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MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2017 April;65(2):184-92

DOI: 10.23736/S0026-4725.16.04085-8

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Implantation of the Sorin Perceval® sutureless aortic valve: a step by step approach

Steffen PFEIFFER, Joachim SIRCH, Ferdinand VOGT, Theodor FISCHLEIN, Giuseppe SANTARPINO

Department of Cardiac Surgery, Cardiovascular Center, Klinikum Nürnberg, Paracelsus Medical University, Nuremberg, Germany


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Since the introduction of the sutureless Perceval® (Sorin Group, Saluggia, Italy) in Europe after CE mark in 2012, the “sutureless approach” is becoming more and more popular. Sutureless implantation in general is easy, fast and safe, but bears several potential pitfalls. This might result in inferior functional results affecting also clinical outcomes. In our center, more than 300 implant procedures have been performed up to date by mainly two senior surgeons. The technique is in the process of spreading to all surgeons performing aortic valve procedures. Proctored activities are completed at our and other institutions, and wetlab activities are conducted in collaboration with the manufacturer’s research and development laboratory. This article was written to give a step-by-step advice for surgeons who want to start a sutureless program or even have made limited experience with this approach wanting to reconfirm their technique. The focus is kept on surgical aspects regarding indication, access, intra-operative exposure and implantation of the prosthesis.


KEY WORDS: Transcatheter aortic valve replacement - Minimally invasive surgical procedures - Heart valve prosthesis

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Publication History

Issue published online: January 3, 2017
Manuscript accepted: May 31, 2016
Manuscript revised: May 16, 2016
Manuscript received: January 18, 2016

Cite this article as

Pfeiffer S, Sirch J, Vogt F, Fischlein T, Santarpino G. Implantation of the Sorin Perceval® sutureless aortic valve: a step by step approach. Minerva Cardioangiol 2017;65:184-92. DOI: 10.23736/S0026-4725.16.04085-8

Corresponding author e-mail

giuseppe.santarpino@klinikum-nuernberg.de