loading page

Extended hockey stick aortotomy for Perceval valve implantation: how to reshape properly the aortic root
  • +1
  • Gabriele Tamagnini,
  • Raoul Biondi,
  • Jose Zulueta,
  • Mauro Del Giglio
Gabriele Tamagnini
Villa Torri Hospital
Author Profile
Raoul Biondi
Villa Torri Hospital
Author Profile
Jose Zulueta
Villa Torri Hospital
Author Profile
Mauro Del Giglio
Villa Torri Hospital
Author Profile


The Perceval Valve is a true sutureless aortic bioprosthesis. Overall, excellent performances have been demonstrated in terms of hemodynamic outcomes, safety and versatility of use; furthermore, as a sutureless valve option, it has shown to reduce the surgical burden, shortening the operative times and simplifying minimally invasive procedures. Since the valve has got a high frame profile, the recommended implantation technique requires a high and transverse aortotomy. In case of unplanned Perceval valve implantation, when an extended aortotomy is required, we have come up with a simple technique to reshape the aortic root before the valve is delivered in place: symmetry is pivotal to prevent folding issues and to improve the annular sealing. Although we discuss an out-of-recommendation use, in our experience that technique has shown to be safe and effective.

Peer review status:IN REVISION

21 Aug 2020Submitted to Journal of Cardiac Surgery
24 Aug 2020Assigned to Editor
24 Aug 2020Submission Checks Completed
27 Aug 2020Reviewer(s) Assigned
31 Aug 2020Review(s) Completed, Editorial Evaluation Pending
03 Sep 2020Editorial Decision: Revise Minor