The contraindications to robotic mitral valve repair are:

• Intra-thoracic pathology such as previous right thoracotomy, severe pulmonary dysfunction, and chest deformity[3].
• Severe coronary artery disease requiring coronary artery bypass grafting[3].
• Definite ascending aortic aneurysm[4].
• Minor dilatation of the ascending aorta[4].
• Advanced rheumatic disease[4].
• Complex annulus reconstructions[4].
• Prior mastectomy, thoracic reconstruction, or chest wall irradiation[6].

It is important to note that patient selection is a process that should involve a multidisciplinary team and take into account the patient's overall health and medical history[2].

Citations:
[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5135553/
[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9551371/
[3] https://www.intechopen.com/chapters/66192
[4] https://jovs.amegroups.org/article/view/23159/html
[5] https://www.sciencedirect.com/science/article/pii/S2474870622007989
[6] https://journal.hsforum.com/index.php/HSF/article/view/889