Perceval S aortic valve implantation in an achondroplastic Dwarf

Baikoussis, Nikolaos G; Argiriou, Mihalis; Argiriou, Orestis; Dedeilias, Panagiotis

doi:10.4103/0971-9784.173041

Cited by 9 publications

(13 citation statements)

References 4 publications

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“…Preoperative EOA was 0.5 cm 2 , and after decalcification, the aortic annulus was estimated to be 11 mm. 62 A small Perceval valve was implanted successfully, and postoperative course was uneventful. 62 Dedeilias et al 63 performed a prospective, randomized study comparing outcomes between SAVR with the Perceval (n = 25) and the Sorin Soprano stented valve (n = 25) in patients with an aortic annulus of less than 30 mm.…”

Section: Special Use and Off-label Experience Small Aortic Roots And mentioning

confidence: 97%

“…No significant differences were found in mortality or complication rates as well as peak pressure and IEOA between the groups. 61 Baikoussis et al 62 reported SAVR with the Perceval in an achondroplastic dwarf. Preoperative EOA was 0.5 cm 2 , and after decalcification, the aortic annulus was estimated to be 11 mm.…”

Section: Special Use and Off-label Experience Small Aortic Roots And mentioning

confidence: 99%

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The Perceval Sutureless Aortic Valve

Powell

Pelletier

Chu

et al. 2017

Innovations�(Phila)

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Surgical aortic valve replacement with a stented prosthesis has been the standard of care procedure for aortic stenosis. The Perceval (LivaNova, London, United Kingdom) is a sutureless aortic valve bioprosthesis currently implanted in more than 20,000 patients. The purpose of this article was to review the literature available after 9 years of clinical experience of the Perceval aortic valve. PubMED, Embase, and the Cochrane Library databases were searched. A meta-analysis of summary statistics from individual studies was conducted. A total of 333 studies were identified and 84 studies were included. Thirty-day mortality and 5-year survival ranged from 0% to 4.9% and 71.3% to 85.5%, respectively. Compared with stented prosthesis, pooled analysis demonstrated a statistically significant reduction in aortic cross-clamp and cardiopulmonary bypass times (minutes) with Perceval (38.6 vs 63.3 and 61.4 vs 84.9, P < 0.00001, respectively). Compared with transcatheter aortic valve implantation, pooled analysis demonstrated a statistically significant reduction with Perceval in paravalvular leakage (1.26% vs 14.31%) and early mortality (2.3% vs 6.9%). Favorable hemodynamics, acceptable valve durability, and ease of implantation in minimally invasive cases were reported as benefits. A trend toward increased rates of permanent pacemaker implantation and low postoperative platelet count were identified. Special use and off-label procedures described included bicuspid aortic valves, valve-in-valve for homo-graft and stentless prosthesis failure, concomitant valvular procedures, porcelain aorta, and endocarditis. The Perceval valve has shown safe clinical and hemodynamic outcomes. Outcomes support its continued usage and potential expansion.

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Section: Special Use and Off-label Experience Small Aortic Roots And mentioning

confidence: 97%

Section: Special Use and Off-label Experience Small Aortic Roots And mentioning

confidence: 99%

The Perceval Sutureless Aortic Valve

Powell

Pelletier

Chu

et al. 2017

Innovations�(Phila)

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“…Scafuri et al used a pediatric cannula for aortic valve replacement with root enlargement in a 56-year-old woman with achondroplasia; however, they encountered no problem during CPB [ 6 ]. Other studies have reported using adult cannulas for the repair of type A aortic dissection [ 7 ], aortic valve replacement [ 8 ], and pulmonary endarterectomy [ 9 ]. Despite no consensus on this matter, an adult cannulation can often be performed successfully and should be considered given that these studies reportedly mentioned increasing their CPB flow to maintain adequate tissue perfusion.…”

Section: Discussionmentioning

confidence: 99%

Acute type A aortic dissection repair in an octogenarian with achondroplasia: a case report

2018

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BackgroundAchondroplasia is an inherited disorder and the most common type of short-limbed dwarfism in human beings, affecting more than 250,000 individuals worldwide. To the best of our knowledge, no study has reported a correlation between achondroplasia and aortic dissection. Here, we report a rare case of acute type A aortic dissection repair in a patient with achondroplasia.Case presentationAn 82-year-old Japanese female with achondroplasia was admitted to our hospital because of acute-onset severe chest pain migration to her back accompanied by numbness and pain in the right lower limb. A computed tomography scan revealed acute type A aortic dissection with right leg ischemia because of an occlusion of the right common iliac artery. We successfully performed hemiarch repair.ConclusionsThis report presents the first case of a patient at such an advanced age with dwarfism and cardiac surgery and the second case to illustrate successful acute aortic dissection repair in achondroplasia. Of note, all procedures were performed without specialized equipment. Overall, this report adds to the experience of successful cardiac surgery in this unique patient population.

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“…This valve is absolutely indicated in “difficult” cases like this, above described or other cases described in the literature. [ 7 ] The main indications of the Perceval S valve implantation are old patients with comorbidities, patients with porcelain aorta, and patients with small aortic root avoiding in this way the aortic root enlargement. [ 8 ] The points of this paper are the ideal option of the use of the sutureless Perceval S aortic valve in porcelain aorta and then, the importance of the preoperative CT scan of the chest.…”

Section: Discussionmentioning

confidence: 99%

The perceval S aortic valve implantation in patients with porcelain aorta; is this ideal option?

Baikoussis¹,

Dedeilias²,

Prappa³

et al. 2017

Ann Card Anaesth

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We would like to present in this paper a patient with severe aortic valve stenosis referred to our department for surgical aortic valve replacement. In this patient, it was intraoperatively detected an unexpected heavily calcified porcelain ascending aorta. We present the treatment options in this situation, the difficulties affronted intraoperatively, the significance of the preoperative chest computed tomography scan and the use of the Perceval S aortic valve as ideal bioprosthesis implantation. This is a self-expanding, self-anchoring, and sutureless valve with a wide indication in all patients requiring aortic bioprosthesis.

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Perceval S aortic valve implantation in an achondroplastic Dwarf

Cited by 9 publications

References 4 publications

The Perceval Sutureless Aortic Valve

The Perceval Sutureless Aortic Valve

Acute type A aortic dissection repair in an octogenarian with achondroplasia: a case report

The perceval S aortic valve implantation in patients with porcelain aorta; is this ideal option?

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