Sutureless and Rapid Deployment Prosthesis in Redo-Bentall Endocarditis
Aortic valve replacement (AVR) in a patient with a bio-Bentall conduit can be very challenging, especially if there was a previous endocarditis process for significant morbidity and mortality. We report a case of sutureless AVR in an old patient with a bio-Bentall conduit (Carpentier–Edwards Perimou...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2024/9455342 |
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| author | Salvatore Nicolardi Gabriele De Masi De Luca Federica Mangia Cosimo Angelo Greco Salvatore Zaccaria |
| author_facet | Salvatore Nicolardi Gabriele De Masi De Luca Federica Mangia Cosimo Angelo Greco Salvatore Zaccaria |
| author_sort | Salvatore Nicolardi |
| collection | DOAJ |
| description | Aortic valve replacement (AVR) in a patient with a bio-Bentall conduit can be very challenging, especially if there was a previous endocarditis process for significant morbidity and mortality. We report a case of sutureless AVR in an old patient with a bio-Bentall conduit (Carpentier–Edwards Perimount Magna Ease 25 aortic valve and Hemashield 30 aortic conduit), who developed an endocarditis on aortic prosthesis valve. We believe that sutureless AVR is the best option for redo-operation in older patients with a high surgical risk because it allows for easy rapid deployment implantation, avoids anchoring sutures on a fragile aortic anulus, and reduces cardiopulmonary and aortic cross-clamp times. In this setting, it should be considered as a safe and valid alternative not only to traditional prosthesis but also in selected cases to transcatheter valve-in-valve solutions. |
| format | Article |
| id | doaj-art-447db9cffa00452795b2b62ea4d65cf7 |
| institution | Kabale University |
| issn | 2090-6919 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-447db9cffa00452795b2b62ea4d65cf72025-08-20T03:36:06ZengWileyCase Reports in Surgery2090-69192024-01-01202410.1155/2024/9455342Sutureless and Rapid Deployment Prosthesis in Redo-Bentall EndocarditisSalvatore Nicolardi0Gabriele De Masi De Luca1Federica Mangia2Cosimo Angelo Greco3Salvatore Zaccaria4Department of Cardiac SurgeryCardiology DepartmentDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryDepartment of Cardiac SurgeryAortic valve replacement (AVR) in a patient with a bio-Bentall conduit can be very challenging, especially if there was a previous endocarditis process for significant morbidity and mortality. We report a case of sutureless AVR in an old patient with a bio-Bentall conduit (Carpentier–Edwards Perimount Magna Ease 25 aortic valve and Hemashield 30 aortic conduit), who developed an endocarditis on aortic prosthesis valve. We believe that sutureless AVR is the best option for redo-operation in older patients with a high surgical risk because it allows for easy rapid deployment implantation, avoids anchoring sutures on a fragile aortic anulus, and reduces cardiopulmonary and aortic cross-clamp times. In this setting, it should be considered as a safe and valid alternative not only to traditional prosthesis but also in selected cases to transcatheter valve-in-valve solutions.http://dx.doi.org/10.1155/2024/9455342 |
| spellingShingle | Salvatore Nicolardi Gabriele De Masi De Luca Federica Mangia Cosimo Angelo Greco Salvatore Zaccaria Sutureless and Rapid Deployment Prosthesis in Redo-Bentall Endocarditis Case Reports in Surgery |
| title | Sutureless and Rapid Deployment Prosthesis in Redo-Bentall Endocarditis |
| title_full | Sutureless and Rapid Deployment Prosthesis in Redo-Bentall Endocarditis |
| title_fullStr | Sutureless and Rapid Deployment Prosthesis in Redo-Bentall Endocarditis |
| title_full_unstemmed | Sutureless and Rapid Deployment Prosthesis in Redo-Bentall Endocarditis |
| title_short | Sutureless and Rapid Deployment Prosthesis in Redo-Bentall Endocarditis |
| title_sort | sutureless and rapid deployment prosthesis in redo bentall endocarditis |
| url | http://dx.doi.org/10.1155/2024/9455342 |
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