“…However, many surgeons remain concerned that the potential benefits of this technique come at the cost of vascular injuries, high rates of stroke and increased cardiopulmonary bypass (CPB) and cross clamp times. The debate between these two approaches is still ongoing as we anticipate the initial results of the UK "mini mitral trial" [1]. With this brief review we will attempt to provide an answer to the question whether there is a clinical equipoise about these two operations by critically reviewing some of the available publications on the subject.…”