The robotic surgical system can be used for procedures other than those listed in the menu. These include tricuspid valve repair (rarely done alone; usually performed in conjunction with other procedures such as mitral valve repair). Robotic aortic valve surgery has been performed but only in very small numbers of patients and with recent developments in technology this may be feasible. We are carefully examining whether this type of procedure would be valuable to patients or not compared to standard aortic valve surgery or trans-catheter aortic valve replacement (TAVR).  We have extensive experience with these non-robotic minimally invasive techniques for aortic valve surgery and TAVR and favor these over a robotic approach at the current time for appropriate patients.  We also perform pacemaker lead placements for patients in severe heart failure when it cannot be done with a catheter-based procedure.