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Updated: Aug 14, 2026
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
From classical sternotomy to truly endoscopic mitral valve surgery: a step by step procedure
Filip P Casselman1, Sam Van Slycke, Francis Wellens
1Department of Cardiovascular and Thoracic Surgery, Aalst, Belgium.
Heart, Lung & Circulation
|December 15, 2005
Summary
Endoscopic mitral valve surgery is a feasible, albeit demanding, minimally invasive technique. With acquired expertise, it offers significant benefits for both patients and surgeons.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Techniques
- Thoracoscopic Procedures
Background:
- Growing trend towards minimally invasive valve surgery.
- Development of various surgical techniques to achieve this goal.
- Focus on endoscopic approaches using small intercostal ports.
Purpose of the Study:
- Describe surgical technique and clinical experience with endoscopic mitral valve surgery.
- Evaluate feasibility and outcomes of this minimally invasive approach.
Main Methods:
- Utilized endocardiopulmonary bypass for mitral valve surgery.
- Employed exclusive video-assisted surgery with transesophageal echocardiography (TEE) guidance.
- Performed 259 procedures between February 1997 and November 2001, with 190 mitral valve repairs.
Main Results:
- Surgery performed through a 2-inch working port and two 0.5-inch trocar ports.
- Five patients required conversion to median sternotomy (3 for femoral vessel size, 2 for aortic dissection).
- Hospital mortality was 2 patients; 7 patients needed late reoperation (4 for endocarditis).
Conclusions:
- Endoscopic mitral valve surgery is technically demanding but achievable.
- Acquisition of specialized skills is crucial for successful implementation.
- This technique offers potential benefits for patients and surgeons.
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