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.

A case of freestyle valve reoperation 23 years after the first operation

“…Furthermore, others have reported that ViV transcatheter aortic valve implantation (TAVI) and sutureless valve implantation have been performed successfully and that these procedures can be valid alternatives to a failed stentless valve surgery. 5,6 In this case, surgical AVR was planned; however, surgical AVR required so much technical difficulties and led to a longer operation time. ViV-TAVI or sutureless valve implantation should have been performed.…”

Multicentre experience of sutureless prostheses inside degenerated stentless aortic valves and bioroots

“…There have been reports of up to 3 cases, which prompted us to analyse our experience [ 7 ]. This cohort comprised patients at increased surgical risk since EuroSCORE II was 13.5% and 2 patients had endocarditis, 1 a failed TAVI and 2 patients a 3rd redo procedure.…”