[Prosthetic Heart Valves:Recent Advances and Future Perspectives].

Area of Science:

• Biomedical Engineering
• Cardiovascular Surgery
• Materials Science

Background:

• Bioprosthetic heart valves face challenges with structural valve deterioration (SVD) and long-term durability.
• Previous generations of prosthetic valves had limitations in lifespan and predictability.

Purpose of the Study:

• To review key innovations enhancing bioprosthetic heart valve performance and longevity.
• To discuss advancements in anti-calcification, valve-in-valve (ViV) compatibility, and rapid deployment technologies.

Main Methods:

• Review of recent literature and clinical trial data on novel bioprosthetic valve technologies.
• Analysis of design modifications aimed at improving durability and facilitating future interventions.
• Evaluation of sutureless and rapid deployment systems for minimally invasive cardiac surgery.

Main Results:

• Proprietary anti-calcification treatments show improved mid-term durability in clinical settings.
• Modern valve designs increasingly incorporate features for successful future valve-in-valve (ViV) procedures.
• Sutureless/rapid deployment valves demonstrate reduced operative times, benefiting minimally invasive surgery.

Conclusions:

• Recent innovations are significantly improving bioprosthetic heart valve durability and patient management.
• Guidelines are evolving, reflecting lower age thresholds for bioprosthetic valve use.
• Future research will focus on personalized valve selection and further durability enhancements.