Key result
High right parasternal echo detects unusual type A aortic dissection 4 years after Perceval valve.
Case Report (n=1)
No
The right parasternal longitudinal echocardiographic window can facilitate the rapid diagnosis of ascending aorta dissection, a rare complication following sutureless bioprosthesis implantation.
May aid detection of rare post-Perceval dissection; hypothesis-generating and should not yet change practice.
Sutureless bioprostheses are more frequently used for the surgical treatment of elderly patients with high burden of comorbidity, who are candidates to aortic valve replacement (AVR). Among the sutureless bioprostheses, the Perceval valve has shown a good midterm durability, with very few reports of valve deterioration and low risk of complications. Herein, we present an unusual case of ascending aorta dissection which occurred 4 years after AVR with a Perceval sutureless pericardial bioprosthesis, likely related to the peculiar prosthetic design. A high right parasternal longitudinal view of the aorta in the right lateral decubitus allowed to suspect the acute aortic syndrome, thus accelerating the subsequent diagnostic and therapeutic iter.
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Sonaglioni et al. (2023) conducted a case report in Ascending aorta dissection (n=1). Perceval sutureless bioprosthesis was evaluated. A high right parasternal longitudinal echocardiographic view facilitated the diagnosis of an unusual Stanford type A ascending aorta dissection 4 years after Perceval sutureless valve implantation.
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