The EACTS simulation-based training course for endoscopic mitral valve repair: an air-pilot training concept in action

Peyman Sardari Nia*, Samuel Heuts, Jean H. T. Daemen, Jules R. Olsthoorn, W. Randolph Chitwood, Jos G. Maessen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


OBJECTIVES: We have developed a high-fidelity minimally invasive mitral valve surgery (MIMVS) simulator that provides a platform to train skills in an objective and reproducible manner, which has been incorporated in the European Association for Cardiothoracic Surgery (EACTS) endoscopic mitral valve repair course. The aim of the study is to provide data on the application of simulation-based training in MIMVS using an air-pilot training concept.

METHODS: The 2-day EACTS endoscopic mitral training course design was based on backwards chaining, pre- and post-assessment, performance feedback, hands-on training on MIMVS, theoretical content and follow-up. One hundred two participants who completed the full programme throughout 2016-2018 in the EACTS endoscopic mitral training courses were enrolled in the current study.

RESULTS: Of the 102 participants, 83 (83.3%) participants were staff/attending surgeons, 12 (11.8%) participants had finished residency and 5 (4.9%) participants were residents. Theoretical pre- and post-assessment showed that participants scored significantly higher on post-assessment (median score 58% vs 67%, P

CONCLUSIONS: The MIMVS is a valuable tool for the development and assessment of endoscopic mitral repair skills. This EACTS course provides surgeons with theoretical knowledge and necessary skills to start an endoscopic mitral valve programme successfully.

Original languageEnglish
Pages (from-to)691-698
Number of pages8
JournalInteractive Cardiovascular and Thoracic Surgery
Issue number5
Publication statusPublished - May 2020


  • Mitral valve repair
  • Minimally invasive surgery
  • Simulation
  • Surgical training


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