Key result
Stentless valves offer superior hemodynamics compared to porcine stented valves and benefit patients with small aortic annuli, but show equivalent midterm durability and survival to stented valves.
Why the study?
Do stentless valves improve hemodynamic performance, left ventricular mass regression, durability, and survival compared to modern stented valves in patients undergoing aortic valve replacement?
Do stentless valves improve hemodynamic performance, left ventricular mass regression, durability, and survival compared to modern stented valves in patients undergoing aortic valve replacement?
Stentless valves offer hemodynamic advantages and lower risk of patient-prosthesis mismatch, particularly beneficial for patients with a small aortic annulus, though durability and survival are comparable to modern stented valves.
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May benefit small-annuli patients via hemodynamics; leaves open long-term durability versus modern stented valves.
Kerchove et al. (2007) conducted a review in Aortic valve replacement. Stentless valves vs. Stented valves was evaluated on Hemodynamic performance, left ventricular mass regression, durability, and survival. Stentless valves offer superior hemodynamics compared to porcine stented valves and benefit patients with small aortic annuli, but show equivalent midterm durability and survival to stented valves.
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