Aortic valve stenosis is characterized by the narrowing of the aortic valve opening. From many years, the gold standard treatment is the surgical aortic valve replacement with biological or mechanical prosthesis. The sutureless approach has been introduced as an alternative to conventional surgery to reduce the cardiopulmonary bypass (CPB) time and enhance the minimally invasive technique. The aim of this editorial is to show the state-of-the-art of the sutureless technology, describing the benefits and the open issues that will enhance or delay the development of a surgery without sutures.
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