Mid-term durability of the Trifecta bioprosthesis for aortic valve replacement Amedeo Anselmi, MD, PhD, Vito Giovanni Ruggieri, MD, PhD, Bernard Lelong,

Slides:

Advertisements

Similar presentations

TRANSFORM (Multicenter Experience With Rapid Deployment Edwards INTUITY Valve System for Aortic Valve Replacement) US clinical trial: Performance of a.

Advertisements

Transcatheter aortic valve replacement in patients with severe aortic stenosis who are at high risk for surgical complications: Summary assessment of.

Of mice and men and surgical transcatheter aortic valve insertion

The fate of small-size pericardial heart valve prostheses in an older patient population Ruggero De Paulis, MD, Salvatore D'Aleo, MD, Alessandro Bellisario,

Aortic valve replacement in low-flow, low-gradient aortic stenosis: Left ventricular ejection fraction matters Victor Dayan, MD, PhD, Philippe Pibarot,

Influence of the On-X mechanical prosthesis on intermediate-term major thromboembolism and hemorrhage: A prospective multicenter study Vincent Chan,

Novel knot-tying technique for mitral valve repair

Reoperative aortic valve replacement in the octogenarians—minimally invasive technique in the era of transcatheter valve replacement Tsuyoshi Kaneko,

Aortic Valve Replacement in the Elderly: The Real Life

Lars G. Svensson, MD, PhD, Lillian H. Batizy, MS, Eugene H

Valve repair improves the outcome of surgery for chronic severe aortic regurgitation: A propensity score analysis Christophe de Meester, MS, Agnès Pasquet,

Long-term prognosis of ascending aortic aneurysm after aortic valve replacement for bicuspid versus tricuspid aortic valve stenosis Evaldas Girdauskas,

Bigger valve size is not always better

Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: Changes in risks, valve types, and outcomes in the Society.

Clinical outcomes of different surgical approaches for proximal descending thoracic aneurysm involving the distal arch Hyun-Chel Joo, MD, Young-Nam Youn,

Eight-year results after aortic valve replacement with the CryoLife-O’Brien Stentless Aortic Porcine Bioprosthesis Ivo Martinovic, MD, Ibrahim Farah,

The fate of small-size pericardial heart valve prostheses in an older patient population Ruggero De Paulis, MD, Salvatore D'Aleo, MD, Alessandro Bellisario,

Bartosz Rylski, MD, Friedhelm Beyersdorf, MD, PhD, Fabian A

Form ever follows function

Survival and quality of life after extracorporeal life support for refractory cardiac arrest: A case series Amedeo Anselmi, MD, PhD, Erwan Flécher, MD,

Functional mitral stenosis after mitral valve repair is a true anatomic problem that originates from the time of surgery Vincent Chan, MD, MPH, Thierry.

It is still mostly about the mitral valve

Early degeneration of the St Jude Medical Trifecta bioprosthetic aortic valve: A problem of the leaflets or of the stent? Giuseppe Santarpino, MD, Steffen.

Bicuspid aortic valve aortopathy: One size fits all?

Biventricular root replacement for transcatheter pulmonary valve endocarditis after Ross operation: Double the trouble T.K. Susheel Kumar, MD, Kaitlin.

Use of annulus washer after debridement: A new mitral valve replacement technique for patients with severe mitral annular calcification Syed Tarique.

Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement Ole Lund, MD, PhD, Martin Bland,

Jong Hun Kim, MD, Jong Bum Choi, MD

One-year results of thoracic endovascular aortic repair for blunt thoracic aortic injury (RESCUE trial) Ali Khoynezhad, MD, PhD, FACS, Carlos E. Donayre,

The lord of the rings Antonio Miceli, MD, PhD

A new paradigm for obtaining marketing approval for pediatric-sized prosthetic heart valves Ajit P. Yoganathan, PhD, Mark Fogel, MD, Susan Gamble, BS,

Management of dilated ascending aorta during aortic valve replacement: Valve replacement alone versus aorta wrapping versus aorta replacement Seung Hyun.

The variability of the mitral valve anatomy and terminology

Long-term evaluation of biological versus mechanical prosthesis use at reoperative aortic valve replacement Vincent Chan, MD, MPH, B-Khanh Lam, MD, MPH,

Aortic root enlargement: What are the operative risks?

Appraisal of Long-Term Outcomes of Tricuspid Valve Replacement in the Current Perspective Amedeo Anselmi, MD, PhD, Vito Giovanni Ruggieri, MD, PhD, Majid.

Transcatheter aortic valve replacement in intermediate-risk patients

Simple interrupted suturing increases valve performance after aortic valve replacement with a small supra-annular bioprosthesis Minoru Tabata, MD, MPH,

Michele Gallo, MD, Gino Gerosa, MD

Joshua M. Rosenblum, MD, PhD, Bradley G. Leshnower, MD, Rena C

Transcatheter aortic valve replacement and surgical aortic valve replacement: Both excellent therapies J. James Edelman, MBBS(Hons), PhD, Vinod H. Thourani,

Amedeo Anselmi, MD, PhD, Jean-Philippe Verhoye, MD, PhD

Outcome of aortic arch reconstruction in infants with coarctation: Importance of operative approach Andreas Tulzer, MD, Rudolf Mair, MD, Michaela Kreuzer,

Stent and leaflet stresses in a 26-mm first-generation balloon-expandable transcatheter aortic valve Yue Xuan, PhD, Kapil Krishnan, PhD, Jian Ye, MD,

How to prevent a pacemaker implantation after sutureless bioprosthesis

Which is the “lord” of the aortic rings?

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

David valve-sparing aortic root replacement: Equivalent mid-term outcome for different valve types with or without connective tissue disorder John-Peder.

Replicating the success of mitral valve repair in the aortic valve

TRANSFORM (Multicenter Experience With Rapid Deployment Edwards INTUITY Valve System for Aortic Valve Replacement) US clinical trial: Performance of a.

St Jude Medical Regent valve

Commentary: Bioprosthetic aortic valve replacement: A high standard of comparison for transcatheter aortic valve implantation Aaron Martin, MD, Michael.

The Sorin Freedom SOLO stentless aortic valve: Technique of implantation and operative results in 109 patients Thierry Aymard, MD, Friedrich Eckstein,

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Sutureless valve implantation: Every detail counts

Sutureless replacement versus transcatheter valve implantation in aortic valve stenosis: A propensity-matched analysis of 2 strategies in high-risk patients

Transcatheter aortic valve replacement for prime time unrestricted distribution? Not so fast, my friend G. Michael Deeb, MD, John Carroll, MD The Journal.

Long-term results of Freestyle stentless bioprosthesis in the aortic position: A single- center prospective cohort of 500 patients Nicolas Amabile, MD,

Comparison of eight prosthetic aortic valves in a cadaver model

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone? Juan A. Crestanello, MD The Journal of.

Minor postoperative morbidity should not be neglected

Permanent pacemaker insertion following transcatheter aortic valve replacement: Not infrequent, not benign, and becoming predictable Craig M. Jarrett,

Commentary: When a choice is not an echo

Long-term results of the Medtronic Mosaic porcine bioprosthesis in the aortic position Amedeo Anselmi, MD, Erwan Flécher, MD, PhD, Vito Giovanni Ruggieri,

A randomized comparison of the MCRI On-X and CarboMedics Top Hat bileaflet mechanical replacement aortic valves: Early postoperative hemodynamic function.

Durability of pericardial versus porcine bioprosthetic heart valves

Transcatheter aortic valve implantation versus surgical aortic valve replacement: A propensity score analysis in patients at high surgical risk Lenard.

Paul Philipp Heinisch, MD, Thierry Carrel, MD

Presentation transcript:

Mid-term durability of the Trifecta bioprosthesis for aortic valve replacement Amedeo Anselmi, MD, PhD, Vito Giovanni Ruggieri, MD, PhD, Bernard Lelong, MD, Erwan Flecher, MD, PhD, Hervé Corbineau, MD, Thierry Langanay, MD, Jean-Philippe Verhoye, MD, PhD, Alain Leguerrier, MD The Journal of Thoracic and Cardiovascular Surgery Volume 153, Issue 1, Pages 21-28.e1 (January 2017) DOI: 10.1016/j.jtcvs.2016.07.080 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Distribution of nominal valve sizes. The 23-mm diameter valve was most frequently implanted. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 21-28.e1DOI: (10.1016/j.jtcvs.2016.07.080) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Study workflow. Among the 824 patients initially included, 739 (89.7%) were alive at the end of the follow-up. A total of 1747.6 patient/years (P/Y) were available. AVR, Aortic valve replacement. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 21-28.e1DOI: (10.1016/j.jtcvs.2016.07.080) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Kaplan-Meier curves of mortality risk in the entire study population. Confidence limits are indicated as areas around the curves. A, Risk of death due to any cause. B, Risk of valve-related death. C, Risk of any valve-related reintervention. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 21-28.e1DOI: (10.1016/j.jtcvs.2016.07.080) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Kaplan-Meier curves of mortality risk in the entire study population. Confidence limits are indicated as areas around the curves. A, Risk of death or SVD. B, Risk of death or any reintervention for SVD (including transcatheter valve-in-valve). C, Risk of death or open redo surgery for SVD. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 21-28.e1DOI: (10.1016/j.jtcvs.2016.07.080) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Study workflow and 5-year freedom from valve-related adverse events. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 21-28.e1DOI: (10.1016/j.jtcvs.2016.07.080) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Video 1 Implantation of a 19-mm Trifecta GT valve through full sternotomy for severe aortic stenosis. After aortic cross-clamping and injection of antegrade cardioplegia, an oblique aortotomy is performed, and the native valve is excised. This case is characterized by small annular diameter; both intra-annular and supra-annular sizing are performed to anticipate the overall device fit within the aortic root. A supra-annular technique through interrupted U-shaped stitches is used. Sutures are passed through the prosthetic sewing ring, which features markers at the bottom of each stent post. The sewing ring is designed to facilitate suture gliding when the valve is parachuted, and is shaped to conform to the 3-dimensional anatomy of the native annulus. The valve holder is modified to push at the midpoints between stent posts and avoid the risk of stent deformation during parachuting. Only 1 suture must be divided to liberate the valve. After knot tying, the aortotomy is sutured, taking care to avoid leaflet impingement into the sutures. Video available at: http://www.jtcvsonline.org/article/S0022-5223(16)31067-4/addons. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 21-28.e1DOI: (10.1016/j.jtcvs.2016.07.080) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions