Mayo Clinic's approach

A team of doctors in a discussion. Mayo Clinic team discussion

A multidisciplinary team of care providers at Mayo Clinic discusses research and technology, such as 3D printing of models of the heart.

Note: Items within this content were created prior to the coronavirus disease 2019 (COVID-19) pandemic and do not demonstrate proper pandemic protocols. Please follow all recommended Centers for Disease Control and Prevention guidelines for masking and social distancing.

At Mayo Clinic, cardiovascular surgeons work together as a team with cardiologists and other health care providers to provide coordinated, comprehensive care for people who need mitral valve repair or mitral valve replacement.

Mayo doctors have been pioneers in cardiac surgery for many years. Mayo Clinic cardiologists evaluate more than 19,000 people with mitral valve disease each year.

Mayo doctors in the Valvular Heart Disease Clinic have extensive experience and expertise evaluating and treating people with mitral valve disease and other heart valve diseases.

  • Collaborative care. Health care providers at Mayo Clinic provide care for you as a whole person. They take the time to get to know you and work with you to provide exactly the care you need. If you have other heart conditions that require surgery, surgeons may often perform these procedures at the same time as mitral valve repair or mitral valve replacement.
  • Advanced technology and treatment. Cardiovascular surgeons at Mayo Clinic use the most advanced treatment options for mitral valve repair and mitral valve replacement. Sometimes minimally invasive heart surgery is done. This type of surgery involves smaller incisions and may allow a quicker recovery than open-heart surgery.

    Minimally invasive heart surgery includes surgery performed using instruments inserted through one or more small incisions in the chest (thoracoscopic surgery), surgery performed through a small incision in the chest, or surgery performed by a surgeon using robotic arms (robot-assisted heart surgery).

    Mayo Clinic interventional cardiologists use long, thin tubes (catheters) and clips or other devices to treat some types of mitral valve disease.

  • Innovative research. Mayo Clinic doctors and researchers develop and test advanced technology and techniques for mitral valve repair and mitral valve replacement. Research topics have included new minimally invasive catheter procedures to repair or replace a mitral valve.
Minimally invasive heart surgery at Mayo Clinic

A Mayo Clinic surgeon performs minimally invasive heart surgery using long instruments inserted through small incisions in the chest.

A surgical team at the operating table during robot-assisted heart surgery Robot-assisted heart surgery team at Mayo Clinic

A Mayo Clinic surgeon and surgical team help with robot-assisted heart surgery, while another surgeon sits at a remote console controlling the robotic arms.

Expertise and rankings

A doctor and surgeon in a discussion Collaboration

A Mayo Clinic doctor and surgeon collaborate and discuss mitral valve repair and replacement.

Mayo Clinic cardiovascular and cardiothoracic surgeons in Arizona, Florida and Minnesota have extensive experience performing a wide range of cardiac surgeries, including mitral valve repair or mitral valve replacement. Mayo doctors perform more than 600 mitral valve repairs and mitral valve replacements each year.

Pediatric cardiologists and pediatric cardiac surgeons at Mayo Clinic's campus in Minnesota have experience treating children with mitral valve disease and other heart conditions.

Nationally recognized expertise

Mayo Clinic campuses are nationally recognized for expertise in cardiology and cardiovascular surgery:

  • Mayo Clinic in Rochester, Minn., is ranked among the Best Hospitals for heart and heart surgery by U.S. News & World Report.
  • Mayo Clinic Children's Center in Rochester is ranked the No. 1 hospital in Minnesota, and the five-state region of Iowa, Minnesota, North Dakota, South Dakota and Wisconsin, according to U.S. News & World Report's 2022–2023 "Best Children's Hospitals" rankings.
  • Mayo Clinic in Phoenix/Scottsdale, Ariz., is ranked among the Best Hospitals for heart and heart surgery by U.S. News & World Report.

With Mayo Clinic's emphasis on collaborative care, specialists at each of the campuses — Minnesota, Arizona and Florida — interact very closely with colleagues at the other campuses and the Mayo Clinic Health System.

Learn more about Mayo Clinic's Cardiovascular Surgery and Cardiovascular Medicine departments' expertise and rankings.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

More information about billing and insurance:

Mayo Clinic in Arizona, Florida and Minnesota

Mayo Clinic Health System

Clinical trials

Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions.

March 18, 2022
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  2. Mitral regurgitation. Merck Manual Professional Version. https://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/mitral-regurgitation. Accessed Jan. 24, 2022.
  3. Mitral stenosis. Merck Manual Professional Version. http://www.merckmanuals.com/professional/cardiovascular-disorders/valvular-disorders/mitral-stenosis. Accessed Jan. 24, 2022.
  4. Otto CM, et al. 2020 ACC/AHA Guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Journal of the American College of Cardiology. 2020; doi:10.1016/j.jacc.2020.11.018.
  5. Felker GM, et al., eds. Heart failure as a consequence of valvular heart disease. In: Heart Failure: A Companion to Braunwald's Heart Disease. 4th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Jan. 24, 2022.
  6. Office of Patient Education. Recovering from heart surgery: Your care at home. Mayo Clinic; 2019.
  7. Heart valve disease resources: Considerations for surgery. American Heart Association. https://www.heart.org/en/health-topics/heart-valve-problems-and-disease/heart-valve-disease-resources. Accessed Jan. 24, 2022.
  8. AskMayoExpert. Mitral regurgitation. Mayo Clinic; 2020.
  9. AskMayoExpert. Mitral stenosis (adult). Mayo Clinic; 2020.
  10. Aldea GS. Minimally invasive aortic and mitral valve surgery. https://www.uptodate.com/contents/search. Accessed Jan. 24, 2022.
  11. Simonato M., et al. Transcatheter mitral valve replacement after surgical repair or replacement: Comprehensive midterm evaluation of valve-in-valve and valve-in-ring implantation from the VIVID registry. Circulation. 2021. doi:10.1161/CIRCULATIONAHA.120.049088.
  12. Phillips SD (expert opinion). Mayo Clinic. May 3, 2021.
  13. Fiorilli PN, et al. Transcatheter mitral valve replacement: Latest advances and future directions. Annals of Cardiothoracic Surgery. 2021; doi:10.21037/acs-2020-mv-21.
  14. Braswell-Pickering EA. Allscripts EPSi. Mayo Clinic. Feb. 10, 2022.
  15. Heart surgery. National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health-topics/heart-surgery. Accessed Jan. 24, 2022.
  16. Thourani VH, et al. Transcatheter aortic valve replacement after prior mitral valve surgery: Results from the transcatheter valve therapy registry. Annals of Thoracic Surgery. 2020; doi:10.1016/j.athoracsur.2019.08.113.
  17. Schaff HV, et al. Contemporary techniques for mitral valve repair — The Mayo Clinic experience. Indian Journal of Thoracic and Cardiovascular Surgery. 2020; doi:10.1007/s12055-019-00801-6.
  18. Maltais S, et al. Robotic mitral valve repair: Indication for surgery does not influence early outcomes. Mayo Clinic Proceedings. 2019; doi:10.1016/j.mayocp.2019.05.025.
  19. Easterwood RM, et al. The evolution of minimally invasive cardiac surgery: From minimal access to transcatheter approaches. Future Cardiology. 2018; doi:10.2217/fca-2017-0048.
  20. Braswell-Pickering EA. Allscripts EPSi. Mayo Clinic. July 6, 2021.

Mitral valve repair and mitral valve replacement