Right anterior thoracotomy is a technique for Aortic Valve Replacement. Minimal Extracorporeal Circulation (MECC) is ... read more ↘ known the reduce the deleterious effects of Cardiopulmonary Bypass. We present a Sutureless Aortic Valve Replacement via Right Anterior Thoracotomy by using MECC in a 84 year old patient with severe aortic stenosis. Preoperative tomographic angiography showed a right sided aorta. A 4 cm transverse incision was made through the right second intercostal space. Rib resection was not used. A femoral arterial and venous cannulation was used.The main advantage of MECC is less inflammatory response and less hemodilution. By using standart surgical instruments a transverse aortotomy was made from the fat pad.Calcified leaflets are resected and small size Perceval sutureless valve is inserted. Aortotomy was then closed.Postoperative TEE showed no leak and excellent hemodynamics. Patient recovery was uneventfull. Sutureless aortic valve replacement with mini cardiopulmonary bypass through the right anterior thoracotomy is a safe and feasible technique and provides an excellent result.