Exploring the learning curve for minimally invasive sutureless aortic valve replacement

Minimally invasive aortic valve replacement represents an increasingly acceptable alternative to standard sternotomy with potential reductions in morbidity.  There are technical nuances of the minimally invasive approach in which sutureless valves may offer an advantage.  This article by Murzi and colleagues explores the learning curve of minimally invasive aortic valve replacement via a right anterior thoracotomy using a sutureless aortic valve.  The authors conclude that right minithoracotomy sutureless valve implantation can be performed safely with a minimal learning curve.