Pulmonary valve replacement with a sutureless bioprosthesis

Sutureless bioprostheses are frequently used for aortic valve replacement (AVR), but their use for pulmonary valve replacement (PVR) has rarely been reported so far. We have recently observed a patient with aortic valve stenosis and dilatation of the ascending aorta in whom a high transpulmonary valve gradient was found due to severe dysplasia of the pulmonary valve PVR was performed with a Perceval sutureless bioprosthesis, along with aortic valve and ascending aorta replacement. This case stimulated a review of the literature to evidence similar cases previously published. Besides the present case, four other patients have been reported in the literature of PVR with a sutureless bioprosthesis. Clinical and technical details are reported, underlining the main differences in device implantation compared toe AVR. The present review confirms that PVR with a sutureless bioprosthesis is safe and feasible, with excellent results in various clinical scenarios, and it may be considered a valid alternative to transcatheter techniques.