Heart - Cardiology & Cardiovascular Surgery

Cardiac Surgery and Mitral Valve Repair

At Mount Sinai Heart, we have extensive experience with cardiovascular surgery. Our specialists are widely recognized for excellence in cardiac care and the ability to blend research and clinical practice. Outstanding outcomes and an unwavering commitment to quality, safety, and patient satisfaction greatly benefit a large volume of national and international patients and families every year. Cardiovascular surgery patients are supported by our world-renowned clinical cardiologists, who are experts in imaging and advanced diagnostic testing; our cardiac anesthesiologists, who have expertise in perioperative transesophageal echocardiography; and our specialized intensive care physicians provide integrated and personalized care plans. This multidisciplinary approach, in conjunction with continual enhancement of surgical technology and facilities, has led to a global reputation for cardiac surgical excellence. Specifically, The Mount Sinai Hospital is an international hub for complex heart valve procedures and reoperations due to its surgical rigor and exhaustive risk assessment.

Key service areas in cardiovascular surgery include:

  • Mitral valve repair
  • Reoperative cardiac surgery
  • Heart transplant
  • Coronary artery bypass grafting, including total arterial revascularization
  • Treatment of aortic aneurysms

We also help you maintain your cardiovascular health after surgery through lifestyle changes and medications.

Minimally Invasive Surgery

At Mount Sinai Heart, our cardiovascular surgeons consider many factors when determining if open-heart surgery is needed or if we can perform a minimally invasive procedure. We perform minimally invasive surgery through multiple small incisions, using specialized surgical instruments. Depending on factors such as age, risk factors, and specific condition, we may use minimally invasive surgery instead of open-heart surgery to treat a range of cardiovascular conditions.

Use of small incisions is termed "minimally invasive surgery". The advantage of a small incision is mainly cosmetic (the scars are smaller and less visible). In some patients, the pain after surgery may be reduced and recovery from surgery is faster when surgery is done through a smaller incision. Operating through small incisions is however more technically demanding and in some cases could reduce the safety of the procedure.

We offer minimally invasive surgery to selected patients. Not all patients are suitable for minimally invasive surgery. Patients who require additional cardiac procedures like coronary artery bypass surgery, elderly patients, patients with very diseased arteries, and patients with a very weakly contracting heart will not be suitable for this approach. Finally, our paramount objective is to ensure a good valve repair, with no residual leakage, at a low operative risk. Our surgeons will only perform a repair through a small incision when they believe they can do a good quality valve repair at a low risk to the patient; if the valve disease is complicated (as assessed by the echocardiogram) then we recommend a full incision as we believe a larger scar is preferable to an imperfect repair.

Minimally invasive heart surgery is performed through small incisions, using specialized surgical instruments. The benefits of minimally invasive heart surgery techniques include:

  • Preserving the breastbone (sternum)
  • Preserving the anatomic and physiologic mechanics of the chest
  • Smaller incision resulting into smaller scar
  • Less post-operative pain
  • Shorter length of stay after surgery
  • Shorter recovery time and return to regular activities