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- W2948262074 abstract "Redo surgery is often high risk, due to distorted patient anatomy and longer cardiopulmonary bypass and aortic cross-clamp times. It can also be more technically challenging, due to previous surgeries and the limitations that these impose. One such case that resulted in a previously unreported procedural solution is presented: sutureless valve into a previously straight Valsalva graft and aortic valve bioprosthesis. This high-risk elderly male presented with Streptococcus salivarius infective endocarditis in October 2017. Although initially medically managed, this resulted in progressive valvular destruction and aortic insufficiency, with subsequent heart failure and severe aortic regurgitation within months. This off-label operative technique included resection of the bioprosthetic aortic valve leaflets and deployment of the sutureless valve within the previous sewing ring. The struts were re-fashioned for added security, extra sutures were taken and increased inflation pressures were applied in order to achieve a well-seated valve. This strategy ultimately obviated the need for a redo Bentall's procedure in an otherwise high-risk patient who went on to have an uneventful postoperative course and uncomplicated recovery. This case demonstrates a safe alternative valve replacement strategy that can be considered in patients for whom a redo Bentall's procedure is high risk." @default.
- W2948262074 created "2019-06-14" @default.
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- W2948262074 date "2019-01-01" @default.
- W2948262074 modified "2023-09-26" @default.
- W2948262074 title "Less Is More: Sutureless Aortic Valve Replacement Into Valsalva Graft" @default.
- W2948262074 doi "https://doi.org/10.1016/j.hlc.2019.02.129" @default.
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