The authors present their experience with totally endoscopic beating mitral valve surgery by presenting this case of mitral repair. They recently moved to beating mitral surgery due to the shortage of the endo-balloon aortic clamp which was their preferred method of myocardial protection. Their team does not feel very comfortable using the external clamps (Chitwood Clamp). Since last year, the authors started performing most of their endoscopic mitral and/or tricuspid endoscopic surgeries on a beating heart with favorable outcomes. This video presents their technique and pitfalls.
