Minimally Invasive Valve Surgery

At Hoag Heart Valve Center, the cardiac surgeons use the daVinci¨ Surgical System robotic technology and a non-robotic mini-incision approach for minimally invasive valve repair and replacement. Minimally invasive heart valve surgery uses traditional mitral valve repair techniques with smaller incisions and specially designed surgical instruments. The benefits include a smaller incision and smaller scar (figures 1, 2 & 3). Although not yet validated by research, other benefits may include:
  • Reduced risk of infection
  • Less bleeding
  • Less pain and trauma
  • Decreased recovery time
Not everyone is a candidate for minimally invasive surgery. The following factors exclude a patient from consideration:
  • Severe valve damage (especially if repair through a traditional incision is probable)
  • More than one valve requiring repair or replacement
  • Clogged arteries (atherosclerosis or hardening of the arteries)
  • Obesity
  • Previous heart or other chest surgery

Figure 1
Traditional Incision
 

Figure 2
Minimally Invasive Partial Upper Chest Incision

Figure 3
Minimally Invasive Partial Upper Chest Incision

"Heart Valve Replacement: the preferred treatment for critical, symptomatic aortic stenosis"
Physicians Practice Journal

"Hoag Clinic Keys on Heart Valves"
OC Register article

Heart Valve Conditions:

Aortic Stenosis
Aortic Regurgitation
Aortic Aneurysm
Endocarditis
Mitral Valve Prolapse
Mitral Stenosis
Mitral Regurgitation
Pulmonary Valve Stenosis
Subaortic Valve Stenosis
Tricuspid Valve Disease

Tests:

Cardiac CT
Echocardiogram
Cardiac MR
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