AI Article Synopsis
- * An 82-year-old woman with severe aortic insufficiency and a prior endoleak underwent successful combined surgery that included a sutureless AVR using the Perceval valve.
- * Despite her frail condition and high surgical risk, the patient had a smooth recovery, suggesting that sutureless AVR can be a viable option for high-risk elderly patients needing both aortic arch reconstruction and valve surgery.
Article Abstract
Sutureless aortic valve replacement (AVR) offers an alternative approach to the standard AVR in aortic valve disease. We herein report a case of an 82-year-old woman with severe aortic insufficiency and a persistent type 1 endoleak following a thoracic endovascular aortic repair, who underwent successful combined aortic arch reconstruction and sutureless AVR. The bioprosthesis, Perceval (LivaNova PLC, London, UK), a self-anchoring, self-expanding, sutureless valve, which can be implanted in selected patients with aortic insufficiency was used. Although the patient was frail and at a high risk of open-heart surgery, she had an uneventful postoperative course. Hence, Perceval may be a useful option for combined aortic arch reconstruction and aortic valve surgery in high-risk elderly patients.
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| http://dx.doi.org/10.1007/s10047-020-01182-z | DOI Listing |
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