Original articleAdult cardiacSutureless Aortic Valve Replacement: First-Year Single-Center Experience
Section snippets
Patients
Between March 2010 and December 2011, 114 patients were selected in the European multicenter study “Cavalier,” finalized to the European approval of the Perceval S sutureless aortic bioprosthesis. Data from all centers are not already published or in plans to be published. Patients were eligible if they suffered from severe calcified native aortic valve stenosis and if they were 65 years of age or greater. Exclusion criteria were acute endocarditis and complex anatomic features; bicuspid valve
Results
The surgical procedures are listed in Table 2. We emended the original protocol, allowing the implantation of the sutureless Perceval S valve also in patients with bicuspid aortic valve, although these patients were originally excluded from the study. We felt that particular cases of bicuspid valve (7 patients) with symmetric sinuses of Valsalva and small annuli, where an appropriate fixation and a proper valve orientation were considered feasible, could have been included in the study. The
Comment
In the last few years, several models of valvular sutureless bioprosthesis have been developed [11]. We describe here our experience with the model of a sutureless aortic valve prosthesis currently tested in a European clinical trial and which is now routinely used in our center.
Our preliminary results demonstrate good clinical and hemodynamic outcomes. These data suggest the necessity of specific patient selection criteria and guidelines for the use of this procedure.
We demonstrated a
References (13)
- et al.
United States feasibility study of transcatheter insertion of a stented aortic valve by the left ventricular apex
Ann Thorac Surg
(2008) - et al.
Towards global benchmarking: the Fourth EACTS Adult Cardiac Surgical Database Report
(2010) - et al.
Ministernotomy versus conventional sternotomy for aortic valve replacement: a systemic review and meta-analysis
J Thorac Cardiovasc Surg
(2009) - et al.
Minimal access aortic valve replacement: is it worth it?
Ann Thorac Surg
(2008) - et al.
Transcatheter aortic valve implantation: first results from a multi-centre real-world registry
Eur Heart J
(2011) - et al.
Transcatheter versus surgical aortic-valve replacement in high-risk patients
N Engl J Med
(2011)
Cited by (54)
Transesophageal Echocardiographic Assessment of the Sutureless Perceval Aortic Valve
2018, Journal of Cardiothoracic and Vascular AnesthesiaUse of the Perceval Sutureless Valve in Active Prosthetic Aortic Valve Endocarditis
2018, Annals of Thoracic SurgeryPacemaker Implantation Rate Post Sutureless Aortic Valve Replacement: 23% Is Just Too High
2017, Annals of Thoracic SurgeryConduction Disorders After Sutureless Aortic Valve Replacement
2017, Annals of Thoracic Surgery
- *
Drs Santarpino and Pfeiffer contributed equally to this work.