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

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.