Aortic Valve Replacement With the Stentless Freedom SOLO Bioprosthesis: A Systematic Review

• Published in: The Annals of thoracic surgery Vol. 100; no. 4; pp. 1496 - 1504
• Main Authors: Wollersheim, Laurens W., MD, Li, Wilson W., MD, Bouma, Berto J., MD, PhD, Repossini, Alberto, MD, van der Meulen, Jan, MD, de Mol, Bas A., MD, PhD
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01-10-2015
• Subjects: Aortic Valve - surgery; Aortic Valve Stenosis - surgery; Bioprosthesis; Cardiothoracic Surgery; Heart Valve Prosthesis; Humans; Prosthesis Design; Surgery
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2015.06.048

This systematic review examined the clinical and hemodynamic performance of the stentless Freedom SOLO (Sorin Group, Milan, Italy) aortic bioprosthesis. The occurrence of postoperative thrombocytopenia was also analyzed. The Freedom SOLO is safe to use in everyday practice, with short cross-clamp times, and postoperative pacemaker implantation is notably lower. Valvular gradients are low and remain stable during short-term follow-up. Thrombocytopenia is more severe than in other aortic prostheses; however, this is without clinical consequences. Within a few years, the 15-year follow-up of this bioprosthesis will be known, which will be key to evaluating its long-term durability.