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Implanting sutureless aortic valves enables a reduction in surgical times and related complications. Nonetheless, their application has been limited in cases involving aortic aneurysms due to anchor system concerns. We present a case of aortic valve replacement using a Perceval™ sutureless aortic valve in a patient with stage IV chronic kidney disease, an ascending aortic aneurysm, and a porcelain aorta. The procedure was performed concomitantly with coronary artery bypass grafting involving two grafts, as well as ascending aorta and hemiarch replacement. This case underscores the critical importance of time efficiency, technical modifications for valve implantation, and strategic surgical planning to mitigate potential intraoperative and postoperative complications.
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http://dx.doi.org/10.21470/1678-9741-2024-0271 | DOI Listing |
J Clin Med
August 2025
Cardiac Surgery Unit, Tor Vergata University, 00133 Rome, Italy.
The aim of this study is to analyze the effects of sutureless aortic valve bioprosthesis implantation compared with stented conventional bioprosthesis in patients with severe aortic stenosis. This is a propensity matching institutional study. : We compared 37 patients who underwent aortic valve replacement with Carpentier Edwards Perimount implantation (group 1) with 37 patients with sutureless Perceval S implanted (group 2).
View Article and Find Full Text PDFJ Cardiovasc Dev Dis
August 2025
Clinic for Cardiac Surgery, University Clinical Center of Serbia, 11000 Belgrade, Serbia.
This single-center retrospective comparative cohort study aimed to compare the outcomes of aortic valve replacement using a Perceval sutureless bioprosthesis versus a conventional stented bioprosthesis in patients with symptomatic severe aortic valve stenosis. A total of 233 consecutive elective patients undergoing aortic valve replacement (AVR) at the University Clinical Center of Serbia (July 2017-March 2021) were analyzed: 74 received a Perceval sutureless valve, and 159 received a conventional stented valve. The baseline characteristics were similar between the groups, with most patients being male (54.
View Article and Find Full Text PDFJ Cardiothorac Surg
August 2025
Department of Cardiothoracic Surgery, Townsville University Hospital, Queensland Health, Townsville, QLD, 4814, Australia.
Background: The Perceval Sutureless prosthesis can increase the effective orifice area (EOA) and reduce the chance of prosthesis-patient mismatch (PPM). This report presents three patients with challenging degenerated bioprosthetic valves undergoing redo aortic valve replacement (rAVR) using the Perceval (LivaNova, London, UK) prosthesis from a cohort of more than 300 performed cases and a review of the literature on the management of challenging degenerated valves.
Methods: Case 1: Degenerated 23 mm Trifecta with the valve cage densely adherent to the annulus.
Braz J Cardiovasc Surg
August 2025
Cardiovascular Surgery Department, Hospital Las Higueras, Talcahuano, Chile.
Implanting sutureless aortic valves enables a reduction in surgical times and related complications. Nonetheless, their application has been limited in cases involving aortic aneurysms due to anchor system concerns. We present a case of aortic valve replacement using a Perceval™ sutureless aortic valve in a patient with stage IV chronic kidney disease, an ascending aortic aneurysm, and a porcelain aorta.
View Article and Find Full Text PDFCardiovasc J Afr
June 2025
Kosuyolu High Specialization Education and Research Hospital, Kartal, Istanbul Turkey.
Background: Sutureless aortic prostheses are designed to make aortic valve replacement easier than stented or stentless prostheses in patients with significant aortic stenosis. Recently, a more minimally invasive approach combining sutureless aortic valve replacement with small incisions has emerged, but concerns remain about reduced surgical visibility and the risk of permanent pacemaker implantation.
Methods: Between 2015 and 2023, 216 patients underwent sutureless aortic valve replacement; of these, only 124 patients who underwent isolated primary aortic valve replacement surgery for severe calcific aortic valve stenosis were included in this study to compare in-hospital outcomes between the upper reversed-T mini-sternotomy and full sternotomy approaches.