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Heart, Lung and Circulation
Editorial| Volume 29, ISSUE 9, P1270-1272, September 2020

The Ideal Heart Valve: To Suture or Not to Suture, Is That the Question?

      In this edition of Heart, Lung and Circulation, Amer and colleagues present the outcome of a metanalysis of 24 studies, with a total number of 5,073 patients, undergoing sutureless aortic valve replacement (SU-AVR) [
      • Amer M.
      • Al Jawad M.A.
      • Omar A.
      • Metwaly H.
      Safety and haemodynamic outcomes of currently available suture-less aortic valves in patients with aortic stenosis: a meta-analysis.
      ]. Mortality at 1- and 12-month follow-up was 2.5% and 2.7%, respectively, with a low risk of thromboembolism (1.6%), and acceptable paravalvular leak (0.5%). These results corroborate the positive outcomes achieved at 30 days post-AVR [
      • Hurley E.T.
      • O'Sullivan K.E.
      • Segurado R.
      • Hurley J.P.
      A meta-analysis examining differences in short-term outcomes between sutureless and conventional aortic valve prostheses.
      ,
      • Sohn S.H.
      • Jang M.J.
      • Hwang H.Y.
      • Kim K.H.
      Rapid deployment or sutureless versus conventional bioprosthetic aortic valve replacement: a meta-analysis.
      ], validating that the SU-AVR is safe and reduces operative time, especially in the setting of minimally invasive procedures.

      Keywords

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