Video-assisted minimally invasive cardiac surgery (VACS) has a long history. The technique has been performed since the mid-1990s and was developed to avoid complete 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 growing evidence of similar or better results (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, surgeons have been trained for a short period of time, and there is still no standardization of resources or minimum workload for the training and qualification of professionals in the field. There are cases in which the results are questionable in terms of complications and morbidities, and the studies weaken 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, mastery of assisted circulation and cardiocirculatory support, central vascular accesses for positioning perfusion cannulas, perfusion control of noble organs (brain, kidneys, viscera), encompassing concepts and specific training in circulatory and respiratory physiology, endovascular techniques, vascular surgery, in addition to the obvious previous training in the correction of heart diseases in general. We must also develop knowledge and skills in the use of optics and video surgery techniques that were not previously part of the cardiovascular surgeon's conventional training.

Training in Minimally Invasive Cardiovascular Surgery needs to be made available and improved so that more surgeons in Brazil have access to the platforms and are better qualified to incorporate these new technologies.

Although it doesn't benefit most patients, its use in the most complex cases should bring significant benefits. It must be considered that Minimally Invasive Cardiovascular Surgery will continue to develop and its benefits should continue to grow as professionals, institutions and patients gain access to the technology, in order to develop further studies of the techniques and analysis of the positive and negative impacts.

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