New sutureless aortic valve prosthesis:  another tool in less invasive aortic valve replacement.
OBJECTIVE
Sutureless aortic valve prosthesis is a new and promising tool for treatment of aortic valve stenosis. It could increase applicability of surgical aortic valve replacement in the elderly with severe comorbidities.


RESULTS
Three devices are currently available. The 3f Enable (ATS, Minneapolis, USA) and the Perceval S (Sorin, Saluggia, Italy) have a CE mark, whereas the Intuity (Edwards Lifesciences, Irvine, California) is still under investigation. We present the above valves, focusing on the Perceval S, which was used in our institution. Indications, contraindications, technical considerations and patient selection are described. The potential advantages of sutureless valve technology over conventional aortic and percutaneous valves are discussed. We emphasize new perspectives offered by sutureless valves in the aortic replacement field.


CONCLUSIONS
This new technology may offer improved results. Cost-effectiveness and fine-tuning of patient selection are two aspects that future investigation should address.
Departement de Pathologie Cardiaque, Institut Mutualiste Montsouris 42, Bd Jourdan, Paris, France. konstantinoszannis@gmail.com
Konstantinos
K
Zannis
Thierry
T
Folliguet
François
F
Laborde
D001024:Aortic Valve Stenosis / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011474:Prosthesis Design; D013536:Suture Techniques