Skip to main content
SpringerLink
Log in

Dynamic obstruction, an unusual complication after aortic valve replacement with a stentless porcine valve

  • Published:
The International Journal of Cardiac Imaging Aims and scope Submit manuscript

Abstract

In the early nineties, the stentless porcine aortic bioprosthesis has been reintroduced successfully. Because of the limited experience, knowledge of clinical complications is limited. Therefore, we describe an unusual complication of dynamic obstruction after aortic valve replacement with a stentless porcine valve in a 70 year old man 18 months after implantation. We discuss the complications of stentless aortic prostheses known so far, describe operative techniques used and their characteristic two dimensional echocardiographic images.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Matsuki O, Robles A, Gibbs S, Bodnar E, Ross DN. Long term performance of 555 aortic homografts in aortic position. Ann Thorac Surg 1988; 46: 187-191.

    Google Scholar 

  2. Barratt-Boyes BG, Roche AHG, Subramayan R, Pemberton, JR, Whitlock RML. Long term follow-up of patients with the antibiotic-sterilized aortic homograft valve inserted freehand in the aortic position. Circulation 1987; 75: 768-777.

    Google Scholar 

  3. Westaby S, Amarasena N, Long V, Prothero A, Amarasena C, Banning AP, et al. Time related hemodynamic changes after aortic replacement with the Freestyle stentless xenograft. Ann Thorac Surg 1995; 60: 1633-1639.

    Google Scholar 

  4. Yoganathan AP, Eberhardt CE, Walker PG. Hydrodynamic performance of the Medtronic Freestyle aotic root bioprothesis. J Heart Valve Dis 1994; 3: 571-580.

    Google Scholar 

  5. Sung HW, Kingsbury CJ, Quintero LJ, Myers KE, Yoganthan AP, Quijano. In vitro evaluation of a stentless porcine aortic bioprothesis. A preliminary study. ASAIO-Trans 1991; 37(3): M172-4.

    Google Scholar 

  6. David TE, Ropchan GC, Butany JW. Aortic valve replacement with stentless porcine bioprotheses. J Card Surg 1988; 3(4): 501-5.

    Google Scholar 

  7. Gott JP, Pan-Chih, Dorsey LMA. Calcification of porcine valves: a successful new method of anti-mineralization. Ann Thorac Surg 1992; 53: 207-216.

    Google Scholar 

  8. Hazekamp MG, Goffin YA, Huysmans HA. The value of the stentless biovalve prothesis. An experimental study. Eur J Cardio-thorac Surg 1993; 7: 514-519.

    Google Scholar 

  9. Kirklin JK, Smith D, Novick W, Naftel DC, Kirklin JW, Pacifico AD. Long-term function of cryopreserved aortic homografts: a ten-year study. J Thorac Cardiovasc Surg 1993; 106: 154-166.

    Google Scholar 

  10. Ivert TSA, Dismukes WE, Cobbs LG, Blackstone EH, Kirklin JW, Bergdahl LAL. Prosthetic valve endocarditis. Circulation 1985; 72: 753-767.

    Google Scholar 

  11. Pochis WT, Cinquegrani MP, McManus RP, Almassi GH. Periaortic hematoma formation leading to aortic valve failure. Chest 1992; 102: 1299-1301.

    Google Scholar 

  12. Ross DN. Homograft replacement of the aortic valve. Lancet 1962; 2: 487.

    Google Scholar 

  13. Oechslin E, Carrel T, Ritter M, Attenhofter Ch, von Segesser L, Kiowski W, Turina M, Jenni R. Pseudoaneurysm following aortic homograft: Clinical implications? Br Heart J 1995; 74: 645-649.

    Google Scholar 

  14. Hvass U., Chatel D, Assayag P, Ouroudij M, Pansard Y, Lenormand C, et al. The O'Brein-Angell stentless porcien valve: early results with 150 implants. Ann Thorac Surg 1995; 60: S414-417.

    Google Scholar 

  15. Rubey JA, Raphael D, Sluysmans T, Vanoverschelde J-LJ, Robert A, Schoevaerdts J-L, et al. Aortic valve replacement with allograft/autograft: subcoronary versus intraluminal cylinder or root. Ann Thorac Surg 1995; 60: S78-82.

    Google Scholar 

  16. Mohr FW, Walther T, Baryalei M, Falk V, Autschbach R, Scheidt A, et al. The Toronto SPV bioprothesis: one-year results in 100 patients. Ann Thorac Surg 1995; 60: 171-5.

    Google Scholar 

  17. Krauze AH, Technique for complete subcornonary implantation of the Medtronic Freestyle porcine bioprosthesis. Ann Thorac Surg 1997; 64: 1495-1498.

    Google Scholar 

  18. Kon ND, Westaby S, Amarasena N, Pillai R, Gordell AR. Comparison of implantation techniques using freestyle stentless porcine aortic valve. Ann Thorac Surg 1995; 59: 857-862.

    Google Scholar 

  19. David TE, Feindel CM, Ross J, Sun Z, Suilly HE, Rakowski H. Aortic valve replacement with a stentless porcine aortic valve. J Thorac Cardiovasc Surg 1994; 108: 1030-1036.

    Google Scholar 

  20. Prager RL, Fischer CR, Kong B, Byrne JP, Jones DJ, LaWaun Hance M, et al. The aortic homograft: evaluation of indications, techniques and results in 107 patients. Ann Thorac Surg 1997; 64: 659-64.

    Google Scholar 

  21. Sintek CF, Fletcher Ad, Khonsari S. Stentless porcine aortic root: valve of choice for the elderly patient with small aortic root? J Thorax Cardiovasc Surg 1995; 109: 871-876.

    Google Scholar 

  22. Del Rizzo DF, Goldman BS, Christakis GT and David TE. Hemodynamic benefits of the Toronto stentless valve. J Thorac Cardiovasc Surg 1996; 112: 1431-46.

    Google Scholar 

  23. Wong K, Shad S, Waterworth PD, Khaghani A, Pepper JR, Coub MHY. Early experience with the Toronto stentless porcine valve. Ann Thorac Surg 1995, 60: S402-S405.

    Google Scholar 

  24. Dossche K, Vanermen H, Daenen W, Pillai R, Konertz W. Hemodynamic performance of the PRIMA Edwards stentless aortic xenograft: early results of a multicenter clinical trail. Thorac Cardiovasc Surg 1996; 44: 11-14.

    Google Scholar 

  25. Konetz W, Hamann P, Schwammen E, Breithardt G, Scheld HH. Aortic valve replacement with stentless xenograft. The Journal of Heart Valve Disease 1992; 1: 249-252.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Departments of Cardiology and Thoracic Surgery, Leiden University Medical Centre, Leiden, The Netherlands

    Radboud P.M. van Roosmalen, Leo H.B. Baur, Jerry Braun, Douwe E. Atsma, Mark G. Hazekamp, Ernst E. van der Wall & Hans A. Huysmans

Authors
  1. Radboud P.M. van Roosmalen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Leo H.B. Baur
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jerry Braun
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Douwe E. Atsma
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mark G. Hazekamp
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ernst E. van der Wall
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Hans A. Huysmans
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

van Roosmalen, R.P., Baur, L.H., Braun, J. et al. Dynamic obstruction, an unusual complication after aortic valve replacement with a stentless porcine valve. Int J Cardiovasc Imaging 15, 209–214 (1999). https://doi.org/10.1023/A:1006189321277

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1006189321277

Search

Navigation