Sutureless aortic valve replacement with concomitant aortic arch reconstruction.
Ayaka SatohMasaaki RyomotoNaosumi SekiyaHiroe TanakaMitsuhiro YamamuraKeigo YamashitaHisashi UemuraDaisuke UedaTaichi SakaguchiPublished in: Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs (2020)
Sutureless aortic valve replacement (AVR) offers an alternative approach to the standard AVR in aortic valve disease. We herein report a case of an 82-year-old woman with severe aortic insufficiency and a persistent type 1 endoleak following a thoracic endovascular aortic repair, who underwent successful combined aortic arch reconstruction and sutureless AVR. The bioprosthesis, Perceval (LivaNova PLC, London, UK), a self-anchoring, self-expanding, sutureless valve, which can be implanted in selected patients with aortic insufficiency was used. Although the patient was frail and at a high risk of open-heart surgery, she had an uneventful postoperative course. Hence, Perceval may be a useful option for combined aortic arch reconstruction and aortic valve surgery in high-risk elderly patients.
Keyphrases
- aortic valve
- aortic valve replacement
- minimally invasive
- aortic stenosis
- transcatheter aortic valve implantation
- transcatheter aortic valve replacement
- coronary artery bypass
- case report
- heart failure
- surgical site infection
- spinal cord
- atrial fibrillation
- patients undergoing
- early onset
- left ventricular
- cross sectional
- acute coronary syndrome
- pulmonary arterial hypertension