Two Hundred Consecutive Implantations of the Sutureless 3f Enable Aortic Valve: What We Have Learned

The Annals of Thoracic Surgery
Jean François FuzellierMarco Vola

Abstract

In this article we present a consecutive single-center experience of implantation of the Medtronic 3f Enable aortic valve (Medtronic Inc, Minneapolis, MN). Between March 2011 and October 2014, 200 consecutive patients (mean age, 76.4 ± 5.9 years; logistic EuroScore, 7.8% ± 7.0%) in our unit received the 3f Enable valve. This is a retrospective analysis of this prospective monocentric cohort. The 3f Enable valve could be implanted in all the scheduled 141 isolated aortic valve replacement (AVR) procedures (14 full sternotomies, 73 ministernotomies, 44 minithoracotomies, and 10 thoracoscopic approaches) and 59 combined procedures (all using full sternotomy). Reclamping was necessary in 7 (3.5%) patients (paravalvular leakage [PVL] was ≥ grade 1 because of undersizing or prosthetic misalignment); mean cross-clamp and cardiopulmonary bypass (CPB) times were 65 ± 31 and 91 ± 39 minutes, respectively. Sixteen (8%) patients required early implantation of a pacemaker (PM). At a mean follow-up of 12.6 ± 8.1 months, mean transvalvular gradient and effective orifice area (EOA) were 9.8 ± 4.4 mm Hg and 1.87 ± 0.6 cm(2), respectively. Mild PVL was present in 7 (3.5%) patients and moderate PVL was present in 5 (2.5%) patients. No device migr...Continue Reading

References

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Citations

May 24, 2016·The Annals of Thoracic Surgery·Walid Ben AliLouis P Perrault
Sep 20, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jose L NaviaRodolfo C Quijano
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Apr 4, 2017·Interactive Cardiovascular and Thoracic Surgery·José Martínez-ComendadorJavier Otero
Mar 31, 2018·Journal of the American College of Cardiology·Stephan EnsmingerUNKNOWN GARY Executive Board

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