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Sutureless aortic valve prosthesis with supracoronary ascending aortic replacement as an alternative strategy for composite graft replacement in elderly high-risk patients.
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  • Jules Olsthoorn,
  • Ka Yan Lam,
  • Ferdi Akca,
  • Erwin Tan
Jules Olsthoorn
Catharina Hospital
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Ka Yan Lam
Catharina Ziekenhuis
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Ferdi Akca
Catharina Ziekenhuis
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Erwin Tan
Catharina Ziekenhuis
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Abstract

Aortic 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.