This video describes one of the authors’ initial series of combined mitral and aortic valve surgery and highlights the steps involved for an endoscopic approach. The authors hypothesize that this technique could result in lower ventilation times, less blood loss, less postoperative pain, and fewer ICU and hospital stays, as seen with endoscopic single valve surgery. They also highlight the long learning curve and the expertise required to use this technique in combined mitral and aortic valve surgery.
