Perceval Sutureless Valve in Freestyle Root: New Surgical Valve-in-Valve Therapy

Aortic root replacement with biological conduit (homograft, autograft, or xenograft) is a valuable tool, but biological valves are often prone to degeneration. Reoperations usually require root removal and repetition of the Bentall procedure to maintain the same orifice area. A less radical option i...

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Veröffentlicht in:The Annals of thoracic surgery 2013-12, Vol.96 (6), p.e155-e157
Hauptverfasser: Villa, Emmanuel, MD, PhD, Messina, Antonio, MD, PhD, Cirillo, Marco, MD, Brunelli, Federico, MD, Mhagna, Zean, MD, Dalla Tomba, Margherita, MD, Troise, Giovanni, MD
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Sprache:eng
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Zusammenfassung:Aortic root replacement with biological conduit (homograft, autograft, or xenograft) is a valuable tool, but biological valves are often prone to degeneration. Reoperations usually require root removal and repetition of the Bentall procedure to maintain the same orifice area. A less radical option is to limit replacement to the valve. In cases of calcified or very small roots, standard valve implantation cannot be performed, and bailout with a sutureless valve may be a particularly useful option. Here we have described a case of leaflet rupture in a calcified small Freestyle root (Medtronic Inc, Minneapolis, MN) in which we performed a valve-in-valve (V-in-V) procedure with a Perceval-S prosthesis (Sorin Group, Saluggia, Italy).
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2013.06.125