Vol. 21 No. 3 (2017)
ACQUIRED HEART DISEASES

Clinical and hemodynamic outcomes of Perceval S sutureless bioprostheses implanted through a mini-approach in the aortic position

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  • A. Molchanov,
  • E. Idov,
  • K. Kondrashov,
  • P. Chaplyuk,
  • N. Shakhmaeva
A. Molchanov
Ural State Medical University, Ekaterinburg, Russian Federation; Sverdlovsk Regional Clinical Hospital No. 1, Ekaterinburg, Russian Federation
Bio
E. Idov
Ural State Medical University, Ekaterinburg, Russian Federation; Sverdlovsk Regional Clinical Hospital No. 1, Ekaterinburg, Russian Federation
K. Kondrashov
Sverdlovsk Regional Clinical Hospital No. 1, Ekaterinburg, Russian Federation
P. Chaplyuk
Sverdlovsk Regional Clinical Hospital No. 1, Ekaterinburg, Russian Federation
N. Shakhmaeva
Sverdlovsk Regional Clinical Hospital No. 1, Ekaterinburg, Russian Federation
DOI: https://doi.org/10.21688/1681-3472-2017-3-32-39

Published 2017-11-22

Keywords

  • aortic valve replacement,
  • aortal stenosis,
  • Perceval S sutureless aortic bioprosthesis

How to Cite

Molchanov, A., Idov, E., Kondrashov, K., Chaplyuk, P., & Shakhmaeva, N. (2017). Clinical and hemodynamic outcomes of Perceval S sutureless bioprostheses implanted through a mini-approach in the aortic position. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 21(3), 32–39. https://doi.org/10.21688/1681-3472-2017-3-32-39

Copyright (c) 2017 Molchanov A.N., Idov E.M., Kondrashov K.V., Chaplyuk P.Yu., Shakhmaeva N.B.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Aim. Aortic valve disease is one of three most common cardiovascular problems. Aortic stenosis is responsible for 70% of valve disease. Aortic valve replacement is the most effective treatment for aortic stenosis nowadays. A traditional suture technique of aortic valve replacement is associated with a high risk of complications. Most of these complications occur due to ischemic aortic cross-clamp time and comorbidities. Perceval S sutureless aortic valves to be implanted in selected patients are supposed to meet the challenge. The study was aimed at assessing Perceval S sutureless aortic valve hemodynamic and clinical parameters, its intraoperative advantages and postoperative complication rates.
Methods. A prospective cohort study of Perceval S sutureless aortic valve implanted via J-sternotomy (n = 22) and median sternotomy (n = 10) was conducted. Early and medium postoperative clinical and functional outcomes were obtained and evaluated.
Results. A decrease in the transaortic gradient was observed in early (peak gradient 21.6±4.2 (p = 0.1), mean gradient 11.3±2.8 (p = 0.58)) and medium (peak gradient 15.8±5.5 (p = 0.342), mean gradient 8.8±1.9 (p = 0.54)) follow-up. The myocardial mass index tended to be reduced throughout the entire follow-up (p = 0.01). There were no prosthesis dysfunctions or biodegradation. No patient died in the postoperative period. Survival at 36 months of follow-up was 93.75%.
Conclusion. Perceval S xenopericardial sutureless aortic bioprostheses adequately resolve hemodynamic problems and improve left ventricle functional parameters in early and median follow-up. They may be recommended for elderly patients. Sutureless aortic valve implantation is technically feasible through J-sternotomy and contributes to an eventless follow-up.

Received 17 February 2017. Revised 16 August 2017. Accepted 28 August 2017.

Funding: The study did not have sponsorship.

Conflict of interest: The authors declare no conflict of interest.

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