Aortic Valve Surgery

The aortic valve is a one-way valve comprised of three leaflets that conducts blood flow from the main pumping chamber of your heart, the left ventricle, into the largest artery in your body, the aorta, which conducts blood throughout the rest of your body. When the left ventricle squeezes blood into the aorta, the aortic valve normally closes to prevent blood from flowing back into the left ventricle.

Diseases of the aortic valve are functionally classified into those that cause the valve to leak, known as aortic regurgitation or insufficiency, and those that narrow its opening, known as aortic stenosis. For both conditions, surgical replacement of the valve with a prosthetic valve may be needed.

The most common surgical approach to the aortic valve requires the surgeon to saw open the breastbone and spread the edges apart to gain direct access to the heart. Although this approach provides excellent exposure of the whole of the heart and great vessels, it is very invasive and takes several months to recover from with substantial activity restrictions. With a minimally invasive aortic valve replacement (AVR), a 2-3 inch skin incision is made and only part of the sternum is divided (approximately one-third to one-half) thus better preserving the integrity of the thoracic skeleton. Via this small skin incision, exposure of the aortic valve is superb and an experienced surgeon can implant a new valve. The greatest benefits of a minimally invasive AVR are faster speed of recovery and superior cosmetic result with some evidence that blood loss and need for blood transfusion are reduced.


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Why Mr. Paul Modi?


Mr Paul Modi is one of a handful of surgeons in the UK who performs minimally invasive keyhole heart surgeries and the only surgeon performing robotic heart surgery. He was one of the pioneer surgeons to perform a Totally Endoscopic Robotic Mitral Valve Repair in the UK.

Patients travel from all over the world for the surgical excellence of Mr. Modi.

He is one of a few cardiac surgeons worldwide who has been formally trained in the leading North American and German heart centres by all three of the surgeons who pioneered minimally invasive mitral valve surgery over 15 years ago.

He is a national and international trainer (proctor) in many of these techniques.


Minimally Invasive & Robotic Surgery


Minimally Invasive techniques provide a huge number of benefits for patients such as minimal scarring, less pain and a reduced chance of post-operative wound infections, and they shorten the recovery period from open-heart surgery from about 3 months down to about 3 weeks.

Why Minimally Invasive or Robotic Surgery?



Heals in 1-3 weeks
2-4 cm Incision
No Broken Breastbone
Virtually No Visible Scarring

See More Reasons

Watch Mr. Modi on The BBC Performing 1st Robotic Valve Surgery in UK

Minimally Invasive Mitral Valve Repair Broadcast on The BBC

Patient Testimonials


After my heart surgery within 6 weeks I was embarking upon a 30 hour journey to Brazil.

A Happy Patient

I was back playing 18 holes on the golf course one week after my keyhole mitral valve repair.

A Happy Patient