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Updated: Feb 23, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Sutureless aortic valve replacement in a calcified homograft combined with mitral valve replacement
Ferdi Akca1, Kayan Lam2, Ibrahim Özdemir2
1Department of Cardiothoracic Surgery, Heart Center, Catharina Hospital, Michelangelolaan 2, PO Box 1350, 5602 ZA, Eindhoven, The Netherlands. ferdi.akca@catharinaziekenhuis.nl.
Background:
Aortic valve replacement in a patient with an aortic homograft can be very challenging, especially when concomitant mitral valve surgery needs to be performed.
Case Presentation:
We report a case of implantation of a sutureless aortic valve bioprosthesis combined with mitral valve replacement in a patient with a severely calcified aortic homograft where conventional valve replacement was technically unfeasible.
Conclusions:
We believe that sutureless AVR is a viable option especially for young patients with a high surgical risk where conventional valve replacement cannot be achieved.

