Implantation of Perceval in Trifecta ring: A new perspective.

J Cardiol Cases

Heart Centre, Zentralklinik Bad Berka, Bad Berka, Germany.

Published: November 2019

AI Article Synopsis

  • * The procedure aimed to minimize ischemic time and simplify the surgical process while ensuring good postoperative blood flow.
  • * Using the Perceval sutureless valve in the Trifecta ring offers a viable alternative to transcatheter aortic valve implantation in certain cases.

Article Abstract

We report a case of a 67-year-old woman who underwent an aortic valve replacement with a 23-mm Trifecta prosthesis (St. Jude Medical, St. Paul, MN, USA). We implanted Perceval S (LenoNova, London, UK) after resecting the degenerated leaflets three years later after the first operation. This strategy enabled us to reduce the ischemic time and hence simplify the surgical procedure in addition to providing excellent postoperative hemodynamics. < The Perceval sutureless valve implantation in Trifecta ring is a feasible alternative to transcatheter aortic valve implantation in specific situations.>.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6834950PMC
http://dx.doi.org/10.1016/j.jccase.2019.07.008DOI Listing

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JACC Cardiovasc Interv

July 2023

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A percutaneous pulmonary valve-in-valve (PPVIV) implantation in small surgical tissue valves may be limited due to the valve's initial diameter. Fracturing of the valve's integrity by high-pressure balloons may enhance the diameter and facilitate subsequent PPVIV with a large valve. To the best of our knowledge, the Trifecta® valve seemed not to be accessible for fracturing.

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Article Synopsis
  • * The procedure aimed to minimize ischemic time and simplify the surgical process while ensuring good postoperative blood flow.
  • * Using the Perceval sutureless valve in the Trifecta ring offers a viable alternative to transcatheter aortic valve implantation in certain cases.
View Article and Find Full Text PDF

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