What are the contraindications for robotic mitral valve repair? My mother is 81, has increasing symptomology of MVR with A Fib that is limiting her active lifestyle. She has a long hx of asthma and somewhat limited pulmonary fxn tests but has never smoked (or lived w/a smoker), does not drink, loves to exercise but now severely limited,. and has a strong mental drive. She is on lisinipril 10mg, asa 81mg, metoprolol 25mg, a preventive inhaler, and a rescue inhaler. She is very hopeful that this may be an option. Is there an age that this surgery becomes inappropriate and insurance refuses to pay?