Abstract
The revolution of minimally invasive techniques from the last two decades lead to minimally invasive aortic valve replacement. Minimal “J” shaped sternotomy extended in to the 4 intercostal space provides good access to the aortic root and the possibility to connect the patient to the extracorporeal circulation machine without the use of new instruments. We present a 69-year-old patient that presents in to our clinic with degenerative aortic valve disease with severe stenosis and mild regurgitation. Minimally invasive aortic valve replacement was performed with success in our clinic, being a safe and efficient procedure. This technique could become the standard procedure for isolated aortic valve replacement, with substantial benefits regarding respiratory function.
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