Several studies have suggested treating severe AS using the TAVI approach. The main limitations are suboptimal results in younger patients (70-80years) due to high frequency of BAV pathology resulting in higher rates of para-valvular leaks and higher rate of need for permanent pacemaker implantation. The use of Suture-less aortic prosthesis enables surgical AVR through a minimally-invasive approach with complete resection of the diseased calcified AV and by that providing a low risk procedure with more perfect results.