Replacement of a Calcified Aortic Valve in a Porcine Aortic Root with the Perceval Sutureless Bioprosthesis

Abstract

We report a 79-year-old patient who had aortic valve replacement (AVR) using a porcine aortic root. Due to degeneration of the porcine aortic valve, he required reoperation during which a heavily calcified porcine root and aortic annulus prevented insertion of any traditional bioprosthesis. AVR was achieved using a sutureless bioprosthesis, combined with mitral valve replacement. The present case confirms the feasibility and advantages of using sutureless valve implantation in complex and high-risk redo procedures.

Sutureless Aortic Valve Prosthesis in Redo Procedures: Single-Center Experience

“…This increase in valve size undoubtedly contributed to the favorable hemodynamic performance that was confirmed by the postoperative echocardiography. In their case report, Falcetta et al [ 37 ] described the specifics of the utilization of a sutureless aortic valve prosthesis in patients who had previously undergone a full root replacement with a homograft. Similar to their report, Vendramin et al [ 17 ] emphasized the advantages of sutureless prostheses in reoperative aortic root surgery in which the favorable larger inner diameter may contribute to the easier implantation into the previously implanted aortic valve without the reimplantation of the coronary buttons.…”