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

Antonio Miceli*, Paolo Berretta, Antonio Fiore, Martin Andreas, Marco Solinas, Giuseppe Santarpino, Utz Kappert, Martin Misfeld, Carlo Savini, Alberto Albertini, Emmanuel Villa, Kevin Phan, Theodor Fischlein, Bart Meuris, Gianluca Martinelli, Kevin Teoh, Carmelo Mignosa, Malakh Shrestha, Thierry P. Carrel, Tristan D. YanMattia Glauber, Marco Di Eusanio

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)298-304
Number of pages7
JournalAnnals of Cardiothoracic Surgery
Volume9
Issue number4
DOIs
Publication statusPublished - Jul 2020

Bibliographical note

Copyright the Publisher 2020. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Aortic valve replacement (AVR)
  • Bicuspid aortic valve (BAV)
  • Rapid deployment valve
  • Sutureless

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