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Minimally Invasive Surgery
Volume 2013 (2013), Article ID 679276, 8 pages
Review Article

Minimally Invasive Mitral Valve Procedures: The Current State

Darcy Sutherland Cardiothoracic Surgical Unit, Level 4, East Wing, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia

Received 7 June 2012; Accepted 2 April 2013

Academic Editor: José PS Henriques

Copyright © 2013 Bhuyan Ritwick et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Since its early days, cardiac surgery has typically involved large incisions with complete access to the heart and the great vessels. After the popularization of the minimally invasive techniques in general surgery, cardiac surgeons began to experiment with minimal access techniques in the early 1990s. Although the goals of minimally invasive cardiac surgery (MICS) are fairly well established as decreased pain, shorter hospital stay, accelerated recuperation, improved cosmesis, and cost effectiveness, a strict definition of minimally invasive cardiac surgery has been more elusive. Minimally invasive cardiac surgery started with mitral valve procedures and then gradually expanded towards other valve procedures, coronary artery bypass grafting, and various types of simple congenital heart procedures. In this paper, the authors attempt to focus on the evolution, techniques, results, and the future perspective of minimally invasive mitral valve surgery (MIMVS).