This is a minimally invasive TVRepair via a mini - thoracotomy approach ("The Miami Method").
After repair of the MV, the femoral venous cannula is withdrawn into the IVC and snared. Thereafter, with both cava's snared, the right atrium is opened and a sump suction is placed into the SVC. This TVR approach does not require an additional cannula placed into the IJ and SVC from the neck.
A very simplified technique is demonstrated.
