The Sutureless Biological Bentall Procedure: A New Technique to Create a Modular Valve-Conduit Construct

Abstract

The Perceval sutureless valve (Corcym, Saluggia, Italy) has been effectively adopted by surgeons for the treatment of degenerative aortic valve stenosis. Its simplified true sutureless implantation technique has proven useful for minimally invasive cases, but the use of Perceval as part of more complex root replacement has not previously been described. We present a novel technical modification to the manufactured biologic Bentall, called the sutureless biological Bentall. This technique allows for a true modular valve–conduit construction that will simplify future reintervention.

Sutureless aortic valve for reoperative aortic valve replacement as an alternative to composite graft replacement

“…Gallegos and colleagues 3 conducted a study on the Bentall procedure employing the SAV as the primary surgical prosthesis. The implantation of the prosthetic valve followed the suturing of the prosthesis and reconstruction of the coronary arteries.…”

“…Subsequent to these preparatory measures, the SAV was implanted using standard techniques. 3 Additionally, Dhanekula and colleagues 4 provided a summary of reoperations involving SAVs that included good outcomes in 4 cases after Bentall surgery, although details regarding those specific cases were not provided. To the best of our knowledge, the present is the first report of insertion of an SAV in a patient who had previously undergone Bentall surgery with a composite graft, with the cuff and sutured pledget of the previous prosthetic valve left in place.…”