Early single-center experience in sutureless aortic valve implantation in 120 patients

Eichstaedt, Harald C.; Easo, Jerry; Härle, Tobias; Dapunt, O

doi:10.1016/j.jtcvs.2012.12.062

Cited by 53 publications

(45 citation statements)

References 25 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Indeed, PVL occurred in the first quartile of the experience only. Early hemodynamic and echocardiographic data concerning the sutureless Enable MS cohort confirm (Table 4) the findings from previous reports [18][19][20]. Average preoperative body surface area did not significantly differ between the groups.…”

Section: Commentsupporting

confidence: 85%

“…Because 2 patients of group B left the operating room with mild PVL, the relative repeat cross-clamping incidence was lower than in other series of sutureless valves [18]. Conversely, we accepted the risk of later aggravation of these PVL; that was actually observed in 2 elderly patients who had showed grade 1 PVL intraoperatively and displayed moderate degree PVL at discharge TTE.…”

Section: Commentmentioning

confidence: 88%

See 1 more Smart Citation

Sutureless Prostheses and Less Invasive Aortic Valve Replacement: Just an Issue of Clamping Time?

Vola

Campisi

Gerbay

et al. 2015

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

Section: Commentsupporting

confidence: 85%

Section: Commentmentioning

confidence: 88%

Sutureless Prostheses and Less Invasive Aortic Valve Replacement: Just an Issue of Clamping Time?

Vola

Campisi

Gerbay

et al. 2015

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

“…Importantly, the association between even mild paravalvular leak and mortality has been clearly drawn. 48,49 As cardiac surgeons, we have a duty to compare the best available techniques and technology available for the benefit of our patients. That means that as TAVR technology improves in the coming years, it should be compared whenever possible to the best SAVR technique (i.e., MIAVS).…”

Section: Resultsmentioning

confidence: 99%

Aortic Valve Surgery: Minimally Invasive Options

Ramlawi

Bedeir

Lamelas

2016

Methodist DeBakey Cardiovascular Journal

View full text Add to dashboard Cite

Minimally invasive aortic valve surgery has not been adopted by a significant proportion of cardiac surgeons despite proven benefits. This may be related to a high learning curve and technical issues requiring retraining. In this review, we discuss the data for minimally invasive aortic valve surgery and describe our operative technique for both ministernotomy and anterior thoracotomy approaches. We also discuss the advent of novel sutureless valves and how these techniques compare to available transcatheter aortic valve procedures.

show abstract

“…[13] Dikişsiz AKR'nin, açık cerrahi yöntemle yapılmasından ve daha az anüler travma olmasından dolayı protez kapak migrasyonu ve embolik olay açısından daha güvenli olduğu bildirilmiştir. [14] Ancak 3F Enable dikişsiz biyoprotez ile AKR yapılan ve ameliyat sonrası üçüncü ayda protez kapak migrasyonu gelişen hastalar da bildirilmiştir. [15] Bizim çalışmamızda ise Edwards kapak kullanılan bir hasta, ameliyat sonrası beşinci günde sol ana koroner ostealinin protez kapak migrasyonuna bağlı mekanik tıkanıklık nedeni ile acil ameliyata alındı.…”

Section: Discussionunclassified

Early- and mid-term results of sutureless aortic valve replacement in high-risk patients: our single-center experience

Göde¹

2016

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

ÖZAmaç: Bu çalışmada kalsifik ileri aort darlığı olan yüksek riskli hastalarda dikişsiz biyoprotez aort kapak replasmanının erken ve orta dönem sonuçları sunuldu. Ça lış ma pla nı: Temmuz 2014 -Temmuz 2015 tarihleri arasında üç tipten biri (3F Enable, Perceval S ve Edwards) kullanılarak dikişsiz biyoprotez aort kapak replasmanı yapılan 27 hasta (9 erkek, 18 kadın; ort. yaş 72.96±6.15 yıl; dağılım 62-85 yıl) çalışmaya alındı. Hastaların demografik verileri ve taburculuk sırasında, üçüncü ve altıncı ayda ekokardiyografi sonuçları karşılaştırıldı. Bul gu lar: Onbir hastaya aort kapak replasmanı ile birlikte koroner arter baypas greftleme yapıldı. Ortalama total perfüzyon zamanı ve aortik kros klemp zamanı sırasıyla, 84.2±33.8 dakika ve 45.2±19.2 dakika idi. Hastaların takip ekokardiyografilerinde iyi hemodinamik performans ve düşük aortik gradiyent saptandı. Üçüncü ay ve sonrasındaki ekokardiyografilerde septum kalınlığı, taburculuk ekokardiyografisine kıyasla, anlamlı olarak azaldı (p=0.008). Hastaların biri protez kapak migrasyonu, biri de ileri paravalvüler kaçak gelişmesi nedeni ile tekrar ameliyat edildi. İki hasta ise kalp dışı nedenlerden dolayı 37. ve 81. günlerde kaybedildi. So nuç: İşlem sonrası erken dönemde migrasyon ve paravalvüler kaçak gibi kapağa bağlı komplikasyonlar görülebilmekle birlikte, dikişssiz aort kapak replasmanının total perfüzyon zamanını ve aortik kross klemp zamanını azaltması en büyük avantajlarındandır.Anah tar söz cük ler: Aort kapak replasmanı; mortalite; dikişsiz aort kapak. ABSTRACTBackground:In this study, we present early-and mid-term results of sutureless bioprosthetic aortic valve replacement in high-risk patients with severe calcific aortic stenosis. Methods: Between July 2014 and July 2015, 27 patients (9 males, 18 females; mean age 72.96±6.15 years; range 62 to 85 years) who underwent sutureless bioprosthetic aortic valve replacement using one of three types (3F Enable, Perceval S, and Edwards) were included in the study. Demographic data of the patients and echocardiographic findings at discharge, three and six months were compared. Results:Eleven patients underwent aortic valve replacement in conjunction with coronary artery bypass grafting. The mean total perfusion time and aortic cross-clamp time were 84.2±33.8 min and 45.2±19.2 min, respectively. Good hemodynamic performance and low aortic gradient were detected on follow-up echocardiographies of the patients. The septal thickness was lower at three months and thereafter on echocardiography, than the discharge echocardiography (p=0.008). Two patients were reoperated due to prosthetic valve migration and advanced paravalvular leak. Two patients died due to non-cardiac causes in the 37 th and 81 st postoperative days.

show abstract

Early single-center experience in sutureless aortic valve implantation in 120 patients

Cited by 53 publications

References 25 publications

Sutureless Prostheses and Less Invasive Aortic Valve Replacement: Just an Issue of Clamping Time?

Sutureless Prostheses and Less Invasive Aortic Valve Replacement: Just an Issue of Clamping Time?

Aortic Valve Surgery: Minimally Invasive Options

Early- and mid-term results of sutureless aortic valve replacement in high-risk patients: our single-center experience

Contact Info

Product

Resources

About