title: Perceval sutureless valve in freestyle root: new surgical valve-in-valve therapy.
abstract: Aortic root replacement with biological conduit (homograft, autograft, or xenograft) is a valuable tool, but biological valves are often prone to degeneration. Reoperations usually require root removal and repetition of the Bentall procedure to maintain the same orifice area. A less radical option is to limit replacement to the valve. In cases of calcified or very small roots, standard valve implantation cannot be performed, and bailout with a sutureless valve may be a particularly useful option. Here we have described a case of leaflet rupture in a calcified small Freestyle root (Medtronic Inc, Minneapolis, MN) in which we performed a valve-in-valve (V-in-V) procedure with a Perceval-S prosthesis (Sorin Group, Saluggia, Italy).
authors.affiliation: Cardiac Surgery Unit, Poliambulanza Foundation Hospital, Brescia, Italy. Electronic address: emmanuel.villa@gmail.com.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Villa
authors.forename: Antonio
authors.initials: A
authors.lastname: Messina
authors.forename: Marco
authors.initials: M
authors.lastname: Cirillo
authors.forename: Federico
authors.initials: F
authors.lastname: Brunelli
authors.forename: Zean
authors.initials: Z
authors.lastname: Mhagna
authors.forename: Margherita
authors.initials: M
authors.lastname: Dalla Tomba
authors.forename: Giovanni
authors.initials: G
authors.lastname: Troise
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D013536:Suture Techniques
keywords: 35