Early aortic dissection after aortic valve replacement with a Perceval sutureless bioprosthesis

  • Giosuè Falcetta
  • Stefano Pratali
  • Giacomo Ravenni
  • Uberto Bortolotti
Case report


We report a patient who developed ascending aorta dissection after aortic valve replacement with a Perceval sutureless pericardial bioprosthesis, a previously not reported complication with this device. At reoperation, the intimal tear was located at the aortotomy suture line; the tips of the nitinol stent were far from the aortic lesion which therefore was not attributable to the presence of this specific prosthetic model. Nevertheless, a previous report of aortic dissection due to erosion of the aortic wall by the strut of a transcatheter prosthesis may raise the suspicion that such complication could also occur with sutureless prostheses of similar design.


Aortic valve replacement Aortic dissection Sutureless bioprostheses 


Compliance with ethical standards

Conflict of interest


Ethical standards

This study was approved by the Ethical committee.

Informed consent

Not required by Ethical committee.

Statement of human and animal rights

Not applicable.


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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  1. 1.Section of Cardiac Surgery, Cardiothoracic and Vascular DepartmentUniversity Hospital of PisaPisaItaly

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