# Use of the Perceval Sutureless Valve in Patients with a Type 0 Bicuspid Aortic Valve

## TL;DR

This paper shows that the Perceval sutureless valve can be safely used in patients with a specific type of bicuspid aortic valve.

## Contribution

A modified technique using three guiding sutures for implanting the Perceval valve in type 0 bicuspid aortic valves is described.

## Key findings

- Six patients with type 0 BAV underwent successful aortic valve replacement using the Perceval valve.
- No perivalvular leak or in-hospital mortality was observed in the cohort.
- Surgical modifications based on patient anatomy are necessary for safe implantation.

## Abstract

The valve implantation technique for using a Perceval valve in a type 0 bicuspid aortic valve (BAV) is modified with 3 guiding sutures being placed 120˚ apart, creating 3 neo-sinuses. Six patients with a type 0 BAV underwent aortic valve replacement with the Perceval sutureless valve. The mean age was 68.0 years, and 3 patients were male. No perivalvular leak occurred postoperatively, and no in-hospital mortality occurred in this cohort. The Perceval valve can be implanted safely in patients with a type 0 BAV, although careful consideration of patient anatomy intraoperatively is required to determine the required surgical modifications.