KOTOULAS CHRISTOFOROS

EDUCATION & ACADEMIC TITLES

Degree in Medicine, School of Medicine, Aristotle University of Thessaloniki September 1984 - November 1990
Grade: “Very Good”
Military School of Combat Support Officers (SSAS) Graduate (SSAS ΄90)

License to practice: Protocol No. 675/ 24-1-1991

Medical Association of Athens Membership No. 062765

Certificate of Specialization in Thoracic Surgery, Prefecture of Athens, No 9746/1 June 2001

Fellow of the European Board of Cardiothoracic Surgeons September 2005 - FETCS
(following written and oral examinations in English, with examiners from all over Europe, and subject to a specified number of interventions)

Doctoral Thesis

School of Medicine, University of Patras
December 2006
Grade: “Excellent”
Supervisor: Professor Dimitrios Dougenis
Title: “Atherosclerosis of the bronchial arteries and possible correlation with coronary circulation”
Fellow - American College of Chest Physicians December 2008 - FCCP

Postgraduate Degree
(MSc) National and Kapodistrian University of Athens
Transnational postgraduate study program: “Intravascular techniques”
January 2015
Grade: “Excellent” - 9.83

PROFESSIONAL EXPERIENCE

Nov 2014 - Deputy Chief, Multidisciplinary Department of Cardiology, Armed Forces, 401 General Military Hospital of Athens.

Mar 2007 - Associate - Head of the Heart Surgery Team
- General Clinic in Cholargos IASO General - Metropolitan General (2007-2014) - (2017-)
- Henry Dunnan Hospital Center (2014-2017)
The team comprises Military Doctors and Nurses specializing in Cardiothoracic Surgery or have received training in perfusion.
During this time, procedures falling within the whole range of Heart Surgery have been successfully performed, i.e. coronary reperfusion, valve replacement (aortic and mitral) as well as aortic replacement. Thoracic surgery has also been performed, mainly pertaining to thoracoscopic approaches.
In September 2009, I was the first to perform, both in the Balkans and of course in Greece, the revolutionary technique of thoracoscopic treatment of atrial fibrillation by box lesion).

2013 - 2014 - Chief, Multidisciplinary Department of Cardiology, Armed Forces

2007 - 2013 - Chief Medical Officer, Department of Cardiac Surgery, 401 General Military Hospital of Athens and 417 Athens Naval Hospital

2004 - 2006 - Consultant, Mixed Department of Cardiothoracic Surgery
Manchester Royal Infirmary, United Kingdom
This is an educational position at the level of consultancy. Being enrolled in the List of Specialized Doctors of the General Medical Council of England, I was appointed, following the submission of my CV, the selection among colleagues, and a personal interview, with repeated and continuous six-month contracts.

2002 - 2004 - Registrar, Department of Thoracic Surgery, 401 General Military Hospital of Athens

2001 - 2002 - Chief Medical Officer, Infantry School in Chalkida.

2001 - 2001 - Registrar, Department of Cardiothoracic Surgery, 401 General Military Hospital of Athens

2000 - 2001 - Resident, 2nd Department of Cardiac Surgery, “Evaggelismos” General Hospital of Athens.

1997 - 2000 - Resident, 2nd Department of Cardiothoracic Surgery, “Sotiria General Hospital.

1995 - 1996 - Resident, 2nd Department of Surgery, “Evaggelismos” General Hospital of Athens.

1993 - 1994 - Resident, 2nd Department of Surgery, 401 General Military Hospital of Athens.

1992 - 1993 - Medical Doctor, 32nd Marines Brigade

1991 - 1992 - Medical Doctor, School of Healthcare, Ground Forces/401 General Military Hospital of Athens

Other training

1995 - Medical Doctor, ICU, “Evaggelismos” General Hospital of Athens, University of Athens, for 4 months.

1998 - Advanced Trauma Life Support - ATLS.
Instructor.

2002 - Pre-Hospital Trauma Life Support - PHTLS.
Instructee and Instructor.

2013 - Cardiac Surgery & Interventional Course Lille
Toulouze Heart Team TAVI Training
Training in transcatheter aortic valve insertion.

2014 - Cardiac Surgery Advanced Life Support - CALS
Advanced Life Support of cardiac surgery patients.

2017 - Basic Life Support - BLS
Instructor training.

MEMBERSHIP IN SOCIETIES & EDITORIAL BOARDS

Greek journals

2005 - Pnevmon
2009 - Hellenic Journal of Cardiology (Associate Editor)
Medline’s International Journals
2004 - European Journal of Cardiothoracic Surgery
2005 - Annals of Thoracic Surgery
2006 - Chest
2007 - Journal of Post-graduate medicine
2007 - Journal of Cardiothoracic Surgery
2008 - Journal of Medical Case Reports
2009 - Hellenic Journal of Cardiology
2017 - IHJ Cardiovascular Case Reports

Membership in Medical Associations

1995 - Full member of the Hellenic Surgical Society
1997 - Member of the Hellenic Cardiovascular and Thoracic Society of Surgeons
Elected Chair of the BOD, 2019-2020
1997 - Member of the Hellenic Bronchologic Society
1999 - Member of the Hellenic Thoracic Society
2007 - Full Member of the Hellenic Society of Cardiology

International

1998 - Full Member of the European Association for Cardio-Thoracic Surgery - EACTS
2000 - Member of the Cardiothoracic Surgery Network - CTSNET
2003 - Full Member of the American College of Chest Physicians - ACCP
2007 - Member of the Society of Thoracic Surgeons - STS

Research programs

1994 - Member of the Medical Team to meet the needs of the Greek Presidency of the Council of the European Union. Zappeion Megaron, Athens.

2011 - In response to the invitation of the “HEARTS FOR ALL” NGO, performance of cardiac surgeries in the Republic of Mauritius.
(Φ.446/24/179479/Σ.9091/1 Sep 11 ΓEΣ/ΔΙΜΣΠΡΟ/4β, Joint Ministerial Decision of the Ministers of National Defence and Foreign Affairs).

DISTINCTIONS & AWARDS

2002 - ACCOLADE FOR THE BEST EXPERIMENTAL STUDY-PAPER
4th Panhellenic / 1st Balkan Congress on on Thoracic & Cardiovascular Surgery.
Ch. Koutoulas, D. Karnapatidis, K. Kokkinis,Ch. Kalogeropoulou, M. Melachrinou, Th. Petsas, D. Dougenis: The emergence of communication of the bronchial circulation with the coronary circulation in an experimental pig model.

2002 - BEST POSTER DISTINCTION
23rd Panhellenic Surgical Congress and International Surgical Forum
Ch. Foroulis, Ch. Kotoulas, M. Konstantinou, A. Lioulias: The reduction of dynamically exhaled lung volumes six months after pneumonectomy. Is it proportional to the extent of pulmonary parenchyma resection?

2009 - BEST POSTER AWARD
30th Panhellenic Cardiology Congress, Athens, October 2009.
J. Mamarellis, Ch. Kotoulas, A. Pissaridis, V. Dritsa, I. Anastasopoulou: FT-IR spectroscopic study of the mechanism of atherosclerosis in the coronary arteries.

2011 - BEST POSTER AWARD
14th Panhellenic Congress of the Hellenic Society of Lipidology, Atherosclerosis and Vascular Disease, Athens, October 2009
B. Dritsa, I. Mamareli, K. Pissaridi, E. Koutoulaki, G. Karagkiouzi, Ch. Kotoulas, I. Anastasopoulou: Spectroscopic study of apolipoproteins peroxidation in the coronary and carotid arteries.

2013 - BEST POSTER AWARD
16th Panhellenic Congress of the Hellenic Society of Lipidology, Atherosclerosis and Vascular Disease, Athens, October 2013
E. Koutoulaki, B. Dritsa, I. Mamareli, Ch. Kotoulas, K. Pissaridis, I. Anastasopoulou: Biological stages of calcific aortic valve stenosis.

2014 - HONORARY DISCTINTION
Association of Retired Navy Officers Cardiac Patients, Coast Guard and Friends
Provision of valuable medical services such as cardiac surgeries to heart failure patients.

2016 - BEST E-POSTER AWARD
15th Panhellenic Congress of Vascular, Intravascular Surgery and Angiology, Athens, 31 March - 2 April 2016
P. Theodoridis, V. Tzilalis, M. Panagiotou, G. Vourliotakis, A. Chalkias, K. Pyrgakis, P. Koutoukoglou, M. Spyridakis, Ch. Kotoulas: Presentation of two complex cases of patients who underwent hybrid treatment for thoracic aortic aneurysm.

PUBLICATIONS

International medical journals on Medline

1. C. Kotoulas, J. Panayiotides, C. Antiochos, D. Sambaziotis, G. Papadopoulos, A. Karameris: Huge non-functioning pancreatic cystic neuroendocrine tumour: a case report.Eur J SurgOncol 1998; 24: 74-81.
2. G. Lazopoulos, C. Kotoulas, A. Lioulias: Congenital bronchoesophageal fistula in the adult. Eur J CardiothoracSurg 1999; 16: 667-669.
3. C. Kotoulas, G. Galanis, P. Yannopoulos: Secondary achalasia due to a mesenchymal tumour of the oesophagus.Eur J SurgOncol 2000; 26: 425-430.
4. A. Lioulias, C. Kotoulas, J. Kokotsakis, M. Konstantinou: Acute pulmonary embolism due to multiple hydatid cysts.Eur J CardiothoracSurg 2001; 20: 197-199.
5. C. Kotoulas, G. Lazopoulos, T. Karaiskos, P. Tomos, M. Konstantinou, G. Papamichalis, D. Politi, A. Lioulias: Prognostic significance of pleural lavage cytology after resection for non-small cell lung cancer. Eur J CardiothoracSurg 2001; 20: 330-334.
6. C. Kotoulas, G. Lazopoulos, C. Foroulis, M. Konstantinou, P. Tomos, A. Lioulias: Wedge resection of the bronchus: an alternative bronchoplastic technique for preservation of lung tissue. Eur J CardiothoracSurg 2001; 20: 679-683.
7. C. Foroulis, C. Kotoulas, M. Konstantinou, A. Lioulias: «The role of mediastinoscopy in post-resection lung cancer patients. J BUON 2002; 7: 145-148.
8. C. Foroulis, C. Kotoulas, M. Konstantinou, A. Lioulias: How to do it: the use of pedicled pleural flaps for the repair of pericardial defects, resulting after intrapericardial pneumonectomy.Eur J CardiothoracSurg 2002; 21: 92-93.
9. C. Foroulis, C. Kotoulas, M. Konstantinou, A. Lioulias: Is the reduction of forced expiratory lung volumes proportional to the lung parenchyma resection, six months after pneumonectomy?Eur J CardiothoracSurg 2002; 21: 901-905.
10. G. Lazopoulos, C. Kotoulas, J. Kokotsakis, C. Foroulis, A. Lioulias: Diagnostic mini-video assisted thoracic surgery. Effectiveness and accuracy of new generation 2mm instruments.SurgEndosc 2002; 16: 1793-1795.
11. C. Foroulis, C. Kotoulas, H. Lachanas, G. Lazopoulos, M. Konstantinou, A. Lioulias: Factors associated with cardiac rhythm disturbances in the early post-pneumonectomy period: A study on 259 pneumonectomies. Eur J CardiothoracSurg 2003; 23: 384-389.
12. C. Kotoulas, D. Papoutsis, C. Tsolakis, G. Laoutides: Surgical repair of pectus excavatum in young adults using the DUALMESH 2mm GORETEX®. Interactive Cardiovascular and Thoracic Surgery (EJCTS)2003; 2(4): 565-568.
13. C. Kotoulas, C. Foroulis, K. Letsas, K. Kostikas, M. Konstantinou: Bilious Pericardial effusion at initial presentation in a patient with lung cancer.World Journal of Surgical Oncology 2003; 1: 24.
14. C. Kotoulas, C. Foroulis, K. Kostikas, M. Konstantinou, P. Kalkandi, M. Dimadi, D. Bouros, A. Lioulias: Involvement of lymphatic metastatic spread in non-small-cell-lung-cancer accordingly to the primary cancer location.Lung Cancer 2004; 44: 183-191.
15. C. Kotoulas, C. Foroulis, K. Letsas, G. Papamichalis, A. Lioulias: Thoracic actinomycosis as a cause of superior vena cave syndrome. Report of a case.Surg Today 2004; 34(5): 447-449.
16. C. Kotoulas, E. Chouliaras, P. Siarapis, K. Nisotakis: Right diaphragmatic rupture and hepatic hernia: a rare late sequela of thoracic trauma. Eur J CardiothoracSurg 2004; 25(6): 1121.
17. C. Foroulis, C. Kotoulas, S. Kakouros, G. Evangelatos, C. Chassapis, M. Konstantinou, A. Lioulias: Study on the late effect of pneumonectomy on right heart pressures using doppler echocardiography. Eur J CardiothoracSurg 2004; 26: 508-514.
18. K. Psathakis, S. Lachanis, C. Kotoulas, V. Koutoulidis, P. Panagou, S. Loukides, K. Tsintiris: The prevalence of congenital bronchial atresia in males. Monaldi Arch Chest Dis 2004;61:28-34.
19. C. Kotoulas, C. Foroulis, A. Lioulias: Asymptomatic cardiac lipoma as a finding in a left thoracotomy for lung cancer. Asian CardiovascThorac Ann 2004; 12,3: 278-279.
20. C. Kotoulas, K. Psathakis, K. Tsintiris, D. Sampaziotis, L. Karnesis, G. Laoutides: Pulmonary mucormycosis presenting as Horner’s syndrome. Asian CardiovascThorac Ann 2006; 14, 1: 86-87.
21. C. Kotoulas, M. Fotinou, E. Tsaroucha, M. Konstantinou, A. Lioulias: Localized fibrous mesothelioma: a rare benign pleural tumor.Ann ThoracSurg 2006; 81,6: 2316.
22. C. Kotoulas, D. Karnabatidis, C. Kalogeropoulou, K. Kokkinis, T. Petsas, D. Dougenis: Anastomoses between bronchial and coronary circulation in a porcine model: CT and Angiographic demonstration. HJC 2006; 47(4): 206-210.
23. C. Kotoulas, G. Konstantinou, K. Kostikas, M. Doris, M. Konstantinou, B. Prendergast, D. Bouros, A. Lioulias: «Are the perioperative changes of serum magnesium in lung surgery arrhythmiogenic?». J BUON 2006;11:69-73.
24. C. Kotoulas, K. Patris, K. Tsintiris, A. Zoumboulides, K. Lazarides, G. Laoutides : Platypnea-orthodeoxia syndrome after pneumonectomy relieved by mediastinal repositioning. Ann ThoracSurg 2007;83:1524-1526.
25. G. Markides, S. Omorphos, C. Kotoulas, B. Prendergast: Evaluation of a wireless ingestible temperature probe in cardiac surgery. ThoracCardiovasc Surgeon 2007; 55: 442-446.
26. C. Kotoulas, JY Bigeon, K. Patris, R. Hasan: Aortic Valve as a victim of Percutaneous Coronary Angioplasty and Stenting! Ann ThoracSurg 2007; 84: 1765.
27. C. Kotoulas, L. Skagias, G. Konstantinou, T. Tsilalis, K. Tsintiris, G. Laoutidis, D. Sambaziotis: Primary pulmonary melanoma diagnosis: the role of immunohistochemistry and immunocytochemistry. J BUON 2007; 12: 543-545.
28. S. Omorphos, C. Kotoulas, JJ Homer, KE McLaughlin: Delayed repair of esophageal perforation due to transoesophageal echocardiography. Monaldi Arch Chest Dis 2007; 68: 239-240.
29. C. Kotoulas, S. Omorphos, A. Sarraf, K. Patris, R. Hasan: Mitral valve repair beyond the «French Correction». HJC 2008; 49: 329-334.
30. C. Kotoulas, S. Meraj, NJ Odom: Asymptomatic fatal post-lobectomy hemopericardium. Monaldi Arch Chest Dis2008; 69: 134-136.
31. C. Kotoulas, RP Jones, W. Turkie, R. Hasan: Edge-to-Edge repair of tricuspid valve in a corrected transposition of the great vessels. HJC 2008; 49: 434-436.
32. C. Kotoulas, S. Lachanis: Embolism of the pulmonary artery stump after right pneumonectomy. Interact CardiovascThoracSurg 2009; 8: 563-564.
33. C. Kotoulas, I. Stathopoulos, I. Koukis, K. Patris: Surgical release of trapped guidewire after coronary angioplasty and stenting. Asian CardiovascThorac Ann 2009; 17: 439.
34. C. Kotoulas, Maria Melachrinou, G. Konstantinou, D. Alexopoulos, D. Dougenis: Bronchial arteries: an arteriosclerosis resistent circulation. Respiration 2010; 79: 333-339.
35. Lim E, Clough R, Goldstraw P, Edmonds L, Aokage K, Yoshida J, Nagai K, Shintani Y, Ohta M, Okumura M, Iwasaki T, Yasumitsu T, Okada M, Mimura T, Tsubota N, Nakagawa T, Okumura N, Satoh Y, Okumura S, Nakagawa K, Higashiyama M, Kodama K, Riquet M, Vicidomini G, Santini M, Kotoulas C, Hsu JY, Chen CY; International Pleural Lavage Cytology Collaborators: Impact of positive pleural lavage cytology on survival in patients having lung resection for non-small-cell lung cancer: An international individual patient data meta-analysis.J ThoracCardiovascSurg 2010; 139: 1441-1446.
36. I. Panagiotou, K. Patris, P. Kotileas,C. Kotoulas: Dissection of the aortic root presenting as a double aortic valve.HJC 2010; 51: 275-277.
37. C. Kotoulas: Transoesophageal echocardiography and oesophageal perforation. Interact CardiovascThoracSurg 2010;11:382.
38. Kotoulas C, Tzilalis V, Spyridakis E, Mamarelis I: Endovascular management of a late saccular aortic aneurysm after end-to-end repair of coarctation. Monaldi Arch Chest Dis 2011;76(4):208-210.
39. I. Panagiotou, K. Kostikas, D. Sampaziotis, C. Kotoulas: Alveolar adenoma: an extremely rare innocent coin lesion. Interact CardiovascThoracSurg2012;14(3):335-337.
40. C. Kotoulas: Dualmesh 2-mm GORE-TEX® and pectus excavatum repair. Letter to the editor. Ann ThoracSurg2012;93(4):1399.
41. Tsipas P, Laoutides G, Archontakis A, Sampaziotis D, Kotoulas C: Multiple Synchronous Tumors in a Patient: A Rare Entity. J Gastrointest Cancer 2012 Jan 12.
42. Papatsimpas G, Kamposioras K, Goula K, Papaparaskeva K, Loukides S, Kotoulas C, Kelekis N, Xiros N, Pectasides D, Koumarianou A: Hepatoid Pancoast tumor. A case report and review of the literature. Lung Cancer 2012; 77(2) :239-45.
43. Flessas D, Mamarelis I, Maniatis V, Souretis G, Laschos N, Kotoulas C, Lazaridis K. An unusual pattern of three major components of the cardiovascular system: multimodality imaging and review of the literature. J CardiothoracSurg2013; Apr 4;8:61.
44. Souretis G, Kotoulas C, Xapladeris P, Flessas D, Laschos N, Lazarides K: Late Atrial Appendage Perforation from a Pacemaker Lead. Asian Cardiovascular and Thoracic Annals 2014; 22(1): 83-85.
45. Dritsa V, Pissaridi K, Koutoulakis E, Mamarelis I, Kotoulas C, Anastassopoulou J: An infrared spectroscopic study of aortic valve. A possible mechanism of calcification and the role of magnesium salts.In Vivo. 2014; 28(1): 91-98.
46. Kotoulas C, Panagiotou I, Koutoulakis E: Acute type A intramural hematoma mimicking saccular aneurysm in aortography. Asian Cardiovascular and Thoracic Annals2014; 22: 232-233.
47. Kotoulas C,Panagiotou I, Tsipas P, Koutoulakis E. Inappropriate antidiuretic hormone secretion due to squamous cell lung cancer. Asian CardiovascThorac Ann. 2015 Jun;23(5):579-81.
48. Kotoulas C, Panagiotou I, Tsipas P, Melachrinou M, Alexopoulos D, Dougenis D. Experimental studies in the bronchial circulation. Which is the ideal animalmodel? J Thorac Dis. 2014 Oct;6(10):1506-12.
49. Kotoulas C,Panagiotou I, Kostikas K. Superior vena cava syndrome due toisolated intrapulmonary Castleman's disease. Asian CardiovascThorac Ann. 2017 Mar;25(3):244-245.
50. Hohenforst-Schmidt W, Grapatsas K, Dahm M, Zarogoulidis P, Leivaditis V, Kotoulas C, Tomos P, Koletsis E, Tsilogianni Z, Benhassen N, Huang H, Kosmidis C, Kosan B. Solitary fibrous tumor: A center's experience and an overview of the symptomatology, the diagnostic and therapeutic procedures of this rare tumor. Respir Med Case Rep. 2017 Apr 12;21:99-104.
51. Hohenforst-Schmidt W, Grapatsas K, Zarogoulidis P, Leivaditis V, Kotoulas C, Tomos P, Benhassen N, Tsilogianni Z, Koletsis E, Haussmann E, Haussmann R, Huang H, Kosmidis C, Kosan B, Dahm M, Sinha A. A rare case of unruptured aneurysm of left coronary sinus of Valsalva accompanied with patent foramen ovale and atrial fibrillation detected after cardiac etiology stroke. Respir Med Case Rep. 2017 Apr 12;21:105-107.
52. Mamarelis I, Koutoulakis E, Kotoulas C, Dritsa V, Mamareli V, Anastassopoulou J. FT-IR spectroscopic study of amyloid protein formation and aortic valve calcification. Hellenic J Cardiol. 2017 Mar - Apr;58(2):148-150.
53. Grapatsas K, Leivaditis V, Zarogoulidis P, Tsilogianni Z, Kotoulas S, Kotoulas C, Koletsis E, Iliadis IS, Spiliotopoulos K, Trakada G, Veletza L, Kallianos A, Tsiouda T, Kosmidis C, Hohenforst-Schmidt W, Huang H, Haussmann R, Haussmann E, Dahm M. Successful treatment of postoperative massive pulmonary embolism with paradoxal arterial embolism through extracorporeal life support and thrombolysis. Respir Med Case Rep. 2017 Oct 31;23:1-3.
54. Grapatsas K, Tsilogianni Z, Leivaditis V, Kotoulas S, Kotoulas C, Koletsis E, Iliadis IS, Dahm M, Trakada G, Veletza L, Kallianos A, Huang H, Kosmidis C, Karanikas M, Thomaidis V, Porpodis K, Zarogoulidis P. Hamman's syndrome (spontaneous pneumomediastinum presenting as subcutaneous emphysema): A rare case of the emergency department and review of the literature. Respir Med Case Rep. 2017 Dec 11;23:63-65.
55. Anastassopoulou J, Kyriakidou M, Kyriazis S, Mavrogenis AF, Mamareli V, Mamarelis I, Petra M, Malesiou E, Kotoulas C, Kolovou P, Koutoulakis E, Markouizou A, Theophanides T. Oxidative stress in ageing and disease development studied by FT-IR spectroscopy. Mech Ageing Dev. 2018 Jun;172:107-114.

Other publications in journals and medical books

Greek medical journals: Publications 38
Greek medical journals (supplements): Publications 59
Medical books-volumes of medical conference proceedings: Chapters 13
International medical journals on Medline (supplements): Publications 17
International medical journals on other databases: Publications 6
International medical books-volumes of medical conference proceedings: Chapters 4

CONTACT INFO

Telephone: +30 210 650 2000