Sutureless aortic valve replacement with concomitant valvular surgery

Baran, Çağdaş; Durdu, Serkan; Gümüş, Fatih; Çakıcı, Mehmet; İnan, Mustafa; Şırlak, Mustafa; Akar, Ahmet

doi:10.1016/j.jtcvs.2017.12.154

Cited by 27 publications

(23 citation statements)

References 23 publications

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“…The significant reduction in time of implantation makes the sutureless valve a valuable adjunct in the case of double-valve procedures or need for concomitant atrial fibrillation ablation, as shown recently by Baran et al . 16 .…”

Section: Sutureless Aortic Valve Replacement: Technique and Resultsmentioning

confidence: 99%

Recent advances in aortic valve replacement

Spadaccio

Alkhamees²,

Al‐Attar

2019

F1000Res

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Aortic valve replacement has stood the test of time but is no longer an operation that is exclusively approached through a median sternotomy using only sutured prostheses. Currently, surgical aortic valve replacement can be performed through a number of minimally invasive approaches employing conventional mechanical or bioprostheses as well as sutureless valves. In either case, the direct surgical access allows inspection of the valve, complete excision of the diseased leaflets, and debridement of the annulus in a controlled and thorough manner under visual control. It can be employed to treat aortic valve pathologies of all natures and aetiologies. When compared with transcatheter valves in patients with a high or intermediate preoperative predictive risk, conventional surgery has not been shown to be inferior to transcatheter valve implants. As our understanding of sutureless valves and their applicability to minimally invasive surgery advances, the invasiveness and trauma of surgery can be reduced and outcomes can improve. This warrants further comparative trials comparing sutureless and transcatheter valves.

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Section: Sutureless Aortic Valve Replacement: Technique and Resultsmentioning

confidence: 99%

Recent advances in aortic valve replacement

Spadaccio

Alkhamees²,

Al‐Attar

2019

F1000Res

View full text Add to dashboard Cite

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“…The largest series with Perceval valves was published by Baran et al showing 1 year survival rates >90%. 20 The rate of minor leakage 1þ or 2þ at discharge was 9.2 and 10% at 1 year. No higher grade leaks (>2 þ ) were registered in follow-up echo examinations.…”

Section: Discussionmentioning

confidence: 92%

Intermediate Outcomes after Rapid Deployment Aortic Valve Replacement in Multiple Valve Surgery

Schlömicher

Bechtel

Taghiyev

et al. 2019

Thorac Cardiovasc Surg

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Background Multiple valve surgery is associated with significant higher operative risks. Reduced cross-clamp and cardiopulmonary bypass times in multiple valve surgery may potentially be beneficial as they can be considered independent risk factors for increased morbidity and mortality following cardiac surgery. We report first intermediate outcomes of the Edwards Intuity valve system (Edwards Lifesciences, Irvine, California, United States) in combined procedures Methods Fifty-eight patients underwent rapid deployment aortic valve replacement with concomitant mitral valve surgery between January 2014 and November 2017 in our institution. The valve was assessed echocardiographically after 12 months. The median follow-up was 1.7 years with a cumulative follow-up time of 115.3 patient years. Results The mean age was 73.5 ± 6.2 years and the mean logistic Euroscore was 11.6 ± 3.1%. Concomitant mitral valve repair was performed in 43 cases (74.1%), and mitral valve replacement in 15 cases (19.0%). The mean cross-clamp time was 93 ± 21 minutes along with a mean bypass time of 118 ± 24 minutes. All-cause mortality after 30 days was 8.6%. Overall actuarial survival at 1 year was 87.2 ± 4.5% and after 2 years 82.8 ± 5.3%, respectively. Conclusions Rapid deployment aortic valve replacement in multiple valve surgery can be performed safely with good intermediate outcomes in elderly, high-risk patients.

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“…Sutureless aortic prostheses have been suggested in cases of small aortic root and minimally invasive AVR, reducing cardiopulmonary bypass and clamp time with excellent hemodynamic performance and low rate of patient-prosthesis mismatch rather than conventional aortic valve prosthesis (2). Recently, sutureless prostheses have been also approved for their use in combined mitroaortic procedure and successful multivalvular implants have been reported (3).…”

Section: Clinical Results and Advantagesmentioning

confidence: 99%