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Cardiothoracic Surgery Research

Research in the Cardiothoracic Department is varied, collaborative, and strongly focused on translational research.

Through partnerships with The Baird Institute, the Charles Perkins Centre at the University of Sydney, the Sydney Heart Bank, and SLHD departments such as SOURCE and the Institute of Academic Surgery, the department is able to translate scientific and laboratory findings directly into the operating theatre, resulting in significant improvements in patient outcomes.

Advancements in surgical techniques within both the robotic theatre and the cardiac catheterisation laboratory have been driven by this research culture. Collaborative programs such as TAVI and MitraClip also originated from research conducted at RPAH, highlighting the department's role in developing and implementing innovative procedures.

The Cardiothoracic Department currently participates in clinical trials, non-clinical trials and contributes to biobanks. It also maintains large datasets within the cardiac and thoracic surgery databases, which are regularly exported to national governing bodies such as ANZSCTS. These datasets support departmental audits and underpin the publication of articles in high-impact, peer-reviewed journals, ensuring that research findings contribute to broader clinical knowledge and practice.

Our Research Team

Professor Tristan Yan Consultant Surgeon and Head of Department 
Professor Paul Bannon Consultant Surgeon and Research Lead
Dr Brian Plunkett Consultant Surgeon, Director of Structural Heart Program
Dr Benjamin Robinson Consultant Surgeon and Governance Lead
Dr Christopher Cao Consultant Surgeon
Dr Martin Misfield Consultant Surgeon and Co-Director of Research,
Institute of Academic Surgery, RPA Hospital
Lorna Beattie Clinical Research Clinical Nurse Consultant
Sahara Clarke Clinical Research Clinical Nurse Consultant
Dhairya Vayada Research Officer

Selected Grants

Amount awarded Grant and project details
$869,566 MRFF, 2020-2024
Transfusion Triggers in Cardiac Surgery Australia trial (TRICS-IV)
RPA Investigator: Bannon P

Our Publications

2024

Robinson BM, Paterson HS. Left internal mammary grafts: No patency difference to the left anterior descending artery. J Thorac Cardiovasc Surg. 2024 Feb;167(2):e44. doi: 10.1016/j.jtcvs.2022.09.029. Epub 2022 Oct 5.
Hoyer A, Noack T, Kiefer P, Kang J, Misfeld M, Borger MA. Blood versus crystalloid cardioplegia during triple valve surgery: A single center experience. Perfusion. 2024 Jul;39(5):948-955. doi: 10.1177/02676591231170707. Epub 2023 Apr 18. 
Potter AL, Kim J, McCarthy ML, Senthil P, Mathey-Andrews C, Kumar A, Cao C, Lin MW, Lanuti M, Martin LW, Jeffrey Yang CF. Segmentectomy versus lobectomy in the United States: Outcomes after resection for first primary lung cancer and treatment patterns for second primary lung cancers. J Thorac Cardiovasc Surg. 2024 Jan;167(1):350-364.e17. doi: 10.1016/j.jtcvs.2023.07.009. Epub 2023 Jul 19. 
Cao C, Fulham M, Irons J, Cooper W, Zhang O. Robotic Anatomical Pulmonary Resections: An Australian Experience. Heart Lung Circ. 2024 Jan;33(1):86-91. doi: 10.1016/j.hlc.2023.10.014. Epub 2023 Dec 7. 
Misfeld M, Sandner S, Caliskan E, Böning A, Aramendi J, Salzberg SP, Choi YH, Perrault LP, Tekin I, Cuerpo GP, Lopez-Menendez J, Weltert LP, Adsuar-Gomez A, Thielmann M, Serraino GF, Doros G, Borger MA, Emmert MY; European DuraGraft Registry investigators. Outcomes after surgical revascularization in diabetic patients. Interdiscip Cardiovasc Thorac Surg. 2024 Feb 2;38(2):ivae014. doi: 10.1093/icvts/ivae014. 
Badhwar V, Pereda D, Khaliel FH, Poffo R, Darehzereshki A, Mehaffey JH, Yan TD, Melnitchouk S, Geirsson A, Arghami A, Navia JL, Raikar GV, Weber AC, Ramzy D, Černý Š, Vojáček J, Smith RL, Bonatti J, Thourani VH, Wei LM. Outcomes following initial multicenter experience with robotic aortic valve replacement: Defining a path forward. J Thorac Cardiovasc Surg. 2024 Apr;167(4):1244-1250. doi: 10.1016/j.jtcvs.2024.01.020. Epub 2024 Jan 19. 
Eranki A, Muston B, Wilson-Smith A, Wilson-Smith C, Williams M, Doyle M, Misfeld M. Surgical ablation of atrial fibrillation during mitral valve surgery: a systematic review and meta-analysis. Ann Cardiothorac Surg. 2024 Jan 30;13(1):1-17. doi: 10.21037/acs-2023-afm-0131. Epub 2024 Jan 25. 
Schumacher K, Marin Cuartas M, de la Cuesta M, Noack T, Kiefer P, Leontyev S, Borger MA, Vollroth M, Misfeld M. Early and long-term outcomes following redo mitral valve surgery in patients with prior minimally invasive mitral valve surgery. Interdiscip Cardiovasc Thorac Surg. 2024 Mar 5;38(3):ivae042. doi: 10.1093/icvts/ivae042. 
Kang J, Hoyer A, Dieterlen MT, Oetzel H, Otto W, Ginther A, Pfannmüller B, Misfeld M, Noack T, Kiefer P, Borger MA. Comparison of modified Del Nido and Custodiol® cardioplegia in minimally invasive mitral valve surgery. Eur J Cardiothorac Surg. 2024 Mar 29;65(4):ezae161. doi: 10.1093/ejcts/ezae161. 
Zhang BY, Wilson-Smith AR, Connolly EA, Strach MC, Ussher N, Yan T, Bhadri VA. Extrapleural pneumonectomy for sarcoma: Outcomes of adult patients at a specialized center. Cancer Rep (Hoboken). 2024 Apr;7(4):e2065. doi: 10.1002/cnr2.2065. 
Cakmak YO, Khwaounjoo P, Pangilinan J, Wise IK, Burrows C, Kolakshyapati P, Williams Z, Bannon P. Decreasing the blood flow of non-compressible intra-abdominal organs with non-invasive transcutaneous electrical stimulation. Sci Rep. 2024 May 2;14(1):10122. doi: 10.1038/s41598-024-55165-8. 
Zhang O, Irons J, Santibanez J, Cao C. Robotic Thoracic Duct Repair Using Indocyanine Green Guidance. Innovations (Phila). 2024 May-Jun;19(3):321-323. doi: 10.1177/15569845241246565. Epub 2024 May 9.
Marin-Cuartas M, de Waha S, de la Cuesta M, Deo SV, Kaminski A, Fach A, Meyer AL, Popov AF, Hagl C, Joskowiak D, Kuhn EW, Ius F, Leuschner F, Awad G, Thiele H, Abdalla A, Garbade J, Ender J, Wehrmann K, Eghbalzadeh K, Vitanova K, Conradi L, Diab M, Franz M, Geyer M, Meineri M, Misfeld M, Abdel-Wahab M, Bhadra OD, Osteresch R, Sandoval Boburg R, Lange R, Leontyev S, Saha S, Desch S, Lehmann S, Noack T, Doenst T, Borger MA, Kiefer P. Incidence and Outcomes of Emergency Intraprocedural Surgical Conversion During Transcatheter Aortic Valve Implantation: A Multicentric Analysis. J Am Heart Assoc. 2024 Jul 16;13(14):e033964. doi: 10.1161/JAHA.123.033964. Epub 2024 Jul 3. Erratum in: J Am Heart Assoc. 2025 Jul;14(13):e10996. doi: 10.1161/JAHA.123.035180.
Weber C, Misfeld M, Diab M, Saha S, Elderia A, Marin-Cuartas M, Luehr M, Yagdiran A, Eysel P, Jung N, Hagl C, Doenst T, Borger MA, Kernich N, Wahlers T. Infective endocarditis and spondylodiscitis-impact of sequence of surgical therapy on survival and recurrence rate. Eur J Cardiothorac Surg. 2024 Jul 1;66(1):ezae246. doi: 10.1093/ejcts/ezae246.
McNamara N, Cistulli D, Bannon P, Cao C. Predictors of surgical intervention in first episode primary spontaneous pneumothorax requiring chest drain insertion. ANZ J Surg. 2024 Oct;94(10):1776-1780. doi: 10.1111/ans.19170. Epub 2024 Jul 26. 
Koay YC, Liu RP, McIntosh B, Vigder N, Lauren S, Bai AY, Tomita S, Li D, Harney D, Hunter B, Zhang Y, Yang J, Bannon P, Philp A, Philp A, Kaye DM, Larance M, Lal S, O'Sullivan JF. The Efficacy of Risk Factor Modification Compared to NAD+ Repletion in Diastolic Heart Failure. JACC Basic Transl Sci. 2024 Mar 20;9(6):733-750. doi: 10.1016/j.jacbts.2024.01.011.
Wang Z, Paterson H, Partel L, Wise I, Adams M, Cistulli D, Ng D, Qasabian R, O'Sullivan J, Lal S, Weiss AS, Bannon P, Hume RD. Preventing Sheep Carotid Artery Spasm for Vascular Graft Surgery and Computed Tomography Angiography. Tissue Eng Part C Methods. 2024 Aug;30(8):335-342. doi: 10.1089/ten.TEC.2024.0113. 
Verevkin A, Von Aspern K, Tolboom H, Gadelkarim I, Etz C, Misfeld M, Borger MA, Davierwala PM. Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes. Ann Thorac Surg. 2024 Nov;118(5):1044-1051. doi: 10.1016/j.athoracsur.2024.06.037. Epub 2024 Aug 9. 
Hwang B, Ren J, Wang K, Williams ML, Yan TD. Systematic review and meta-analysis of two decades of reported outcomes for robotic coronary artery bypass grafting. Ann Cardiothorac Surg. 2024 Jul 31;13(4):311-325. doi: 10.21037/acs-2023-rcabg-0191. Epub 2024 Jul 26. 
Zhang O, Wright G, Chao YK, Cao C. Indocyanine Green (ICG): A Versatile Tool in Enhancing Precision in Minimally Invasive Thoracic Surgery. Heart Lung Circ. 2024 Nov;33(11):1600-1604. doi: 10.1016/j.hlc.2024.04.310. Epub 2024 Sep 20.
Raschpichler M, Kiefer P, Otto W, Noack T, Gerber M, De Waha S, Dashkevich A, Leontyev S, Misfeld M, Borger MA. Redo surgical aortic valve replacement for bioprosthetic structural valve deterioration. Eur J Cardiothorac Surg. 2024 Oct 1;66(4):ezae353. doi: 10.1093/ejcts/ezae353. 
Saha S, Joskowiak D, Marin-Cuartas M, De La Cuesta M, Weber C, Luehr M, Petrov A, Dzilic E, Sandoval-Boburg R, Marinos SL, Pfeiffer P, Horke KM, Schnackenburg P, Hertel N, Awad G, Wacker M, Moter I, Caldonazo T, Kyashif T, Petersen J, Sill B, Moter A, Eichinger W, Reichenspurner H, Dohle D, Popov AF, Krane M, Matschke K, Wahlers T, Doenst T, Borger M, Misfeld M, Hagl C. Cutibacterium acnes infective endocarditis-an emerging pathogen. Eur J Cardiothorac Surg. 2024 Nov 28;66(6):ezae422. doi: 10.1093/ejcts/ezae422. 
Cordina R, Ratwatte S, Khor L, Plunkett B, Irons J, Baker D, Nicholson I, McGuire M, Simmons L, Ng M. Transcatheter Edge-to-Edge Repair of Common Atrioventricular Valve Regurgitation in the Setting of a Lateral Tunnel Fontan Circulation. Struct Heart. 2024 Jul 26;8(6):100348. doi: 10.1016/j.shj.2024.100348. 
Dietze Z, Marin-Cuartas M, Berkei L, De La Cuesta M, Otto W, Pfannmüller B, Kiefer P, Misfeld M, Dashkevich A, Kang J, Leontyev S, Borger MA, Noack T, Vollroth M. Mitral valve replacement versus repair for severe mitral regurgitation in patients with reduced left ventricular ejection fraction. JTCVS Open. 2024 Sep 2;22:191-207. doi: 10.1016/j.xjon.2024.07.021. 
Cistulli D, Tong B, Currie P, Bin Y, Stewart G, Bannon P, Ugander M, Cistulli P. Relationship between OSA and thoracic aortic dimensions. Sleep Adv. 2024;5(1):A30.
Paterson H, Brunel L, Yastrebov K, Schnitzler F, Paartel L, Bannon P. Development of a novel mitral bioprosthetic mitral valve for improved ventricular function. Heart Lung Circ. 2024;33(Suppl 1):S12.
Paterson H, Yastrebov K, Brunel L, Schnitzler F, Partel L, Bannon P. Differences in myocardial oxygen consumption, coronary flow, and systemic blood pressure between Impella, ECHO, and combined Impella and ECHO left ventricular support in an ovine model. Heart Lung Circ. 2024;33(Suppl 1):S24.
Tan C, Zhu A, Huang L, Robinson B, Bannon P. A systematic review and meta-analysis of surgical approaches to isolated tricuspid valve surgery. Heart Lung Circ. 2024;33(Suppl 1):S32.