{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T12:28:01Z","timestamp":1775824081328,"version":"3.50.1"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Objectives\u2003The Perceval valve was shown to facilitate minimal-invasive operations and shorten operative times. We aimed to compare the early results of the Perceval valve to those of well-established valves, namely the Carpentier\u2013Edwards Perimount and Perimount Magna Ease valve protheses, in terms of their clinical and hemodynamic performances.<\/jats:p>\n                  <jats:p>Methods\u2003This is a single-center, retrospective, observational cohort study. For every patient operated with a Perceval valve, the last patient before and the next following patient receiving a Perimount valve was included in a control group leading to a 2:1 ratio (Perimount:Perceval). A propensity score matching was used and a subgroup analysis was performed to compare early and late Perceval patients as the sizing technique was changed over time.<\/jats:p>\n                  <jats:p>Results\u2003From November 2013 to November 2017, 423 patients were identified. These included 141 consecutive patients receiving a Perceval valve through a full- or a hemi-sternotomy. In addition, 282 patients receiving a Perimount or a Magna Ease valve were enrolled. After propensity score matching, 127 matched patients were compared. Operating times were shorter and postoperative transvalvular pressure gradients were lower in the Perceval group (15 vs. 17\u2009mmHg, p\u2009=\u20090.002). There was no difference in mortality and stroke rates. The incidence of new pacemaker implantations was higher in the Perceval group (7.1 vs. 18.9%, p\u2009=\u20090.005), mainly due to a very high incidence in the early phase of our Perceval experience prior to a change in the Perceval implantation technique. Subgroup analysis showed significantly better results in the late Perceval group.<\/jats:p>\n                  <jats:p>Conclusion\u2003Surgical outcome was good in both groups. The Perceval valve exhibited lower postoperative gradients, and the need for pacemaker implantation was higher and can be reduced by avoiding oversizing.<\/jats:p>","DOI":"10.1055\/s-0042-1755207","type":"journal-article","created":{"date-parts":[[2022,8,20]],"date-time":"2022-08-20T18:31:13Z","timestamp":1661020273000},"page":"542-549","source":"Crossref","is-referenced-by-count":2,"title":["The Hemodynamic Performance of the Perceval Sutureless Aortic Valve in a Propensity-Matched Comparison to the Carpentier\u2013Edwards Perimount and Perimount Magna Ease Valves for Aortic Valve Replacement"],"prefix":"10.1055","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1019-1432","authenticated-orcid":false,"given":"Sami","family":"Kueri","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Bad Krozingen, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6263-9123","authenticated-orcid":false,"given":"Tim","family":"Berger","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Bad Krozingen, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8112-5566","authenticated-orcid":false,"given":"Paul-C\u0103t\u0103lin","family":"Puiu","sequence":"additional","affiliation":[{"name":"Departement of Vascular Surgery, University Hospital Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasir","family":"Alhamami","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Bad Krozingen, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nawras","family":"Diab","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Bad Krozingen, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Czerny","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center Freiburg Bad Krozingen, Bad Krozingen, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Willibald","family":"Hochholzer","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Intensive Care Medicine, Klinikum Wurzburg Mitte gGmbH Standort Juliusspital, Wurzburg, Bayern, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Siepe","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Cardiovascular Center, Inselspital Universitatsspital Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,8,20]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"481","DOI":"10.4330\/wjc.v9.i6.481","article-title":"Assessment of aortic valve disease - a clinician oriented review","volume":"9","author":"A D M\u01cergulescu","year":"2017","journal-title":"World J Cardiol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1016\/S0140-6736(06)69208-8","article-title":"Burden of valvular heart diseases: a population-based study","volume":"368","author":"V T Nkomo","year":"2006","journal-title":"Lancet"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"16006","DOI":"10.1038\/nrdp.2016.6","article-title":"Calcific aortic stenosis","volume":"2","author":"B R Lindman","year":"2016","journal-title":"Nat Rev Dis Primers"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1093\/ejcts\/ezx324","article-title":"2017 ESC\/EACTS guidelines for the management of valvular heart disease","volume":"52","author":"V Falk","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1093\/ejcts\/ezz055","article-title":"Minimally invasive aortic valve replacement with sutureless and rapid deployment valves: a report from an international registry (Sutureless and Rapid Deployment International Registry)\u2020","volume":"56","author":"P Berretta","year":"2019","journal-title":"Eur J Cardiothorac Surg"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1053\/j.semtcvs.2016.02.013","article-title":"Sutureless sorin perceval aortic valve implantation","volume":"29","author":"S Pfeiffer","year":"2017","journal-title":"Semin Thorac Cardiovasc Surg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/imi.0000000000000287","article-title":"International expert consensus on sutureless and rapid deployment valves in aortic valve replacement using minimally invasive approaches","volume":"11","author":"M Glauber","year":"2016","journal-title":"Innovations (Phila)"},{"issue":"25","key":"ref8","first-page":"423","article-title":"The use of biological heart valves","volume":"116","author":"S Kueri","year":"2019","journal-title":"Dtsch Arztebl Int"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/j.athoracsur.2014.09.030","article-title":"Very long-term outcomes of the Carpentier-Edwards Perimount valve in aortic position","volume":"99","author":"T Bourguignon","year":"2015","journal-title":"Ann Thorac Surg"},{"issue":"02","key":"ref10","first-page":"253","article-title":"Sutureless perceval aortic valve in comparison with the stented Carpentier-Edwards Perimount aortic valve","volume":"23","author":"K C K\u00f6nig","year":"2014","journal-title":"J Heart Valve Dis"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"e006091","DOI":"10.1161\/JAHA.117.006091","article-title":"Sutureless perceval aortic valve versus conventional stented bioprostheses: meta-analysis of postoperative and midterm results in isolated aortic valve replacement","volume":"7","author":"M Meco","year":"2018","journal-title":"J Am Heart Assoc"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.1016\/j.jtcvs.2015.12.056","article-title":"Perioperative outcomes with sutureless versus stented biological aortic valves in elderly persons","volume":"151","author":"J Forcillo","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.athoracsur.2016.05.089","article-title":"Comparison of the performance of a sutureless bioprosthesis with two pericardial stented valves on small annuli: an in vitro study","volume":"103","author":"G Tasca","year":"2017","journal-title":"Ann Thorac Surg"},{"issue":"06","key":"ref14","doi-asserted-by":"crossref","first-page":"2414","DOI":"10.1016\/j.jtcvs.2017.12.154","article-title":"Sutureless aortic valve replacement with concomitant valvular surgery","volume":"155","author":"C Baran","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.1016\/j.athoracsur.2014.05.033","article-title":"Aortic valve replacement and concomitant procedures with the Perceval valve: results of European trials","volume":"98","author":"M Shrestha","year":"2014","journal-title":"Ann Thorac Surg"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1093\/ejcts\/ezv040","article-title":"European multicentre experience with the sutureless Perceval valve: clinical and haemodynamic outcomes up to 5 years in over 700 patients","volume":"49","author":"M Shrestha","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1093\/ejcts\/ezv014","article-title":"Aortic valve replacement through full sternotomy with a stented bioprosthesis versus minimally invasive sternotomy with a sutureless bioprosthesis","volume":"49","author":"M Dal\u00e9n","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"issue":"07","key":"ref18","doi-asserted-by":"crossref","first-page":"2945","DOI":"10.21037\/jtd.2019.07.27","article-title":"Surgical technique modifies the postoperative atrioventricular block rate in sutureless prostheses","volume":"11","author":"M Gonz\u00e1lez Barbeito","year":"2019","journal-title":"J Thorac Dis"},{"issue":"01","key":"ref19","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.athoracsur.2018.12.037","article-title":"Sutureless aortic valve and pacemaker rate: from surgical tricks to clinical outcomes","volume":"108","author":"F Vogt","year":"2019","journal-title":"Ann Thorac Surg"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.athoracsur.2017.12.044","article-title":"Increased gradients after aortic valve replacement with the perceval valve: the role of oversizing","volume":"106","author":"A G Cerillo","year":"2018","journal-title":"Ann Thorac Surg"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1755207.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:31:55Z","timestamp":1761784315000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1755207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,20]]},"references-count":20,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2023,10,9]]},"published-print":{"date-parts":[[2023,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1755207","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,20]]}}}