Aortic valve replacement within an unexpected porcelain aorta: the sutureless valve option.
Four patients referred for surgical treatment of aortic stenosis presented an unexpected extremely calcified (porcelain) ascending aorta at the intraoperative epiaortic ultrasonography scanning. In each patient, replacement of the aortic valve was successfully performed using a sutureless implantable bioprosthesis during a short period of hypothermic circulatory arrest. In the era of transcatheter aortic valve implantation procedures, the sutureless valve may be a valuable option for surgical units that do not dispose of transcatheter technology or a hybrid operative theatre.
['Gatti|Giuseppe|G|', 'Benussi|Bernardo|B|', 'Camerini|Fulvio|F|', 'Pappalardo|Aniello|A|']
D000368:Aged D000369:Aged, 80 and over D001018:Aortic Diseases D001024:Aortic Valve Stenosis D001027:Aortography D001705:Bioprosthesis D005260:Female D006324:Heart Arrest, Induced D006350:Heart Valve Prosthesis D019918:Heart Valve Prosthesis Implantation D006801:Humans D008297:Male D011474:Prosthesis Design D014057:Tomography, X-Ray Computed D016896:Treatment Outcome D061205:Vascular Calcification
Aortic valve Replacement Bioprosthesis Aortic calcification Cerebral protection Heart valve