{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T23:15:36Z","timestamp":1780528536716,"version":"3.54.1"},"reference-count":26,"publisher":"Texas Heart Institute Journal","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>In elderly, high-risk surgical patients, sutureless aortic valve replacement (AVR) can often be an alternative to conventional AVR; shorter aortic cross-clamp and cardiopulmonary bypass times are the chief advantages. We compared the outcomes of sutureless AVR with those of conventional AVR in 70 elderly patients who underwent concomitant cardiac surgical procedures.<\/jats:p>\n                  <jats:p>We retrospectively analyzed the cases of 42 men and 28 women (mean age, 70.4 \u00b1 10.3 yr; range, 34\u201393 yr) who underwent cardiac operations plus AVR with either a sutureless valve (group 1, n=38) or a conventional bioprosthetic or mechanical valve (group 2, n=32). Baseline patient characteristics were similar except for worse New York Heart Association functional status and the prevalence of diabetes mellitus in group 1.<\/jats:p>\n                  <jats:p>\n                    In group 1, the operative, cross-clamp, and cardiopulmonary bypass times were shorter (all\n                    <jats:italic>P<\/jats:italic>\n                    =0.001), postoperative drainage amounts were lower (\n                    <jats:italic>P<\/jats:italic>\n                    =0.009), hospital stays were shorter (\n                    <jats:italic>P<\/jats:italic>\n                    =0.004), and less red blood cell transfusion was needed (\n                    <jats:italic>P<\/jats:italic>\n                    =0.037). Echocardiograms before patients' discharge from the hospital showed lower peak and mean aortic gradients in group 1 (mean transvalvular gradient, 8.4 \u00b1 2.8 vs 12.2 \u00b1 5.2 mmHg;\n                    <jats:italic>P<\/jats:italic>\n                    =0.012).\n                  <\/jats:p>\n                  <jats:p>We found that elderly, high-risk patients who underwent multiple cardiac surgical procedures and sutureless AVR had better hemodynamic outcomes and shorter ischemic times than did patients who underwent conventional AVR.<\/jats:p>","DOI":"10.14503\/thij-16-6092","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T15:24:50Z","timestamp":1519831490000},"page":"11-16","source":"Crossref","is-referenced-by-count":25,"title":["Sutureless versus Conventional Aortic Valve Replacement: Outcomes in 70 High-Risk Patients Undergoing Concomitant Cardiac Procedures"],"prefix":"10.14503","volume":"45","author":[{"given":"Muhammet Onur","family":"Hanedan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Ali","family":"Yuruk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Ihsan","family":"Parlar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugur","family":"Ziyrek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Kemal","family":"Arslan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ufuk","family":"Sayar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilker","family":"Mataraci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5628","reference":[{"issue":"1","key":"i1526-6702-45-1-11-b1","series-title":"J Thorac Cardiovasc Surg","first-page":"370","article-title":"Early single-center experience in sutureless aortic valve implantation in 120 patients","volume":"147","year":"2014","unstructured":"Eichstaedt\n              HC\n            , EasoJ, HarleT, DapuntOE.\n          Early single-center experience in sutureless aortic valve implantation in 120 patients. J Thorac Cardiovasc Surg2014;147( 1):370\u20135."},{"issue":"4","key":"i1526-6702-45-1-11-b2","series-title":"Eur J Cardiothorac Surg","first-page":"S1","article-title":"Guidelines on the management of valvular heart disease (version 2012): the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"42","year":"2012","unstructured":"Vahanian\n              A\n            , AlfieriO, AndreottiF, AntunesMJ, Baron-EsquiviasG, BaumgartnerH, \n          et al. Guidelines on the management of valvular heart disease (version 2012): the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur J Cardiothorac Surg2012;42( 4):S1\u201344."},{"issue":"2","key":"i1526-6702-45-1-11-b3","series-title":"Turk Gogus Kalp Dama","first-page":"240","article-title":"Early outcomes of the sutureless aortic valves versus conventional stented bioprosthetic valves","volume":"24","year":"2016","unstructured":"Mataraci\n              I\n            , HanedanMO, SayarU, YurukMA, OzerT, ArslanAK, YucelM.\n          Early outcomes of the sutureless aortic valves versus conventional stented bioprosthetic valves. Turk Gogus Kalp Dama2016;24( 2):240\u20137. Available at: http:\/\/tgkdc.dergisi.org\/pdf\/pdf_TGKDC_2363.pdf."},{"issue":"4","key":"i1526-6702-45-1-11-b4","series-title":"Ann Thorac Surg","first-page":"1294","article-title":"Aortic valve replacement and concomitant procedure with the Perceval valve: results of European trials","volume":"98","year":"2014","unstructured":"Shrestha\n              M\n            , FolliguetTA, PfeifferS, MeurisB, CarrelT, BechtelM, \n          et al. Aortic valve replacement and concomitant procedure with the Perceval valve: results of European trials. Ann Thorac Surg2014;98( 4):1294\u2013300."},{"issue":"4","key":"i1526-6702-45-1-11-b5","series-title":"J Thorac Cardiovasc Surg","first-page":"1354","article-title":"Expanding the indication for sutureless aortic valve replacement to patients with mitral disease","volume":"148","year":"2014","unstructured":"Minh\n              TH\n            , MazineA, BouhoutI, El-HamamsyI, CarrierM, BouchardD, DemersP.\n          Expanding the indication for sutureless aortic valve replacement to patients with mitral disease. J Thorac Cardiovasc Surg2014;148( 4):1354\u20139."},{"issue":"3","key":"i1526-6702-45-1-11-b6","series-title":"Eur J Cardiothorac Surg","first-page":"709","article-title":"Sutureless, rapid deployment valves and stented bioprosthesis in aortic valve replacement: recommendations of an International Expert Consensus Panel","volume":"49","year":"2016","unstructured":"Gersak\n              B\n            , FischleinT, FolliguetTA, MeurisB, TeohKH, MotenSC, \n          et al. Sutureless, rapid deployment valves and stented bioprosthesis in aortic valve replacement: recommendations of an International Expert Consensus Panel. Eur J Cardiothorac Surg2016;49( 3):709\u201318."},{"issue":"3","key":"i1526-6702-45-1-11-b7","series-title":"Korean J Thorac Cardiovasc Surg","first-page":"165","article-title":"Early outcomes of sutureless aortic valves","volume":"49","year":"2016","unstructured":"Hanedan\n              MO\n            , MataraciI, YurukMA, OzerT, SayarU, ArslanAK, \n          et al. Early outcomes of sutureless aortic valves. Korean J Thorac Cardiovasc Surg2016;49( 3):165\u201370."},{"issue":"1","key":"i1526-6702-45-1-11-b8","series-title":"J Heart Valve Dis","first-page":"21","article-title":"Immediate outcomes of aortic valve replacement with sutureless versus stentless bioprosthesis","volume":"25","year":"2016","unstructured":"Ihsan Parlar\n              A\n            , HanedanMO, MataraciI, YurukMA, SayarU, ArslanAK, OzerT.\n          Immediate outcomes of aortic valve replacement with sutureless versus stentless bioprosthesis. J Heart Valve Dis2016;25( 1):21\u20137."},{"issue":"4","key":"i1526-6702-45-1-11-b9","series-title":"J Thorac Cardiovasc Surg","first-page":"940","article-title":"Aortic valve replacement: results and predictors of mortality from a contemporary series of 2256 patients","volume":"141","year":"2011","unstructured":"Di Eusanio\n              M\n            , FortunaD, De PalmaR, Dell'AmoreA, LamarraM, ContiniGA, \n          et al. Aortic valve replacement: results and predictors of mortality from a contemporary series of 2256 patients. J Thorac Cardiovasc Surg2011;141( 4):940\u20137."},{"issue":"6","key":"i1526-6702-45-1-11-b10","series-title":"J Thorac Cardiovasc Surg","first-page":"1453","article-title":"Effect of sutureless implantation of the Perceval S aortic valve bioprosthesis on intraoperative and early postoperative outcomes","volume":"142","year":"2011","unstructured":"Flameng\n              W\n            , HerregodsMC, HermansH, van der MierenG, VercalsterenM, PoortmansG, \n          et al. Effect of sutureless implantation of the Perceval S aortic valve bioprosthesis on intraoperative and early postoperative outcomes. J Thorac Cardiovasc Surg2011;142( 6):1453\u20137."},{"issue":"5","key":"i1526-6702-45-1-11-b11","series-title":"Ann Thorac Surg","first-page":"1483","article-title":"Sutureless Perceval aortic valve replacement: results of two European centers","volume":"93","year":"2012","unstructured":"Folliguet\n              TA\n            , LabordeF, ZannisK, GhorayebG, HaverichA, ShresthaM.\n          Sutureless Perceval aortic valve replacement: results of two European centers. Ann Thorac Surg2012;93( 5):1483\u20138."},{"issue":"2","key":"i1526-6702-45-1-11-b12","series-title":"Ann Thorac Surg","first-page":"504","article-title":"Sutureless aortic valve replacement: first-year single-center experience","volume":"94","year":"2012","unstructured":"Santarpino\n              G\n            , PfeifferS, SchmidtJ, ConcistreG, FischleinT.\n          Sutureless aortic valve replacement: first-year single-center experience. Ann Thorac Surg2012;94( 2):504\u20139."},{"issue":"6","key":"i1526-6702-45-1-11-b13","series-title":"J Heart Valve Dis","first-page":"698","article-title":"Sutureless Perceval S aortic valve replacement: a multicenter, prospective pilot trial","volume":"18","year":"2009","unstructured":"Shrestha\n              M\n            , FolliguetT, MeurisB, DibieA, BaraC, HerregodsMC, \n          et al. Sutureless Perceval S aortic valve replacement: a multicenter, prospective pilot trial. J Heart Valve Dis2009;18( 6):698\u2013702."},{"issue":"4","key":"i1526-6702-45-1-11-b14","series-title":"J Thorac Cardiovasc Surg","first-page":"878","article-title":"Sutureless aortic valve replacement with the Trilogy Aortic Valve System: multicenter experience","volume":"140","year":"2010","unstructured":"Breitenbach\n              I\n            , Wimmer-GreineckerG, BockeriaLA, SadowskiJ, SchmitzC, KapelakB, \n          et al. Sutureless aortic valve replacement with the Trilogy Aortic Valve System: multicenter experience. J Thorac Cardiovasc Surg2010;140( 4):878\u201384."},{"issue":"6","key":"i1526-6702-45-1-11-b15","series-title":"J Heart Valve Dis","first-page":"732","article-title":"Aortic cross-clamp time, new prostheses, and outcome in aortic valve replacement","volume":"21","year":"2012","unstructured":"Ranucci\n              M\n            , FrigiolaA, MenicantiL, CastelvecchioS, de VincentiisC, PistuddiV.\n          Aortic cross-clamp time, new prostheses, and outcome in aortic valve replacement. J Heart Valve Dis2012;21( 6):732\u20139."},{"issue":"2","key":"i1526-6702-45-1-11-b16","series-title":"Ann Thorac Surg","first-page":"611","article-title":"Better short-term outcome by using sutureless valves: a propensity-matched score analysis","volume":"98","year":"2014","unstructured":"Pollari\n              F\n            , SantarpinoG, Dell'AquilaAM, GazdagL, AlnahasH, VogtF, \n          et al. Better short-term outcome by using sutureless valves: a propensity-matched score analysis. Ann Thorac Surg2014;98( 2):611\u20137."},{"issue":"1","key":"i1526-6702-45-1-11-b17","series-title":"Tex Heart Inst J","first-page":"50","article-title":"The Sorin Freedom SOLO stentless tissue valve: early outcomes after aortic valve replacement","volume":"40","year":"2013","unstructured":"Altintas\n              G\n            , DikenAI, HanedanO, YurdakokO, OzyalcinS, KucukerSA, OzatikMA.\n          The Sorin Freedom SOLO stentless tissue valve: early outcomes after aortic valve replacement. Tex Heart Inst J2013;40( 1):50\u20135."},{"issue":"6","key":"i1526-6702-45-1-11-b18","series-title":"Ann Thorac Surg","first-page":"2180","article-title":"Stentless aortic valves are hemodynamically superior to stented valves during mid-term follow-up: a large retrospective study","volume":"80","year":"2005","unstructured":"Borger\n              MA\n            , CarsonSM, IvanovJ, RaoV, ScullyHE, FeindelCM, DavidTE.\n          Stentless aortic valves are hemodynamically superior to stented valves during mid-term follow-up: a large retrospective study. Ann Thorac Surg2005;80( 6):2180\u20135."},{"issue":"3","key":"i1526-6702-45-1-11-b19","series-title":"Eur J Cardiothorac Surg","first-page":"486","article-title":"Impact of residual regurgitation after aortic valve replacement","volume":"42","year":"2012","unstructured":"Sponga\n              S\n            , PerronJ, DagenaisF, MohammadiS, BaillotR, DoyleD, \n          et al. Impact of residual regurgitation after aortic valve replacement. Eur J Cardiothorac Surg2012;42( 3):486\u201392."},{"issue":"11","key":"i1526-6702-45-1-11-b20","series-title":"J Am Coll Cardiol","first-page":"1125","article-title":"Paravalvular leak after transcatheter aortic valve replacement: the new Achilles' heel? A comprehensive review of the literature","volume":"61","year":"2013","unstructured":"Genereux\n              P\n            , HeadSJ, HahnR, DaneaultB, KodaliS, WilliamsMR, \n          et al. Paravalvular leak after transcatheter aortic valve replacement: the new Achilles' heel? A comprehensive review of the literature. J Am Coll Cardiol2013;61( 11):1125\u201336."},{"issue":"4","key":"i1526-6702-45-1-11-b21","series-title":"J Thorac Cardiovasc Surg","first-page":"1681","article-title":"Clinical performance of a sutureless aortic bioprosthesis: five-year results of the 3f Enable long-term follow-up study","volume":"148","year":"2014","unstructured":"Englberger\n              L\n            , CarrelTP, DossM, SadowskiJ, BartusK, EcksteinFF, \n          et al. Clinical performance of a sutureless aortic bioprosthesis: five-year results of the 3f Enable long-term follow-up study. J Thorac Cardiovasc Surg2014;148( 4):1681\u20137."},{"issue":"5","key":"i1526-6702-45-1-11-b22","series-title":"J Thorac Cardiovasc Surg","first-page":"1010","article-title":"Sutureless aortic valve replacement as an alternative treatment for patients belonging to the \u201cgray zone\u201d between transcatheter aortic valve implantation and conventional surgery: a propensity-matched, multicenter analysis","volume":"144","year":"2012","unstructured":"D'Onofrio\n              A\n            , MessinaA, LorussoR, AlfieriOR, FusariM, RubinoP, \n          et al. Sutureless aortic valve replacement as an alternative treatment for patients belonging to the \u201cgray zone\u201d between transcatheter aortic valve implantation and conventional surgery: a propensity-matched, multicenter analysis. J Thorac Cardiovasc Surg2012;144( 5):1010\u20136."},{"issue":"5","key":"i1526-6702-45-1-11-b23","series-title":"J Thorac Cardiovasc Surg","first-page":"1226","article-title":"A classification system for the bicuspid aortic valve from 304 surgical specimens","volume":"133","year":"2007","unstructured":"Sievers\n              HH\n            , SchmidtkeC.\n          A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg2007;133( 5):1226\u201333."},{"issue":"11","key":"i1526-6702-45-1-11-b24","series-title":"Heart Vessels","first-page":"1783","article-title":"Sutureless aortic bioprosthesis valve implantation and bicuspid valve anatomy: an unsolved dilemma?","volume":"31","year":"2016","unstructured":"Vola\n              M\n            , GuichardJB, CampisiS, FuzellierJF, GerbayA, DoguetF, \n          et al. Sutureless aortic bioprosthesis valve implantation and bicuspid valve anatomy: an unsolved dilemma?Heart Vessels2016;31( 11):1783\u20139."},{"issue":"1","key":"i1526-6702-45-1-11-b25","series-title":"Interact Cardiovasc Thorac Surg","first-page":"90","article-title":"Treating the patients in the \u2018grey-zone\u2019 with aortic valve disease: a comparison among conventional surgery, sutureless valves and transcatheter aortic valve replacement","volume":"20","year":"2015","unstructured":"Muneretto\n              C\n            , BisleriG, MoggiA, Di BaccoL, TespiliM, RepossiniA, RambaldiniM.\n          Treating the patients in the \u2018grey-zone\u2019 with aortic valve disease: a comparison among conventional surgery, sutureless valves and transcatheter aortic valve replacement. Interact Cardiovasc Thorac Surg2015;20( 1):90\u20135."},{"issue":"5","key":"i1526-6702-45-1-11-b26","series-title":"J Thorac Cardiovasc Surg","first-page":"1065","article-title":"Conventional surgery, sutureless valves, and transapical aortic valve replacement: what is the best option for patients with aortic valve stenosis? A multicenter, propensity-matched analysis","volume":"146","year":"2013","unstructured":"D'Onofrio\n              A\n            , RizzoliG, MessinaA, AlfieriO, LorussoR, SalizzoniS, \n          et al. Conventional surgery, sutureless valves, and transapical aortic valve replacement: what is the best option for patients with aortic valve stenosis? A multicenter, propensity-matched analysis. J Thorac Cardiovasc Surg2013;146( 5):1065\u201371."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/45\/1\/article-p11.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/45\/1\/11\/1968273\/thij-16-6092.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/45\/1\/article-p11.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/45\/1\/article-p11.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T10:34:38Z","timestamp":1730975678000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/45\/1\/article-p11.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2]]},"references-count":26,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.14503\/thij-16-6092","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.732884632.793562223","asserted-by":"object"}]},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"value":"0730-2347","type":"print"},{"value":"1526-6702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2]]}}}