Robotic endoscopic mitral valve repair with the endoballoon in a patient with right aortic arch.

We describe a patient with right aortic arch who underwent robotic endoscopic mitral valve repair with the endoballoon for severe mitral regurgitation. We review the important issues when performing totally endoscopic robotic surgery in a case with such congenital aortic anomaly that must be appreciated to ensure safe surgery in this situation.