2021/22 AAC Ancona Advanced Course spring

Minimally Invasive and Trans-catheter Aortic Valve Interventions for Cardiac Surgeons

Eight students will be admitted at the spring course, divided into 4 students for the first edition (May, 4th to 6th , 2022 ) and 4 students for the second edition (May, 25th to 27th, 2022).


Scope and purpose:
The course aims to provide enrolled cardiac surgeons with theoretical and practical knowledge of minimally invasive and trans-catheter techniques (TAVI) for the treatment of patients with aortic valve diseases.

Transferable skills:
The course, through frontal teaching and observation of interventions performed in the operating and hybrid rooms, is ideated to be highly interactive and aimed at expanding the knowledge on miniAVR and TAVI.
With regard to MiniAVR, approaches such as ministernotomy, anterolateral and transaxillary minithoracotomy for the exposure of the aortic valve will be taught in a thorough way so that these can then be applied by the learners independently. Additionally, a 360° multidisciplinary approach for miniAVR will be demonstrated by adding to reduced incisions the use of Minimally Invasive Extracorporeal Circulation (MiECC), ultrafast track anesthesia protocols and early ICU rehabilitation.
With regard to TAVI, after providing CT-based preoperative planning and catheters principles, transfemoral TAVI will be demonstrated in step-by-step fashion with the aids of videos and, on day 3 , directly in the hybrid room. The learning surgeon should return home well convinced TAVI is an intervention that can be learned and that should become part of his/her armamentarium.
The theoretical-practical course will be held by Prof. Marco Di Eusanio (Chief of Cardiac Surgery Dept.), Dr. Christopher Munch (Chief of Anesthesia and Cardiac Surgery ICU) and Cardiac Surgeons and anesthetists from the Ancona Team.

Admission test:
Access to the Course is made by selection according to the Curriculum vitae and a Professional Background Assessment Questionnaire (Partecipant form) for the evaluation of the applicant’s professional background. For more info and application; https://www.univpm.it/Entra/Didattica/Corsi_di_Perfezionamento_offerta_formativa/Minimally_Invasive_and_trans-catheter_Aortic_valve_interventions_for_cardiac_surgeons/Corso_di_perfezionamento_in_Minimally_Invasive_and_trans-catheter_Aortic_valve_interventions_for_cardiac_surgeons/L/1

Taxes and contributions:
The amount of fees to pay for the subscription to the Advanced Course is € 1.500,00 (following partial coverage through external funding) and includes continental A7R flights (EU) and hotel stay, the insurance fee, the cost of the final certificate and the cost of € 48,00 for 3 virtual stamp duties of € 16,00 each.




  • 14.45 Welcome


  • 15.00 Minimally Invasive Aortic Valve Replacement (Mini AVR).
    • Why and how
    • Minimally Invasive Extracorporeal Circulation (MiECC)
    • Sutureless and Rapid Deplyment Aortic Valve Prosteses (SURD)
    • Ultra-fast track anesthesia (UFTA)
  • 15.30 MiniAVR approaches:
    • Ministernotomy (videos)
    • Minithoracotomy (videos)
    • Transaxillary (videos)
  • 16.15 Discussion.


  • 16.45 a TAVI program in Cardiac Surgery
  • 17.00 Pre-operative CT Planning
  • 17.15 Getting familiar with wires and catheters
  • 17.30 Step by step Transapical TAVR (videos)
  • 17.45 Step by Step Transfemoral TAVR (videos)
  • 18.00 discussion
  • 18.30 end of day1


Into the operative theatre: MiniAVR (2 cases)

  • 7.45 Coffee & Case presentation
  • 9.00  Case 1
    • 360° mini AVR (Minist. + Miecc + SURD + UFTA)
  • 12:00 Discussion
  • 12:30 Lunch
  • 13:30 Case 2
    • Right Minithoracotomy or transaxilllary  AVR  + UFTA
  • 18.00 Discussion
  • 18.30 end of day 2


Into the operative theatre: TAVR (3 cases)

  • 7.45 Coffee & Case presentation
  • 09.00 Case 1: Transfemorlal TAVR
  • 11.30 Case 2: Transfemoral TAVR
  • 14:30 Case 3: Transfemoral TAVR
  • 16.30 Discussion
  • 17.00 end of ACC