Abstract
Background: Aortic valve stenosis is the most frequent cardiac valve pathology in the western world. In the last few years, sutureless valves have been strongly developed with a lot of applications. The aim of this study was to evaluate the feasibility, mid-term outcomes of sutureless aortic valve replacement technique. Subjects and methods: 13 patients who underwent sutureless aortic valve replacement between 12/2015 to 05/2018 at Clermont – Ferrand University Hospital, France. Descriptive study, postoperative follow-up, clinical evaluation, and echocardiography. Results: mean cross-clamp time was 84.8 ± 22.9 min, mean cardiopulmonary bypass time was 113.4 ± 21.2 min. Improved mean preoperative and postoperative aortic gradients: 40.3 ± 17.4 mmHg versus 10.5 ± 4.8 mmHg (1 month) and 12.0 ± 4.5 mmHg (6 months). Mean intensive care unit stay was 7.8 ± 11.8 days, mean hospital stay was 23.2 ± 15.5 days. No case of death was reported after 6 months. Conclusion: sutureless aortic valve replacement technique is feasible, with good short-term and mid-term outcomes, improve hemodynamics, can be applied in intermediate and high-risk patients. Key words: aortic valve stenosis, aortic valve replacement, sutureless aortic valve
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