Stentless pericardial valve for acute aortic valve endocarditis with annular destruction

J Cardiovasc Med (Hagerstown). 2015 Apr;16(4):318-9. doi: 10.2459/JCM.0b013e3283536ac7.

Abstract

Surgery for aortic-valve endocarditis is still challenging, particularly in combination with destruction of the annulus. Freedom Solo (Solo) is a bovine stentless prosthesis for aortic valve replacement. It is implanted supra-annularly into the aortic wall with a single suture line, without requiring an 'intact' annulus. Thirteen patients received a Solo for endocarditis with annular destruction. Our results showed a low reinfection rate and no patient-prosthesis mismatch. Our contribution intends to show the feasibility of implantation also in case of complicated anatomical conditions, such as destruction of the annulus.

MeSH terms

  • Acute Disease
  • Aged
  • Aged, 80 and over
  • Animals
  • Aortic Valve / pathology
  • Aortic Valve / surgery*
  • Bioprosthesis*
  • Cattle
  • Endocarditis, Bacterial / complications
  • Endocarditis, Bacterial / surgery*
  • Female
  • Heart Valve Diseases / physiopathology
  • Heart Valve Diseases / surgery*
  • Heart Valve Prosthesis Implantation / methods
  • Heart Valve Prosthesis*
  • Humans
  • Male
  • Middle Aged
  • Plastic Surgery Procedures / methods
  • Suture Techniques
  • Treatment Outcome