Purpose of review: Cardiac surgery, like other surgical fields, is evolving to a more minimally invasive approach. Robotic technology now allows complex mitral valve repairs to be carried out via small incisions with complete avoidance of a sternotomy. The purpose of this review is to assess the current role of robotics in the repair of the mitral valve, and to speculate as to what advances may be forthcoming.
Recent findings: Several groups have now confirmed that complex mitral valve repairs can be carried out robotically with early results comparable to open repair.
Summary: Endoscopic mitral repair has become a reality. With further technological advancements and continued clinical experience, this may become the standard approach for mitral valvuloplasty.