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Updated: Jan 14, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Robotic mitral valve repair: quadrangular resection and bidirectional sliding valvuloplasty
Paul Cullen1, Tarek Malas1, Marc Gillinov1
1Department of Thoracic and Cardiovascular Surgery, Heart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA.
None:
Systolic anterior motion remains a recognized complication of mitral valve repair, for which sliding valvuloplasty was originally developed as a preventive strategy. This technique is used in patients with a broad area of posterior leaflet prolapse and excessive leaflet height. We demonstrate our modification of the classic sliding plasty, including further adaptations to enable its reliable and efficient application via a minimally invasive robotic approach.
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