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. 2016 Sep;13(6):504-10.
doi: 10.11909/j.issn.1671-5411.2016.06.006.

Aortic valve replacement with sutureless and rapid deployment aortic valve prostheses

Paolo Berretta  1 , Marco Di Eusanio  2
Affiliations

Aortic valve replacement with sutureless and rapid deployment aortic valve prostheses

Paolo Berretta et al. J Geriatr Cardiol. 2016 Sep.

Abstract

Aortic valve stenosis is the most common valve disease in the western world. Over the past few years the number of aortic valve replacement (AVR) interventions has increased with outcomes that have been improved despite increasing age of patients and increasing burden of comorbidities. However, despite such excellent results and its well-established position, conventional AVR has undergone great development over the previous two decades. Such progress, by way of less invasive incisions and use of new technologies, including transcatheter aortic valve implantation and sutureless valve prostheses, is intended to reduce the traumatic impact of the surgical procedure, thus fulfilling lower risk patients' expectations on the one hand, and extending the operability toward increasingly high-risk patients on the other. Sutureless and rapid deployment aortic valves are biological, pericardial prostheses that anchor within the aortic annulus with no more than three sutures. The sutureless prostheses, by avoiding the passage and the tying of the sutures, significantly reduce operative times and may improve outcomes. However, there is still a paucity of robust, evidence-based data on the role and performance of sutureless AVR. Therefore, strongest long-term data, randomized studies and registry data are required to adequately assess the durability and long-term outcomes of sutureless aortic valve replacement.

Keywords: Aortic valve replacement; Minimally invasive; Rapid deployment prosthesis; Sutureless valve.

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Figures

Figure 1.
Figure 1.. Sutureless and rapid deployment valves.
(A): Perceval sutureless aortic valve (Sorin, Saluggia, Italy); (B): Edwards Intuity Elite rapid deployment aortic valve (Edwards Lifesciences, Irvine, USA)
Figure 2.
Figure 2.. SU-AVR through ministernotomy.
(A): minimally invasive SU-AVR through an upper J ministernotomy extended to the 3rd intercostal space; (B): aortic valve exposure. SU-AVR: sutureless aortic valve replacement.
Figure 3.
Figure 3.. Minimally invasive SU-AVR using Edwards Intuity elite valve system.
(A): sizing of the aortic valve annulus; (B) & (C): guiding sutures placement and valve seating; (D): valve deployment. SU-AVR: sutureless aortic valve replacement.
See this image and copyright information in PMC

References

    1. Osnabrugge RL, Mylotte D, Head SJ, et al. Aortic stenosis in the elderly: disease prevalence and number of candidates for transcatheter aortic valve replacement: a meta-analysis and modeling study. J Am Coll Cardiol. 2013;62:1002–1012. - PubMed
    1. Iung B, Baron G, Butchart EG, et al. A prospective survey of patients with valvular heart disease in Europe: the Euro heart survey on valvular heart disease. Eur Heart J. 2003;24:1231–1243. - PubMed
    1. Brown JM, O'Brien SM, Wu C, et al. Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: changes in risks, valve types, and outcomes in the Society of Thoracic Surgeons National Database. J Thorac Cardiovasc Surg. 2009;137:82–90. - PubMed
    1. Siregar S, de Heer F, Groenwold RH, et al. Trends and outcomes of valve surgery: 16-year results of Netherlands Cardiac Surgery National Database. Eur J Cardiothorac Surg. 2014;46:386–397. - PubMed
    1. Vasques F, Messori A, Lucenteforte E, et al. Immediate and late outcome of patients aged 80 years and older undergoing isolated aortic valve replacement: a systematic review and meta-analysis of 48 studies. Am Heart J. 2012;163:477–485. - PubMed

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