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Extended hockey stick aortotomy for Perceval valve implantation: How to reshape the aortic root
Author(s) -
Tamagnini Gabriele,
Biondi Raoul,
Zulueta Josè L.,
Del Giglio Mauro
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15186
Subject(s) - medicine , aortic root , aortic valve , cardiology , aortic valve replacement , surgery , aorta , stenosis
The Perceval valve is a true sutureless aortic bioprosthesis. Overall, excellent performances have been demonstrated in terms of hemodynamic outcomes, safety, and versatility of use; furthermore, as a sutureless valve option, it has shown to reduce the surgical burden, shortening the operative times, and simplifying minimally invasive procedures. Since the valve has got a high frame profile, the recommended implantation technique requires a high and transverse aortotomy. In case of unplanned Perceval valve implantation, when an extended aortotomy is required, we have come up with a simple technique to reshape the aortic root before the valve is delivered in place: symmetry is pivotal to prevent folding issues and to improve the annular sealing. Although we discuss an out‐of‐recommendation use, in our experience that technique has shown to be safe and effective.