Mitral Regurgitation Exacerbation Due to Sutureless Aortic Valve Replacement

Timothy Lee, Alexander J.C. Mittnacht, Shinobu Itagaki, Allan Stewart

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Sutureless aortic valves are increasingly used for aortic valve replacement (AVR) with excellent outcomes. Implantation requires device expansion in a subannular position within the native aortic root. We report a patient with severe aortic stenosis who received a Perceval sutureless AVR (LivaNova, London, United Kingdom), resulting in a competent prosthesis with an absence of paravalvular leak and aortic regurgitation. However, this implantation resulted in the exacerbation of mitral regurgitation. The sutureless valve required explantation, and a traditional sutured valve was subsequently implanted, which returned the mitral regurgitation to baseline. We discuss a potential etiology of this sutureless AVR-specific complication.

Original languageEnglish
Pages (from-to)e103-e105
JournalAnnals of Thoracic Surgery
Issue number3
StatePublished - Mar 2018


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