- Meeting abstract
- Open Access
- Published:
Sutureless Aortic Valves in combined procedures: a useful tool in the armamentarium of cardiac surgeons
Journal of Cardiothoracic Surgery volume 10, Article number: A315 (2015)
Background/Introduction
Following the encouraging preliminary results, sutureless aortic valve implantation is performed in a growing number of patients as it makes minimally invasive surgery easier.
Aims/Objectives
On the other hand, less data are available on the performance of sutureless aortic valves in combined or complex procedures.
Method
Between May 2010 and May 2015, 319 patients (age 77.4 ± 5 years, female 169 (53%) underwent aortic valve replacement with a sutureless bioprosthesis in our institution. Of them, 25 were operated upon as REDO (10 with a degenerated aortic bioprosthesis and/or 15 with previous CABG) or as combined procedures (114 Patients, Table 1). In-hospital and follow up clinical and echocardiographic data were collected for all patients and here reported for the combined procedures.
Results
Mean logistic EuroScore was 14.7 ± 12%. The patients received a size S (n = 4), M (n = 40), L (n = 53) or XL (n = 17) prosthesis. Mean aortic cross-clamp time and cardiopulmonary bypass time were 55.3 ± 21 and 88.8 ± 29 minutes, respectively. In-hospital mortality was 6.1%. We recorded 15 pacemaker implantations (13.1%). At follow-up (27 ± 24 months), we observed 2 pts. with endocarditis needing reoperation, 1 of these died postoperatively. Mean transprosthetic gradients were 13.4 ± 5, 13.8 ± 4.5, 13.7 ± 6.4 at 6 months, 1 year, and 2 years, respectively.
Discussion/Conclusion
The sutureless aortic valve represents a useful tool in the armamentarium of cardiac surgeons for combined and complex surgery. As with growing experience, the indications and the limitations may become the same as for a conventional biological prosthesis but its use can make the operations faster, especially in complex and long procedures.
Author information
Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Pfeiffer, S., Vogt, F., Sirch, J. et al. Sutureless Aortic Valves in combined procedures: a useful tool in the armamentarium of cardiac surgeons. J Cardiothorac Surg 10, A315 (2015). https://doi.org/10.1186/1749-8090-10-S1-A315
Published:
Keywords
- Aortic Valve
- Endocarditis
- Cardiopulmonary Bypass
- Valve Replacement
- Aortic Valve Replacement
