Key result
Sutureless aortic bioprosthesis enables successful valve-in-valve replacement and uneventful recovery in a single case.
Why the study?
Sutureless bioprostheses may offer an attractive option for surgical valve-in-valve procedures to reduce morbidity and mortality, but clinical experience is limited.
Case Report (n=1)
Sutureless bioprostheses represent a viable option for complex surgical valve-in-valve procedures, potentially reducing morbidity.
Supports feasibility in complex reoperations; hypothesis-generating and requires prospective validation before wider use.
BACKGROUND We present a unique case of a 61-year-old female patient with homograft deterioration after redo surgery for prosthetic valve endocarditis with root abscess. CASE REPORT The first operation was performed for type A dissection with root, arch, and elephant trunk replacement of the thoracic aorta. The present re-redo surgery was performed as valve-in-valve with a sutureless aortic bioprosthesis. The postoperative course was uneventful and the patient was discharged on day 6. CONCLUSIONS The current case report demonstrates that sutureless bioprostheses are an attractive option for surgical valve-in-valve procedures, which can reduce morbidity and mortality.
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Dohmen et al. (2016) conducted a case report in Homograft deterioration after redo surgery for prosthetic valve endocarditis (n=1). Valve-in-valve replacement with a sutureless aortic bioprosthesis was evaluated. Valve-in-valve replacement using a sutureless aortic bioprosthesis was successfully performed in a 61-year-old female, resulting in an uneventful postoperative course and discharge on day 6.
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