Minimally invasive rapid deployment Edwards Intuity aortic valve implantation.

The corresponding video is a rapid deployment aortic valve replacement (RDAVR) using the first generation of the Intuity RDAVR system (Edwards Lifesciences; Irvine, CA, USA) via a minimally invasive approach (Video 1). The patient is a 73-year-old female with symptomatic, severe aortic stenosis. She has NYHA III symptoms with a mean aortic valve gradient of 50 mmHg. The patient has a mildly dilated ascending aorta (4.0 cm) and a previous pacemaker insertion, without any other significant comorbidities. The left ventricular function and coronary arteries are normal. Exposure is achieved through an upper hemi-sternotomy approach using an inverted T-incision extending into the fourth intercostal space. RDAVR was chosen in order to facilitate the minimal invasive approach.