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- Title
Sutureless 3F Enable Valve Replacement for Pure Aortic Regurgitation.
- Authors
Vola, Marco; Fuzellier, Jean‐François; Anselmi, Amedeo; Campisi, Salvatore; Haber, Benjamain; Isaaz, Karl; Gerbay, Antoine; Ruggieri, Vito Giovanni
- Abstract
<bold>Background and Aim: </bold>We present our experience in the use of the sutureless valve in patients undergoing aortic valve replacement for pure aortic regurgitation.<bold>Methods: </bold>Out of 167 patients who underwent sutureless aortic valve implantation with a Medtronic 3f Enable prosthesis in our unit between March 2011 and February 2014, 12 (7.1%) received a sutureless valve for pure aortic regurgitation.<bold>Results: </bold>Mean age, logistic EuroSCORE, and left ventricular ejection fraction were 72 ± 5 years, 6.3 ± 2.9%, and 52.5 ± 15.3%, respectively. The sutureless valve could be successfully implanted in all cases; nine patients had a full sternotomy (associated coronary artery bypass graft in four cases and associated mitral surgery in five), one patient had a ministernotomy, and two had a thoracoscopic approach. Average cross-clamping and cardiopulmonary bypass times were 90 ± 30 and 127 ± 51 minutes, respectively. At the outpatient echocardiography, average mean gradient was 10.54 ± 4.99 mmHg and a grade I-II paravalvular leakage (PVL) was detected in the first patient of the cohort (ministernotomy approach). At a mean follow-up of 11.1 ± 5.5 months, average mean gradient was 9.75 ± 2.87 mmHg, no new PVL was detected, and the known PVL was stable. No pacemaker implantation was required.<bold>Conclusions: </bold>Implantation of the 3f Enable sutureless valve is technically possible with pure aortic regurgitation in selected patients. Multicenter investigations are necessary to assess the mid-term benefits of such a device in this subset of patients.
- Subjects
AORTIC valve insufficiency treatment; AORTIC valve surgery; LEFT heart ventricle surgery; STERNUM surgery; CORONARY artery bypass; SUTURES; AORTIC valve insufficiency; CARDIOPULMONARY bypass; THORACIC surgery; PROSTHETIC heart valves; LONGITUDINAL method; THORACOSCOPY; TIME; TREATMENT effectiveness; STROKE volume (Cardiac output)
- Publication
Journal of Cardiac Surgery, 2015, Vol 30, Issue 11, p796
- ISSN
0886-0440
- Publication type
journal article
- DOI
10.1111/jocs.12647