Mitral valve repair evidence comparison · Decision guide

Mitral valve repair surgeon rankings: experience, methods and results

5 surgical teams · 3 clinical studies · expertise, methods and reported experience.

Research by Yevhenii Kozlov · Co-Founder of BookimedUpdated 8 October 2026Sources linked throughout

At a glance

Compare mitral valve repair surgeons and programmes by the operations they offer, relevant experience and clinical results. Each team has one card, with its studies grouped underneath. Reported practice totals carry their source; study samples stay beside their own results.

Follow-up stays visible

Early perioperative outcomes and multi-year observation answer different clinical questions.

A shortlist, not a success leaderboard

Different case selection and outcome definitions prevent a valid best-to-worst surgical outcome ranking.

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Mitral valve repair surgeons and specialist teams

Compare reported surgical experience

Positions use published operation counts within the same procedure, reporting period and attribution. “+” is a reported minimum. Personal operations, participation and programme totals have separate lists. A dash means open-ended counts do not establish an exact place. The lists compare experience, not safety or suitability.

Programme operations · 2025 · isolated mitral valve operations

2 specialists or programmes with comparable public figures in this researched shortlist. Source dates and the exact operation scope are shown beside each figure.

1
A. Marc Gillinov / Cleveland Clinic programmeIsolated mitral valve repair or replacement; all approaches. Calculated from 447 repairs + 167 replacements in the same isolated-procedure table.
614Calendar year 2025 · published 2026-03-16 · counting date 2025-12-31Source ↗ · read 2026-10-08
2
Go Watanabe, Norihiko Ishikawa & Ryuta Seguchi / NewHeartIsolated mitral valve operations; repair/replacement combined; all approaches.
171Calendar year 2025 · counting date 2025-12-31Source ↗ · read 2026-10-08

Cards follow the selected procedure’s default experience comparison above. Providers without a comparable public count retain their clinical profiles without a numbered position.

Specialist expertiseMitral repair
A. Marc Gillinov — official portrait

A. Marc Gillinov

Cleveland Clinic programme

#1 · Programme operations · 2025 · isolated mitral valve operations · among 2 with comparable public figures

614isolated mitral valve operationsProgramme operations

Calendar year 2025 · published 2026-03-16 · counting date 2025-12-31

Isolated mitral valve repair or replacement; all approaches. Calculated from 447 repairs + 167 replacements in the same isolated-procedure table.

Cleveland Clinic 2025 adult cardiac surgery volumes and outcomes ↗

A learning-curve comparison inside one robotic programme.

Reported stroke fell from 2.0% in the first 500 cases to 0.8% in the second 500. This is an unadjusted time comparison, not proof that volume alone caused the change.

Sources: Early results of robotically assisted mitral valve surgery: Analysis of the first 1000 cases

447 isolated mitral repairs

Programme operations · Calendar year 2025 · published 2026-03-16 · counting date 2025-12-31

Isolated mitral valve repair; all approaches.

Cleveland Clinic 2025 adult cardiac surgery volumes and outcomes ↗ · source read 2026-10-08
167 isolated mitral replacements

Programme operations · Calendar year 2025 · published 2026-03-16 · counting date 2025-12-31

Isolated mitral valve replacement; all approaches.

Cleveland Clinic 2025 adult cardiac surgery volumes and outcomes ↗ · source read 2026-10-08
2,600+ robotic mitral operations

Programme operations · Cumulative at podcast date; start not assigned · published 2025-02-25 · counting date 2025-02-25

Robotically assisted mitral valve procedures.

Advances in Heart Surgery at Cleveland Clinic — Part I ↗ · source read 2026-10-08
1 clinical study · methods, results and risks

A learning-curve comparison inside one robotic programme.

1000 robotic mitral operations in this study

2006–2013 · published 2017/2018

Reported stroke fell from 2.0% in the first 500 cases to 0.8% in the second 500. This is an unadjusted time comparison, not proof that volume alone caused the change.

Results: 992/997 attempted repairs completed; 915/935 with predischarge echo had no or mild MR. Hospital mortality 1/1,000; stroke 14/1,000.

Follow-up: Hospital and early results, not a long-term durability study.

Study context: Institutional series; Gillinov is first author, without per-surgeon case allocation. The current official programme also names Per Wierup. The cohort comprised patients screened for robotic surgery. Historical programme results do not establish a current individual surgeon’s outcomes.

Sources: Early results of robotically assisted mitral valve surgery: Analysis of the first 1000 cases

Specialist expertiseMitral repair
Portrait of Go Watanabe

Go Watanabe, Norihiko Ishikawa & Ryuta Seguchi

NewHeart

#2 · Programme operations · 2025 · isolated mitral valve operations · among 2 with comparable public figures

171isolated mitral valve operationsProgramme operations

Calendar year 2025 · counting date 2025-12-31

Isolated mitral valve operations; repair/replacement combined; all approaches.

NewHeart Watanabe Institute surgical activity and outcomes ↗

A cohort focused on complex multisegment Barlow valves.

124/124 initial repairs completed, with no conversion to sternotomy or valve replacement reported. These were selected Barlow cases within a larger robotic programme.

Sources: Outcomes of Barlow mitral valve repaired by robot-assisted keyhole surgery

292 mitral valve operations

Programme operations · Calendar year 2025 · counting date 2025-12-31

Mitral valve operations including combined procedures; all approaches.

NewHeart Watanabe Institute surgical activity and outcomes ↗ · source read 2026-10-08
1,386 robotic mitral repairs (MVP category)

Programme operations · 2005-12 – 2026-09

Robotic mitral repair category; named combined categories reported separately.

NewHeart Watanabe Institute surgical activity and outcomes ↗ · source read 2026-10-08
542 combined robotic mitral and tricuspid repairs

Programme operations · 2005-12 – 2026-09

Robotic combined mitral repair and tricuspid repair.

NewHeart Watanabe Institute surgical activity and outcomes ↗ · source read 2026-10-08
2,542 All robotic cardiac operations across conditions

Programme operations · 2005-12 – 2026-09

All robotic cardiac operations across conditions.

NewHeart Watanabe Institute English programme page ↗ · source read 2026-10-08
1 clinical study · methods, results and risks

A cohort focused on complex multisegment Barlow valves.

124 Barlow disease patients in this study

2015–2022 · published 2023

124/124 initial repairs completed, with no conversion to sternotomy or valve replacement reported. These were selected Barlow cases within a larger robotic programme.

Results: Freedom from reoperation/additional intervention 99.2% over reported follow-up; postoperative stroke 1/124. This is not a 10-year recurrent-leakage endpoint.

Follow-up: Reported as 36 ± 21 months; the paper calls this “median” despite that notation. Six-month echo available in 116/124.

Study context: Programme team series; no per-surgeon case allocation. The official institute lists Watanabe, Ishikawa and Seguchi. Early one-week MR counts conflict between abstract and body, so they are omitted here. Zero reported conversions does not mean zero risk.

Sources: Outcomes of Barlow mitral valve repaired by robot-assisted keyhole surgery

Specialist expertiseMitral repair

Alfredo Trento

Cedars-Sinai team

1,000+robotic mitral repairsProgramme operations

Cumulative as of February 2020; start not specified · published 2020-02-14 · counting date 2020-02-14

Provider-described successful robotic mitral repairs. Historical figure; source date shown.

Matters of the Heart: Joanna Chikwe, MD ↗

Durability separated by which leaflet is diseased.

Ten-year freedom from more-than-2+ MR or reintervention: 92.4% for posterior prolapse versus 84.3% for anterior/bileaflet prolapse (competing-risk estimates).

Sources: Durable Robotic Mitral Repair of Degenerative Primary Regurgitation With Long-Term Follow-Up

10,000+ All cardiac surgeries across conditions

Personal operations · 1988 – 2020-02-13 · published 2020-02-13

All cardiac surgeries across conditions. Historical figure; source date shown.

Matters of the Heart: Alfredo Trento, MD ↗ · source read 2026-10-08
1 clinical study · methods, results and risks

Durability separated by which leaflet is diseased.

850 degenerative robotic mitral cases in this study

2005–2020 · published 2021/2022

Ten-year freedom from more-than-2+ MR or reintervention: 92.4% for posterior prolapse versus 84.3% for anterior/bileaflet prolapse (competing-risk estimates).

Results: Baseline groups: 582 posterior and 268 anterior/bileaflet. 95% confidence intervals: 85.5–96.7% and 73.9–92.2%, respectively.

Follow-up: Median clinical follow-up 5.5 years; median echo follow-up 1.7 years. Not every patient was observed for 10 years.

Study context: Trento performed 788/850 (92.7%) operations; three other surgeons performed 62. Outcomes are pooled, not Trento-only. Selected degenerative robotic cohort excluding calcification, failed transcatheter repair and endocarditis. Historical operator attribution does not establish present booking availability.

Sources: Durable Robotic Mitral Repair of Degenerative Primary Regurgitation With Long-Term Follow-Up

Specialist expertiseMitral repair
Portrait of Joanna Chikwe

Joanna Chikwe

Cedars-Sinai

robotic mitral repair and Barlow disease

Joanna Chikwe chairs cardiac surgery at Cedars-Sinai’s Smidt Heart Institute. Her coauthored studies distinguish routine degenerative prolapse from complex Barlow disease and follow recurrent leakage as well as repair completion.

Sources: Eliminating the learning curve in robotic mitral valve repair: Results from 1400 patients. · Robotic repair for Barlow mitral regurgitation: Repairability, safety, and durability. · Joanna Chikwe, MD · Joanna Chikwe clinical profile

What the comparison can and cannot establish

Potential advantages

  • Procedure-specific evidence makes differences in technique, anatomy and observation period visible before comparing teams.

Trade-offs and limits

  • These studies are not a matched comparison of the listed surgeons. Personal treatment suitability and risk require clinical assessment.

How to read the comparison

Recruitment dates describe when operations took place; follow-up describes how long patients were observed. Both remain visible beside each study.

Complication and outcome definitions differ. Counts are not pooled, programme cohorts are not automatically personal surgeon totals, and smaller incisions are not treated as proof of better outcomes.

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