title: Sutureless 3f Enable Valve Implantation in a Failing Bio-Bentall Conduit.
abstract: We report the case of a 61-year-old man who underwent a Bentall procedure with a BioValsalva conduit for an acute type A aortic dissection. Two years later the patient presented at our institution with severe aortic regurgitation caused by the rupture of one cusp of the bioprosthesis (Elan valve) included in the conduit. A transcatheter valve-in-valve option was discussed by the heart team but was dismissed in favor of a sutureless 3f Enable valve implantation into the failing bioprosthesis after leaflet removal. This strategy simplified the surgical procedure and provided excellent postoperative hemodynamics at follow-up.
authors.affiliation: Cardiovascular Surgery Unit, St-Etienne University Hospital, St-Etienne, France. Electronic address: marco.vola@univ-st-etienne.fr.
authors.forename: Marco
authors.initials: M
authors.lastname: Vola
authors.affiliation: Cardiovascular Surgery Unit, St-Etienne University Hospital, St-Etienne, France.
authors.forename: Jean François
authors.initials: JF
authors.lastname: Fuzellier
authors.affiliation: Cardiovascular Surgery Unit, St-Etienne University Hospital, St-Etienne, France.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Campisi
authors.affiliation: Cardiovascular Surgery Unit, St-Etienne University Hospital, St-Etienne, France.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Favre
authors.affiliation: Cardiology Unit, St-Etienne University Hospital, St-Etienne, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Gerbay
authors.affiliation: Cardiovascular Surgery Unit, St-Etienne University Hospital, St-Etienne, France.
authors.forename: Vito Giovanni
authors.initials: VG
authors.lastname: Ruggieri
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001705:Bioprosthesis / Q000009:adverse effects*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D013536:Suture Techniques