Do you need to be put on bypass for an aortic valve repair?

Do you have to be put on bypass for aortic valve repair? Yes, aortic valve replacement or repair if performed surgically can only be performed with the help of a bypass machine because for us to replace or repair this aortic valve we have to open the aorta which is the big artery and that can only be done if we have the heart-lung machine assisting us to do this procedure. Once the patient is connected to the heart-lung machine, we can then basically use the heart-lung machine to do the job of the heart and the lungs. We stop the heart and then on an arrested heart, we open the aorta and we take the old valve out and stitch the new valve in. There is a procedure called transapical taffy in which you can implant the valve through a hole in the apex of the heart without using the heart-lung machine, you know, and that is perhaps a procedure where you have the cardiac surgeon and the cardiologist working as a closed team. You make an incision on the chest and through that incision, you put some stitches on the heart at the apex and And through that apex, you then put your transcatheter valve across the native valve. And in this procedure, you are actually using a surgical approach without needing the help of the bypass machine to do the procedure.