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Stentless pericardial valve for acute aortic valve endocarditis with annular destruction.

Pfeiffer, Steffen; Santarpino, Giuseppe; Fischlein, Theodor
Journal of Cardiovascular Medicine: Post Author Corrections: April 19, 2012
doi: 10.2459/JCM.0b013e3283536ac7
Perspective article: PDF Only

Surgery for aortic-valve endocarditis is still challenging, particularly in combination with destruction of the annulus. Freedom Solo (Solo) is a bovine stentless prosthesis for aortic valve replacement. It is implanted supra-annularly into the aortic wall with a single suture line, without requiring an 'intact' annulus. Thirteen patients received a Solo for endocarditis with annular destruction. Our results showed a low reinfection rate and no patient-prosthesis mismatch. Our contribution intends to show the feasibility of implantation also in case of complicated anatomical conditions, such as destruction of the annulus.

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