PMID- 34320703
OWN - NLM
STAT- MEDLINE
DCOM- 20210730
LR  - 20210730
IS  - 1681-7168 (Electronic)
IS  - 1022-386X (Linking)
VI  - 31
IP  - 8
DP  - 2021 Aug
TI  - Sutureless Aortic Valve Replacement.
PG  - 891-896
LID - 10.29271/jcpsp.2021.08.891 [doi]
AB  - OBJECTIVE: To compare the results of sutureless aortic valve replacement (AVR) 
      with the conventional method. STUDY DESIGN: A case-control study. PLACE AND 
      DURATION OF STUDY: Cardiovascular Surgery Unit, Istanbul Yeni Yuzyil University, 
      Gaziosmanpasa Hospital, Turkey, from December 2014 to December 2019. METHODOLOGY: 
      Patients undergoing AVR were enrolled. The inclusion criteria were severe 
      symptomatic aortic valve disease, New York Heart Association (NYHA) class II or 
      higher, and age >55 years. Perioperative clinical and echocardiographic outcomes 
      were assessed in all patients. RESULTS: Ninety-one patients (45 women, 46 men) 
      underwent AVR (49 sutureless, 42 conventional). The average age was 73.08 +/- 7.54 
      years in the sutureless group and 66.26+/-8.63 years in the conventional group. The 
      mean cross-clamp and cardiopulmonary bypass (CPB) times were 72.86 +/- 34.09 and 
      91.88 +/- 36.98 minutes, respectively, in the former; and 104.96 +/- 41.64 and 119.81 
      +/- 40.45 minutes, respectively, in the latter. In the sutureless group, 30 (61.2%) 
      patients underwent additional procedures such as CABG, mitral interventions, 
      tricuspid repair, ascending aortic surgery, and myxoma removal. Preoperative peak 
      and mean pressure gradients decreased from 76 and 48 mmHg to 16 and 9 mmHg 
      postoperatively in the sutureless group; and from 70.9 and 44 mmHg to 24 and 12 
      mmHg in the conventional group. Paravalvular leak and permanent pacemaker 
      requirement due to AV-block rates were 6.1%. The mean ICU stay was 3.69+/-6.75 and 
      2.31+/-1.80 days, the mean hospital stay was 10.08+/-6.56 and 8.62+/-3.28 days, and the 
      30-day overall mortality rates were 8.2% and 4.8% in the sutureless and 
      conventional groups, respectively.   Conclusion: Sutureless AVR has advantages of 
      shorter cross-clamp time, reduced CPB duration, and postoperative aortic 
      gradients. However, there was no advantage in terms of mortality or hospital 
      stay. Its benefits could be more prominent in complex cases or minimally invasive 
      surgery. Key Words: Sutureless valves, Aortic valve stenosis, Valve replacement.
FAU - Sever, Kenan
AU  - Sever K
AD  - Department of Cardiovascular Surgery, Istanbul Yeni Yuzyil University, 
      Gaziosmanpasa Hospital, Istanbul, Turkey.
FAU - Konukoglu, Oguz
AU  - Konukoglu O
AD  - Department of Cardiovascular Surgery, Istanbul Yeni Yuzyil University, 
      Gaziosmanpasa Hospital, Istanbul, Turkey.
FAU - Yildirim, Ozgur
AU  - Yildirim O
AD  - Department of Cardiovascular Surgery, Istanbul Yeni Yuzyil University, 
      Gaziosmanpasa Hospital, Istanbul, Turkey.
FAU - Kilercik, Hakan
AU  - Kilercik H
AD  - Department of Anesthesiology, Istanbul Yeni Yuzyil University, Gaziosmanpasa 
      Hospital, Istanbul, Turkey.
FAU - Mansuroglu, Denyan
AU  - Mansuroglu D
AD  - Department of Cardiovascular Surgery, Istanbul Yeni Yuzyil University, 
      Gaziosmanpasa Hospital, Istanbul, Turkey.
LA  - eng
PT  - Journal Article
PL  - Pakistan
TA  - J Coll Physicians Surg Pak
JT  - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
JID - 9606447
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Valve/diagnostic imaging/surgery
MH  - Case-Control Studies
MH  - Female
MH  - *Heart Valve Prosthesis
MH  - *Heart Valve Prosthesis Implantation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prosthesis Design
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Turkey
EDAT- 2021/07/30 06:00
MHDA- 2021/07/31 06:00
CRDT- 2021/07/29 00:50
PHST- 2020/11/06 00:00 [received]
PHST- 2021/06/30 00:00 [accepted]
PHST- 2021/07/29 00:50 [entrez]
PHST- 2021/07/30 06:00 [pubmed]
PHST- 2021/07/31 06:00 [medline]
AID - 040579197 [pii]
AID - 10.29271/jcpsp.2021.08.891 [doi]
PST - ppublish
SO  - J Coll Physicians Surg Pak. 2021 Aug;31(8):891-896. doi: 
      10.29271/jcpsp.2021.08.891.