A heart valve can be replaced using minimally invasive methods which include a sutureless sewing cuff that and a fastener delivery tool that holds the cuff against the patient's tissue while delivering fasteners to attach the cuff to the tissue from the inside out. The tool stores a plurality of fasteners...http://www.google.de/patents/US6402780?utm_source=gb-gplus-sharePatent US6402780 - Means and method of replacing a heart valve in a minimally invasive manner