Sutureless Medtronic 3f Enable aortic valve replacement in a heavily calcified aortic root

J Heart Valve Dis. 2013 May;22(3):436-8.

Abstract

The case is reported of a surgical aortic valvular stenosis with a severely calcified ascending aortic root in a 76-year-old woman. The morphology and size of the aortic annulus were unsuitable for transcatheter aortic valve implantation (TAVI); thus, surgery was scheduled. Aortic calcifications allowed a transverse aortotomy 4 cm superior to the sinotubular junction, with a remote endoaortic view of the valve. A Medtronic 3f Enable sutureless bioprosthesis was then implanted after aortic annular decalcification. Sutureless bioprostheses are new tools that promise to reduce technical difficulties and cross-clamp times in minimally invasive aortic valve replacement surgery. In addition, sutureless techniques may have other possible advantages in special circumstances requiring full sternotomy access, such as in the present case.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Valve / pathology
  • Aortic Valve / physiopathology
  • Aortic Valve / surgery*
  • Aortic Valve Stenosis / pathology
  • Aortic Valve Stenosis / physiopathology
  • Aortic Valve Stenosis / surgery*
  • Bioprosthesis
  • Calcinosis / pathology
  • Calcinosis / physiopathology
  • Calcinosis / surgery*
  • Cardiac Catheterization / methods*
  • Female
  • Heart Valve Prosthesis Implantation* / instrumentation
  • Heart Valve Prosthesis Implantation* / methods
  • Heart Valve Prosthesis*
  • Humans
  • Imaging, Three-Dimensional
  • Minimally Invasive Surgical Procedures / methods
  • Severity of Illness Index*
  • Treatment Outcome