Heart valve surgery is a procedure performed to repair or replace a heart valve that is not functioning properly. The goal of this surgery is to restore smooth blood flow, reduce the workload on the heart, and improve both the patient’s quality of life and life expectancy.
While conventional heart valve surgery previously required a large incision, a more modern and minimally invasive approach is now available, such as MICS MVR, which only requires a small incision of around 5 cm.

At Mandaya Royal Hospital Puri, this procedure is performed by dr. Wirya Ayu Graha, Sp.BTKV, Subsp.JD (K), a thoracic and cardiovascular surgeon experienced in a wide range of heart and vascular surgeries.
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Understanding Minimally Invasive MICS Heart Valve Surgery
MICS MVR (Minimally Invasive Mitral Valve Replacement) is a technique to replace the mitral valve through a small incision made between the ribs, without the need to open the breastbone. Typically, the incision is no more than 5 cm.

This approach serves as an alternative to conventional surgery as it is less invasive, resulting in smaller surgical wounds and better aesthetic outcomes.
In addition, it is designed to enhance patient comfort and safety, with a lower risk of bleeding, reduced post-operative pain, and faster recovery, allowing patients to return to their daily activities sooner.
Read also: Heart Surgery Without Sternotomy: MICS Bypass by dr. Wirya A. Graha, Sp.BTKV, Subsp.JD (K)
Advantages of MICS Heart Valve Surgery
MICS MVR is an option for patients seeking a more modern, comfortable, and well-controlled approach to heart treatment without undergoing open-heart surgery.
With a minimally invasive technique, this procedure offers several benefits, including:
- Reduced trauma to tissues and the breastbone
- Less post-operative pain
- Faster recovery and earlier return to normal activities
- Shorter hospital stay
- Smaller and more aesthetically pleasing surgical scars
Despite being minimally invasive, safety remains a top priority. MICS procedures are carried out with careful planning, supported by advanced medical technology, and closely monitored before, during, and after surgery.
Profile of dr. Wirya, a Minimally Invasive Cardiac Surgeon

dr. Wirya Ayu Graha, Sp.BTKV, Subsp.JD (K) is a thoracic and cardiovascular surgeon with extensive experience in performing various heart and vascular procedures. She completed her specialist training at the Faculty of Medicine, University of Indonesia, and continues to enhance her expertise through training and international scientific forums.
Her areas of focus include:
- Minimally Invasive Cardiac Surgery (MICS)
- Coronary Artery Bypass Graft (CABG) surgery
- Heart valve surgery
- Aortic surgery
dr. Wirya is also a member of the Indonesian Medical Association (IDI) and is committed to providing professional, safe, and patient-centered care.
Educational Background
- 2005–2010: Medical Degree, Faculty of Medicine, University of Indonesia
- 2013–2018: Thoracic and Cardiovascular Surgery Residency, Faculty of Medicine, University of Indonesia
- 2021: Fellowship in Vascular and Endovascular Surgery
Seminars & Training
Some of the scientific meetings and training programs she has attended include:
- 2017: 25th Annual Meeting of the Asian Society for Cardiovascular and Thoracic Surgery, Seoul, South Korea
- 2018: 28th Annual Meeting of the Association of the Thoracic and Cardiovascular Surgeon of Asia
- 2019: 1st Joint Biennial Southeast Asian Regional Congress on Cardiovascular and Thoracic Surgery & 20th MATCVS Annual Scientific Meeting, Malacca
- 2021: 25th European Vascular Course & 5th European Cardiovascular Course
Practice Schedule
dr. Wirya A. Graha, Sp.BTKV, Subsp.JD (K) is available at Mandaya Royal Hospital Puri on:
- Tuesday: 16:30 – 19:00 WIB
- Thursday: 16:30 – 19:00 WIB
- Saturday: 10:00 – 13:00 WIB
To make your visit easier, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter app available on Google Play and the App Store to manage appointments, check queue numbers, and access other information.
The information on this page is intended for educational and general informational purposes only and does not represent all medical services that may be provided by each doctor. For appropriate diagnosis and treatment, it is recommended to consult directly with the relevant physician.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.

