{"schema_version":"bookimed.page-context.v1","id":"clinic-uhn","url":"https://hub.bookimed.com/heart-surgery/clinic-uhn/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-uhn.json","index_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/index.json","full_dataset_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/content.json","content_revision":"source-driven-rankings-20261008","date_modified":"2026-10-08","language":"en","kind":"clinic-profile","title":"Peter Munk Cardiac Centre, Toronto General Hospital: heart surgery expertise","summary":"Toronto General’s Peter Munk MICS programme, directed by Piroze Davierwala, describes single-vessel and selected multivessel CABG using arterial grafts. The service distinguishes graft strategy, access side and use of heart–lung support.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research personally prepared and reviewed","assistance":"AI tools assisted source research."},"editorial_scope":"Source-based patient information; an individual treatment plan requires clinical review.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov . We link clinical guidance, primary studies and named hospital or offer sources beside the relevant statements. Comparisons distinguish individual operators from programme results and preserve the study population, follow-up and limitations. Prices are dated examples with their stated scope. Research and editorial preparation are separate from clinical review; no named clinician has medically reviewed this edition. Bookimed provides care coordination. Partner and reference programmes are identified from their sources; paid ordering is not used in our published-cohort comparison. Read the editorial policy .","key_takeaways":[{"label":"Three coronary routes","text":"UHN describes left-sided direct bypass, right-sided direct bypass and multivessel total-arterial CABG.","sources":["pd-adult-uhn-cabg"]},{"label":"Selected off-pump operations","text":"The programme describes multivessel arterial bypass without a heart–lung machine in selected patients.","sources":["pd-adult-uhn-cabg"]},{"label":"Current Toronto leadership","text":"Davierwala is identified as surgical director; his preceding Leipzig experience is documented separately.","sources":["pd-adult-davierwala-official"]}],"benefits":[{"text":"Selected multivessel operations combine arterial grafts, a smaller intercostal incision and avoidance of heart–lung support.","sources":["pd-adult-uhn-cabg","pd-adult-davierwala-official","pd-adult-mics186"]}],"limitations":[{"text":"The 186-patient five-year total-arterial MICS study is historical Leipzig experience, not a Toronto outcome series. Its results cannot be relabelled as current UHN performance.","sources":["pd-adult-uhn-cabg","pd-adult-davierwala-official","pd-adult-mics186"]}],"sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","text":"Clinical benefits and limitations Potential advantages Selected multivessel operations combine arterial grafts, a smaller intercostal incision and avoidance of heart–lung support. Sources: Minimally invasive coronary artery bypass graft surgery · MICS programme and Dr Piroze M. Davierwala · Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes. Trade-offs and limits The 186-patient five-year total-arterial MICS study is historical Leipzig experience, not a Toronto outcome series. Its results cannot be relabelled as current UHN performance. Sources: Minimally invasive coronary artery bypass graft surgery · MICS programme and Dr Piroze M. Davierwala · Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","links":[{"label":"Minimally invasive coronary artery bypass graft surgery","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/Coronary-artery-bypass.aspx"},{"label":"MICS programme and Dr Piroze M. Davierwala","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx"},{"label":"Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","url":"https://pubmed.ncbi.nlm.nih.gov/39128507/"},{"label":"Minimally invasive coronary artery bypass graft surgery","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/Coronary-artery-bypass.aspx"},{"label":"MICS programme and Dr Piroze M. Davierwala","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx"},{"label":"Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","url":"https://pubmed.ncbi.nlm.nih.gov/39128507/"}]},{"id":"specialists","title":"Specialists and their clinical work","text":"Specialists and their clinical work Portrait source ↗ Toronto · Canada cardiac surgeon Piroze M. Davierwala → Piroze Davierwala directs the minimally invasive cardiac-surgery programme at UHN. Its coronary service includes selected multivessel total-arterial CABG through an incision between the ribs without heart–lung support. Peter Munk Cardiac Centre, Toronto General Hospital → Sources: Minimally invasive coronary artery bypass graft surgery · Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes. View expertise and research →","links":[{"label":"Portrait source ↗","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx"},{"label":"Piroze M. Davierwala →","url":"https://hub.bookimed.com/heart-surgery/doctor-piroze-davierwala/"},{"label":"Peter Munk Cardiac Centre, Toronto General Hospital →","url":"https://hub.bookimed.com/heart-surgery/clinic-uhn/"},{"label":"Minimally invasive coronary artery bypass graft surgery","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/Coronary-artery-bypass.aspx"},{"label":"Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","url":"https://pubmed.ncbi.nlm.nih.gov/39128507/"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-piroze-davierwala/"}]},{"id":"evidence","title":"Procedure-specific research","text":"Procedure-specific research Read alongside Piroze M. Davierwala’s profile → Five-year total-arterial MICS outcomes Davierwala coauthored a 186-patient elective series from 2015–2021. Bilateral internal thoracic arteries were used in 88%; there was one hospital death and two conversions to sternotomy. Estimated five-year survival was 93.3%. How to interpret this: Selected single-centre cohort associated with the Leipzig programme. It is historical experience, not a current Toronto result or a head-to-head proof that every patient benefits from this strategy. Sources: Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","links":[{"label":"Piroze M. Davierwala’s profile →","url":"https://hub.bookimed.com/heart-surgery/doctor-piroze-davierwala/"},{"label":"Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","url":"https://pubmed.ncbi.nlm.nih.gov/39128507/"}]}],"introduction":"Heart surgery guide / Peter Munk Cardiac Centre, Toronto General Hospital Peter Munk Cardiac Centre, Toronto General Hospital · Decision guide Peter Munk Cardiac Centre, Toronto General Hospital: heart surgery expertise Toronto, Canada · Total-arterial bypass through a smaller chest incision Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance Toronto General’s Peter Munk MICS programme, directed by Piroze Davierwala, describes single-vessel and selected multivessel CABG using arterial grafts. The service distinguishes graft strategy, access side and use of heart–lung support. Three coronary routes UHN describes left-sided direct bypass, right-sided direct bypass and multivessel total-arterial CABG. Sources: Minimally invasive coronary artery bypass graft surgery Selected off-pump operations The programme describes multivessel arterial bypass without a heart–lung machine in selected patients. Sources: Minimally invasive coronary artery bypass graft surgery Current Toronto leadership Davierwala is identified as surgical director; his preceding Leipzig experience is documented separately. Sources: MICS programme and Dr Piroze M. Davierwala Operating-room photograph published by UHN’s Minimally Invasive Cardiac Surgery Program. · Image source ↗","related_documents":[{"id":"heart-surgery","title":"Heart surgery abroad: treatments, clinics and costs","kind":"home","url":"https://hub.bookimed.com/heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-surgery.json"},{"id":"coronary-bypass","title":"Coronary bypass surgery (CABG): options, teams and recovery","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/coronary-bypass/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/coronary-bypass.json"},{"id":"minimally-invasive","title":"Minimally invasive and robotic heart surgery","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/minimally-invasive/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/minimally-invasive.json"},{"id":"aortic-surgery","title":"Aortic aneurysm surgery: options and specialist teams","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/aortic-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/aortic-surgery.json"},{"id":"clinics","title":"Heart surgery clinics: compare techniques and specialist teams","kind":"directory","url":"https://hub.bookimed.com/heart-surgery/clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinics.json"},{"id":"surgeons","title":"Find cardiac surgeons and heart specialists by procedure","kind":"surgeons","url":"https://hub.bookimed.com/heart-surgery/surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeons.json"},{"id":"doctor-piroze-davierwala","title":"Piroze M. Davierwala: total-arterial minimally invasive CABG","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-piroze-davierwala/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-piroze-davierwala.json"}],"entity":{"id":"uhn","name":"Peter Munk Cardiac Centre, Toronto General Hospital — MICS Program","country":"Canada","city":"Toronto","surgeon_ids":["piroze-davierwala"],"source_attested_services":["single-vessel minimally invasive CABG","multivessel total-arterial minimally invasive CABG","minimally invasive valve and aortic surgery"],"patient_task_fit":"Total-arterial bypass through a smaller chest incision","source_ids":["pd-adult-uhn-cabg","pd-adult-davierwala-official","pd-adult-mics186"],"bookimed_route":null,"clinic_route":null,"official_url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx","value_headline":"Total-arterial bypass through a smaller chest incision","value_summary":"Toronto General’s Peter Munk MICS programme, directed by Piroze Davierwala, describes single-vessel and selected multivessel CABG using arterial grafts. The service distinguishes graft strategy, access side and use of heart–lung support.","comparison_question":"","highlights":[{"label":"Three coronary routes","text":"UHN describes left-sided direct bypass, right-sided direct bypass and multivessel total-arterial CABG.","source_ids":["pd-adult-uhn-cabg"]},{"label":"Selected off-pump operations","text":"The programme describes multivessel arterial bypass without a heart–lung machine in selected patients.","source_ids":["pd-adult-uhn-cabg"]},{"label":"Current Toronto leadership","text":"Davierwala is identified as surgical director; his preceding Leipzig experience is documented separately.","source_ids":["pd-adult-davierwala-official"]}],"guide_links":[{"slug":"coronary-bypass","label":"Plan CABG"},{"slug":"minimally-invasive","label":"Compare access methods"}],"topic_mapping":[{"slug":"coronary-bypass","services":["single-vessel minimally invasive CABG","multivessel total-arterial minimally invasive CABG","minimally invasive valve and aortic surgery"]},{"slug":"minimally-invasive","services":["single-vessel minimally invasive CABG","multivessel total-arterial minimally invasive CABG","minimally invasive valve and aortic surgery"]}],"additional_photo_candidates":[{"url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/PublishingImages/Pages/About/about-micsp-header.jpg","source_page":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx","alt":"MICS programme header image — visual identification required","source_alt":"","provenance":"URL observed on official page; image bytes not downloaded; coordinator to inspect before use.","requires_visual_identification":true}],"photo_status":"No identified hospital/programme photograph selected in the inspected sources; do not substitute a logo or unrelated building.","topics":["cabg","minimal","aorta"],"profile_slug":"clinic-uhn","photo":{"source_page":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx","width":1900,"height":800,"alt":"Surgeon in the operating room on the UHN minimally invasive cardiac surgery programme page","caption":"Operating-room photograph published by UHN’s Minimally Invasive Cardiac Surgery Program.","url":"https://hub.bookimed.com/wp-content/uploads/2026/10/uhn-1024x431.jpg"},"comparison_answer":"Selected multivessel operations combine arterial grafts, a smaller intercostal incision and avoidance of heart–lung support.","key_takeaways":[{"label":"Three coronary routes","text":"UHN describes left-sided direct bypass, right-sided direct bypass and multivessel total-arterial CABG.","sources":["pd-adult-uhn-cabg"]},{"label":"Selected off-pump operations","text":"The programme describes multivessel arterial bypass without a heart–lung machine in selected patients.","sources":["pd-adult-uhn-cabg"]},{"label":"Current Toronto leadership","text":"Davierwala is identified as surgical director; his preceding Leipzig experience is documented separately.","sources":["pd-adult-davierwala-official"]}],"benefits":[{"text":"Selected multivessel operations combine arterial grafts, a smaller intercostal incision and avoidance of heart–lung support.","sources":["pd-adult-uhn-cabg","pd-adult-davierwala-official","pd-adult-mics186"]}],"limitations":[{"text":"The 186-patient five-year total-arterial MICS study is historical Leipzig experience, not a Toronto outcome series. Its results cannot be relabelled as current UHN performance.","sources":["pd-adult-uhn-cabg","pd-adult-davierwala-official","pd-adult-mics186"]}],"patient_sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","paragraphs":[],"items":[],"sources":[],"kind":"benefit-balance","links":[],"table":null},{"id":"specialists","title":"Specialists and their clinical work","paragraphs":[],"items":[],"sources":[],"kind":"clinic-doctors","links":[],"table":null},{"id":"evidence","title":"Procedure-specific research","paragraphs":[],"items":[],"sources":[],"kind":"clinic-evidence","links":[],"table":null}]},"sources":{"cabg-leipzig186":{"id":"cabg-leipzig186","title":"Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes","url":"https://pubmed.ncbi.nlm.nih.gov/39128507/","doi":"10.1016/j.athoracsur.2024.06.037","publication_year":2024,"source_kind":"primary_retrospective_single_centre_study","body_access":"primary_abstract_read_via_Europe_PMC","support_location":"Methods and Results; affiliations identify Leipzig and current Toronto association","short_excerpt":"186 patients underwent elective, total arterial minimally invasive CABG","read_at":"2026-10-07","source_type":"primary_retrospective_single_centre_study"},"cabg-davierwala-current":{"id":"cabg-davierwala-current","title":"About the MICS Program — Peter Munk Cardiac Centre, UHN","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx","source_kind":"official_current_hospital_programme_profile","body_access":"search_returned_body_excerpt_read","support_location":"Dr. Piroze M. Davierwala biography and Leipzig-to-Toronto chronology","short_excerpt":"Surgical Director of the Minimally Invasive Cardiac Surgery (MICS) Program","read_at":"2026-10-07","source_type":"official_current_hospital_programme_profile"},"cabg-uhn-cabg-current":{"id":"cabg-uhn-cabg-current","title":"Coronary artery bypass graft surgery — Peter Munk Cardiac Centre","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/Coronary-artery-bypass.aspx","source_kind":"official_current_programme_page","body_access":"search_returned_body_excerpt_read","support_location":"Three procedures offered by Dr Davierwala","short_excerpt":"using only arterial bypass grafts","read_at":"2026-10-07","source_type":"official_current_programme_page"},"pd-adult-davierwala-official":{"title":"MICS programme and Dr Piroze M. Davierwala","publisher":"University Health Network","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx","read_at":"2026-10-08","kind":"official provider or programme page","support":"Current UHN surgical director; historical Leipzig role; arterial MICS experience.","limitations":"An institutional listing supports current role and stated clinical scope; it does not establish the next appointment, operating allocation or individual risk-adjusted results.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/davierwala-official.txt"},"pd-adult-uhn-cabg":{"title":"Minimally invasive coronary artery bypass graft surgery","publisher":"University Health Network","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/Coronary-artery-bypass.aspx","read_at":"2026-10-08","kind":"official provider or programme page","support":"Current programme offers single- and multivessel arterial CABG without a heart-lung machine.","limitations":"An institutional listing supports current role and stated clinical scope; it does not establish the next appointment, operating allocation or individual risk-adjusted results.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/uhn-cabg.txt"},"pd-adult-mics186":{"title":"Total Arterial Multivessel Minimally Invasive Coronary Artery Bypass Surgery: 5-Year Outcomes.","publisher":"The Annals of thoracic surgery","url":"https://pubmed.ncbi.nlm.nih.gov/39128507/","read_at":"2026-10-08","kind":"original study abstract and author/affiliation record","support":"Abstract body and authorship inspected; numerical claims below are restricted to the reported endpoint and population.","limitations":"Full manuscript and supplementary operator allocations were not read in this pass. Authorship is not an individual surgical outcome series.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/mics186.json","published_at":"2024-08-09","doi":"10.1016/j.athoracsur.2024.06.037","authors":"Verevkin A, Von Aspern K, Tolboom H, Gadelkarim I, Etz C, Misfeld M, Borger MA, Davierwala PM."}}}