Successful Reoperation in 3 Cases of Failed Sorin Freedom Stentless Aortic Valve Using the LivaNova Perceval Sutureless Prosthesis

Abstract

Reoperations for deteriorated stentless bioprostheses are quite challenging procedures. Calcification of the aortic annulus and of the subcoronary root makes often impossible the removal of the failed valve, living a complex Bentall operation or a high-risk transcatheter aortic valve implantation valve-in-valve procedure as the only options, particularly in cases of small-size prostheses. The Perceval sutureless prosthesis (LivaNova PLC, London, UK) can be a valid alternative for failed stentless valve replacement. We report our experience with 3 complex cases of degenerated Sorin Pericarbon Freedom prosthesis treated successfully by means of Perceval sutureless implantation and demonstrating the reproducibility and the safety of this surgical approach.

Keywords

aortic valve replacement stentless valve sutureless valve

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References

van der Straaten

EPJ.

Rademakers

LM.

van Straten

AHM

et al. Mid-term haemodynamic and clinical results after aortic valve replacement using the freedom solo stentless bioprosthesis versus the Carpentier Edwards Perimount stented bioprosthesis. Eur J Cardiothorac Surg 2016; 49: 1174–1180.doi:10.1093/ejcts/ezv255

http://www.ncbi.nlm.nih.gov/pubmed/26224338

Borger

MA.

Prasongsukarn

Armstrong

et al. Stentless aortic valve reoperations: a surgical challenge. Ann Thorac Surg 2007; 84: 737–744.doi:10.1016/j.athoracsur.2007.04.061

http://www.ncbi.nlm.nih.gov/pubmed/17720369

Christ

Grubitzsch

Claus

et al. Stentless aortic valve replacement in the young patient: long-term results. J Cardiothorac Surg 2013; 8: 68.doi:10.1186/1749-8090-8-68

http://www.ncbi.nlm.nih.gov/pubmed/23566631

Finch

Roussin

Pepper

. Failing stentless aortic valves: redo aortic root replacement or valve in a valve? Eur J Cardiothorac Surg 2013; 43: 495–504.doi:10.1093/ejcts/ezs335

http://www.ncbi.nlm.nih.gov/pubmed/22933569

Stefanelli

Pirro

Olaru

et al. Long-term outcomes using the stentless LivaNova-Sorin Pericarbon Freedom™ valve after aortic valve replacement. Interact Cardiovasc Thorac Surg 2018; 27: 116–123.doi:10.1093/icvts/ivy012

http://www.ncbi.nlm.nih.gov/pubmed/29481624

Santarpino

Pfeiffer

Concistrè

et al. REDO aortic valve replacement: the sutureless approach. J Heart Valve Dis 2013; 22: 615–620.http://www.ncbi.nlm.nih.gov/pubmed/24383371

Kim

JH.

Kim

J-B.

Choi

. Sutureless aortic valve replacement in stentless bioprosthesis failure. Interact Cardiovasc Thorac Surg 2015; 21: 801–802.doi:10.1093/icvts/ivv255

http://www.ncbi.nlm.nih.gov/pubmed/26346229

Folliguet

TA.

Laborde

. Sutureless Perceval aortic valve replacement in aortic homograft. Ann Thorac Surg 2013; 96: 1866–1868.doi:10.1016/j.athoracsur.2013.02.056

http://www.ncbi.nlm.nih.gov/pubmed/24182479

Götte

Hemmer

Roser

et al. Redo aortic valve implantation after full root replacement using a sutureless valve prosthesis. Ann Thorac Surg 2016; 102: e421–e422.doi:10.1016/j.athoracsur.2016.01.067

http://www.ncbi.nlm.nih.gov/pubmed/27772598

10.

Webb

JG.

Wood

DA.

et al. Transcatheter valve-in-valve implantation for failed bioprosthetic heart valves. Circulation 2010; 121: 1848–1857.doi:10.1161/CIRCULATIONAHA.109.924613

http://www.ncbi.nlm.nih.gov/pubmed/20385927

11.

Bunc

Kogoj

Ambrožič

et al. Successful transfemoral core valve aortic valve implantation in a patient with degenerated solofreedom biologic supravalvular aortic valve. Srce I Krvni Sudovi 2014; 33: 27–29.doi:10.5937/siks1401027B

12.

Cockburn

Dooley

Parker

et al. Transcatheter aortic valve-in-valve treatment of degenerative stentless supra-annular freedom solo valves: a single centre experience. Catheter Cardiovasc Interv 2017; 89: 438–444.doi:10.1002/ccd.26623

http://www.ncbi.nlm.nih.gov/pubmed/27315455

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