NewHeart Watanabe Institute · Decision guide

NewHeart Watanabe Institute: heart surgery expertise

Tokyo, Japan · Robotic Barlow repair using an anatomy-specific strategy

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

At a glance

NewHeart Watanabe’s published mitral work focuses on Barlow disease, a complex form of prolapse. The team used artificial chordae as its first strategy and added leaflet resection when needed to manage systolic anterior motion.

124 Barlow repairs

The 2015–2022 robotic cohort included 124 selected patients, with no conversion to valve replacement.

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

Reported complications

The report recorded four bleeding events and one stroke; a small incision did not eliminate procedural risk.

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

Follow-up beyond discharge

Freedom from reoperation was 99.2% during mean follow-up of 36 months.

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

Entrance of NewHeart Watanabe Institute
NewHeart Watanabe Institute entrance, from the institute’s official facility overview. · Image source ↗

Reported surgical experience

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
171 isolated mitral valve operations

Programme 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 ↗ · 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
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124 robotic Barlow repairs

Watanabe coauthored the 2015–2022 series. None of the 124 patients converted to valve replacement; reported complications included four bleeding events and one stroke. Freedom from reoperation was 99.2% during mean follow-up of 36 months.

How to interpret this: Single-institution observational study without a randomized access comparison. Freedom from reoperation is not the same as freedom from recurrent leakage, and authorship does not allocate every case to one surgeon.

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

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