The Sorin Freedom Solo Valve: Early experience with a supraannular implantion technique of a new pericardial stentless valve
Objectives: To report on the experience with a supraannular implantation technique and early hemodynamic results of the new Freedom Solo valve (Sorin Group, Saluggia, Italy). Methods: After annular decalcification the prosthesis was implanted in a supraannular aortic position in the sinuses of valsa...
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creator | Beholz, S Liu, J Dushe, S Konertz, W |
description | Objectives:
To report on the experience with a supraannular implantation technique and early hemodynamic results of the new Freedom Solo valve (Sorin Group, Saluggia, Italy).
Methods:
After annular decalcification the prosthesis was implanted in a supraannular aortic position in the sinuses of valsalva using a single running suture line of polypropylene 4–0. Echocardiography was performed to observe gradients and regurgitation.
Results:
In 69 patients age was 77.7±6.7 years, 20 patients were male. Logistic EuroSCORE was 13.4±10.7. Isolated aortic valve replacement was performed in 40 patients; concomittant procedures covered CABG, mitral procedures, subvalvular myectomy and atrial ablations. Valve size was 26.1±2.2mm, crossclamp time 40.6±8.1 minutes in isolated valve replacement. 30 day mortality was 2.9% due to one myocardial infarction and one mesenteric infarction. Hemodynamics at discharge were favoreable with low peak and mean gradients and without paravalvular leakages and only minimal regurgitation ( |
doi_str_mv | 10.1055/s-2006-925818 |
format | Conference Proceeding |
fullrecord | <record><control><sourceid>thieme_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1055_s_2006_925818</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>10_1055_s_2006_925818</sourcerecordid><originalsourceid>FETCH-LOGICAL-c758-6c65201e93300d8367cd0b0ecdabcf560f7d1c8f3853707c9ceaa4b7ee1557e93</originalsourceid><addsrcrecordid>eNp1kF1LwzAUhoMoOD8uvc8PMHrSNk3qnYxNhYEXDm9Llp7SjDStSbs58MfbMW-9OrzwvC-Hh5A7Dg8chHiMLAHIWZEIxdUZmfEsLRgvIDknM-CSszxLxCW5inELwDOlihn5WTdIP7pgPV0GxKprp-Q6-qndDp_oQgd3oPjdY7DoDdK9HRqqaRz7oLX3o9OB2rZ32g-283RA03j7NSLt6gnzuKfHqtGhstrROKAfHMZId8f9G3JRaxfx9u9ek_VysZ6_stX7y9v8ecWMFIrlJhcJcCzSFKBSaS5NBRtAU-mNqUUOtay4UXWqRCpBmsKg1tlGInIh5FS7Juw0a0IXY8C67INtdTiUHMqjuTKWR3PlydzE35_4obHYYrntxuCn__7BfwG803F2</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>conference_proceeding</recordtype></control><display><type>conference_proceeding</type><title>The Sorin Freedom Solo Valve: Early experience with a supraannular implantion technique of a new pericardial stentless valve</title><source>Thieme - Connect here FIRST to enable access</source><creator>Beholz, S ; Liu, J ; Dushe, S ; Konertz, W</creator><creatorcontrib>Beholz, S ; Liu, J ; Dushe, S ; Konertz, W</creatorcontrib><description>Objectives:
To report on the experience with a supraannular implantation technique and early hemodynamic results of the new Freedom Solo valve (Sorin Group, Saluggia, Italy).
Methods:
After annular decalcification the prosthesis was implanted in a supraannular aortic position in the sinuses of valsalva using a single running suture line of polypropylene 4–0. Echocardiography was performed to observe gradients and regurgitation.
Results:
In 69 patients age was 77.7±6.7 years, 20 patients were male. Logistic EuroSCORE was 13.4±10.7. Isolated aortic valve replacement was performed in 40 patients; concomittant procedures covered CABG, mitral procedures, subvalvular myectomy and atrial ablations. Valve size was 26.1±2.2mm, crossclamp time 40.6±8.1 minutes in isolated valve replacement. 30 day mortality was 2.9% due to one myocardial infarction and one mesenteric infarction. Hemodynamics at discharge were favoreable with low peak and mean gradients and without paravalvular leakages and only minimal regurgitation (<I°) in 8 patients.
valve size (mm)
n
ejection fraction (%)
peak gradient (mmHg)
mean gradient (mmHg)
regurgitation (grade)
23
13
57.3±10.8
22.8±10.5
12.3±5.7
0
25
24
58.1±11.3
15.7±8.2
8.2±4.9
0.14±0.35
27
14
53.5±11.1
12.5±4.1
5.5±2.1
0.33±0.49
29
18
51.8±17.9
14.0±4.5
7.5±2.9
0.06±0.24
All
69
55.14±13.2
15.8±7.7
8.2±4.6
0.13±0.34
Conclusions:
The supraannular implantation technique of the new Freedom Solo stentless valve is safe and reliable using a single suture line. The valve provides excellent hemodynamics at discharge without paravalvular leakages.</description><identifier>ISSN: 0171-6425</identifier><identifier>EISSN: 1439-1902</identifier><identifier>DOI: 10.1055/s-2006-925818</identifier><language>eng</language><ispartof>The Thoracic and cardiovascular surgeon, 2006, Vol.54 (S 1)</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,3003,3004,23910,23911,25119,27903,27904</link.rule.ids></links><search><creatorcontrib>Beholz, S</creatorcontrib><creatorcontrib>Liu, J</creatorcontrib><creatorcontrib>Dushe, S</creatorcontrib><creatorcontrib>Konertz, W</creatorcontrib><title>The Sorin Freedom Solo Valve: Early experience with a supraannular implantion technique of a new pericardial stentless valve</title><title>The Thoracic and cardiovascular surgeon</title><addtitle>Thorac cardiovasc Surg</addtitle><description>Objectives:
To report on the experience with a supraannular implantation technique and early hemodynamic results of the new Freedom Solo valve (Sorin Group, Saluggia, Italy).
Methods:
After annular decalcification the prosthesis was implanted in a supraannular aortic position in the sinuses of valsalva using a single running suture line of polypropylene 4–0. Echocardiography was performed to observe gradients and regurgitation.
Results:
In 69 patients age was 77.7±6.7 years, 20 patients were male. Logistic EuroSCORE was 13.4±10.7. Isolated aortic valve replacement was performed in 40 patients; concomittant procedures covered CABG, mitral procedures, subvalvular myectomy and atrial ablations. Valve size was 26.1±2.2mm, crossclamp time 40.6±8.1 minutes in isolated valve replacement. 30 day mortality was 2.9% due to one myocardial infarction and one mesenteric infarction. Hemodynamics at discharge were favoreable with low peak and mean gradients and without paravalvular leakages and only minimal regurgitation (<I°) in 8 patients.
valve size (mm)
n
ejection fraction (%)
peak gradient (mmHg)
mean gradient (mmHg)
regurgitation (grade)
23
13
57.3±10.8
22.8±10.5
12.3±5.7
0
25
24
58.1±11.3
15.7±8.2
8.2±4.9
0.14±0.35
27
14
53.5±11.1
12.5±4.1
5.5±2.1
0.33±0.49
29
18
51.8±17.9
14.0±4.5
7.5±2.9
0.06±0.24
All
69
55.14±13.2
15.8±7.7
8.2±4.6
0.13±0.34
Conclusions:
The supraannular implantation technique of the new Freedom Solo stentless valve is safe and reliable using a single suture line. The valve provides excellent hemodynamics at discharge without paravalvular leakages.</description><issn>0171-6425</issn><issn>1439-1902</issn><fulltext>true</fulltext><rsrctype>conference_proceeding</rsrctype><creationdate>2006</creationdate><recordtype>conference_proceeding</recordtype><sourceid>0U6</sourceid><recordid>eNp1kF1LwzAUhoMoOD8uvc8PMHrSNk3qnYxNhYEXDm9Llp7SjDStSbs58MfbMW-9OrzwvC-Hh5A7Dg8chHiMLAHIWZEIxdUZmfEsLRgvIDknM-CSszxLxCW5inELwDOlihn5WTdIP7pgPV0GxKprp-Q6-qndDp_oQgd3oPjdY7DoDdK9HRqqaRz7oLX3o9OB2rZ32g-283RA03j7NSLt6gnzuKfHqtGhstrROKAfHMZId8f9G3JRaxfx9u9ek_VysZ6_stX7y9v8ecWMFIrlJhcJcCzSFKBSaS5NBRtAU-mNqUUOtay4UXWqRCpBmsKg1tlGInIh5FS7Juw0a0IXY8C67INtdTiUHMqjuTKWR3PlydzE35_4obHYYrntxuCn__7BfwG803F2</recordid><startdate>20060209</startdate><enddate>20060209</enddate><creator>Beholz, S</creator><creator>Liu, J</creator><creator>Dushe, S</creator><creator>Konertz, W</creator><scope>0U6</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20060209</creationdate><title>The Sorin Freedom Solo Valve: Early experience with a supraannular implantion technique of a new pericardial stentless valve</title><author>Beholz, S ; Liu, J ; Dushe, S ; Konertz, W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c758-6c65201e93300d8367cd0b0ecdabcf560f7d1c8f3853707c9ceaa4b7ee1557e93</frbrgroupid><rsrctype>conference_proceedings</rsrctype><prefilter>conference_proceedings</prefilter><language>eng</language><creationdate>2006</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beholz, S</creatorcontrib><creatorcontrib>Liu, J</creatorcontrib><creatorcontrib>Dushe, S</creatorcontrib><creatorcontrib>Konertz, W</creatorcontrib><collection>Open Access: Thieme Open Access Journals</collection><collection>CrossRef</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beholz, S</au><au>Liu, J</au><au>Dushe, S</au><au>Konertz, W</au><format>book</format><genre>proceeding</genre><ristype>CONF</ristype><atitle>The Sorin Freedom Solo Valve: Early experience with a supraannular implantion technique of a new pericardial stentless valve</atitle><btitle>The Thoracic and cardiovascular surgeon</btitle><addtitle>Thorac cardiovasc Surg</addtitle><date>2006-02-09</date><risdate>2006</risdate><volume>54</volume><issue>S 1</issue><issn>0171-6425</issn><eissn>1439-1902</eissn><abstract>Objectives:
To report on the experience with a supraannular implantation technique and early hemodynamic results of the new Freedom Solo valve (Sorin Group, Saluggia, Italy).
Methods:
After annular decalcification the prosthesis was implanted in a supraannular aortic position in the sinuses of valsalva using a single running suture line of polypropylene 4–0. Echocardiography was performed to observe gradients and regurgitation.
Results:
In 69 patients age was 77.7±6.7 years, 20 patients were male. Logistic EuroSCORE was 13.4±10.7. Isolated aortic valve replacement was performed in 40 patients; concomittant procedures covered CABG, mitral procedures, subvalvular myectomy and atrial ablations. Valve size was 26.1±2.2mm, crossclamp time 40.6±8.1 minutes in isolated valve replacement. 30 day mortality was 2.9% due to one myocardial infarction and one mesenteric infarction. Hemodynamics at discharge were favoreable with low peak and mean gradients and without paravalvular leakages and only minimal regurgitation (<I°) in 8 patients.
valve size (mm)
n
ejection fraction (%)
peak gradient (mmHg)
mean gradient (mmHg)
regurgitation (grade)
23
13
57.3±10.8
22.8±10.5
12.3±5.7
0
25
24
58.1±11.3
15.7±8.2
8.2±4.9
0.14±0.35
27
14
53.5±11.1
12.5±4.1
5.5±2.1
0.33±0.49
29
18
51.8±17.9
14.0±4.5
7.5±2.9
0.06±0.24
All
69
55.14±13.2
15.8±7.7
8.2±4.6
0.13±0.34
Conclusions:
The supraannular implantation technique of the new Freedom Solo stentless valve is safe and reliable using a single suture line. The valve provides excellent hemodynamics at discharge without paravalvular leakages.</abstract><doi>10.1055/s-2006-925818</doi><oa>free_for_read</oa></addata></record> |
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identifier | ISSN: 0171-6425 |
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issn | 0171-6425 1439-1902 |
language | eng |
recordid | cdi_crossref_primary_10_1055_s_2006_925818 |
source | Thieme - Connect here FIRST to enable access |
title | The Sorin Freedom Solo Valve: Early experience with a supraannular implantion technique of a new pericardial stentless valve |
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