African Annals of
Thoracic and Cardiovascular Surgery

OFFICIAL PUBLICATION OF THE AFRICAN ASSOCIATION OF THORACIC AND CARDIO-VASCULAR SURGEONS
  • Abbreviation: Afr. Ann. Thorac. Cardiovasc. Surg.
  • Language: English
  • ISSN: 1994-7461
  • DOI: 10.5897/AATCVS
  • Start Year: 2005
  • Published Articles: 38

Full Length Research Paper

Short-term follow-up of patients implanted with aortic valve bioprosthesis sutureless type Intuity Elite at the Robert Debré University Hospital in Reims (France)

Katche Koutoua Eric
  • Katche Koutoua Eric
  • Cardiovascular Surgery Service Abidjan, Côte d’Ivoire.
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Souaga Kouassi Antonin
  • Souaga Kouassi Antonin
  • Cardiovascular Surgery Service Abidjan, Côte d’Ivoire.
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Kirioua-kamenan Yeboua Aime
  • Kirioua-kamenan Yeboua Aime
  • Cardiovascular Surgery Service Abidjan, Côte d’Ivoire.
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Amani Kwadjau Anderson
  • Amani Kwadjau Anderson
  • Cardiovascular Surgery Service Abidjan, Côte d’Ivoire.
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Kendja Kouassi Flavien
  • Kendja Kouassi Flavien
  • Cardiovascular Surgery Service Abidjan, Côte d’Ivoire.
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Niava Gnamien Randolphe
  • Niava Gnamien Randolphe
  • Cardiovascular Surgery Service Abidjan, Côte d’Ivoire.
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Ruggieri Giovanni
  • Ruggieri Giovanni
  • Cardiovascular Surgery Service Reims, France.
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  •  Received: 15 April 2021
  •  Accepted: 01 June 2021
  •  Published: 30 June 2021

Abstract

To report the operative data, the immediate surgical results and the short-term follow-up of patients who were implanted with an Edwards’s elite intuity bioprosthesis at the Thoracic and Cardiovascular Surgery Department of Reims (France). This was a retrospective and prospective study that was carried out from May 2015 to October 2017 in the Thoracic and Cardiovascular Surgery Department of the Robert Debré Hospital. 20 patients were operated on for aortic valve stenosis using vertical midline sternotomy and "L" ministernotomy approaches with implantation of a rapidly deploying aortic valve bioprosthesis of the Intuity Elite bioprosthesis type from Edwards Lifesciences. The results of the study showed that minimal leaks occured and a permanent dual chamber pacemaker was implanted in a patient for third degree atrioventricular block. Post-surgery symptoms observed in patients included dyspnea, palpitation and infectious Enterococcus faecium endocarditis. In conclusion, “Sutureless” valves allow easier surgical implantation and shorter aortic clamping times than sutured prostheses. Meanwhile, intuity Elite maintains a better transvalvular gradient.

Key words: Elite intuity, follow-up, bioprosthesis, aortic valve.