Minimally Invasive Valve Surgery Using High Resolution (3D) Scope

Minimally invasive cardiac surgery (MICS) has been routinely used to treat mitral and aortic valve disease for years. Most MICS are performed under direct vision. Totally endoscopic approach has emerged as an attractive procedure with or without robotic assist. We describe our technique for totally endoscopic valve operation that was iteratively improved over the years. A skin incision is limited to 3 cm - 4 cm centimeters without the need for rib-spreading. Central Message: Totally endoscopic valve surgery can be performed minimal three-port system utilizing 3D-endoscope