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unlike traditional mitral valve repair surgery in which the sternum is cut and spread open in the minimally invasive robotic mitral valve procedure the surgeon manipulates the highly advanced robotic tool and makes only tiny incisions the robotic arms are inserted through the side of the chest which is even closer to the heart than if we open the sternum we make keyhole incisions for the surgical arms camera and access to the tiny camera provides a view of the diseased valve we see that the valve is oversized misshapen and doesnamp;#39;t close properly which allows blood to leak backwards we remove the misshapen portion of the valve and reconstructed with sutures we insert an artificial ring to reduce its size we sew the ring into place and the valve now closes properly so blood no longer leaks back after the procedure only a few dime-sized scars remain instead of the 68 inch scar in the middle of the chest associated with open-heart surgery you