New Approaches for Aortic Valve Disease: From Transcatheter Aortic Valve Implantation to Sutureless Aortic Valves



Transcatheter aortic valve implantation (TAVI) has been shown to effectively expand the therapeutic possibilities in patients with aortic valve disease unfit for aortic valve replacement. However especially the costs and the risk of paravalvular leakage have been recognized as important limitations of these approach. Sutureless aortic valve bioprostheses have been developed to facilitate aortic valve replacement and reduce the duration of aortic cross-clamping and its related adverse events. We have recently compared the results with sutureless Perceval aortic valve bioprostheses versus the transcatheter aortic valve implantation. In this chapter we review the published results of a single center of the TAVI and surgical aortic valve replacement with this sutureless valve bioprostheses.


Minimally invasive surgery Aortic valve disease Heart valve prosthesis Biological devices Frailty 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Città di Lecce Hospital, GVM Care & ResearchLecceItaly
  2. 2.Klinikum Nürnberg, Paracelsus Medical University NurembergNurembergGermany

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