Singapore Med J 2014; 55(11): 598-600; http://dx.doi.org/10.11622/smedj.2014158
Sutureless aortic valve implantation: first experience in Asia
Chang GH, Vu TD, Teoh LK, Ti LK, Kofidis T
Correspondence: Dr Chang Guohao, Guohao_chang@nuhs.edu.sg
ABSTRACT
Age-related degenerative calcifi cation is currently the most common cause of aortic stenosis (AS) in adults and the most frequent reason for aortic valve replacement in patients with AS. With the increased life expectancy, a large proportion of elderly patients with AS is undergoing cardiac surgery, although many are not offered conventional aortic valve replacement due to the risks involved. However, sutureless aortic valve replacement provides an alternative for this group of elderly patients. This case series reports the first experience in Asia of sutureless aortic valve implantation in seven patients at our institution.
Keywords: aortic stenosis, aortic valve, sutureless
Singapore Med J 2014; 55(11): 598-600; http://dx.doi.org/10.11622/smedj.2014158
REFERENCES
1. Iung B, Baron G, Butchart EG, et al. A prospective survey of patients with valvular heart disease in Europe: The Euro Heart Survey on Valvular Heart Disease. Eur Heart J 2003; 24:1231-43.
http://dx.doi.org/10.1016/S0195-668X(03)00201-X |
| |
2. Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med 2011; 364:2187-98.
http://dx.doi.org/10.1056/NEJMoa1103510 |
| |
3. Otto CM, Lind BK, Kitzman DW, Gersh BJ, Siscovick DS. Association of aortic-valve sclerosis with cardiovascular mortality and morbidity in the elderly. N Engl J Med 1999; 341:142-7.
http://dx.doi.org/10.1056/NEJM199907153410302 |
| |
4. Kolh P, Kerzmann A, Lahaye L, Gerard P, Limet R. Cardiac surgery in octogenarians; peri-operative outcome and long-term results. Eur Heart J 2001; 22:1235-43.
http://dx.doi.org/10.1053/euhj.2000.2443 |
| |
5. Nowicki ER, Birkmeyer NJ, Weintraub RW, et al. Multivariable prediction of in-hospital mortality associated with aortic and mitral valve surgery in Northern New England. Ann Thorac Surg 2004; 77:1966-77.
http://dx.doi.org/10.1016/j.athoracsur.2003.12.035 |
| |
6. Iung B, Cachier A, Baron G, et al. Decision-making in elderly patients with severe aortic stenosis: Why are so many denied surgery- Eur Heart J 2005; 26:2714-20.
http://dx.doi.org/10.1093/eurheartj/ehi471 |
| |
7. Folliguet TA, Laborde F, Zannis K, et al. Sutureless perceval aortic valve replacement: Results of two European centers. Ann Thorac Surg 2012; 93:1483-8.
http://dx.doi.org/10.1016/j.athoracsur.2012.01.071 |
| |
8. Shrestha M, Folliguet T, Meuris B, et al. Sutureless Perceval S aortic valve replacement: A multicenter, prospective pilot trial. J Heart Valve Dis 2009; 18:698-702.
PMid:20099720 |
