Sutureless aortic valve replacement with annular plication technique in an oversized annulus

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Case report shows successful aortic valve replacement with plication in a 72-year-old man, indicating potential for wider use.

Excellent valve positioning confirmed via echocardiography with no paravalvular leak, post-surgery.
Patient was asymptomatic and functioning well at 3-year follow-up after the procedure.
Annular plication method employed to allow implantation of the Perceval XL valve.
Approach was minimally invasive with a totally endoscopic technique via right mini-thoracotomy.

Ueki et al. (2025) studied this question.

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