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Review
. 2015;11(3):220-8.
doi: 10.2174/1573403x11666141113155744.

Perceval Sutureless Valve - are Sutureless Valves Here?

Rahul Chandola  1 , Kevin Teoh, Abdelsalam Elhenawy, George Christakis
Affiliations
Review

Perceval Sutureless Valve - are Sutureless Valves Here?

Rahul Chandola et al. Curr Cardiol Rev. 2015.

Abstract

With the advent of transcatheter aortic valve implantation (TAVI) techniques, a renewed interest has developed in sutureless aortic valve concepts in the last decade. The main feature of sutureless aortic valve implantation is the speed of insertion, thus making implantation easier for the surgeon. As a result, cross clamp times and myocardial ischemia may be reduced. The combined procedures (CABG with AVR in particular) can be done with a short cross clamp time. Perceval valve also provides an increased effective orifice area as compared with a stented bioprosthesis. Sutureless implantation of the Perceval valve is not only associated with shorter cross-clamp and cardiopulmonary bypass times but improved clinical outcomes too. This review covers the sutureless aortic valves and their evolution, with elaborate details on Perceval S valve in particular (which is the most widely used sutureless valve around the globe).

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Figures

Fig. (1)
Fig. (1)
Magovern chromie valve- This valve is inserted by rotatin an implantation tool to engage multiple vertical pins into the aortic annulus.
Fig. (2)
Fig. (2)
3f enable valve-It has a self-expanding Nitinol™ frame to hold the valve in its position.
Fig. (3)
Fig. (3)
Intituity valve-The polyester cuff of the valve provides adequate sealing at and just below the annular level.
Fig. (4)
Fig. (4)
Perceval S valve.
Fig. (5)
Fig. (5)
Site of aortotomy.
Fig. (6)
Fig. (6)
Three sutures taken at the nadir of each cusp.
Fig. (7)
Fig. (7)
Sutures passed through 3 loops on the valve.
Fig. (8)
Fig. (8)
Valve being guided into the annulus.
Fig. (9)
Fig. (9)
Stent being deployed.
Fig. (10)
Fig. (10)
Balloon dilatation of the valve.
See this image and copyright information in PMC

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