Javier's Journal

Robert Miller  You should always get at least two opinions if time allows. So my recommendation would be that you visit both surgeons. Come up with dedicated questions that you jot down on a piece of paper before visiting. Sometimes, a  smaller hospital might be better because you have a less known surgeon but he does the surgery him/herself. For bigshots, it is often "apprentices" that doe the surgery, of course supervised by the "big shot". Also, check the learning center on this website to come up with questions. If you have a person that can come with to the appointment to take notes and possibly ask other questions, do so. This kind of interviewing process made all the difference to me. 

Susan Lynn  Javiee - Unless you have some other condition that makes surgery too risky,  you may want to opt for a surgical repair.   The MitraClip is relatively new and you look pretty young.   I'm not sure there's info on long-term success.   If you're looking for another opinion, you may want to consider Dr. Lamelas. He's known for minimally-invasive valve repairs. Good luck! 
https://doctors.umiamihealth.org/provider/joseph-lamelas/867364

Javier Sakamoto  Thank you Robert and Susan I really appreciate your comments. I would like not to have an open chest surgery when possible. I will try getting a second opinion. God bless you.

Robert Miller  I believe the most well-know minimal invasive surgeon is Dr. Gillinov. I had to rule him out because of travel but if you are ok to travel, that might be an option. 

Susan Lynn  Javier - Believe me,  none of us wanted surgery, but you're making a decision that will affect the rest of your life.   My surgery was performed through a 3 inch incision on the side of my chest.   There wasn't a sternum cut or the trauma of a bone healing afterward.   Consider all of the options and the long term results.   Best of luck. Please keep us posted on how you're doing. 

Javier Sakamoto  Thank you Robert and Susan . I was watching the interview with Dr. Gillinov about Robotic Mitral valve repair where they do 3 or 4 incision on the side and it is a very safe procedure. I am thinking about going to Cleveland. I also find out in Orland at the  Orlando Health they do have Robotic procedures but looks like they started this procedure in 2022.