Sutureless Valve in Repeated Aortic Valve Replacement: Results from an International Prospective Registry.
(2021) Innovations (Philadelphia) : technology and techniques in cardiothoracic and vascular surgery — Vol. 16, n° 3, p. 273-279 (2021)
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Glauber, Mattia 
Kent, William D T Miceli, Antonio
- Abstract
- OBJECTIVE: To report early and midterm results registry of patients undergoing repeated aortic valve replacement (RAVR) with sutureless prostheses from an international prospective registry (SURE-AVR). METHODS: Between March 2011 and June 2019, 69 patients underwent RAVR with self-expandable sutureless aortic bioprostheses at 22 international cardiac centers. RESULTS: Overall mortality was 2.9% with a predicted logistic EuroSCORE II of 10.7%. Indications for RAVR were structural valve dysfunction (84.1%) and infective prosthetic endocarditis (15.9%) and were performed in patients with previously implanted bioprostheses (79.7%), mechanical valves (15.9%), and transcatheter valves (4.3%). Minimally invasive approach was performed in 15.9% of patients. Rate of stroke was 1.4% and rate of early valve-related reintervention was 1.4%. Overall survival rate at 1 and 5 years was 97% and 91%, respectively. No major paravalvular leak occurred. Rate of pacemaker implantation was 5.8% and 0.9% per patient-year early and at follow-up, respectively. The mean transvalvular gradient at 1-year and 5-year follow-up was 10.5 mm Hg and 11.5 mm Hg with a median effective orifice area of 1.8 cm2and 1.8 cm2, respectively. CONCLUSIONS: RAVR with sutureless valves is a safe and effective approach and provides excellent clinical and hemodynamic results up to 5 years.
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Glauber, M., Kent, W. D. T., Asimakopoulos, G., Troise, G., Padrò, J. M., Royse, A., Marnette, J.-M., Noirhomme, P., Baghai, M., Lewis, M., Di Bacco, L., Solinas, M., & Miceli, A. (2021). Sutureless Valve in Repeated Aortic Valve Replacement: Results from an International Prospective Registry. Innovations (Philadelphia) : technology and techniques in cardiothoracic and vascular surgery, 16(3), 273-279. https://doi.org/10.1177/1556984521999323 (Original work published 2021)