I am constantly trying to improve my game, as we all should! Having said that, I am always looking at ways to simplify my method of accessing the valves and performing more complex procedures.
I have enclosed a picture of a mini MVR that I performed in 2004. Now, almost 10 years later, one can see that the incision has moved more lateral and superior. This has allowed me to have a more direct line vision of the mitral valve. I can truly say that I have a much more anatomic view of the valve despite it being further away. Hence, the ability to perform every single complex repair or replacement in the book.