Artificial intelligence for perioperative risk assessment in minimally invasive cardiac surgery: current applications and future perspectives
Francesco Antonio Veneziano , Raffaella Mistrulli , Flavio Angelo Gioia , Leonardo De Luca
Mini-invasive Surgery ›› 2025, Vol. 9 ›› Issue (1) : 37
Artificial intelligence for perioperative risk assessment in minimally invasive cardiac surgery: current applications and future perspectives
Minimally invasive cardiac surgery (MICS) represents a significant advancement in cardiac surgical care, offering benefits such as reduced trauma, shorter hospital stays, and faster recovery. However, the complexity of perioperative management in MICS demands highly accurate risk stratification and decision-making. Artificial intelligence (AI) technologies are increasingly being integrated into perioperative workflows, providing clinicians with data-driven tools to enhance patient selection, predict complications, and optimize outcomes. This review explores current applications of AI in the perioperative assessment of patients undergoing minimally invasive cardiac procedures, with a focus on preoperative risk prediction, intraoperative monitoring, and postoperative management. It discusses the potential of AI to support precision medicine in MICS, highlights the technical and ethical challenges associated with its implementation, and outlines future directions for research and clinical integration. By bridging surgical innovation and computational intelligence, AI is poised to reshape the landscape of perioperative cardiac care.
Artificial intelligence / cardiac surgery / minimally invasive surgery / perioperative risk / machine learning / risk stratification / surgical planning / clinical decision support
| [1] |
|
| [2] |
|
| [3] |
|
| [4] |
|
| [5] |
|
| [6] |
Vahanian A, Beyersdorf F, Praz F, et al; ESC/EACTS Scientific Document Group. 2021 ESC/EACTS Guidelines for the management of valvular heart disease.Eur Heart J2022;43:561-632 |
| [7] |
Neumann FJ, Sousa-Uva M, Ahlsson A, et al; ESC Scientific Document Group. 2018 ESC/EACTS Guidelines on myocardial revascularization.Eur Heart J2019;40:87-165 |
| [8] |
Virani SS, Newby LK, Arnold SV, et al; Peer Review Committee Members. 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management Of Patients With Chronic Coronary Disease: a report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.Circulation2023;148:e9-119 |
| [9] |
|
| [10] |
|
| [11] |
Shahian DM, Blackstone EH, Edwards FH, et al; STS workforce on evidence-based surgery. Cardiac surgery risk models: a position article.Ann Thorac Surg2004;78:1868-77 |
| [12] |
|
| [13] |
|
| [14] |
|
| [15] |
|
| [16] |
|
| [17] |
|
| [18] |
|
| [19] |
|
| [20] |
|
| [21] |
|
| [22] |
|
| [23] |
|
| [24] |
|
| [25] |
|
| [26] |
|
| [27] |
|
| [28] |
|
| [29] |
|
| [30] |
|
| [31] |
|
| [32] |
|
| [33] |
|
| [34] |
|
| [35] |
|
| [36] |
|
| [37] |
|
| [38] |
|
| [39] |
|
| [40] |
|
| [41] |
|
| [42] |
|
| [43] |
|
| [44] |
Arjomandi Rad A, Vardanyan R, Athanasiou T, Maessen J, Sardari Nia P. The ethical considerations of integrating artificial intelligence into surgery: a review.Interdiscip Cardiovasc Thorac Surg2025;40:ivae192 PMCID:PMC11904299 |
| [45] |
|
| [46] |
|
| [47] |
De Simone B, Deeken G, Catena F. Balancing ethics and innovation: can artificial intelligence safely transform emergency surgery? A narrative perspective.J Clin Med2025;14:3111 PMCID:PMC12072847 |
| [48] |
|
| [49] |
|
/
| 〈 |
|
〉 |