Severe Mitral annular calcification is traditionally a contraindication to an endoscopic approach. Dr Castillo-Sang, from Saint Elizabeth Healthcare in Edgewood, Kentucky USA, uses a Cavitron device to decalcify and insert an artificial valve very elegantly
Dr Perier shows an excellent way to deal with a complex mitral valve using an endoscopic approach.
Endoscopic Aortic valve replacement is an exciting new development. In some cases suturing in the annullus can be difficult. In this video an automated suturing device is used to enable endoscopic AVR.