PMID- 29049819 OWN - NLM STAT- MEDLINE DCOM- 20190102 LR - 20190102 IS - 1569-9285 (Electronic) IS - 1569-9285 (Linking) VI - 26 IP - 2 DP - 2018 Feb 1 TI - Treatment of a degenerated sutureless Sorin Perceval(R) valve using an Edwards SAPIEN 3. PG - 364-366 LID - 10.1093/icvts/ivx338 [doi] AB - Valve-in-valve implantation is an alternative to reoperation for patients with degenerated bioprostheses. This case report presents a 75-year-old woman presenting with worsening dyspnoea according New York Heart Association (NYHA) Class III after she had received a Sorin Perceval(R) S sutureless valve due to severe aortic valve stenosis 5 years ago. Echocardiography revealed a degenerated Perceval valve with severe valvular aortic regurgitation and stenosis. After exclusion of acute infective endocarditis, an Edwards SAPIEN 3 was implanted leading to an immediate haemodynamic improvement. A cerebral protection device caught a big embolized piece of material in the left carotid artery filter. The case demonstrates that not only suture-based stented and stentless bioprostheses can be treated by a valve-in-valve strategy, but it is also feasible to treat a failed sutureless Sorin Perceval using a balloon-expandable SAPIEN 3. CI - (c) The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. FAU - Mangner, Norman AU - Mangner N AD - Department of Cardiology, Heart Center Leipzig, University Hospital, Leipzig, Germany. FAU - Holzhey, David AU - Holzhey D AD - Department of Cardiac Surgery, University of Leipzig, Heart Center Leipzig, Leipzig, Germany. FAU - Misfeld, Martin AU - Misfeld M AD - Department of Cardiac Surgery, University of Leipzig, Heart Center Leipzig, Leipzig, Germany. FAU - Linke, Axel AU - Linke A AD - Department of Cardiology, Heart Center Leipzig, University Hospital, Leipzig, Germany. LA - eng PT - Case Reports PT - Journal Article PT - Video-Audio Media PL - England TA - Interact Cardiovasc Thorac Surg JT - Interactive cardiovascular and thoracic surgery JID - 101158399 SB - IM MH - Aged MH - Aortic Valve/*surgery MH - Aortic Valve Stenosis/diagnosis/*surgery MH - Bioprosthesis/*adverse effects MH - Device Removal/*methods MH - Female MH - Heart Valve Prosthesis/*adverse effects MH - Humans MH - Prosthesis Design MH - Reoperation MH - Sutureless Surgical Procedures/*adverse effects MH - Tomography, X-Ray Computed MH - Treatment Outcome OTO - NOTNLM OT - Perceval OT - SAPIEN 3 OT - Transcatheter aortic valve replacement OT - Valve in valve EDAT- 2017/10/20 06:00 MHDA- 2019/01/03 06:00 CRDT- 2017/10/20 06:00 PHST- 2017/08/03 00:00 [received] PHST- 2017/09/19 00:00 [accepted] PHST- 2017/10/20 06:00 [pubmed] PHST- 2019/01/03 06:00 [medline] PHST- 2017/10/20 06:00 [entrez] AID - 4430322 [pii] AID - 10.1093/icvts/ivx338 [doi] PST - ppublish SO - Interact Cardiovasc Thorac Surg. 2018 Feb 1;26(2):364-366. doi: 10.1093/icvts/ivx338.