Objectives: To evaluate the significance of a balloon expandable system (INTUITY Elite), we compared open surgical minimally- invasive AVR with conventional bioprosthetic valves and minimally- invasive AVR with rapid deployment system. This study shall investigate new innovations concerning aortic valve replacement. Methods: This retrospective study included all patients (n = 441) that underwent isolated aortic valve replacement from 2012–2014. Several 349 patients received an open surgical, minimally- invasive aortic valve replacement with common bioprosthetic valves. 92 patients were treated with the minimally- invasive aortic valve replacement using a balloon expandable valve (INTUITY elite). Results: Minimally- invasive AVR with the balloon expandable system (INTUITY Elite) showed a statistically significant reduction of bypass- time (9%, p 0.05). The in- hospital mortality seems to be a bit lower in the group of rapid deployment replacement (2.2% versus 4.0%). Compared with TAVI procedures the in-hospital mortality in the group with rapid deployment valve replacement is also lower (2.2% versus 3.6%). Conclusion: The minimally invasive AVR with the balloon expandable system (INTUITY Elite) shows a statistically significant reduction of bypass- time as well as cross-clamp time. Almost each procedure is feasible with minimally- invasive access. We experienced a significant better blood flow as a result of extreme low transvalvular gradients (< 10mmHg) in balloon expandable system (INTUITY Elite). Regarding all aspects the new generation of rapid deployment systems seems to become a severe alternative to bioprosthetic valves.