<p>Sutureless bioprostheses are frequently used for aortic valve replacement (AVR), but their use for pulmonary valve replacement (PVR) has rarely been reported so far. We have recently observed a patient with aortic valve stenosis and dilatation of the ascending aorta in whom a high transpulmonary valve gradient was found due to severe dysplasia of the pulmonary valve PVR was performed with a Perceval sutureless bioprosthesis, along with aortic valve and ascending aorta replacement. This case stimulated a review of the literature to evidence similar cases previously published. Besides the present case, four other patients have been reported in the literature of PVR with a sutureless bioprosthesis. Clinical and technical details are reported, underlining the main differences in device implantation compared toe AVR. The present review confirms that PVR with a sutureless bioprosthesis is safe and feasible, with excellent results in various clinical scenarios, and it may be considered a valid alternative to transcatheter techniques.</p>

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Pulmonary valve replacement with a sutureless bioprosthesis

  • Igor Vendramin,
  • Enrico Spagna,
  • Sandro Sponga,
  • Arianna Semeraro,
  • Ugolino Livi,
  • Uberto Bortolotti,
  • Andrea Lechiancole

摘要

Sutureless bioprostheses are frequently used for aortic valve replacement (AVR), but their use for pulmonary valve replacement (PVR) has rarely been reported so far. We have recently observed a patient with aortic valve stenosis and dilatation of the ascending aorta in whom a high transpulmonary valve gradient was found due to severe dysplasia of the pulmonary valve PVR was performed with a Perceval sutureless bioprosthesis, along with aortic valve and ascending aorta replacement. This case stimulated a review of the literature to evidence similar cases previously published. Besides the present case, four other patients have been reported in the literature of PVR with a sutureless bioprosthesis. Clinical and technical details are reported, underlining the main differences in device implantation compared toe AVR. The present review confirms that PVR with a sutureless bioprosthesis is safe and feasible, with excellent results in various clinical scenarios, and it may be considered a valid alternative to transcatheter techniques.