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Anaesthesia and Peri-Operative management of adult patients for: Standard access and Minimally Invasive Cardiac Surgery (MICS) including Aortic, Mitral, Tricuspid and Pulmonary Valve repair or replacement, Coronary Artery Bypass Grafts, ASD / VSD repair, Myxoma removal and Myomectomies. Standard access and Video Assisted Thoracic Surgery (VATS) including wedge resection, lobectomies and pneumonectonies, pleural biopsies, bullectomies, rib resection and tracheal stenting. Major Aortic Surgery Transcatheter Aortic Valve Insertion (TAVI) by all access routes Electrophysiology (EP), Coronary Angiography, Heart defect device closures and Cardiac Pacemaker / Defibrillator implantations and removals Transoesophageal Echocardiography Pre- and post- operative Intensive Care management for patients requiring all forms of Cardiothoracic Surgery and Cardiology procedures