The sutureless aortic valve: a story of continuing improvements

Article Cardiac & Cardiovascular Systems

Ten years' experience with the sutureless aortic valve replacement: incidence and predictors for survival and valve durability at follow-up

Francesco Pollari et al.

Summary: Sutureless aortic valve replacement (Su-AVR) is a viable option for patients with severe aortic valve stenosis, and the long-term outcomes and durability of the prosthesis were evaluated in this study. Age, EuroSCORE II, baseline dialysis, and postoperative acute kidney injury were found to be significantly associated with worse survival. Structural valve deterioration occurred in 4.2% of patients, with 19 individuals undergoing reintervention.

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY (2023)

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Article Cardiac & Cardiovascular Systems

Randomized controlled trial between conventional versus sutureless bioprostheses for aortic valve replacement: Impact of mini and full sternotomy access at 1-year follow-up

Theodor Fischlein et al.

Summary: The sutureless bioprosthesis significantly reduced procedural times during isolated SAVR in both surgical approaches and showed better 1-year outcomes regarding MACCEs, stroke, re-hospitalization, and new-onset atrial fibrillation.

INTERNATIONAL JOURNAL OF CARDIOLOGY (2022)

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Article Surgery

Sutureless aortic valves in isolated and combined procedures: 13 years of experience in 784 patients

Marie Lamberigts et al.

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY (2022)

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Article Cardiac & Cardiovascular Systems

Avoiding oversizing in sutureless valves leads to lower transvalvular gradients and less permanent pacemaker implants postoperatively

Delphine Szecel et al.

Summary: This study evaluated the impact of changing the sizing strategy in aortic valve replacement using the Perceval sutureless prosthesis on haemodynamic outcomes and postoperative pacemaker implantation. The new sizing strategy resulted in lower transvalvular gradients, increased effective opening area, and decreased postoperative pacemaker implantation rate.

INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY (2022)

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Article Cardiac & Cardiovascular Systems

Less-Invasive Aortic Valve Replacement: Trends and Outcomes From The Society of Thoracic Surgeons Database

Mehrdad Ghoreishi et al.

Summary: This study compares outcomes of conventional and less-invasive approaches for aortic valve replacement. The research found that less-invasive AVR is associated with operative mortality and postoperative stroke rates similar to that of conventional surgery. Less-invasive AVRs may serve as a benchmark for comparison between transcatheter aortic valve replacement and surgical AVR in low-risk patients.

ANNALS OF THORACIC SURGERY (2021)

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Review Cardiac & Cardiovascular Systems