they did my surgery that way a small incision under my right arm and the surgeon was able to actually repair my own mitral valve i still get skipped beats sometimes but he said they will get better in a few months i have a little discomfort but my meds take care of that.. Truly amazing some are even done by a robot i heard.. It took the surgeon less time to repair my valve than it takes us to do a simple valve job in my shop. Thank you for the post