Use of Sutureless and Rapid Deployment Prostheses in Challenging Reoperations
Sutureless and rapid-deployment bioprostheses have been introduced as alternatives to traditional prosthetic valves to reduce cardiopulmonary and aortic cross-clamp times during aortic valve replacement. These devices have also been employed in extremely demanding surgical settings, as underlined in...
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doaj-f5ef0fa9d3ce48eb9339d71c793ef1622021-07-23T13:47:40ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252021-06-018747410.3390/jcdd8070074Use of Sutureless and Rapid Deployment Prostheses in Challenging ReoperationsIgor Vendramin0Andrea Lechiancole1Daniela Piani2Gaetano Nucifora3Giovanni Benedetti4Sandro Sponga5Daniele Muser6Uberto Bortolotti7Ugolino Livi8Cardiothoracic Department, University Hospital of Udine, 33100 Udine, ItalyCardiothoracic Department, University Hospital of Udine, 33100 Udine, ItalyCardiothoracic Department, University Hospital of Udine, 33100 Udine, ItalyCardiac Imaging Unit, NorthWest Heart Centre, Manchester University NHS Foundation Trust, Manchester M13 9WL, UKCardiothoracic Department, University Hospital of Udine, 33100 Udine, ItalyCardiothoracic Department, University Hospital of Udine, 33100 Udine, ItalyCardiothoracic Department, University Hospital of Udine, 33100 Udine, ItalyCardiothoracic Department, University Hospital of Udine, 33100 Udine, ItalyCardiothoracic Department, University Hospital of Udine, 33100 Udine, ItalySutureless and rapid-deployment bioprostheses have been introduced as alternatives to traditional prosthetic valves to reduce cardiopulmonary and aortic cross-clamp times during aortic valve replacement. These devices have also been employed in extremely demanding surgical settings, as underlined in the present review. Searches on the PubMed and Medline databases aimed to identify, from the English-language literature, the reported cases where both sutureless and rapid-deployment prostheses were employed in challenging surgical situations, usually complex reoperations sometimes even performed as bailout procedures. We have identified 25 patients for whom a sutureless or rapid-deployment prosthesis was used in complex redo procedures: 17 patients with a failing stentless bioprosthesis, 6 patients with a failing homograft, and 2 patients with the failure of a valve-sparing procedure. All patients survived reoperation and were reported to be alive 3 months to 4 years postoperatively. Sutureless and rapid-deployment bioprostheses have proved effective in replacing degenerated stentless bioprostheses and homografts in challenging redo procedures. In these settings, they should be considered as a valid alternative not only to traditional prostheses but also in selected cases to transcatheter valve-in-valve solutions.https://www.mdpi.com/2308-3425/8/7/74Sutureless valve prosthesisrapid-deployment valve prosthesischallenging operations |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Igor Vendramin Andrea Lechiancole Daniela Piani Gaetano Nucifora Giovanni Benedetti Sandro Sponga Daniele Muser Uberto Bortolotti Ugolino Livi |
spellingShingle |
Igor Vendramin Andrea Lechiancole Daniela Piani Gaetano Nucifora Giovanni Benedetti Sandro Sponga Daniele Muser Uberto Bortolotti Ugolino Livi Use of Sutureless and Rapid Deployment Prostheses in Challenging Reoperations Journal of Cardiovascular Development and Disease Sutureless valve prosthesis rapid-deployment valve prosthesis challenging operations |
author_facet |
Igor Vendramin Andrea Lechiancole Daniela Piani Gaetano Nucifora Giovanni Benedetti Sandro Sponga Daniele Muser Uberto Bortolotti Ugolino Livi |
author_sort |
Igor Vendramin |
title |
Use of Sutureless and Rapid Deployment Prostheses in Challenging Reoperations |
title_short |
Use of Sutureless and Rapid Deployment Prostheses in Challenging Reoperations |
title_full |
Use of Sutureless and Rapid Deployment Prostheses in Challenging Reoperations |
title_fullStr |
Use of Sutureless and Rapid Deployment Prostheses in Challenging Reoperations |
title_full_unstemmed |
Use of Sutureless and Rapid Deployment Prostheses in Challenging Reoperations |
title_sort |
use of sutureless and rapid deployment prostheses in challenging reoperations |
publisher |
MDPI AG |
series |
Journal of Cardiovascular Development and Disease |
issn |
2308-3425 |
publishDate |
2021-06-01 |
description |
Sutureless and rapid-deployment bioprostheses have been introduced as alternatives to traditional prosthetic valves to reduce cardiopulmonary and aortic cross-clamp times during aortic valve replacement. These devices have also been employed in extremely demanding surgical settings, as underlined in the present review. Searches on the PubMed and Medline databases aimed to identify, from the English-language literature, the reported cases where both sutureless and rapid-deployment prostheses were employed in challenging surgical situations, usually complex reoperations sometimes even performed as bailout procedures. We have identified 25 patients for whom a sutureless or rapid-deployment prosthesis was used in complex redo procedures: 17 patients with a failing stentless bioprosthesis, 6 patients with a failing homograft, and 2 patients with the failure of a valve-sparing procedure. All patients survived reoperation and were reported to be alive 3 months to 4 years postoperatively. Sutureless and rapid-deployment bioprostheses have proved effective in replacing degenerated stentless bioprostheses and homografts in challenging redo procedures. In these settings, they should be considered as a valid alternative not only to traditional prostheses but also in selected cases to transcatheter valve-in-valve solutions. |
topic |
Sutureless valve prosthesis rapid-deployment valve prosthesis challenging operations |
url |
https://www.mdpi.com/2308-3425/8/7/74 |
work_keys_str_mv |
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