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Medical Science Monitor Basic Research


Valve-in-Valve Replacement Using a Sutureless Aortic Valve

Unusual setting of medical care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Pascal M. Dohmen, Lukas Lehmkuhl, Michael A. Borger, Martin Misfeld, Friedrich W. Mohr

Germany Department of Cardiac Surgery, Heart Centre Leipzig, University of Leipzig, Leipzig, Germany

Am J Case Rep 2016; 17:699-702

DOI: 10.12659/AJCR.899374

Available online: 2016-10-03

Published: 2016-10-03


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.

Keywords: Aortic Valve, Aortic Valve Stenosis, Cardiac Surgical Procedures