Sutureless Aortic Valve Replacement in a High Risk Octagenerian

Recent advances in aortic bioprostheses involve deployment of suture less Aortic Valves. The sutureless Perceval aortic valve replacement (AVR) has been used in more than 20,000 cases worldwide and has excellent haemodynamics. Its other positive features include deployment in smaller aortic roots. In this case we describe an 82 year old lady presenting with significant symptoms attributable to a degenerating bioprosthesis. Previous surgery involved a bioprosthetic valve (21 Hancock bioprosthesis) and a Mitral Valve repair. Redo surgery and concomitant procedures are better served with a suture less AVR which can be deployed rapidly and presenting a larger effective orifice area. These characteristics also make minimal access surgery more feasible.