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Updated: Jul 23, 2025

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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
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The Sutureless Biological Bentall Procedure: A New Technique to Create a Modular Valve-Conduit Construct
Robert P Gallegos1, Borut Gersak2
1The Iowa Clinic, UnityPoint Hospital, Des Moines, IA, USA.
Innovations (Philadelphia, Pa.)
|July 17, 2023
Summary
Surgeons can now use the Perceval sutureless valve in complex aortic root replacements with a new technique. This sutureless biological Bentall approach simplifies implantation and future reinterventions for aortic valve stenosis.
Area of Science:
- Cardiovascular Surgery
- Biomaterials in Medicine
Background:
- The Perceval sutureless valve is widely used for degenerative aortic valve stenosis.
- Its application in complex aortic root replacement has not been previously documented.
Purpose of the Study:
- To describe a novel technique for aortic root replacement using the Perceval valve.
- To introduce the 'sutureless biological Bentall' procedure for complex cases.
Main Methods:
- Modification of the standard biological Bentall procedure.
- Integration of the Perceval sutureless valve into a modular valve-conduit construct.
Main Results:
- The novel technique allows for sutureless implantation in complex aortic root replacement.
- The modular design is anticipated to simplify future reinterventions.
Conclusions:
- The sutureless biological Bentall is a viable modification for complex aortic root surgery.
- This technique offers potential advantages in managing future reinterventions for aortic valve disease.

