Sutureless aortic valve prosthesis with supracoronary ascending aortic
replacement as an alternative strategy for composite graft replacement
in elderly high-risk patients.
AbstractAortic valve disease is frequently associated with ascending aorta
dilatation and can be treated either by separate replacement of the
aortic valve and ascending aorta or by a composite valve graft. The type
of surgery is depending on the exact location of the aortic dilatation
and the concomitant valvular procedures required. The limited evidence
for elective aortic surgery in elderly high-risk patient remains
challenging and therefore alternative strategies could be warranted. We
describe an alternative strategy for the treatment of ascending aortic
aneurysm and aortic valve pathology with the use of a sutureless,
collapsible, stent mounted aortic valve prosthesis.