Aortic Root Enlargement or Sutureless Valve Implantation?

Authors

  • Nikolaos G. Baikoussis Evangelismos General Hospital of Athens, Athens
  • Panagiotis Dedeilias Evangelismos General Hospital of Athens, Athens
  • Michalis Argiriou Evangelismos General Hospital of Athens, Athens

DOI:

https://doi.org/10.3889/oamjms.2016.120

Keywords:

perceval aortic valve, sutureless valves, small aortic root, patient-prosthesis mishmach, aortic root enlargement

Abstract

Aortic valve replacement (AVR) in patients with a small aortic annulus is a challenging issue. The importance of prosthesis–patient mismatch (PPM) post aortic valve replacement (AVR) is controversial but has to be avoided. Many studies support the fact that PPM has a negative impact on short and long term survival. In order to avoid PPM, aortic root enlargement may be performed. Alternatively and keeping in mind that often some comorbidities are present in old patients with small aortic root, the Perceval S suturelles valve implantation could be a perfect solution. The Perceval sutureless bioprosthesis provides reasonable hemodynamic performance avoiding the PPM and providing the maximum of aortic orifice area. We would like to see in the near future the role of the aortic root enlargement techniques in the era of surgical implantation of the sutureless valve (SAVR) and the transcatheter valve implantation (TAVI).

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References

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Published

2016-11-16

How to Cite

1.
Baikoussis NG, Dedeilias P, Argiriou M. Aortic Root Enlargement or Sutureless Valve Implantation?. Open Access Maced J Med Sci [Internet]. 2016 Nov. 16 [cited 2022 Jul. 6];4(4):742-3. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2016.120

Issue

Section

Letter to the Editor