Sutureless Aortic Valve Implantation

  • Theodor Fischlein
  • Giuseppe Santarpino


It was recently reported an increase in the prevalence of patients with valvular heart disease eligible for aortic valve replacement (AVR) due to the increase in life expectancy of the general population [1]. However, the wide spectrum of patients with older age and comorbidities is associated with increased surgical risk and stimulated the development of minimally invasive aortic valve procedures that can reduce the mortality and morbidity risk even in elderly patients. Transcatheter aortic valve implantation (TAVI) procedures have been developed and extensively used in high-risk patients considered to be not eligible for standard surgery using cardiopulmonary bypass [2]. To the same extent, older patients pose significant challenge to modern cardiac surgery, even in the absence of specific high-risk features: in these patients less invasive procedures are desirable to achieve a reduction in the global risk profile and a better surgical outcome [3]. In this population, a patient-oriented assessment is usually performed since standardized guidelines on the use of a “minimally-invasive” approaches are not available, and there is substantial inter-center heterogeneity in the clinical implementation of this approach.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Paracelsus Medical UniversityNurembergGermany
  2. 2.Città di Lecce HospitalGVM Care and ResearchLecceItaly

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