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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Use of the Perceval Sutureless Valve in Patients with a Type 0 Bicuspid Aortic Valve
Ryaan El-Andari1, Sabin J Bozso2, Liang Cao3
1Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Abstract:
The valve implantation technique for using a Perceval valve in a type 0 bicuspid aortic valve (BAV) is modified with 3 guiding sutures being placed 120˚ apart, creating 3 neo-sinuses. Six patients with a type 0 BAV underwent aortic valve replacement with the Perceval sutureless valve. The mean age was 68.0 years, and 3 patients were male. No perivalvular leak occurred postoperatively, and no in-hospital mortality occurred in this cohort. The Perceval valve can be implanted safely in patients with a type 0 BAV, although careful consideration of patient anatomy intraoperatively is required to determine the required surgical modifications.
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