[Cardiopulmonary diversion in minimally invasive heart surgery]

Cardiac surgery has evolved greatly in the last pears. New techniques for the treatment of cardiac patients, such as minimally invasive heart surgery, off-pump coronary surgery, limited or port access surgery, video-assisted and robotic cardiac surgery have been developed. Technology provides new instruments, such as heart stabilizers for off-pump coronary surgery, ventricular support devices or direct coronary bypass perfusion systems, all of them with the main goal of maintaining the patient's hemodynamics. Minimally invasive heart surgery contributes to a faster recovery and less suffering, and decreases costs. The perfusionist is involved in all these new techniques, the future is a challenge, he she must learn to use all these new devices without forgetting the human sede of his her specialty.