{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T01:50:42Z","timestamp":1771379442812,"version":"3.50.1"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Durability of sutureless aortic bioprosthetic valves remains a major issue. The aim of this study was to assess structural valve deterioration (SVD) and bioprosthetic valve failure (BVF) of the Perceval bioprosthesis using the new proposed standardized definitions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>All patients who underwent aortic valve replacement with sutureless Perceval S prostheses up to September 2016 were included. Clinical and echocardiographic follow-up was performed. New standardized definitions were used to assess the durability of sutureless bioprosthetic valves. From 2013 to 2016, 214 patients were included.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The mean age and EuroSCORE II were 79\u2009years and 2.74. Thirty-day mortality was 0.47%. The survival rate was 96.8%, 88.1% and 85.7% at 1, 3 and 4\u2009years, respectively. The median echocardiographic follow-up was 3.28\u2009years. The mean pressure gradient was 11.3\u2009mmHg. No cases showed evidence of severe SVD, 17 patients had moderate SVD with a mean pressure gradient of 24\u2009mmHg and 8 patients had definite late BVF. The incidence of moderate SVD and BVF at 4 years was 8.8% and 2.9%, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Mid-term follow-up to 6.3\u2009years after aortic valve replacement with the Perceval bioprosthesis documents favourable haemodynamic and clinical outcomes and low rates of SVD and BVF.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivaa299","type":"journal-article","created":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T04:14:13Z","timestamp":1604376853000},"page":"499-505","source":"Crossref","is-referenced-by-count":10,"title":["Mid-term assessment of structural valve deterioration of perceval S sutureless prosthesis using the last European consensus definition"],"prefix":"10.1093","volume":"32","author":[{"given":"Jos\u00e9 Manuel","family":"Mart\u00ednez-Comendador","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Hospital Universitario A Coru\u00f1a, A Coru\u00f1a, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Estevez-Cid","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Hospital Universitario A Coru\u00f1a, A Coru\u00f1a, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Gonz\u00e1lez Barbeito","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Hospital Universitario A Coru\u00f1a, A Coru\u00f1a, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Velasco Garc\u00eda De Sierra","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Hospital Universitario A Coru\u00f1a, A Coru\u00f1a, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Bouzas Mosquera","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Universitario A Coru\u00f1a, A Coru\u00f1a, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2646-4703","authenticated-orcid":false,"given":"Cayetana","family":"Barbeito","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Hospital Universitario A Coru\u00f1a, A Coru\u00f1a, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Cuenca Castillo","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular surgery, Hospital San Rafael, A Coru\u00f1a, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Herrera-Nore\u00f1a","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Hospital Universitario A Coru\u00f1a, A Coru\u00f1a, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,12,1]]},"reference":[{"key":"2022030919255448600_ivaa299-B1","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1093\/icvts\/ivx051","article-title":"Sutureless aortic bioprosthesis","volume":"25","author":"Mart\u00ednez-Comendador","year":"2017","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2022030919255448600_ivaa299-B2","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1093\/ejcts\/ezx244","article-title":"Standardized definitions of structural deterioration and valve failure in assessing long-term durability of transcatheter and surgical aortic bioprosthetic valves: a consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) endorsed by the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery 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