The Procedure


(Minimally Invasive Cardiac Surgery)

An Effective and Attractive Alternative: MICS Valve Surgery

Patients who need heart valve repair/replacement surgery and desire a minimally invasive approach have a safe and efficacious option: a procedure performed through a minimal access incision (without the additional trauma associated with a traditional sternotomy approach).

The clinically-proven outcome benefits in addition to the safety and reproducibility of the procedure, combined with shorter recovery periods, more attractive cosmetic results, and increased satisfaction levels, make it an appealing option for both patient and surgeon alike.


“The Miami Method”

What is the Miami Method?

The “Miami Method” is an approach technique for achieving optimal access and exposure of target sites while performing MICS procedures in which small incision approaches are utilized. These procedures are performed under direct vision through right-chest mini thoracotomies.

Miami Method – AVR access is achieved by creating a 5-6 cm transverse incision made over the second or third intercostal space, and the second or third costochondral cartilage is transected.

Miami Method – MVR access is achieved by creating a 4-5 cm incision in the fourth or fifth intercostal space lateral to the anterior axillary line.

The primary strategy for Miami Method cardiopulmonary bypass cannulation is achieved by utilization of alternative peripheral cannulation sites as determined by patient indications.


Intercostal Access Sites


Skin Incision Sites

AVR Incision Site


MVR Incision Site


AVR/MVR Incision Sitemini-AVR-MVR-incision


More about procedures:

Potential benefits of procedures (as validated by clinical study publications)

  • Reduced trauma and pain
  • Decreased blood loss (less blood product transfusion)
  • Decreased wound infection
  • Reduced recovery time
  • Better cosmetic results and improved patient satisfaction
  • Improved mortality in select patient cohorts
  • No differences in morbidity and mortality in overall patient population
  • Facilitates redo surgery
  • Avoidance of sternal wound complications

Potential Applications for procedures

  • Aortic Valve Disease (inclusive of re-do procedures)
  • AVR + CABG (RCA)
  • Mitral Valve Disease (inclusive of re-do procedures)
  • Tricuspid Valve Disease
  • Double Valve (AVR/MVR and MVR/TVR)
  • ASD (Secundum or Primum)
  • Atrial Myxoma
  • Concomitant Atrial Fibrillation (MVR + Maze)
  • CABG