Polish Journal of Thoracic and Cardiovascular Surgery
eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
1/2026
vol. 23
 
Share:
Share:
Original paper

Medium-term results and the impact of structural valve deterioration of Trifecta versus Perceval bioprostheses: analysis from the Perfecta study

Paolo Nardi
1
,
Claudia Altieri
2
,
Alessandro Cristian Salvati
1
,
Dario Buioni
1
,
Federico Agneni
1
,
Mattia Scognamiglio
1
,
Carlo Bassano
1
,
Valentina Ajello
3
,
Giovanni Ruvolo
1
,
Augusto D’Onofrio
1

  1. Cardiac Surgery Division, Department of Surgical Sciences Tor Vergata University of Rome, Italy
  2. Cardiology Unit of the Cardiac Surgery Division, Tor Vergata University of Rome, Tor Vergata University Polyclinic, Rome, Italy
  3. Cardiac-Thoracic Anesthesia Division, Tor Vergata University of Rome, Tor Vergata University Polyclinic, Rome, Italy
Kardiochirurgia i Torakochirurgia Polska 2026; 23 (1): 39–47
Online publish date: 2026/04/04
Article file
Get citation
 
PlumX metrics:
 
1. Szecel D, Meuris B. Long-term outcome with sutureless valves: 12 years of Perceval experience. Ann Cardiothorac Surg 2020; 9: 322-324.
2. Meuris B, Lamberigts M. The sutureless aortic valve: a story of continuing improvements. Eur J Cardiothorac Surg 2023; 63: ezad034.
3. Meco M, Montisci A, Miceli A, Panisi P, Donatelli F, Cirri S, Ferrarini M, Lio A, Glauber M. Sutureless perceval aortic valve versus conventional stented bioprostheses: meta-analysis of postoperative and midterm results in isolated aortic valve replacement. J Am Heart Ass 2018; 16: e006091.
4. Nardi P, Altieri C, Pisano C, Buioni D, Agneni F, Grizzi G, Dakli M, Salvati AC, Scognamiglio M, Bassano C, Ruvolo G. Perceval sutureless bioprosthesis versus Trifecta sutured bioprosthesis for aortic valve replacement: immediate results of the Perfecta study. Kardiochir Torakochirurgia Pol 2024; 21: 153-161.
5. Lang RM, Bierig M, Devereux RB, Flachskampf A, Foster E, Pellikka PA, Picard MH, Roman MJ, Seward J, Shanewise J, Solomon S, Spencer KT, Sutton MSJ, Stewart W; American Society of Echocardiography’s Nomenclature and Standards Committee; Task Force on Chamber Quantification; American College of Cardiology Echocardiography Committee; American Heart Association; European Association of Echocardiography, European Society of Cardiology. Recommendations for chamber quantification. Eur J Echocardiogr 2006; 7: 79-108.
6. Zoghbi WA, Enriquez-Sarano M, Foster E, Grayburn PA, Kraft CD, Levine RA, Nihoyannopoulos P, Otto CM, Quinones MA, Rakowski H, Stewart WJ, Waggoner A, Weissman NJ; American Society of Echocardiography. Recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and Doppler echocardiography. J Am Soc Echocardiogr 2003; 16: 777-802.
7. Pibarot P, Dumesnil JG. Prosthesis-patient mismatch: definition, clinical impact, and prevention. Heart 2006; 92: 1022-1029.
8. Vahanian A, Beyersdorf F, Praz F, Milojevic M, Baldus S, Bauersachs J, Capodanno D, Conradi L, De Bonis M, De Paulis R, Delgado V, Freemantle N, Gilard M, Haugaa KH, Jeppsson A, Jüni P, Pierard L, Prendergast BD, Sádaba JR, Tribouilloy C, Wojakowski W; ESC/EACTS Scientific Document Group. 2021 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J 2022; 43: 561-632.
9. Dvir D, Bourguignon T. Standardized definitions of structural valve degeneration for surgical and transcatheter bioprosthetic aortic valves. Circulation 2018; 137: 388-399.
10. Zubarevich A, Amanov L, Arjomandi Rad A, Beltsios ET, Szczechowicz M, Osswald A, Ruhparwar A, Weymann A. Single-center real-world experience with sutureless aortic valve prosthesis in isolated and combined procedures. J Clin Med 2023; 12: 4163.
11. Dokollari A, Torregrossa G, Bisleri G, Hassanabad AF, Pompeu Sa M, Sicouri S, Veshti A, Prifti E, Bacchi B, Cabrucci F, Ramlawi B, Bonacchi M. Early and long-term clinical and echocardiographic outcomes of sutureless vs. sutured bioprosthesis for aortic valve replacement. J Cardiovasc Dev Dis 2023; 10: 224.
12. Colarossi G, Migliorini F, Becker M, Arias JP, Autschbachn R, Moza A, Aljalloud A. Conventional prostheses versus sutureless perceval for aortic valve replacement: a meta-analysis. Ann Thorac Cardiovasc Surg 2023; 29: 107-124.
13. Bach DS, Patel HJ, Kolias TJ, Deeb GM. Randomized comparison of exercise haemodynamics of Freestyle, Magna Ease and Trifecta bioprostheses after aortic valve replacement for severe aortic stenosis. Eur J Cardiothorac Surg 2016; 50: 361-367.
14. Goldman S, Cheung A, Bavaria JE, Petracek MR, Groh MA, Schaff HV. Midterm, multicenter clinical and hemodynamic results for the Trifecta aortic pericardial valve. J Thorac Cardiovasc Surg 2017; 153: 561-569.
15. Paredes F, Estigarribia Bernal A, Permanyer E, Poncela J, Ysasi A, Herrero E, Maynar M, Llorens R. Early experience with the latest-generation biological prosthesis, the Trifecta™ GT. J Heart Valve Dis 2017; 26: 721-727.
16. Raimundo R, Moreira S, Saraiva F, Cerqueira RJ, Teixeira P, Salgueiro E, Lourenço A, Amorim MJ, Almeida J, Pinho P, Leite-Moreira AF. Early and mid-term haemodynamic performance and clinical outcomes of St. Jude Medical Trifecta™ valve. J Thorac Dis 2018; 10: 889-898.
17. Hernandez-Vaquero D, Diaz R, Pascual I, Rozado J, De la Hera JM, Leon V, Avanzas P, Martín M, García-Iglesias D, Calvo D, Silva J, Moris C. The prevalence of patient-prosthesis mismatch can be reduced using the trifecta aortic prosthesis. Ann Thorac Surg 2018; 105: 144-151.
18. Concistré G, Baghai M, Santarpino G, Royse A, Scherner M, Troise G, Glauber M, Solinas M. Clinical and hemodynamic outcomes of the Perceval sutureless aortic valve from a real-word registry. Interdiscip CardioVasc Thorac Surg 2023; 36: ivad103.
19. Fischlein T, Caporali E, Asch FM, Vogt F, Pollari F, Folliguet T, Kappert U, Meuris B, Shrestha ML, Roselli EE, Bonaros N, Fabre O, Corbi P, Troise G, Andreas M, Pinaud F, Pfeiffer S, Kueri S, Tan E, Voisine P, Girdauskas E, Rega F, García-Puente J, De Kerchove L, Lorusso R. Hemodynamic performance of sutureless vs. conventional bioprostheses for aortic valve replacement: the 1-year core-lab results of the randomized PERSIST-AVR Trial. Front Cardiovasc Med 2022; 9: 844876.
20. Kapadia SJ, Salmasi MY, Zientara A, Roussin I, Quarto C, Asimakopoulos G. Perceval sutureless bioprosthesis versus Perimount sutured bioprosthesis for aortic valve replacement in patients with aortic stenosis: a retrospective, propensity-matched study. J Cardiothorac Surg 2024; 19: 95.
21. Toto F, Leo L, Klersy C, Torre T, Theologou T, Pozzoli A, Caporali E, Demertzis S, Ferrari E. Mid-term clinical outcomes and hemodynamic performances of trifecta and perimount bioprostheses following aortic valve replacement. J Cardiovasc Dev Dis 2023; 10: 139.
22. Werner P, Coti L, Kaider A, Gritsch J, Mach M, Kocher A, Laufer G, Andreas M. Long-term durability after surgical aortic valve replacement with the Trifecta and the Intuity valve-a comparative analysis. Eur J Cardiothorac Surg 2022; 61: 416-424.
23. Anselmi A, Ruggeri VG, Lelong B, Flecher E, Corbineau H, Langanay T, Verhoye JP, Leguerrier A. Mid-term durability of the Trifecta bioprosthesis for aortic valve replacement. J Thorac Cardiovasc Surg 2017; 153: 21-28.
24. Jolliffe J, Moten S, Tripathy A, Skillington P, Tatoulis J, Muneretto C, Di Bacco L, Figueiredo Galvao HB, Goldblatt J. Perceval valve intermediate outcomes: a systematic review and meta-analysis at 5-year follow-up. J Cardiothorac Surg 2023; 18: 129.
25. Pollari F, Mamdooh H, Hitzl W, Grossmann I, Vogt F, Fishlein T. Ten years’ experience with the sutureless aortic valve replacement: incidence and predictors for survival and valve durability at follow-up. Eur J Cardiothorac Surg 2023; 63: 2 ezac572.
26. Lamberigts M, Szecel D, Rega F, Verbrugghe P, Dubois C, Meuris B. Sutureless aortic valves in isolated and combined procedures: thirteen years of experience in 784 patients. J Thorac Cardiovasc Surg 2024; 167: 1724-1732.
27. Nardi P, Pisano C, Bertoldo F, Vacirca SR, Greci M, Bassano C, Scafuri A, Pellegrino A, Ruvolo G. Clinical outcome and hemodynamic performance of St. Jude Trifecta aortic prosthesis: short-term follow-up and risk factors analysis. J Thorac Dis 2019; 11: 1465-1474.
28. Yokoyama Y, Sakurai Y, Kuno T, Takagi H, Fukuhara S. Externally mounted versus internally mounted leaflet aortic bovine pericardial bioprosthesis: meta-analysis. Gen Thorac Cadiovasc Surg 2023; 71: 207-215.
29. Fukuhara S, Shiomi S, Yang B, Kim K, Bolling SF, Haft J, Tang P, Pagani F, Prager RL, Chetcuti S, Grossman PM, Patel HJ, Deeb GM. Early structural valve degeneration of trifecta bioprosthesis. Ann Thorac Surg 2020; 109: 720-727.
30. Hernandez-Vaquero D, Vigil-Escalera C, Persia Y, Morales C, Pascual I, Domínguez-Rodríguez A, Rodríguez-Caulo E, Carnero M, Díaz R, Avanzas P, Moris C, Silva J. Perceval or Trifecta to prevent patient-prosthesis mismatch. J Clin Med 2020; 9: 2964.
31. Wakami T, Koizumi S, Koyama T. Impact of postoperative patient-prosthesis mismatch as a risk factors for early structural valve deterioration after aortic valve replacement with Trifecta bioprosthesis. J Cadiothorac Surg 2022; 17: 174.
Copyright: © 2026 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Quick links
© 2026 Termedia Sp. z o.o.
Developed by Termedia.