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Sutureless aortic valve replacement with concomitant aortic arch reconstruction

  • Case Report
  • Artificial Valve
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Abstract

Sutureless aortic valve replacement (AVR) offers an alternative approach to the standard AVR in aortic valve disease. We herein report a case of an 82-year-old woman with severe aortic insufficiency and a persistent type 1 endoleak following a thoracic endovascular aortic repair, who underwent successful combined aortic arch reconstruction and sutureless AVR. The bioprosthesis, Perceval (LivaNova PLC, London, UK), a self-anchoring, self-expanding, sutureless valve, which can be implanted in selected patients with aortic insufficiency was used. Although the patient was frail and at a high risk of open-heart surgery, she had an uneventful postoperative course. Hence, Perceval may be a useful option for combined aortic arch reconstruction and aortic valve surgery in high-risk elderly patients.

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References

  1. Committee for Scientific Affairs, The Japanese Association for Thoracic Surgery, Shimizu H, Okada M, Tangoku A, et al. Thoracic and cardiovascular surgeries in Japan during 2017: annual report by the Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2020;68:414–49.

    Article  Google Scholar 

  2. Baran C, Durdu MS, Gumus F, et al. Sutureless aortic valve replacement with concomitant valvular surgery. J Thorac Cardiovasc Surg. 2018;15:2414–22.

    Article  Google Scholar 

  3. 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;148:1354–9.

    Article  Google Scholar 

  4. Fischlein T, Meuris B, Hakim-Meibodi K, et al. The sutureless aortic valve at 1 year: a large multicenter cohort study. J Thorac Cardiovasc Surg. 2016;151:1617–26.

    Article  Google Scholar 

  5. Santarpino G, Pfeiffer S, Concistré G, Grossmann I, Hinzmann M, Fischlein T. The Perceval S aortic valve has the potential of shorting surgical times: does it also result in improved outcome? Ann Thorac Surg. 2013;96:77–82.

    Article  Google Scholar 

  6. Martinelli GL, Cotroneo A, Stelian E, Benea D, Diena M. A new approach for severe aortic regurgitation in porcelain aorta with sutureless Perceval valve: a case report. Int J Surg Case Rep. 2019;59:124–7.

    Article  Google Scholar 

  7. Baran C, Durdu MS, Gumus F, et al. Sutureless aortic valve replacement with concomitant valvular surgery. J Thorac Caridovasc Surg. 2018;155:2414–22.

    Article  Google Scholar 

  8. Shrestha M, Folliguet TA, Pfeiffer S, et al. Aortic valve replacement and concomitant procedures with the Perceval valve: results of European trials. Ann Thorac Surg. 2014;98:1294–300.

    Article  Google Scholar 

  9. Jiritano F, Cristodoro L, Malta E, Mastroroberto P. Thrombocytopenia after sutureless aortic valve implantation: comparison between Intuity and Perceval bioprostheses. J Thorac Cardiovasc Surg. 2016;152:1631–3.

    Article  Google Scholar 

  10. Stegmerier P, Schlomicher M, Stiegler H, Strauch JT, Bechtel JFM. Thrombocytopenria after implantation of the Perceval S aortic bioprosthesis. J Thorac Cardiovasc Surg. 2019. https://doi.org/10.1016/j.jtcvs.2019.07.046.

    Article  Google Scholar 

  11. Meuris B, Flameng WJ, Laborde F, Folliguet TA, Haverich A, Shrestha M. Five year results of the pilot trial of a sutureless valve. J Thorac Cardiovasc Surg. 2015;150:84–8.

    Article  Google Scholar 

  12. 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 patientsy. Eur J Cardiothoracic Surg. 2016;49:234–41.

    Article  Google Scholar 

  13. Concistre G, Chiaramonti F, Bianchi G, et al. Aortic valve replacement with Perceval bioprosthesis: single-center experience with 617 implants. Ann Thorac Surg. 2018;105:40–6.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan

    Ayaka Satoh, Masaaki Ryomoto, Naosumi Sekiya, Hiroe Tanaka, Mitsuhiro Yamamura, Keigo Yamashita, Hisashi Uemura, Daisuke Ueda & Taichi Sakaguchi

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  1. Ayaka Satoh
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  2. Masaaki Ryomoto
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  3. Naosumi Sekiya
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  4. Hiroe Tanaka
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  5. Mitsuhiro Yamamura
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  6. Keigo Yamashita
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  7. Hisashi Uemura
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  8. Daisuke Ueda
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  9. Taichi Sakaguchi
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Correspondence to Ayaka Satoh or Taichi Sakaguchi.

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Satoh, A., Ryomoto, M., Sekiya, N. et al. Sutureless aortic valve replacement with concomitant aortic arch reconstruction. J Artif Organs 23, 401–404 (2020). https://doi.org/10.1007/s10047-020-01182-z

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  • DOI: https://doi.org/10.1007/s10047-020-01182-z

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