Minimally Invasive Mitral Valve Procedures: The Current State

Box 2

Current patient selection: videoscopic or video-assisted mitral valve surgery.

Suitable candidates:

 Patients with primary mitral valve disease

 Reoperative mitral valve patients

 Bileaflet and/or anterior leaflet prolapse

 Combined tricuspid and mitral operations

 Mild annular calcification

 Obese or large patients

 Elderly patients

Unsuitable candidates:

 Highly calcified mitral annulus

 Severe pulmonary hypertension, especially with a small right coronary artery

 Significant untreated coronary artery disease

 Severe peripheral atherosclerosis

 Prior right chest surgery

 Concomitant aortic or aortic valve pathology requiring surgical interventions