Right anterior minithoracotomy and sutureless aortic valve - a perfect match

Abstract

Introduction. Traditionally, surgical aortic valve replacement has been considered the gold standard for treating symptomatic patients with severe aortic stenosis. However, the development of transcatheter technology has introduced the concept of sutureless aortic valve replacement. As a result, minimal invasive aortic valve surgery is becoming increasingly popular and effective option in experienced centers, offering enhanced patient satisfaction and fewer complications. The utilization of sutureless valves has the potential to simplify and optimize aortic valve surgery by reducing the duration of the operation and facilitating prosthesis implantation. Nonetheless, there remain uncertainties regarding the optimal therapeutic choice, durability, and long-term outcomes. Case Reports. The case series involving 10 patients who underwent Perceval valve implantation demonstrated that the procedure was well-tolerated and yielded favorable outcomes. The surgery resulted in reduced implantation time and a decrease in complications. The patients experienced a postoperative course free from complications or cardiac rhythm disturbances, and they were discharged from the hospital on the fifth day of hospitalization. Conclusion. In essence, sutureless valves such as Perceval offer a promising solution for patients with aortic stenosis, particularly in the context of minimal invasive surgery. They can provide excellent hemodynamic performance, shorter the duration of the operation, and reduce hospital stay morbidity and mortality. However, long-term results and further research are necessary to definitively confirm their benefits.