Sorin Perceval S aortic valve implantation through a mini-sternotomy approach.

We describe a case of a 78-year-old female with chronic obstructive pulmonary disease (COPD), diabetes, obesity, impaired renal function and severe aortic valve stenosis with associated insufficiency (Video 1). The patient was symptomatic for dyspnea (class NYHA III). Her medical history included breast cancer treated with mastectomy two years prior. The logistic Euroscore was 19.17%. After echocardiographic evaluation which excluded significant coronary artery disease, a minimally invasive sutureless aortic valve replacement (AVR) was planned.