Valve-in-Valve Using Perceval Prostheses for Prosthetic Valve Endocarditis.

Area of Science:

• Cardiovascular Surgery
• Prosthetic Valve Endocarditis Research
• Medical Device Innovation

Background:

• Prosthetic valve endocarditis (PVE) poses significant surgical challenges.
• Rapid deployment valves offer potential solutions for redo surgery and complex aortic root anatomy.
• The valve-in-valve technique is an emerging approach for PVE management.

Observation:

• This report details 3 cases of PVE requiring redo aortic valve replacement.
• The Perceval (LivaNova) prosthesis was utilized in a valve-in-valve approach for these patients.
• Patient selection considered infective endocarditis in a redo setting and challenging aortic root conditions.

Findings:

• All 3 patients successfully underwent redo aortic valve replacement with the Perceval prosthesis.
• The valve-in-valve technique was feasible and applied in these complex PVE cases.
• Excellent hemodynamic performance of the Perceval prostheses was observed perioperatively and during follow-up.

Implications:

• The Perceval prosthesis via valve-in-valve may be a viable option for select PVE patients.
• This technique could offer improved outcomes in challenging redo aortic valve surgery for endocarditis.
• Further research is warranted to establish the long-term efficacy and safety of this approach.