Skip to main content
Top
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 3/2019

01-07-2019 | Case report

Early aortic dissection after aortic valve replacement with a Perceval sutureless bioprosthesis

Authors: Giosuè Falcetta, Stefano Pratali, Giacomo Ravenni, Uberto Bortolotti

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Issue 3/2019

Login to get access

Abstract

We report a patient who developed ascending aorta dissection after aortic valve replacement with a Perceval sutureless pericardial bioprosthesis, a previously not reported complication with this device. At reoperation, the intimal tear was located at the aortotomy suture line; the tips of the nitinol stent were far from the aortic lesion which therefore was not attributable to the presence of this specific prosthetic model. Nevertheless, a previous report of aortic dissection due to erosion of the aortic wall by the strut of a transcatheter prosthesis may raise the suspicion that such complication could also occur with sutureless prostheses of similar design.
Literature
1.
go back to reference Shrestha M, Folliguet TA, Pfeiffer S, et al. Aortic valve replacement and concomitant procedures with the Perceval valve: results of European trials. Ann Thorac Surg. 2014;98:1294–300.CrossRef Shrestha M, Folliguet TA, Pfeiffer S, et al. Aortic valve replacement and concomitant procedures with the Perceval valve: results of European trials. Ann Thorac Surg. 2014;98:1294–300.CrossRef
2.
go back to reference Shrestra M, Fischlein T, Meuris B, et al. European multicentre experience with sutureless Perceval valve: clinical and haemodynamic outcomes up to 5 years in over 700 patients. Eur J Cardio-thorac Surg. 2016;49:234–41.CrossRef Shrestra M, Fischlein T, Meuris B, et al. European multicentre experience with sutureless Perceval valve: clinical and haemodynamic outcomes up to 5 years in over 700 patients. Eur J Cardio-thorac Surg. 2016;49:234–41.CrossRef
3.
go back to reference Milano A, Pratali S, De Carlo M, Borzoni G, Tartarini G, Bortolotti U. Ascending aorta dissection after aortic valve replacement. J Heart Valve Dis. 1998;7:75–80.PubMed Milano A, Pratali S, De Carlo M, Borzoni G, Tartarini G, Bortolotti U. Ascending aorta dissection after aortic valve replacement. J Heart Valve Dis. 1998;7:75–80.PubMed
4.
go back to reference Santarpino G, Pfeiffer S, Concistrè G, Fischlein T. A supra-annular malposition of the Perceval S sutureless aortic valve: the ‘ℵ-movement’ removal technique and subsequent reimplantation. Interact Cardiovasc Thorac Surg. 2012;15:280–1.CrossRefPubMedPubMedCentral Santarpino G, Pfeiffer S, Concistrè G, Fischlein T. A supra-annular malposition of the Perceval S sutureless aortic valve: the ‘ℵ-movement’ removal technique and subsequent reimplantation. Interact Cardiovasc Thorac Surg. 2012;15:280–1.CrossRefPubMedPubMedCentral
5.
go back to reference Laborde F, Fischlein T, Hakim-Meibodi K, et al. Clinical and haemodynamic outcomes in 658 patients receiving the Perceval sutureless aortic valve: early results from a prospective European multicentre study (the Cavalier Trial). Eur J Cardiothorac Surg. 2016;49:978–86.CrossRefPubMed Laborde F, Fischlein T, Hakim-Meibodi K, et al. Clinical and haemodynamic outcomes in 658 patients receiving the Perceval sutureless aortic valve: early results from a prospective European multicentre study (the Cavalier Trial). Eur J Cardiothorac Surg. 2016;49:978–86.CrossRefPubMed
6.
go back to reference Gersak B, Fischlein T, Folliguet TA, et al. Sutureless, rapid deployment valves and stented bioprosthesis in aortic valve replacement: recommendations of an International Expert Consensus Panel. Eur J Cardiothorac Surg. 2016;49:709–18.CrossRefPubMed Gersak B, Fischlein T, Folliguet TA, et al. Sutureless, rapid deployment valves and stented bioprosthesis in aortic valve replacement: recommendations of an International Expert Consensus Panel. Eur J Cardiothorac Surg. 2016;49:709–18.CrossRefPubMed
7.
go back to reference Pieters FA, Widdershoven JW, Gerardy AC, Geskes G, Cheriex EC, Wellens HJ. Risk of aortic dissection after aortic valve replacement. Am J Cardiol. 1993;72:1043–7.CrossRefPubMed Pieters FA, Widdershoven JW, Gerardy AC, Geskes G, Cheriex EC, Wellens HJ. Risk of aortic dissection after aortic valve replacement. Am J Cardiol. 1993;72:1043–7.CrossRefPubMed
8.
go back to reference Al-Attar N, Himbert D, Barbier F, Vahanian A, Nataf P. Delayed aortic dissection after transcatheter aortic valve implantation. J Heart Valve Dis. 2013;22:701–3.PubMed Al-Attar N, Himbert D, Barbier F, Vahanian A, Nataf P. Delayed aortic dissection after transcatheter aortic valve implantation. J Heart Valve Dis. 2013;22:701–3.PubMed
Metadata
Title
Early aortic dissection after aortic valve replacement with a Perceval sutureless bioprosthesis
Authors
Giosuè Falcetta
Stefano Pratali
Giacomo Ravenni
Uberto Bortolotti
Publication date
01-07-2019
Publisher
Springer Singapore
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue 3/2019
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-018-0675-6

Other articles of this Issue 3/2019

Indian Journal of Thoracic and Cardiovascular Surgery 3/2019 Go to the issue