並已完成超過150例，使用縫合瓣的結果非常良好。扎卡里亞斯先生擔任微創手術的指導醫生，並成功指導了許多英國和歐洲的外科醫生及團隊。他是全球內視鏡心臟外科醫生俱樂部（ECSClub）的秘書。