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Perceval Sutureless Valve in Freestyle Root: New Surgical Valve-in-Valve Therapy  Emmanuel Villa, MD, PhD, Antonio Messina, MD, PhD, Marco Cirillo, MD,

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1 Perceval Sutureless Valve in Freestyle Root: New Surgical Valve-in-Valve Therapy 
Emmanuel Villa, MD, PhD, Antonio Messina, MD, PhD, Marco Cirillo, MD, Federico Brunelli, MD, Zean Mhagna, MD, Margherita Dalla Tomba, MD, Giovanni Troise, MD  The Annals of Thoracic Surgery  Volume 96, Issue 6, Pages e155-e157 (December 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Transesophageal echocardiography (TEE) showing eccentric Freestyle prosthesis aortic regurgitation. (B) Intraoperative view of commissural rupture between left and right coronary leaflets (asterisk = noncoronary leaflet). The Annals of Thoracic Surgery  , e155-e157DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Intraoperative view of released Perceval-S prosthesis in the Freestyle root before removal of temporary polypropylene sutures. (B) Regular functioning of the valve-in-valve (V-in-V) procedure at transesophageal echocardiography (TEE). The Annals of Thoracic Surgery  , e155-e157DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Detail of postoperative chest roentgenogram showing the nitinol stent of Perceval-S (thick arrow) and the mechanical mitral prosthesis (thin arrow). The Annals of Thoracic Surgery  , e155-e157DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions


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