Evolution of mitral surgery: from closed commissurotomy to video assisted surgery

Mitral surgery is evolving along numerous improvements inmedical care as in surgical techniques. Up to date, the results are areduced in-hospital mortality, less than 1% for mitral repair and lessthan 8% for mitral replacement. Forthcoming surgical techniquesshould also improve associated morbidity especially with the use ofvideo enhanced or computer enhanced surgery. Quality of mitralsurgery remains based on principles described by Pr Cachera andothers.