{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:02:31Z","timestamp":1787169751970,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:p>Sutureless bioprostheses are more frequently used for the surgical treatment of elderly patients with high burden of comorbidity, who are candidates to aortic valve replacement (AVR). Among the sutureless bioprostheses, the Perceval valve has shown a good midterm durability, with very few reports of valve deterioration and low risk of complications. Herein, we present an unusual case of ascending aorta dissection which occurred 4 years after AVR with a Perceval sutureless pericardial bioprosthesis, likely related to the peculiar prosthetic design. A high right parasternal longitudinal view of the aorta in the right lateral decubitus allowed to suspect the acute aortic syndrome, thus accelerating the subsequent diagnostic and therapeutic iter.<\/jats:p>","DOI":"10.4103\/jcecho.jcecho_26_23","type":"journal-article","created":{"date-parts":[[2023,8,12]],"date-time":"2023-08-12T15:33:33Z","timestamp":1691854413000},"page":"98-101","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["An Unusual Case of Ascending Aorta Dissection 4 Years after Perceval Sutureless Bioprosthesis Implantation: Easier Access to Diagnosis through the Right Parasternal Longitudinal Echocardiographic Window"],"prefix":"10.4103","volume":"33","author":[{"given":"Andrea","family":"Sonaglioni","sequence":"first","affiliation":[{"name":"Division of Cardiology, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enzo","family":"Grasso","sequence":"additional","affiliation":[{"name":"Division of Cardiology, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Luigi","family":"Nicolosi","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Policlinico San Giorgio, Pordenone, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Trevisan","sequence":"additional","affiliation":[{"name":"Division of Radiology, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Luca","family":"Martinelli","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Lombardo","sequence":"additional","affiliation":[{"name":"Division of Cardiology, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,8,14]]},"reference":[{"key":"R1-20240904","doi-asserted-by":"crossref","first-page":"220","DOI":"10.2174\/1573403X11666141113155744","article-title":"Perceval sutureless valve \u2013Are sutureless valves here?","volume":"11","author":"Chandola","year":"2015","journal-title":"Curr Cardiol Rev"},{"key":"R2-20240904","first-page":"203","article-title":"Minimally invasive aortic valve replacement using the Perceval S sutureless valve","volume":"4","author":"Misfeld","year":"2015","journal-title":"Ann Cardiothorac Surg"},{"key":"R3-20240904","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1097\/imi.0000000000000372","article-title":"The Perceval sutureless aortic valve:Review of outcomes, complications, and future direction","volume":"12","author":"Powell","year":"2017","journal-title":"Innovations (Phila)"},{"key":"R4-20240904","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.athoracsur.2013.03.083","article-title":"The Perceval S aortic valve has the potential of shortening surgical time:Does it also result in improved outcome?","volume":"96","author":"Santarpino","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"R5-20240904","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":"Dal\u00e9n","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"key":"R6-20240904","doi-asserted-by":"crossref","first-page":"334","DOI":"10.7326\/M16-0060","article-title":"Transcatheter aortic valve implantation versus surgical aortic valve replacement:A systematic review and meta-analysis","volume":"165","author":"Gargiulo","year":"2016","journal-title":"Ann Intern Med"},{"key":"R7-20240904","doi-asserted-by":"crossref","first-page":"3503","DOI":"10.1093\/eurheartj\/ehw225","article-title":"Transcatheter aortic valve implantation versus. Surgical aortic valve replacement for treatment of severe aortic stenosis:A meta-analysis of randomized trials","volume":"37","author":"Siontis","year":"2016","journal-title":"Eur Heart J"},{"key":"R8-20240904","doi-asserted-by":"crossref","first-page":"87","DOI":"10.21037\/jovs.2018.03.10","article-title":"Ten-year experience with the Perceval S sutureless prosthesis:lessons learned and future perspectives","volume":"4","author":"Chauvette","year":"2018","journal-title":"J Vis Surg"},{"key":"R9-20240904","doi-asserted-by":"crossref","first-page":"e71","DOI":"10.1016\/j.jtcvs.2016.05.013","article-title":"First case of Perceval S prosthesis early structural valve deterioration:Not an easy reoperation","volume":"152","author":"Bouhout","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R10-20240904","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1093\/ejcts\/ezx009","article-title":"Can Perceval sutureless valve reduce the rate of patient-prosthesis mismatch?\u2020","volume":"51","author":"Belluschi","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"key":"R11-20240904","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1097\/imi.0000000000000175","article-title":"Sutureless aortic valve replacement in the setting of triple-valve surgery","volume":"10","author":"Mazine","year":"2015","journal-title":"Innovations (Phila)"},{"key":"R12-20240904","doi-asserted-by":"crossref","first-page":"305","DOI":"10.21037\/acs-2019-surd-172","article-title":"Right anterior mini-thoracotomy and sutureless valves:The perfect marriage","volume":"9","author":"Solinas","year":"2020","journal-title":"Ann Cardiothorac Surg"},{"key":"R13-20240904","doi-asserted-by":"crossref","first-page":"789392","DOI":"10.3389\/fcvm.2021.789392","article-title":"Benefits and pitfalls of the Perceval sutureless bioprosthesis","volume":"8","author":"Dokollari","year":"2021","journal-title":"Front Cardiovasc Med"},{"key":"R14-20240904","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1007\/s12055-018-0675-6","article-title":"Early aortic dissection after aortic valve replacement with a Perceval sutureless bioprosthesis","volume":"35","author":"Falcetta","year":"2019","journal-title":"Indian J Thorac Cardiovasc Surg"},{"key":"R15-20240904","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1148\/radiology.199.2.8668776","article-title":"Aortic dissection:A comparative study of diagnosis with spiral CT, multiplanar transesophageal echocardiography, and MR imaging","volume":"199","author":"Sommer","year":"1996","journal-title":"Radiology"}],"container-title":["Journal of Cardiovascular Echography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcecho.jcecho_26_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:12:53Z","timestamp":1787166773000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcecho.jcecho_26_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jcecho.jcecho_26_23","relation":{},"ISSN":["2211-4122","2347-193X"],"issn-type":[{"value":"2211-4122","type":"print"},{"value":"2347-193X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4]]},"assertion":[{"value":"2023-05-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-20","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}