We report a patient who developed ascending aorta dissection after aortic valve replacement with a Perceval sutureless pericardial bioprosthesis, a previously not reported complication with this device. At reoperation, the intimal tear was located at the aortotomy suture line; the tips of the nitinol stent were far from the aortic lesion which therefore was not attributable to the presence of this specific prosthetic model. Nevertheless, a previous report of aortic dissection due to erosion of the aortic wall by the strut of a transcatheter prosthesis may raise the suspicion that such complication could also occur with sutureless prostheses of similar design.
This is a preview of subscription content, log in to check access
Compliance with ethical standards
Conflict of interest
This study was approved by the Ethical committee.
Not required by Ethical committee.
Statement of human and animal rights
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.CrossRefPubMedGoogle Scholar
Shrestra M, Fischlein T, Meuris B, et al. European multicentre experience with sutureless Perceval valve: clinical and haemodynamic outcomes up to 5 years in over 700 patients. Eur J Cardio-thorac Surg. 2016;49:234–41.CrossRefGoogle Scholar
Milano A, Pratali S, De Carlo M, Borzoni G, Tartarini G, Bortolotti U. Ascending aorta dissection after aortic valve replacement. J Heart Valve Dis. 1998;7:75–80.PubMedGoogle Scholar
Santarpino G, Pfeiffer S, Concistrè G, Fischlein T. A supra-annular malposition of the Perceval S sutureless aortic valve: the ‘ℵ-movement’ removal technique and subsequent reimplantation. Interact Cardiovasc Thorac Surg. 2012;15:280–1.CrossRefPubMedPubMedCentralGoogle Scholar
Laborde F, Fischlein T, Hakim-Meibodi K, et al. Clinical and haemodynamic outcomes in 658 patients receiving the Perceval sutureless aortic valve: early results from a prospective European multicentre study (the Cavalier Trial). Eur J Cardiothorac Surg. 2016;49:978–86.CrossRefPubMedGoogle Scholar
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;49:709–18.CrossRefPubMedGoogle Scholar
Pieters FA, Widdershoven JW, Gerardy AC, Geskes G, Cheriex EC, Wellens HJ. Risk of aortic dissection after aortic valve replacement. Am J Cardiol. 1993;72:1043–7.CrossRefPubMedGoogle Scholar
Al-Attar N, Himbert D, Barbier F, Vahanian A, Nataf P. Delayed aortic dissection after transcatheter aortic valve implantation. J Heart Valve Dis. 2013;22:701–3.PubMedGoogle Scholar