Download PDF
CC BY 4.0 · Aorta (Stamford) 2022; 10(06): 302-303
DOI: 10.1055/s-0042-1757795
Case Report

Replacement of a Calcified Aortic Valve in a Porcine Aortic Root with the Perceval Sutureless Bioprosthesis

Giosuè Falcetta
1   Section of Cardiac Surgery, Department of Cardiac Thoracic and Vascular Surgery, University Hospital, Pisa, Italy
,
Federico Del Re
1   Section of Cardiac Surgery, Department of Cardiac Thoracic and Vascular Surgery, University Hospital, Pisa, Italy
,
Stefano Pratali
1   Section of Cardiac Surgery, Department of Cardiac Thoracic and Vascular Surgery, University Hospital, Pisa, Italy
,
Uberto Bortolotti 
1   Section of Cardiac Surgery, Department of Cardiac Thoracic and Vascular Surgery, University Hospital, Pisa, Italy
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Abstract

We report a 79-year-old patient who had aortic valve replacement (AVR) using a porcine aortic root. Due to degeneration of the porcine aortic valve, he required reoperation during which a heavily calcified porcine root and aortic annulus prevented insertion of any traditional bioprosthesis. AVR was achieved using a sutureless bioprosthesis, combined with mitral valve replacement. The present case confirms the feasibility and advantages of using sutureless valve implantation in complex and high-risk redo procedures.

Keywords

aortic valve replacement - bioprosthesis - sutureless bioprosthesis


Publication History

Received: 02 August 2021

Accepted: 06 July 2022

Article published online:
20 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Shrestha M, Fischlein T, Meuris B. et al. European multicentre experience with the sutureless Perceval valve: clinical and haemodynamic outcomes up to 5 years in over 700 patients. Eur J Cardiothorac Surg 2016; 49 (01) 234-241
    CrossrefPubMedGoogle Scholar
  • 2 Gersak B, Fischlein T, Folliguet TA. et al. Sutureless, rapid deployment valves and stented bioprosthesis in aortic valve replacement: recommendations of an International Expert Consensus Panel. Eur J Cardiothorac Surg 2016; 49 (03) 709-718
    CrossrefPubMedGoogle Scholar
  • 3 Vendramin I, Lechiancole A, Piani D. et al. Use of sutureless and rapid deployment prostheses in challenging reoperations. J Cardiovasc Dev Dis 2021; 8 (07) 74
    CrossrefPubMedGoogle Scholar
  • 4 Minh TH, Mazine A, Bouhout I. et al. Expanding the indication for sutureless aortic valve replacement to patients with mitral disease. J Thorac Cardiovasc Surg 2014; 148 (04) 1354-1359
    CrossrefPubMedGoogle Scholar
  • 5 Vendramin I, Piani D, Sponga S, Bortolotti U, Livi U. Immediate failure of a valve-sparing procedure: repair with a Perceval sutureless prosthesis. J Cardiovasc Med (Hagerstown) 2020; 21 (12) 986-987
    CrossrefPubMedGoogle Scholar