Aortic valve stenosis can treated without breaking the breastbone in nearly every case using minimally invasive (keyhole) heart surgery. Surgery remains the main stay of treatment and is highly successful. Keyhole heart surgeons can perform aortic valve replacement through tiny cuts which heal in days rather than months. For some patients, who are not suitable for surgery, a heart valve can be inserted through the groin without any incisions at all using a procedure called TAVI ( or TAVR). Listen to our video for more information.