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Redo Aortic Valve Implantation After Full Root Replacement Using A Sutureless Valve Prosthesis.
Julia Götte1, Wolfgang Hemmer1, Detlef Roser1
1Sana Cardiac Surgery Stuttgart GmbH, Stuttgart, Germany.
The Annals of Thoracic Surgery
|October 25, 2016
Summary
This case study details the first successful use of a sutureless aortic valve prosthesis in an 83-year-old patient with prior bioprosthetic root replacement. The procedure addressed severe aortic regurgitation, mitral regurgitation, and coronary artery disease.
Area of Science:
- Cardiovascular Surgery
- Bioprosthetic Heart Valves
- Aortic Valve Replacement
Background:
- A prior stentless bioprosthesis for full aortic root replacement was implanted 15 years ago.
- The patient presented with severe aortic regurgitation due to leaflet degeneration, moderate mitral regurgitation, and single-vessel coronary artery disease.
Observation:
- Severe aortic valve regurgitation secondary to leaflet degeneration was diagnosed.
- The patient also had moderate mitral regurgitation and single-vessel coronary artery disease.
Findings:
- A sutureless aortic prosthesis was successfully implanted to reduce cross-clamp time and technical challenges.
- The patient experienced an uneventful surgical and postoperative course.
Implications:
- This represents the first reported successful use of a sutureless aortic valve prosthesis in a complex reoperative scenario.
- The findings suggest sutureless valves are a viable option for patients requiring re-do aortic valve surgery with concomitant procedures.
