Medtronic 3f Enable implantation through right anterior thoracotomy.

We describe the case of an 80-year-old female with high grade symptomatic aortic stenosis, slightly impaired left ventricular function, chronic obstructive pulmonary disease (COPD), arterial hypertension, atrial fibrillation and a past medical history of left-sided breast cancer that was treated by surgery and radiotherapy two years ago (Video 1). The patient was symptomatic for dyspnea (class NYHA III). The logistic Euroscore was 7.94 and the logistic Euroscore II was 1.65%. After cardiac catheterization, which excluded significant coronary artery disease, a minimally invasive sutureless aortic valve replacement (AVR) using a Medtronic 3f Enable valve was planned.