ArticleCureus2025
Totally Endoscopic Aortic Valve Replacement Using a Longitudinal Incision for a Type 0 Bicuspid Aortic Valve: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
A 70-year-old man with severe aortic stenosis due to type 0 bicuspid aortic valve (BAV) (New York Heart Association (NYHA) class II) and mild aortic regurgitation (AR) underwent totally endoscopic aortic valve replacement (AVR) using a longitudinal aortotomy. Preoperative coronary angiography showed no obstructive coronary artery disease. A 29-mm bioprosthesis (INSPIRIS RESILIA, Edwards Lifesciences, Irvine, CA, USA) was implanted with a hybrid suture strategy (everting mattress at the nadirs plus interrupted sutures elsewhere). The longitudinal incision provided direct annular exposure, enabling implantation of a large prosthesis and facilitating annular circularization. Postoperative transthoracic echocardiography demonstrated an aortic valve area of 2.32 cm² with a mean pressure gradient of 6 mmHg and a maximum gradient of 11 mmHg, and no residual aortic regurgitation (no paravalvular or transvalvular components); physiologic intra-prosthetic washout jets may be present but are not classified as AR. Computed tomography on postoperative day (POD) 6 confirmed circular remodeling of the previously elliptical annulus. Recovery was uneventful, and the patient was discharged on POD 7. This case highlights the feasibility of an exposure-driven longitudinal aortotomy for totally endoscopic AVR in type 0 BAV and its potential role in annular remodeling; long-term durability requires further study.
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