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Updated: Jan 3, 2026

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Published on: May 21, 2017
Solo Smart stentless bioprosthesis for redo aortic valve replacement
Azumi Hamasaki1, Tetsuro Uchida1, Mitsuaki Sadahiro1
1Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.
Redo aortic valve replacement (AVR) can be challenging due to aortic annulus defects. The stentless Solo Smart valve offers a supra-annular solution for these complex redo-AVR cases.
Area of Science:
- Cardiovascular Surgery
- Medical Devices
- Prosthetic Heart Valves
Background:
- Redo aortic valve replacement (AVR) presents challenges, particularly when native aortic annulus defects arise after prosthesis removal.
- Traditional stented prostheses can be difficult to implant in such cases, necessitating alternative solutions.
Observation:
- A case of redo-AVR was successfully performed using the novel Solo Smart valve.
- This stentless bioprosthesis is designed for supra-annular implantation within the sinus of Valsalva.
Findings:
- The Solo Smart valve facilitates supra-annular implantation without requiring annular stitches, simplifying the procedure.
- This technique addresses the difficulties associated with a defective native aortic annulus during redo-AVR.
Implications:
- The Solo Smart valve represents a promising alternative for patients undergoing redo-AVR with aortic annulus defects.
- This approach may improve outcomes and reduce complexity in complex cardiac surgeries.
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