{"schema_version":"bookimed.page-context.v1","id":"mitral-valve-repair","url":"https://hub.bookimed.com/heart-surgery/mitral-valve-repair/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/mitral-valve-repair.json","index_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/index.json","full_dataset_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/content.json","content_revision":"source-driven-rankings-20261008","date_modified":"2026-10-08","language":"en","kind":"guide","title":"Mitral valve prolapse and regurgitation: repair or replacement?","summary":"Mitral repair preserves a leaking native valve when a durable reconstruction is feasible. The lesion and cause of leakage determine the repair; robotic assistance changes the access and instruments rather than guaranteeing durability.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research personally prepared and reviewed","assistance":"AI tools assisted source research."},"editorial_scope":"Source-based patient information; an individual treatment plan requires clinical review.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov . We link clinical guidance, primary studies and named hospital or offer sources beside the relevant statements. Comparisons distinguish individual operators from programme results and preserve the study population, follow-up and limitations. Prices are dated examples with their stated scope. Research and editorial preparation are separate from clinical review; no named clinician has medically reviewed this edition. Bookimed provides care coordination. Partner and reference programmes are identified from their sources; paid ordering is not used in our published-cohort comparison. Read the editorial policy .","key_takeaways":[{"label":"Cause matters","text":"Primary leaflet disease and leakage secondary to heart-muscle changes follow different treatment pathways.","sources":["C03"]},{"label":"330 adults in a randomized access trial","text":"Minithoracotomy repair had a median five-day hospital stay versus six with sternotomy, without superior physical function at 12 weeks.","sources":["C05"]},{"label":"Turkey listing from $14,900","text":"This is a starting figure for mitral repair, not an itemised named-surgeon package.","sources":["bookimed-mitral-cost-20261008"]}],"benefits":[{"text":"A durable repair retains the patient’s valve and avoids implanting a replacement prosthesis.","sources":["C03"]}],"limitations":[{"text":"Complex leaflet disease, calcification or an inadequate repair may require replacement; a high repair rate from selected cases is not an individual prediction.","sources":["C03","C04"]}],"sections":[{"id":"benefit-balance","title":"Benefits and trade-offs","text":"Benefits and trade-offs Potential advantages A durable repair retains the patient’s valve and avoids implanting a replacement prosthesis. Sources: ESC/EACTS valve guidance (2025) Trade-offs and limits Complex leaflet disease, calcification or an inadequate repair may require replacement; a high repair rate from selected cases is not an individual prediction. Sources: ESC/EACTS valve guidance (2025) · NHS: valve types","links":[{"label":"ESC/EACTS valve guidance (2025)","url":"https://www.escardio.org/news/news-room/congress-news/2025-guidelines-valvular-heart-disease/"},{"label":"ESC/EACTS valve guidance (2025)","url":"https://www.escardio.org/news/news-room/congress-news/2025-guidelines-valvular-heart-disease/"},{"label":"NHS: valve types","url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/how-its-done/"}]},{"id":"mechanism","title":"First identify the cause of the leak","text":"First identify the cause of the leak Primary regurgitation involves the valve apparatus itself. Secondary regurgitation follows changes in the ventricle or atrium and may need a different treatment pathway. A prolapsing leaflet, a complex bileaflet valve and SAM associated with HCM should not all be treated as the same repair problem. Sources: ESC/EACTS valve guidance (2025) · 2024 HCM guideline: official teaching slides Latent obstruction & SAM ↗ Heart failure, LVAD & transplant ↗","links":[{"label":"ESC/EACTS valve guidance (2025)","url":"https://www.escardio.org/news/news-room/congress-news/2025-guidelines-valvular-heart-disease/"},{"label":"2024 HCM guideline: official teaching slides","url":"https://professional.heart.org/-/media/PHD-Files/Education/2024_HCM_Guideline_for_the_Management_of_HCM_Slide_Deck.pdf"},{"label":"Latent obstruction & SAM ↗","url":"https://hub.bookimed.com/heart-surgery/latent-obstructive-hcm/"},{"label":"Heart failure, LVAD & transplant ↗","url":"https://hub.bookimed.com/heart-surgery/heart-failure-surgery/"}]},{"id":"repair","title":"What makes a repair comparison useful","text":"What makes a repair comparison useful A high repair rate in selected straightforward cases is not a forecast for a complex valve. Our evidence comparisons retain the lesion mix and follow-up behind each figure. Feature Why it changes the choice Leaflet and chordal anatomy Determines the reconstruction needed and the feasibility of durable repair Durability Recurrent moderate/severe leakage and repeat surgery are different outcomes from an initial successful repair Access Robotic or smaller-incision surgery must deliver the same intended reconstruction Replacement fallback A valve that cannot be adequately repaired may require a prosthesis with long-term trade-offs Sources: ESC/EACTS valve guidance (2025) · UK Mini Mitral trial · JAMA (2023) Compare surgeon expertise ↗","links":[{"label":"ESC/EACTS valve guidance (2025)","url":"https://www.escardio.org/news/news-room/congress-news/2025-guidelines-valvular-heart-disease/"},{"label":"UK Mini Mitral trial · JAMA (2023)","url":"https://jamanetwork.com/journals/jama/fullarticle/2805908"},{"label":"Compare surgeon expertise ↗","url":"https://hub.bookimed.com/heart-surgery/mitral-valve-repair-surgeon-comparison/"}],"tables":[[["Feature","Why it changes the choice"],["Leaflet and chordal anatomy","Determines the reconstruction needed and the feasibility of durable repair"],["Durability","Recurrent moderate/severe leakage and repeat surgery are different outcomes from an initial successful repair"],["Access","Robotic or smaller-incision surgery must deliver the same intended reconstruction"],["Replacement fallback","A valve that cannot be adequately repaired may require a prosthesis with long-term trade-offs"]]]},{"id":"robotic","title":"Robotic surgery and recovery","text":"Robotic surgery and recovery Robotic assistance is an access and instrument choice. It does not itself identify a more durable repair. The UK Mini Mitral randomized trial compared minithoracotomy with sternotomy in degenerative repair: median hospital stay was 5 versus 6 days, while the primary physical-function result at 12 weeks did not establish superiority. This was not a robotic-versus-open trial. Sources: UK Mini Mitral trial · JAMA (2023) Minimally invasive ↗ Recovery ↗","links":[{"label":"UK Mini Mitral trial · JAMA (2023)","url":"https://jamanetwork.com/journals/jama/fullarticle/2805908"},{"label":"Minimally invasive ↗","url":"https://hub.bookimed.com/heart-surgery/minimally-invasive/"},{"label":"Recovery ↗","url":"https://hub.bookimed.com/heart-surgery/recovery/"}]},{"id":"alternatives","title":"Replacement and catheter treatment","text":"Replacement and catheter treatment If durable repair is not feasible, valve replacement is an alternative. Mechanical valves require lifelong anticoagulation; tissue valves may deteriorate and need another intervention. TEER is a separate catheter treatment for selected patients, including some with symptomatic severe secondary regurgitation despite optimized heart-failure care. Sources: ESC/EACTS valve guidance (2025) · NHS: valve types Heart valves ↗","links":[{"label":"ESC/EACTS valve guidance (2025)","url":"https://www.escardio.org/news/news-room/congress-news/2025-guidelines-valvular-heart-disease/"},{"label":"NHS: valve types","url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/how-its-done/"},{"label":"Heart valves ↗","url":"https://hub.bookimed.com/heart-surgery/heart-valve-surgery/"}]},{"id":"cost","title":"Mitral valve repair cost: compare the intended repair","text":"Mitral valve repair cost: compare the intended repair Bookimed’s Turkey mitral-repair listing displayed a starting price of USD 14,900 on 8 October 2026. This is a listing-level starting figure; it does not specify a complete individual repair package or establish what a named surgeon will charge. Repair can involve an annuloplasty ring, artificial chordae or other reconstruction. These materials differ from a replacement prosthesis. Access route, combined procedures and length of hospital care also affect the price; a valve-replacement package does not establish the price of repair. Your quote should name Why it matters Planned repair and materials Clarifies the operative scope instead of using a generic heart-valve label Possible replacement Explains consent, valve choice and financial terms if the plan changes Access and combined procedures Separates isolated repair from a combined or different operation Hospital and follow-up care Makes additional nights, rehabilitation and later echocardiography comparable Sources: Mitral valve repair in Turkey: displayed starting price, 8 October 2026 · ESC/EACTS valve guidance (2025) Costs & quotes ↗","links":[{"label":"Mitral valve repair in Turkey: displayed starting price, 8 October 2026","url":"https://us-uk.bookimed.com/clinics/country=turkey/procedure=mitral-valve-repair/"},{"label":"ESC/EACTS valve guidance (2025)","url":"https://www.escardio.org/news/news-room/congress-news/2025-guidelines-valvular-heart-disease/"},{"label":"Costs & quotes ↗","url":"https://hub.bookimed.com/heart-surgery/cost/"}],"tables":[[["Your quote should name","Why it matters"],["Planned repair and materials","Clarifies the operative scope instead of using a generic heart-valve label"],["Possible replacement","Explains consent, valve choice and financial terms if the plan changes"],["Access and combined procedures","Separates isolated repair from a combined or different operation"],["Hospital and follow-up care","Makes additional nights, rehabilitation and later echocardiography comparable"]]]},{"id":"brief","title":"The long-term value of a durable repair","text":"The long-term value of a durable repair Keeping the native valve is valuable only if it functions well over time. Follow-up echocardiography tracks leakage, while clinical review tracks symptoms and activity. Those outcomes are more informative than the incision alone. Sources: ESC/EACTS valve guidance (2025) · UK Mini Mitral trial · JAMA (2023)","links":[{"label":"ESC/EACTS valve guidance (2025)","url":"https://www.escardio.org/news/news-room/congress-news/2025-guidelines-valvular-heart-disease/"},{"label":"UK Mini Mitral trial · JAMA (2023)","url":"https://jamanetwork.com/journals/jama/fullarticle/2805908"}]},{"id":"matching-specialists","title":"Specialists for this treatment pathway","text":"Specialists for this treatment pathway Explore each specialist’s clinical focus, current programme and the studies relevant to this treatment. The listed roles include cardiac surgeons and, where appropriate, interventional cardiologists. Portrait source ↗ Cleveland, Ohio · United States cardiac surgeon A. Marc Gillinov → Gillinov’s Cleveland Clinic practice includes mitral repair and robotic mitral surgery. Cleveland Clinic → Sources: A. Marc Gillinov, MD | Cleveland Clinic · Early results of robotically assisted mitral valve surgery: Analysis of the first 1000 cases View expertise and research → Portrait source ↗ Chicago · United States cardiac surgeon Husam H. Balkhy → Balkhy performs robotic mitral valve surgery at UChicago Medicine, including complex repair. In the hospital’s reported bileaflet case, his team used artificial chordae and an annuloplasty ring. UChicago Medicine → Sources: Husam H. Balkhy, MD View expertise and research → Portrait source ↗ Tokyo · Japan cardiac surgeon Go Watanabe → Watanabe’s NewHeart team has published robotic repair of complex Barlow valves using artificial chordae and selective leaflet resection. NewHeart Watanabe Institute → Sources: Outcomes of Barlow mitral valve repaired by robot-assisted keyhole surgery. · Robot-assisted surgery and team profiles View expertise and research → Portrait source ↗ Los Angeles · United States cardiac surgeon Joanna Chikwe → Chikwe’s Cedars-Sinai work includes robotic repair of degenerative mitral valves and complex Barlow disease. Her programme’s studies follow recurrent leakage as well as whether the valve was repaired. Cedars-Sinai → Sources: Joanna Chikwe clinical profile · Eliminating the learning curve in robotic mitral valve repair: Results from 1400 patients. · Robotic repair for Barlow mitral regurgitation: Repairability, safety, and durability. View expertise and research → Browse the full specialist directory →","links":[{"label":"Portrait source ↗","url":"https://providers.clevelandclinic.org/provider/a-marc-gillinov/4268438"},{"label":"A. Marc Gillinov →","url":"https://hub.bookimed.com/heart-surgery/doctor-marc-gillinov/"},{"label":"Cleveland Clinic →","url":"https://hub.bookimed.com/heart-surgery/clinic-cleveland/"},{"label":"A. Marc Gillinov, MD | Cleveland Clinic","url":"https://providers.clevelandclinic.org/provider/a-marc-gillinov/4268438"},{"label":"Early results of robotically assisted mitral valve surgery: Analysis of the first 1000 cases","url":"https://pubmed.ncbi.nlm.nih.gov/28893396/"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-marc-gillinov/"},{"label":"Portrait source ↗","url":"https://www.uchicagomedicine.org/find-a-physician/physician/husam-h-balkhy"},{"label":"Husam H. Balkhy →","url":"https://hub.bookimed.com/heart-surgery/doctor-husam-balkhy/"},{"label":"UChicago Medicine →","url":"https://hub.bookimed.com/heart-surgery/clinic-uchicago/"},{"label":"Husam H. Balkhy, MD","url":"https://www.uchicagomedicine.org/find-a-physician/physician/husam-h-balkhy"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-husam-balkhy/"},{"label":"Portrait source ↗","url":"https://newheart.jp/introduction/greeting.php"},{"label":"Go Watanabe →","url":"https://hub.bookimed.com/heart-surgery/doctor-go-watanabe/"},{"label":"NewHeart Watanabe Institute →","url":"https://hub.bookimed.com/heart-surgery/clinic-newheart-watanabe/"},{"label":"Outcomes of Barlow mitral valve repaired by robot-assisted keyhole surgery.","url":"https://pubmed.ncbi.nlm.nih.gov/38152230/"},{"label":"Robot-assisted surgery and team profiles","url":"https://newheartwatanabe.com/en/"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-go-watanabe/"},{"label":"Portrait source ↗","url":"https://pulse.cedars-sinai.org/participant/joanna-chikwe-md"},{"label":"Joanna Chikwe →","url":"https://hub.bookimed.com/heart-surgery/doctor-joanna-chikwe/"},{"label":"Cedars-Sinai →","url":"https://hub.bookimed.com/heart-surgery/clinic-cedars-sinai/"},{"label":"Joanna Chikwe clinical profile","url":"https://www.cedars-sinai.org/provider/joanna-chikwe-2111380.html"},{"label":"Eliminating the learning curve in robotic mitral valve repair: Results from 1400 patients.","url":"https://pubmed.ncbi.nlm.nih.gov/41177574/"},{"label":"Robotic repair for Barlow mitral regurgitation: Repairability, safety, and durability.","url":"https://pubmed.ncbi.nlm.nih.gov/35803829/"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-joanna-chikwe/"},{"label":"Browse the full specialist directory →","url":"https://hub.bookimed.com/heart-surgery/mitral-valve-repair-surgeons/"}]}],"introduction":"Heart surgery guide / Mitral repair Mitral repair · Decision guide Mitral valve prolapse and regurgitation: repair or replacement? Compare the repair plan for your valve, the relevance of robotic surgery and the evidence that matters after discharge. Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance Mitral repair preserves a leaking native valve when a durable reconstruction is feasible. The lesion and cause of leakage determine the repair; robotic assistance changes the access and instruments rather than guaranteeing durability. Cause matters Primary leaflet disease and leakage secondary to heart-muscle changes follow different treatment pathways. Sources: ESC/EACTS valve guidance (2025) 330 adults in a randomized access trial Minithoracotomy repair had a median five-day hospital stay versus six with sternotomy, without superior physical function at 12 weeks. Sources: UK Mini Mitral trial · JAMA (2023) Turkey listing from $14,900 This is a starting figure for mitral repair, not an itemised named-surgeon package. Sources: Mitral valve repair in Turkey: displayed starting price, 8 October 2026","related_documents":[{"id":"heart-surgery","title":"Heart surgery abroad: treatments, clinics and costs","kind":"home","url":"https://hub.bookimed.com/heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-surgery.json"},{"id":"heart-valve-surgery","title":"Heart valve surgery: repair, replacement and catheter options","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/heart-valve-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-valve-surgery.json"},{"id":"minimally-invasive","title":"Minimally invasive and robotic heart surgery","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/minimally-invasive/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/minimally-invasive.json"},{"id":"clinics","title":"Heart surgery clinics: compare techniques and specialist teams","kind":"directory","url":"https://hub.bookimed.com/heart-surgery/clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinics.json"},{"id":"cost","title":"Heart surgery costs: valve surgery and CABG quotes","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/cost/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/cost.json"},{"id":"recovery","title":"Recovery after heart surgery: hospital, home and travel","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/recovery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/recovery.json"},{"id":"second-opinion","title":"Prepare for a heart surgery second opinion","kind":"inquiry","url":"https://hub.bookimed.com/heart-surgery/second-opinion/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/second-opinion.json"},{"id":"latent-obstructive-hcm","title":"Latent obstructive HCM: exercise gradients, SAM and surgery","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/latent-obstructive-hcm/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/latent-obstructive-hcm.json"},{"id":"heart-failure-surgery","title":"Heart failure surgery: underlying causes, LVAD and transplant","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/heart-failure-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-failure-surgery.json"},{"id":"surgeon-rankings","title":"Heart surgeon rankings by reported experience, method and results","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/surgeon-rankings/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeon-rankings.json"},{"id":"doctor-marc-gillinov","title":"A. Marc Gillinov: Mitral repair specialist","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-marc-gillinov/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-marc-gillinov.json"},{"id":"doctor-husam-balkhy","title":"Husam H. Balkhy: robotic coronary bypass surgery","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-husam-balkhy/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-husam-balkhy.json"},{"id":"doctor-go-watanabe","title":"Go Watanabe: robotic mitral valve repair","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-go-watanabe/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-go-watanabe.json"},{"id":"doctor-joanna-chikwe","title":"Joanna Chikwe: robotic mitral repair and Barlow disease","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-joanna-chikwe/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-joanna-chikwe.json"},{"id":"clinic-cleveland","title":"Cleveland Clinic: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-cleveland/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-cleveland.json"},{"id":"clinic-uchicago","title":"UChicago Medicine: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-uchicago/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-uchicago.json"},{"id":"clinic-newheart-watanabe","title":"NewHeart Watanabe Institute: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-newheart-watanabe/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-newheart-watanabe.json"},{"id":"clinic-cedars-sinai","title":"Cedars-Sinai: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-cedars-sinai/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-cedars-sinai.json"},{"id":"mitral-valve-repair-surgeons","title":"Mitral valve repair surgeons","kind":"specialist-directory","url":"https://hub.bookimed.com/heart-surgery/mitral-valve-repair-surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/mitral-valve-repair-surgeons.json"},{"id":"mitral-valve-repair-surgeon-comparison","title":"Mitral valve repair surgeon rankings: experience, methods and results","kind":"evidence-directory","url":"https://hub.bookimed.com/heart-surgery/mitral-valve-repair-surgeon-comparison/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/mitral-valve-repair-surgeon-comparison.json"}],"ranking":{"engine_version":"reported-volume-v1","facts_digest":"b2057ed11422aaf9ecbef7849da5e5c2be583ed36f70e64a8a183767f7154fef","calculated_at":"2026-10-08","facts":[{"id":"cc-isolated-mv-repair-2025","provider_id":"marc-gillinov","family":"mitral","subject_scope":"programme","measurement":"annual","procedure":"isolated_mitral_repair","inclusion_scope":"isolated","value":447,"relation":"exact","display":"447","unit":"Isolated mitral valve repair; all approaches","period_label":"Calendar year 2025","reported_as_of":"2025-12-31","method":"Isolated mitral valve repair; all approaches. ","year":2025,"period_start":"2025-01-01","period_end":"2025-12-31","source":{"url":"https://consultqd.clevelandclinic.org/vital-statistics-in-adult-cardiac-surgery-including-valve-and-aorta-operations","title":"Cleveland Clinic 2025 adult cardiac surgery volumes and outcomes","publisher":"Institution / clinical programme","published":"2026-03-16"},"checked_at":"2026-10-08"},{"id":"cc-isolated-mv-replace-2025","provider_id":"marc-gillinov","family":"mitral","subject_scope":"programme","measurement":"annual","procedure":"isolated_mitral_replacement","inclusion_scope":"isolated","value":167,"relation":"exact","display":"167","unit":"Isolated mitral valve replacement; all approaches","period_label":"Calendar year 2025","reported_as_of":"2025-12-31","method":"Isolated mitral valve replacement; all approaches. ","year":2025,"period_start":"2025-01-01","period_end":"2025-12-31","source":{"url":"https://consultqd.clevelandclinic.org/vital-statistics-in-adult-cardiac-surgery-including-valve-and-aorta-operations","title":"Cleveland Clinic 2025 adult cardiac surgery volumes and outcomes","publisher":"Institution / clinical programme","published":"2026-03-16"},"checked_at":"2026-10-08"},{"id":"cc-isolated-mv-all-2025","provider_id":"marc-gillinov","family":"mitral","subject_scope":"programme","measurement":"annual","procedure":"isolated_mitral_surgery","inclusion_scope":"isolated","value":614,"relation":"exact","display":"614","unit":"Isolated mitral valve repair or replacement; all approaches","period_label":"Calendar year 2025","reported_as_of":"2025-12-31","method":"Isolated mitral valve repair or replacement; all approaches.  Calculated from 447 repairs + 167 replacements in the same isolated-procedure table.","derivation":{"formula":"447 + 167 = 614","component_ids":["cc-isolated-mv-repair-2025","cc-isolated-mv-replace-2025"]},"year":2025,"period_start":"2025-01-01","period_end":"2025-12-31","source":{"url":"https://consultqd.clevelandclinic.org/vital-statistics-in-adult-cardiac-surgery-including-valve-and-aorta-operations","title":"Cleveland Clinic 2025 adult cardiac surgery volumes and outcomes","publisher":"Institution / clinical programme","published":"2026-03-16"},"checked_at":"2026-10-08"},{"id":"cc-robotic-mv-2025","provider_id":"marc-gillinov","family":"mitral","subject_scope":"programme","measurement":"cumulative","procedure":"robotic_mitral_surgery","inclusion_scope":"isolated-and-combined","value":2600,"relation":"more_than","display":"2,600+","unit":"Robotically assisted mitral valve procedures","period_label":"Cumulative at podcast date; start not assigned","reported_as_of":"2025-02-25","method":"Robotically assisted mitral valve procedures. ","source":{"url":"https://my.clevelandclinic.org/podcasts/love-your-heart/advances-in-heart-surgery-at-cleveland-clinic-part-i","title":"Advances in Heart Surgery at Cleveland Clinic — Part I","publisher":"Institution / clinical programme","published":"2025-02-25"},"checked_at":"2026-10-08"},{"id":"cedars-robotic-repair-2020","provider_id":"cedars-mitral","family":"mitral","subject_scope":"programme","measurement":"cumulative","procedure":"robotic_mitral_repair","inclusion_scope":"isolated-and-combined","value":1000,"relation":"more_than","display":"1,000+","unit":"Provider-described successful robotic mitral repairs","period_label":"Cumulative as of February 2020; start not specified","reported_as_of":"2020-02-14","method":"Provider-described successful robotic mitral repairs. 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