Current status on stentless aortic bioprosthesis: A clinical and experimental perspective

European Journal of Cardio-thoracic Surgery

Volumn 41, Issue 4, 2012, Pages 790-799

  Funder, Jonas Amstrup ^a  

^a AARHUS UNIVERSITY HOSPITAL   (Denmark)

Author keywords

Aortic; Bioprostheses; Heart valves; Stentless

Indexed keywords

AORTA PROSTHESIS; AORTA ROOT; BIOMECHANICS; BLOOD FLOW VELOCITY; CORONARY ARTERY BLOOD FLOW; DETERIORATION; EDEMA; ENDOCARDITIS; HEART CONTRACTION; HEART RATE TURBULENCE; HEART VALVE REPLACEMENT; HEART VENTRICLE PRESSURE; HEMATOMA; HEMODYNAMICS; HUMAN; IN VITRO STUDY; KINEMATICS; MORBIDITY; NONHUMAN; NUCLEAR MAGNETIC RESONANCE IMAGING; PERICARDIUM; POST TREATMENT SURVIVAL; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; STENTLESS AORTIC BIOPROSTHESIS; THROMBOEMBOLISM; AORTA VALVE; AORTA VALVE STENOSIS; BIOPROSTHESIS; HEART VALVE PROSTHESIS; METHODOLOGY; PHYSIOLOGY; PROSTHESIS; STENT;

AORTIC VALVE; AORTIC VALVE STENOSIS; BIOPROSTHESIS; HEART VALVE PROSTHESIS; HEART VALVE PROSTHESIS IMPLANTATION; HUMANS; PROSTHESIS DESIGN; RANDOMIZED CONTROLLED TRIALS AS TOPIC; STENTS;

EID: 84862313666     PISSN: 10107940     EISSN: 1873734X     Source Type: Journal    
DOI: 10.1093/ejcts/ezr141     Document Type: Review

References (97)

1. Jin XY, Pepper JR. Do stentless valves make a difference? Eur J Cardiothorac Surg 2002;22:95-100.
2. Fries R, Graeter T, Aicher D, Reul H, Schmitz C, Bohm M et al. In vitro comparison of aortic valve movement after valve-preserving aortic replacement. J Thorac Cardiovasc Surg 2006;132:32-7.
3. Kouchoukos B, Blackstone E, Doty D, Hanley F, Karp R. Kirklin Barratt-Boyes. Cardiac surgery, 3 edn. Philadelphia, PA: Churchill Livingstone, 2003.
4. Handke M, Heinrichs G, Beyersdorf F, Olschewski M, Bode C, Geibel A. In vivo analysis of aortic valve dynamics by transesophageal 3-dimensional echocardiography with high temporal resolution. J Thorac Cardiovasc Surg 2003;125:1412-9.
5. Goldsmith I, Turpie AGG, Lip GYH. Valvular heart disease and prosthetic heart valves. Br Med J 2002;325:1228-31.
6. Akins CW. Resuls with mechanical cardiac valvular prosthesis. Ann Thorac Surg 1995;60:1836-44.
7. Schoen FJ, Levy RJ. Calcification of tissue heart valve substitutes: progress toward understanding and prevention. Ann Thorac Surg 2005;79: 1072-80.
8. Luciani GB. Stentless aortic valve replacement: current status and future trends. Expert Rev Cardiovasc Ther 2004;2:127-40.
9. Eriksson MJ, Rosfors S, Rådegran K, Brodin LÅ. Effects of exercise on Doppler-derived pressure difference, valve resistance, and effective orifice area in different aortic valve prostheses of similar size. Am J Card 1999;83:619-22.
10. Jasinski MJ, Hayton J, Kadziola Z, Wos S, Sosnowski AW. Hemodynamic performance after stented vs stentless aortic valve replacement. J Cardiovasc Surg (Torino) 2002;43:313-7.
11. Jin XY, Gibson DG, Yacoub MH, Pepper JR. Perioperative assessment of aortic homograft, toronto stentless valve, and stented valve in the aortic position. Ann Thorac Surg 1995;60:395-401.
12. Gulbins H, Reichenspurner H. Which patients benefit from stentless aortic valve replacement? Ann Thorac Surg 2009;88:2061-8.
13. Matsue H, Sawa Y, Toshiki T, Matsuemiya G, Ohtake S, Hamada S et al. Three-dimentional flow velocity quantification of freestyle aortic stentless bioprosthesis by magnetic resonance imaging: surgical consideration. Semin Thorac Cardiovasc Surg 2001;13:60-6.
14. Repossini A, Kotelnikov I, Bouchikihi R, Torre T, Passaretti B, Parodi O et al. Single-suture line placement of a pericardial stentless valve. J Thorac Cardiovasc Surg 2005;130:1265-9.
15. Beholz S, Dushe S, Konertz W. The Freedom SOLO valve: superior hemodynamic results with a new stentless pericardial valve for aortic valve replacement. J Heart Valve Dis 2007;16:49-55.
16. Bakhtiary F, Schiemann M, Dzemali O, Wittlinger T, Doss M, Ackermann H et al. Stentless bioprostheses improve postoperative coronary flow more than stented prostheses after valve replacement for aortic stenosis. J Thorac Cardiovasc Surg 2006;131:883-8.
17. Thubrikar M, Piepgrass WC, Shaner TW, Nolan SP. The design of the normal aortic valve. Am J Physiol 1981;241:H795-801.
18. Thubrikar M, Harry R, Nolan SP. Normal aortic valve function in dogs. Am J Cardiol 1977;40:563-8.
19. Thubrikar M, Bosher LP, Nolan SP. The mechanism of opening of the aortic valve. J Thorac Cardiovasc Surg 1979;77:863-70.
20. Lansac E, Lim HS, Shomura Y, Lim KH, Rice NT, Goetz W et al. A fourdimensional study of the aortic root dynamics. Eur J Cardiothorac Surg 2002;22:497-503.
21. Funder JA, Ringgaard S, Frost MW, Wierup P, Klaaborg KE, Hjortdal VE et al. Aortic root distensibility and cross sectional areas in stented and subcoronary stentless bioprostheses in pigs. Interact CardioVasc Thorac Surg 2010;10:976-80.
22. Thubrikar M, Heckman JL, Nolan SP. High speed cine-radiographic study of aortic valve leaflet motion. J Heart Valve Dis 1993;2:653-61.
23. Robicsek F, Thubrikar M. Role of sinus wall compliance in aortic leaflet function. Am J Cardiol 1999;84:944-6.
24. Brewer RJ, Deck JD, Capati B, Nolan SP. The dynamic aortic root. Its role in aortic valve function. J Thorac Cardiovasc Surg 1976;72:413-7.
25. Leyh RG, Schmidtke C, Sievers HH, Yacoub MH. Opening and closing characteristics of the aortic valve after different types of valve-preserving surgery. Circulation 1999;100:2153-60.
26. Kazui T, Izumoto H, Yoshioka K, Kawazoe K. Dynamic morphologic changes in the normal aortic annulus during systole and diastole. J Heart Valve Dis 2006;15:617-21.
27. Lansac E, Lim HS, Shomura Y, Lim KH, Rice NT, Goetz WA et al. Aortic root dynamics are asymmetric. J Heart Valve Dis 2005;14:400-7.
28. Hansen B, Menkis AH, Vesely I. Longitudinal and radial distensibility of the porcine aortic root. Ann Thorac Surg 1995;60:S384-90.
29. Dagum P, Green GR, Nistal FJ, Daughters GT, Timek TA, Foppiano LE et al. Deformational dynamics of the aortic root: modes and physiologic determinants. Circulation 1999;100:II54-62.
30. Howard IC, Patterson EA, Yoxall A. On the opening mechanism of the aortic valve: some observations from simulations. J Med Eng Technol 2003;27:259-66.
31. Bellhouse BJ, Bellhouse FH. Mechanism of closure of the aortic valve. Nature 1968;217:86-7.
32. Robicsek F, Thubrikar M. Loss of sinus compliance, cause of degenerative aortic valve disease, and early failure of biological valves. Z Kardiol 2000; 89:104-6.
33. De Hart J, Peters GWM, Schreurs PJG, Baaijens FP. A three-dimentional computational analysis of fluid-structure interaction in the aortic valve. J Biomech 2003;36:103-12.
34. Thubrikar M, Skinner JR, Aouad J, Finkelmeier BA, Nolan SP. Analysis of the design and dynamics of aortic bioprostheses in vivo. J Thorac Cardiovasc Surg 1982;84:282-90.
35. Frost MW, Funder JA, Klaaborg KE, Wierup P, Sloth E, Nygaard H et al. Leaflet opening and closing dynamics of stentless bioprostheses. J Heart Valve Dis 2010;19:492-8.
36. Revanna P, Fisher J, Watterson KG. The influence of free hand suturing technique and zero pressure fixation on the hydrodynamic function of aortic root and aortic valve leaflets. Eur J Cardiothorac Surg 1997;11: 280-6.
37. Melina G, Rajappan K, Amrani M, Khaghani A, Pennell DJ, Yacoub MH. Aortic distensibility after aortic root replacement assesed with cardiovascular magnetic resonance. J Heart Valve Dis 2002;11:67-74.
38. Bach DS, Goldman B, Verrier E, Petracek M, Wood J, Goldman S et al. Durability and prevalence of aortic regurgitation nine years after aortic valve replacement with the Toronto SPV stentless bioprosthesis. J Heart Valve Dis 2004;13:64-72.
39. Borger MA, Carson SM, Ivanov J, Rao V, Scully HE, Feindel CM et al. Stentless aortic valves are hemodynamically superior to stented valves during mid-term follow-up: a large retrospective study. Ann Thorac Surg 2005;80:2180-5.
40. Chambers J, Rimington H, Rajani R, Hodson F, Blauth C. Hemodynamic performance on exercise: comparison of a stentless and stented biological aortic valve replacement. J Heart Valve Dis 2004;13:729-33.
41. Kappetein AP, Braun J, Baur LHB, Prat A, Peels K, Hazekamp MG et al. Outcome and follow-up of aortic valve replacement with the Freestyle stentless bioprosthesis. Ann Thorac Surg 2001;71:601-8.
42. Sung HW, Kingsbury CJ, Quintero LJ, Myers KE, Le TN, Yoganathan AP et al. In vitro evaluation of a stentless porcine aortic bioprosthesis. A preliminary study. ASAIO Trans 1991;37:M172-4.
43. Song GM, Zhou JY, Hu SS, Cui JW, Song YH, Tang Y et al. [Hemodynamic performance of newly developed composite stentless porcine aortic valve: in vitro testing and in vivo experiment with sheep]. Zhonghua Yi Xue Za Zhi 2008;88:2059-63.
44. Yoganathan AP, Eberhardt CE, Walker PG. Hydrodynamic performance of the Medtronic Freestyle aortic root bioprosthesis. J Heart Valve Dis 1994;3:571-80.
45. Rao V, Christakis GT, Sever J, Fremes SE, Bhatnagar G, Cohen G et al. A novel comparison of stentless versus stented valves in the small aortic root. J Thorac Cardiovasc Surg 1999;117:431-6.
46. Doss M, Martens S, Wood JP, Aybek T, Kleine P, Wimmer GG et al. Performance of stentless versus stented aortic valve bioprostheses in the elderly patient: a prospective randomized trial. Eur J Cardiothorac Surg 2003;23:299-304.
47. Chambers JB, Rimington HM, Hodson F, Rajani R, Blauth CI. The subcoronary Toronto stentless versus supra-annular Perimount stented replacement aortic valve: early clinical and hemodynamic results of a randomized comparison in 160 patients. J Thorac Cardiovasc Surg 2006; 131:878-82.
48. Yun KL, Jamieson WR, Khonsari S, Burr LH, Munro AI, Sintek CF. Prosthesis-patient mismatch: hemodynamic comparison of stented and stentless aortic valves. Semin Thorac Cardiovasc Surg 1999;11: 98-102.
49. Dumesnil JG, LeBlanc MH, Cartier PC, Metras J, Desaulniers D, Doyle DP et al. Hemodynamic features of the freestyle aortic bioprosthesis compared with stented bioprosthesis. Ann Thorac Surg 1998;66:S130-3.
50. David TE, Feindel CM, Bos J, Ivanov J, Armstrong S. Aortic valve replacement with Toronto SPV bioprosthesis: optimal patient survival but suboptimal valve durability. J Thorac Cardiovasc Surg 2008;135:19-24.
51. Bleiziffer S, Eichinger WB, Wagner I, Guenzinger R, Bauernschmitt R, Lange R. The Toronto root stentless valve in the subcoronary position is hemodynamically superior to the mosaic stented completely supra-annular bioprosthesis. J Heart Valve Dis 2005;14:814-21.
52. Thomson HL, O'Brien MF, Almeida AA, Tesar PJ, Davison MB, Burstow DJ. Haemodynamics and left ventricular mass regression: a comparison of the stentless, stented and mechanical aortic valve replacement. Eur J Cardiothorac Surg 1998;13:572-5.
53. Vrandecic M, Fantini FA, Filho BG, de Oliveira OC, da Costa IM, Vrandecic E. Retrospective clinical analysis of stented vs. stentless porcine aortic bioprostheses. Eur J Cardiothorac Surg 2000;18:46-53.
54. Ali A, Halstead JC, Cafferty F, Sharples L, Rose F, Coulden R et al. Are stentless valves superior to modern stented valves? A prospective randomized trial. Circulation 2006;114:I535-40.
55. Perez dA, Lees B, Flather M, Nugara F, Husebye T, Jasinski M et al. Randomized comparison of stentless versus stented valves for aortic stenosis: effects on left ventricular mass. Circulation 2005;112:2696-702.
56. Dunning J, Graham RJ, Thambyrajah J, Stewart MJ, Kendall SW, Hunter S. Stentless vs. stented aortic valve bioprostheses: a prospective randomized controlled trial. Eur Heart J 2007;28:2369-74.
57. Narang S, Satsangi DK, Banerjee A, Geelani MA. Stentless valves versus stented bioprostheses at the aortic position: midterm results. J Thorac Cardiovasc Surg 2008;136:943-7.
58. Cohen G, Zagorski B, Christakis GT, Joyner CD, Vincent J, Sever J et al. Are stentless valves hemodynamically superior to stented valves? Long-term follow-up of a randomized trial comparing Carpentier- Edwards pericardial valve with the Toronto stentless porcine valve. J Thorac Cardiovasc Surg 2010;139:848-59.
59. Cohen G, Christakis GT, Joyner CD, Morgan CD, Tamariz M, Hanayama N et al. Are stentless valves hemodynamically superior to stented valves? A prospective randomized trial. Ann Thorac Surg 2002;73:767-78.
60. Maselli D, Pizio R, Bruno LP, Di Bella I, De Gasperis C. Left ventricular mass reduction after aortic valve replacement: homografts, stentless and stented valves. Ann Thorac Surg 1999;67:966-71.
61. Totaro P, Degno N, Zaidi A, Youhana A, Argano V. Carpentier-Edwards PERIMOUNT Magna bioprosthesis: a stented valve with stentless performance? J Thorac Cardiovasc Surg 2005;130:1668-74.
62. Walther T, Falk V, Langebartels G, Krüger M, Bernhardt U, Diegeler A et al. Prospective randomized evaluation of stentless versus conventional biological aortic valves. Impact on early regression of left ventricular hypertrophy. Circulation 1999;100:6-10.
63. Sensky PR, Loubani M, Keal RP, Samani NJ, Sosnowski AW, Galinanes M. Does the type of prosthesis influence early left ventricular mass regression after aortic valve replacement? Assessment with magnetic resonance imaging. Am Heart J 2003;146:1-6.
64. Bakhtiary , Abolmaali N, Dzemali O, Wittlinger T, Doss M, Moritz A et al. Impact of mechanical and biological aortic valve replacement on coronary perfusion: a prospective randomized study. J Heart Valve Dis 2006; 15:5-11.
65. Lehmann S, Walther T, Kempfert J, Leontjev S, Rastan A, Falk V et al. Stentless versus conventional xenograft aortic valve replacement: midterm results of a prospectively randomized trail. Ann Thorac Surg 2007;84:467-72.
66. Fries R, Wendler O, Schieffer H, Schäfers HJ. Comparative rest and exercise hemodynamics of 23-mm stentless versus 23-mm stented aortic bioprostheses. Ann Thorac Surg 2000;69:817-22.
67. Kunadian B, Vijayalakshmi K, Thornley AR, de Belder MA, Hunter S, Kendall S et al. Meta-analysis of valve hemodynamics and left ventricular mass regression for stentless versus stented aortic valves. Ann Thorac Surg 2007;84:73-8.
68. Williams RJ, Muir DF, Pathi V, MacArthur K, Berg GA. Randomized controlled trial of stented and stentless aortic bioprostheses: hemodynamic performance at 3 years. Semin Thorac Cardiovasc Surg 1999;11:93-7.
69. Raja SG, Macarthur KJ, Pollock JC. Impact of stentless aortic valves on left ventricular function and hypertrophy: current best available evidence. J Card Surg 2006;21:313-9.
70. Van Nooten G, Caes F, Francois K, Van BY, Taeymans Y. Stentless or stented aortic valve implants in elderly patients? Eur J Cardiothorac Surg 1999;15:31-6.
71. Walther T, Falk V, Langebartels G, Kruger M, Schilling L, Diegeler A et al Regression of left ventricular hypertrophy after stentless versus conventional aortic valve replacement. Semin Thorac Cardiovasc Surg 1999;11: 18-21.
72. Pibarot P, Dumesnil JG, LeBlanc MH, Cartier P, Metras J. Changes in left ventricular mass and function after aortic valve replacement: a comparison between stentless and stented bioprosthetic valves. J Am Soc Echocardiogr 1999;12:981-7.
73. Tamim M, Bove T, Van BY, Francois K, Taeymans Y, Van Nooten GJ. Stentless vs. stented aortic valve replacement: left ventricular mass regression. Asian Cardiovasc Thorac Ann 2005;13:112-8.
74. Deeb GM, Smolens IA, Bolling SF, Eppinger MJ, Pagani FD, Prager RL. Reoperation for Freestyle stentless aortic valves. Semin Thorac Cardiovasc Surg 2001;13:16-23.
75. Tsialtas D, Bolognesi R, Beghi C, Albertini D, Bolognesi MG, Manca C et al. Stented versus stentless bioprostheses in aortic valve stenosis: effect on left ventricular remodelling. Heart Surg Forum 2007;10:E205-10.
76. Del Rizzo DF, Abdoh A, Cartier P, Doty D, Westaby S. Factors affecting left ventricular mass regression after aortic valve replacement with stentless valves. Semin Thorac Cardiovasc Surg 1999;11:114-20.
77. Santini F, Bertolini P, Montalbano G, Vecchi B, Pessotto R, Prioli A et al. Hancock versus stentless bioprosthesis for aortic valve replacement in patients older than 75 years. Ann Thorac Surg 1998;66:S99-S103.
78. Matsue H, Sawa Y, Matsumiya G, Matsuda H, Hamada S. Mid-term results of freestyle aortic stentless bioprosthetic valve: clinical impact of quantitative analysis of in vivo three-dimensional flow velocity profile by magnetic resonance imaging. J Heart Valve Dis 2005;14:630-6.
79. Funder JA, Frost MW, Ringgaard S, Klaaborg KE, Wierup P, Hjortdal VE et al. In vivo blood velocity and velocity gradient profiles downstream of stented and stentless aortic heart valves. J Heart Valve Dis 2010;19: 292-303.
80. Funder JA, Frost MW, Wierup P, Klaaborg KE, Hjortdal VE, Nygaard H et al. Turbulence downstream of subcoronary stentless and stented aortic valves. J Biomech 2011;44:2273-8.
81. Nygaard H, Giersiepen M, Hasenkam JM, Westphal D, Paulsen PK, Reul H. Estimation of turbulent shear stresses in pulsatile flow immediately downstream of two artificial aortic valves in vitro. J Biomech 1990;23: 1231-8.
82. Gulbins H, Florath I, Ennker J. Cerebrovascular events after stentless aortic valve replacement during a 9-year follow-up period. Ann Thorac Surg 2008;86:769-73.
83. Hazekamp MG, Goffin YA, Huysmans HA. The value of the stentless biovalve prosthesis. An experimental study. Eur J Cardiothorac Surg 1993;7: 514-9.
84. Goodman SL. Sheep, pig, and human platelet-material interactions with model cardiovascular biomaterials. J Biomed Mater Res 1999;45: 240-50.
85. David TE, Puschmann R, Ivanov J, Bos J, Armstrong S, Feindel CM et al. Aortic valve replacement with Stentless and stented porcine valves: A case-match study. J Thorac Cardiovasc Surg 1998;116:236-41.
86. Luciani GB, Bertolini P, Vecchi B, Mazzucco A. Reoperation on stentless aortic xenografts. Ann Thorac Surg 1998;66:S104-9.
87. Dellgren G, David TE, Raanani E, Armstrong S, Ivanov J, Rakowski H. Late hemodynamic and clinical outcomes of aortic valve replacement with the Carpentier-Edwards Perimount pericardial bioprosthesis. J Thorac Cardiovasc Surg 2002;124:146-54.
88. Beholz S, Repossini A, Livi U, Schepens M, El GM, Matschke K et al. The Freedom SOLO valve for aortic valve replacement: clinical and hemodynamic results from a prospective multicenter trial. J Heart Valve Dis 2010;19:115-23.
89. Lehmann S, Walther T, Leontyev S, Kempfert J, Garbade J, Borger MA et al. The Toronto Root bioprosthesis: midterm results in 186 patients. Ann Thorac Surg 2009;87:1751-6.
90. Luciani GB, Auriemma S, Santini F, Casali G, Barozzi L, Mazzucco A. Comparison of late outcome after stentless versus stented xenograft aortic valve replacement. Semin Thorac Cardiovasc Surg 2001;13: 136-42.
91. Bach DS, Kon ND, Dumesnil JG, Sintek CF, Doty DB. Ten-year outcome after aortic valve replacement with the freestyle stentless bioprosthesis. Ann Thorac Surg 2005;80:480-6.
92. Desai ND, Merin O, Cohen GN, Herman J, Mobilos S, Sever JY et al. Long-term results of aortic valve replacement with the St. Jude Toronto stentless porcine valve. Ann Thorac Surg 2004;78:2076-83.
93. Banbury MK, Cosgrove DM III, Lytle BW, Smedira NG, Sabik JF, Saunders CR. Long-term results of the Carpentier-Edwards pericardial aortic valve: a 12-year follow-up. Ann Thorac Surg 1998;66:S73-6.
94. Gao G, Wu Y, Grunkemeier GL, Furnary AP, Starr A. Durability of pericardial versus porcine aortic valves. J Am Coll Cardiol 2004;44: 384-8.
95. David TE, Ivanov J, Armstrong S, Feindel CM, Cohen G. Late results of heart valve replacement with the Hancock II bioprosthesis. J Thorac Cardiovasc Surg 2001;121:268-77.
96. Rizzoli G, Bottio T, Thiene G, Toscano G, Casarotto D. Long-term durability of the Hancock II porcine bioprosthesis. J Thorac Cardiovasc Surg 2003;126:66-74.
97. Westaby S, Jonson A, Payne N, Saito S, Jin XY, Del Rizzo DF et al. Does the use of a stentless bioprosthesis increase surgical risk? Semin Thorac Cardiovasc Surg 2001;13:143-7.