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Review

Use of Sutureless and Rapid Deployment Prostheses in Challenging Reoperations

1
Cardiothoracic Department, University Hospital of Udine, 33100 Udine, Italy
2
Cardiac Imaging Unit, NorthWest Heart Centre, Manchester University NHS Foundation Trust, Manchester M13 9WL, UK
3
Department of Medical Area (DAME), University of Udine, 33100 Udine, Italy
*
Author to whom correspondence should be addressed.
Academic Editors: Andy Wessels and Frederick J. Schöen
J. Cardiovasc. Dev. Dis. 2021, 8(7), 74; https://0-doi-org.brum.beds.ac.uk/10.3390/jcdd8070074
Received: 26 April 2021 / Revised: 6 June 2021 / Accepted: 22 June 2021 / Published: 25 June 2021
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. View Full-Text
Keywords: Sutureless valve prosthesis; rapid-deployment valve prosthesis; challenging operations Sutureless valve prosthesis; rapid-deployment valve prosthesis; challenging operations
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MDPI and ACS Style

Vendramin, I.; Lechiancole, A.; Piani, D.; Nucifora, G.; Benedetti, G.; Sponga, S.; Muser, D.; Bortolotti, U.; Livi, U. Use of Sutureless and Rapid Deployment Prostheses in Challenging Reoperations. J. Cardiovasc. Dev. Dis. 2021, 8, 74. https://0-doi-org.brum.beds.ac.uk/10.3390/jcdd8070074

AMA Style

Vendramin I, Lechiancole A, Piani D, Nucifora G, Benedetti G, Sponga S, Muser D, Bortolotti U, Livi U. Use of Sutureless and Rapid Deployment Prostheses in Challenging Reoperations. Journal of Cardiovascular Development and Disease. 2021; 8(7):74. https://0-doi-org.brum.beds.ac.uk/10.3390/jcdd8070074

Chicago/Turabian Style

Vendramin, Igor, Andrea Lechiancole, Daniela Piani, Gaetano Nucifora, Giovanni Benedetti, Sandro Sponga, Daniele Muser, Uberto Bortolotti, and Ugolino Livi. 2021. "Use of Sutureless and Rapid Deployment Prostheses in Challenging Reoperations" Journal of Cardiovascular Development and Disease 8, no. 7: 74. https://0-doi-org.brum.beds.ac.uk/10.3390/jcdd8070074

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