Sutureless and rapid deployment implantation in bicuspid aortic valve: results from the sutureless and rapid-deployment aortic valve replacement international registry.

Miceli, Antonio; Berretta, Paolo; Fiore, Antonio; Andreas, Martin; Solinas, Marco; Santarpino, Giuseppe; Kappert, Utz; Misfeld, Martin; Savini, Carlo; Albertini, Alberto; Villa, Emmanuel; Phan, Kevin; Fischlein, Theodor; Meuris, Bart; Martinelli, Gianluca; Teoh, Kevin; Mignosa, Carmelo; Shrestha, Malakh; Carrel, Thierry P.; Yan, Tristan D; ... (2020). Sutureless and rapid deployment implantation in bicuspid aortic valve: results from the sutureless and rapid-deployment aortic valve replacement international registry. Annals of cardiothoracic surgery, 9(4), pp. 298-304. AME Publishing Company 10.21037/acs-2020-surd-33

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Background

Benefits of sutureless and rapid deployment (SURD) bioprostheses in bicuspid aortic valves (BAV) are controversial. The aim of this study is to report the outcomes of patients undergoing aortic valve replacement (AVR) for BAV from the Sutureless and Rapid-Deployment Aortic Valve Replacement International Registry (SURD-IR).

Methods

Of the 4,636 patients who received primary isolated SURD-AVR between 2007 and 2018, 191 (4.1%) BAV patients underwent AVR with SURD valve.

Results

Overall 30-day mortality was 1.6%. The Intuity valve was implanted in 53.9% of cases, whereas the Perceval was implanted in 46.1%. Rate of stroke for isolated AVR was 4.2%. No case of endocarditis, thromboembolism, myocardial infarction, valve dislocation or structural valve deterioration was reported in the early phase. Rate of pacemaker implantation and moderate-severe aortic regurgitation (AR) were 7.9% and 3.7%, respectively.

Conclusions

BAV is not considered a contraindication for the implantation of SURD valves. However, detailed information of aortic root geometry as well as the knowledge of some technical considerations are mandatory for a good outcome.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Carrel, Thierry

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2225-319X

Publisher:

AME Publishing Company

Language:

English

Submitter:

Paul Libera

Date Deposited:

15 Dec 2020 10:39

Last Modified:

15 Dec 2020 10:47

Publisher DOI:

10.21037/acs-2020-surd-33

PubMed ID:

32832411

Uncontrolled Keywords:

Bicuspid aortic valve (BAV) aortic valve replacement (AVR) rapid deployment valve sutureless

BORIS DOI:

10.7892/boris.149607

URI:

https://boris.unibe.ch/id/eprint/149607

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