Abstract
I read with great interest the article by Lam and colleagues 1 Lam K.Y. Reardon M.J. Yakubov S.J. et al. Surgical sutureless and sutured aortic valve replacement in low-risk patients. Ann Thorac Surg. 2022; 113: 616-622 Abstract Full Text Full Text PDF Scopus (5) Google Scholar comparing surgical aortic valve replacements using sutureless valves (suSAVRs) vs sutured valves. This ad hoc analysis of the Evolut Low Risk Trial confirmed what we have previously known about suSAVRs. Deployment is quick and hemodynamics are favorable, but there is a disadvantage of increased rates of permanent pacemaker implantation (PPMI). 2 Bedeir K. Reardon M. Cohn L.H. Ramlawi B. Sutureless aortic valves: combining the best or the worst?. Semin Thorac Cardiovasc Surg. 2016; 28: 341-352 Abstract Full Text Full Text PDF Scopus (1) Google Scholar Importantly, this ad hoc analysis sheds a light on the Evolut Low Risk Trial itself, which may demonstrate some problems. Surgical Sutureless and Sutured Aortic Valve Replacement in Low-risk PatientsThe Annals of Thoracic SurgeryVol. 113Issue 2PreviewRandomized clinical trials have shown that transcatheter aortic valve replacement is noninferior to surgery in low surgical risk patients. We compared outcomes in patients treated with a sutured (stented or stentless) or sutureless surgical valve from the Evolut Low Risk Trial. Full-Text PDF Looking in the Mirror Is the Shortest Way to ImprovementThe Annals of Thoracic SurgeryVol. 114Issue 6PreviewWe would like to thank Dr Kareem Bedeir for the Letter to the Editor1 regarding our article2 in The Annals of Thoracic Surgery on surgical sutureless aortic valve replacement (suSAVR) and surgical sutured aortic valve replacement (SAVR) in low-risk patients. In our study, we demonstrated no difference between suSAVR and stented SAVR in terms of 30-day complications, apart from marginally better hemodynamics, but with an increased rate of pacemaker implantation (PMI)and valve-related hospitalizations. Full-Text PDF
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