First in Human Totally Endoscopic Perceval Valve Implantation

Area of Science:

• Cardiovascular Surgery
• Minimally Invasive Procedures
• Bioprosthetic Valves

Background:

• Totally endoscopic cardiac surgery improves quality of life but may increase cross-clamp times.
• Transcatheter aortic valve implantation is suitable for inoperable patients.
• Previous totally endoscopic aortic valve replacements used the 3f Enable bioprosthesis.

Observation:

• This case report details the first implantation of the Sorin Perceval bioprosthesis using a totally endoscopic approach.
• The procedure involved complete removal of a stenotic aortic valve.
• Minimizing surgical chest wall trauma was a key objective.

Findings:

• The Sorin Perceval prosthesis was successfully implanted in a totally endoscopic aortic valve replacement.
• The approach aims to provide excellent early quality of life for patients.
• This technique may be effective for lower-risk patients undergoing aortic valve replacement.

Implications:

• This represents a novel application of the Sorin Perceval valve in minimally invasive cardiac surgery.
• The totally endoscopic approach with this prosthesis could offer a less traumatic alternative for suitable patients.
• Further research is warranted to evaluate long-term outcomes and compare with existing methods.