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Review
. 2022 Mar;30(3):125-130.
doi: 10.1007/s12471-021-01594-3. Epub 2021 Jul 20.

Sutureless aortic valve with supracoronary ascending aortic replacement as an alternative strategy for composite graft replacement in elderly patients

J R Olsthoorn  1 , K Y Lam  2 , F Akca  2 , N M A J Timmermans  2 , M E S H Tan  2
Affiliations
Review

Sutureless aortic valve with supracoronary ascending aortic replacement as an alternative strategy for composite graft replacement in elderly patients

J R Olsthoorn et al. Neth Heart J. 2022 Mar.

Abstract

Aortic valve disease is frequently associated with ascending aorta dilatation and can be treated either by separate replacement of the aortic valve and ascending aorta or by a composite valve graft. The type of surgery is depending on the exact location of the aortic dilatation and the concomitant valvular procedures required. The evidence for elective aortic surgery in elderly high-risk patients remains challenging and therefore alternative strategies could be warranted. We propose an alternative strategy for the treatment of ascending aortic aneurysm and aortic valve pathology with the use of a sutureless, collapsible, stent-mounted aortic valve prosthesis.

Keywords: Aortic valve replacement; Ascending aortic replacement; High-risk patients; Sutureless aortic valve prosthesis.

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Conflict of interest statement

J.R. Olsthoorn, K.Y. Lam, F. Akca, N. Timmermans and M.E.S.H. Tan declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Preoperative computed tomography reconstruction of a 76-year-old female with ascending aorta dilatation and aortic arch dilatation
Fig. 2
Fig. 2
Preoperative computed tomography reconstruction of an 81-year-old female with ascending aorta dilatation
Fig. 3
Fig. 3
Intraoperative biological sutureless aortic valve implantation through an aortic prosthesis
Fig. 4
Fig. 4
Postoperative result
See this image and copyright information in PMC

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