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High risk patients of aortic stenosis with multiple comorbidities who are not amenable for conventional aortic valve replacement surgeries have led to open new vistas like minimal access surgeries and Trans catheter aortic valve replacements. Recent technological developments have led to an alternative option which avoids the placement and tying of sutures, known as “sutureless” or rapid deployment aortic valves. We are presenting a case series of four patients who underwent successful sutureless aortic valve implantation which were high risk surgical patients and yet got benefitted with all the features of surgical AVR, like complete excision of the diseased valve and easier im-plantation technique with minimal access approaches in combined procedures with lesser CPB and across clamp timings. All of the patients had an uncomplicated procedure and did well in intraop, peri-op and post-op phases and outcome was same as in conventional AVR patients.

Sutureless Aortic Valve-A Case Series of Four Surgically Challenging Patients