First case of a sutureless Perceval valve delayed proximal migration

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Presentation transcript:

First case of a sutureless Perceval valve delayed proximal migration Gilles Amr, MD, MSc, Aly Ghoneim, MD, Geneviève Giraldeau, MD, Philippe Demers, MD, MSc, FRCSC The Journal of Thoracic and Cardiovascular Surgery Volume 153, Issue 2, Pages e21-e23 (February 2017) DOI: 10.1016/j.jtcvs.2016.09.080 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A and B, Postoperative TTE control showing a normal positioning of the Perceval (Sorin Group, Saluggia, Italy) valve with a trace of PVL: yellow arrow. C and D, Readmission TTE revealing the Perceval valve's dislodgement into the left ventricular outflow tract with severe leakage: green arrows. The Journal of Thoracic and Cardiovascular Surgery 2017 153, e21-e23DOI: (10.1016/j.jtcvs.2016.09.080) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Axial computed tomography scan section revealing PVL. B, Sagittal computed tomography scan section showing a distorted valve migrating into the left ventricular outflow tract. C, Three-dimensional reconstruction showing the valve's position relative to the aorta's axis. D, Intraoperative surgical view with the DeBakey forceps indicating the dislodgment at the level of the right coronary cusp. E and F, The explanted prosthesis with no signs of deterioration or infection. The Journal of Thoracic and Cardiovascular Surgery 2017 153, e21-e23DOI: (10.1016/j.jtcvs.2016.09.080) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Perceval (Sorin Group, Saluggia, Italy) valve proximal migration with severe PVL 15 months after surgery. The Journal of Thoracic and Cardiovascular Surgery 2017 153, e21-e23DOI: (10.1016/j.jtcvs.2016.09.080) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Video 1 The first echocardiography clips show the satisfactory position of the Perceval (Sorin Group, Saluggia, Italy) valve with a trace of PVL in long-axis and short-axis views after the first surgery. The second echocardiography clips reveal the delayed proximal migration and the severe PVL in long-axis, 3-chamber, and short-axis views. Video available at: http://www.jtcvsonline.org/article/S0022-5223(16)31421-0/addons. The Journal of Thoracic and Cardiovascular Surgery 2017 153, e21-e23DOI: (10.1016/j.jtcvs.2016.09.080) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions