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Intraoperative displacement of a Perceval sutureless prosthesis

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Abstract

We describe a patient with mitral incompetence and aortic stenosis who underwent mitral valve repair and aortic valve replacement using a Perceval sutureless bioprosthesis. After weaning from cardiopulmonary bypass, repeated mitral valve repair was required due to residual mitral regurgitation. During this procedure, the aortic prosthesis was displaced, most likely by undue inadvertent traction on the atrial retractor, requiring its removal and reinsertion. When employing a sutureless valve gentle manipulation of the heart is mandatory to avoid possible adverse events as that herein described. Should this happen, the Perceval valve can be easily removed and repositioned.

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Authors and Affiliations

  1. Section of Cardiac Surgery, Cardiothoracic and Vascular Department, Sezione Autonoma di Cardiochirurgia Universitaria, Università di Pisa, Via Paradisa, 2, 56124, Pisa, Italy

    Giosuè Falcetta, Clemente Pascarella, Stefano Pratali & Uberto Bortolotti

  2. Department of Anesthesiology, University Hospital of Pisa, Pisa, Italy

    Pietro Bertini

Authors
  1. Giosuè Falcetta
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  2. Clemente Pascarella
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  3. Pietro Bertini
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  4. Stefano Pratali
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  5. Uberto Bortolotti
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Correspondence to Uberto Bortolotti.

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The authors have declared that no conflict of interest exists.

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Falcetta, G., Pascarella, C., Bertini, P. et al. Intraoperative displacement of a Perceval sutureless prosthesis. Gen Thorac Cardiovasc Surg 67, 633–636 (2019). https://doi.org/10.1007/s11748-018-0951-9

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  • DOI: https://doi.org/10.1007/s11748-018-0951-9

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