“…Innovation lies at the heart of surgery as it represents one of the means by which surgery evolves and advances. Innovation was the highlight of Martin-Suarez et al (5) case report as they illustrated their minimally invasive aortic valve replacement technique through an upper hemi-sternotomy using a novel suturing and knotting device that could facilitate surgery and minimise technical difficulties. The 65-year-old female patient presented with dyspnoea (NYHA Class II) and was diagnosed with a pathologic bicuspid aortic valve, with stenosis and prevalent regurgitation.…”