Minimally Invasive Video-assisted Cardiac Surgery (MICS) has a long history, the technique has been performed since the mid-1990s, and was developed to avoid a full sternotomy to reduce trauma and pain in the immediate postoperative period. Compared to the conventional surgical approach, standardized minimally invasive cardiac surgery techniques have shown increasing evidence of similar or better outcomes (MORAZ et al., 2015).

The literature has reported that the advantages of the MICS technique are: less pain; early mobilization; less blood loss; shorter mechanical ventilation time; shorter ICU and hospital stay; lower risk of infection; early recovery and return to daily activities; cosmetically better; less trauma in reoperations; better visualization. The disadvantages pointed out were: stricter criteria for patient selection; need for training/expertise; risk of vascular complications; and risk of phrenic nerve injury (EL-BOGHDADLY, CHIN, CHAN, 2017).

In this sense, the training of surgeons has been tutored for little time, still without a standardization of resources and minimum workload for the processes of training and qualification of the performance of professionals in the area. There are cases in which the results are questionable in terms of complications and morbidities, and the studies weaken the rise of the learning curve (STEFANIDIS, 2010).

The practice of cardiovascular surgery involves situations inherent to the specialty, with training in cardiac arrest induction and myocardial preservation, dominion of assisted circulation and cardiocirculatory support, central vascular access for the positioning of perfusion cannulas, perfusion control of important organs (brain, kidneys, viscera), encompassing concepts and specific training in circulatory and respiratory physiology, endovascular techniques, vascular surgery, besides the obvious previous training in the correction of heart diseases in general. We must also develop the knowledge and skills to use optics and video surgery techniques that were not previously part of the conventional cardiovascular surgeon's training.

It is necessary to make available and improve training in Minimally Invasive Cardiovascular Surgery so that more surgeons in Brazil have access to the platforms and are more qualified to incorporate these new technologies.

Although it does not benefit most patients, its use, in the most complex cases, should bring significant benefits. One must consider that the Minimally Invasive Cardiovascular Surgery will still have great development and its benefits should continue to grow as professionals, institutions and patients have access to technology, to develop more studies of the techniques and analysis of the positive and negative impacts.

In this sense, it will be possible to implement the communication and information system that promotes self-development and expands the social commitment of health workers; to encourage and value teamwork and participation in continuing education processes; to promote Ambience, understood as the physical, social, professional, and interpersonal relations environment that must be related to a health project focused on welcoming, problem-solving, and humane care.